title: Physical activity and sedentary behavior levels in children and adolescents with type 1 diabetes using insulin pump or injection therapy - The importance of parental activity profile.
abstract: In children and adolescents, treatments for type 1 diabetes (T1D) have recently evolved with the introduction of the insulin pump. However, little is known about how a pump is associated with physical activity (PA) patterns. The goal of the study was to examine the activity profile of Canadian children and adolescents with T1D according to their insulin treatment (pump vs. injections), as well as barriers to exercise and parental lifestyle habits. A self-administered questionnaire was completed by 188 subjects with T1D aged 6 to 17 and their parents at the endocrinology clinic of Sainte-Justine's University Hospital Center (Montreal, Canada). Sixty percent of patients used an insulin pump. There were no significant differences in any components of the PA profile, sedentary habits, and exercise barriers between subjects using injections and those using a pump. Fear of hypoglycemia was the main PA barrier in both treatment groups. A more diverse PA practice by parents was associated with more moderate-to-vigorous PA and less screen time in adolescents. In conclusion, type of treatment was not associated with more activity in pediatric patients with T1D and a varied parental PA profile was the main factor of interest for healthier habits in adolescents with T1D.
authors.affiliation: Department of Kinesiology, University of Montreal, Montreal, QC, Canada, H3C 3J7; Data Analysis Resource Center, Statistics Canada, Ottawa, ON, Canada, K1A 0T6; Department of Pediatrics, University of Montreal and CHU Sainte-Justine, Montreal, QC, Canada, H3T 1C5.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Michaud
authors.affiliation: Department of Pediatrics, University of Montreal and CHU Sainte-Justine, Montreal, QC, Canada, H3T 1C5.
authors.forename: Mélanie
authors.initials: M
authors.lastname: Henderson
authors.affiliation: The Montreal Children's Hospital, McGill University Health Center, Montreal, QC, Canada, H3H 1P3.
authors.forename: Laurent
authors.initials: L
authors.lastname: Legault
authors.affiliation: Department of Kinesiology, University of Montreal, Montreal, QC, Canada, H3C 3J7; Department of Pediatrics, University of Montreal and CHU Sainte-Justine, Montreal, QC, Canada, H3T 1C5. Electronic address: me.mathieu@umontreal.ca.
authors.forename: Marie-Eve
authors.initials: ME
authors.lastname: Mathieu
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D002648:Child; D002652:Child Behavior; D003131:Combined Modality Therapy / Q000009:adverse effects; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy / Q000628:therapy*; D015444:Exercise; D005260:Female; D000070497:Healthy Lifestyle; D006801:Humans; D006943:Hyperglycemia / Q000517:prevention & control*; D007003:Hypoglycemia / Q000139:chemically induced / Q000517:prevention & control*; D007004:Hypoglycemic Agents / Q000008:administration & dosage* / Q000009:adverse effects / Q000627:therapeutic use; D007279:Injections, Subcutaneous; D007328:Insulin / Q000008:administration & dosage* / Q000009:adverse effects / Q000627:therapeutic use; D007332:Insulin Infusion Systems; D008297:Male; D016487:Parenting; D010349:Patient Compliance; D011792:Quebec; D057185:Sedentary Behavior; D057566:Self Report
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin
keywords: Diabetes; Exercise barriers; Injections; Lifestyle; Pediatrics; Pump