دورية أكاديمية
Fear of Hypoglycemia and Longer Disease Duration Associated with Physical Activity Avoidance in Children and Adolescents with Type 1 Diabetes Mellitus
| العنوان: | Fear of Hypoglycemia and Longer Disease Duration Associated with Physical Activity Avoidance in Children and Adolescents with Type 1 Diabetes Mellitus |
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| المؤلفون: | Ergin, I., Ergin, B.D., Göksen, D. |
| بيانات النشر: | Galenos Publishing House |
| سنة النشر: | 2023 |
| المجموعة: | Ege University Institutional Repository |
| مصطلحات موضوعية: | child, cohort analysis, cross-sectional study, disease duration, economic inequality, fear, female, adolescent, physical activity, socioeconomic inequalities, Type 1 diabetes, glycated hemoglobin, adolescence, anxiety, Article, avoidance behavior, health education, health service, hospitalization, household, human, hypoglycemia, insulin dependent diabetes mellitus, interview, ketoacidosis, leisure, Likert scale, lowest income group, major clinical study, male |
| الوصف: | Objective: To determine physical activity (PA) avoidance and its associated factors among children with type 1 diabetes in four situations: leisure time (LT) PA out of school, LT PA at school during breaks, attendance at physical education (PE) classes and activity during PE classes. Methods: Cross-sectional study. The cohort consisted of 137 children, aged 9-18 years, with type 1 diabetes registered at a tertiary center between August 2019 and February 2020, 92 of whom attended for face-to-face interview. Responses were rated on a 5-point-Likert scale for PA in the four situations. Never/rarely/occasionally responses were defined as avoidance. Chi-square, parametric/non-parametric comparison and multivariate logistic regression analysis were used to detect and confirm variables associated with each avoidance situation. Results: Among the children 46.7% avoided PA during LT out of school and 52.2% during breaks, 15.2% avoided PE classes and 25.0% avoided active play during PE classes. Older children (14-18 year-olds) avoided PE classes [odds ratio (OR)=6.49, 95% confidence interval (CI)=1.10-38.13] and PA during breaks [OR=2.85, 95% CI=1.05-7.72] and girls avoided PA out of school (OR=3.18, 95% CI=1.18-8.06) and during breaks (OR=4.12, 95% CI=1.49-11.40). Those who had a sibling (OR=4.50, 95% CI=1.04-19.40) or had a poorly-educated mother (OR=3.63, 95% CI=1.15-11.46) avoided PA during breaks and those from low-income households avoided PE classes (OR=14.93, 95% CI=2.23-99.67). As the duration of disease prolonged, avoiding PA during LT out of school increased (4-9 years; OR=4.21, 95% CI=1.14-15.52 and ≥10 years; OR=5.94, 95% CI=1.20-29.36). Conclusion: Adolescence, gender, and socioeconomic inequalities deserve greater focus for better PA behavior among young people with type 1 diabetes. As the disease duration prolongs, revising and strengthening intervention to encourage PA may be needed. © 2023 by Turkish Society for Pediatric Endocrinology and Diabetes / The Journal of Clinical Research in Pediatric ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1308-5727 |
| العلاقة: | JCRPE Journal of Clinical Research in Pediatric Endocrinology; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; https://hdl.handle.net/11454/91523Test; https://doi.org/10.4274/jcrpe.galenos.2023.2022-9-13Test; 15; 238; 247 |
| DOI: | 10.4274/jcrpe.galenos.2023.2022-9-13 |
| الإتاحة: | https://doi.org/10.4274/jcrpe.galenos.2023.2022-9-13Test https://hdl.handle.net/11454/91523Test |
| حقوق: | open |
| رقم الانضمام: | edsbas.FFF1455E |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 13085727 |
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| DOI: | 10.4274/jcrpe.galenos.2023.2022-9-13 |