Sedentary Behavior and Physical Activity Associated with Psychosocial Outcomes in Adolescents with Type 1 Diabetes.
Sedentary Behavior and Physical Activity Associated with Psychosocial Outcomes in Adolescents with Type 1 Diabetes.
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久坐行为和体力活动与 1 型糖尿病青少年的心理社会结果相关。
DOI：
10.1155/2023/1395466
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发表时间：
2023
影响因子：
3.4
通讯作者：
Jaser,SarahS
中科院分区：
文献类型：
--
作者：
Tilden,DanielR;Noser,AmyE;Jaser,SarahS
背景1型糖尿病（T1 D）青少年特别容易受到不良心理社会结果的影响，糖尿病困扰和生活质量差的发生率高，在这一人群中很常见。以前在普通人群中的研究表明，生活质量与中等至剧烈体力活动（MVPA）的增加以及久坐行为的减少之间存在正相关。虽然基于调查的T1 D年轻成人评估观察到类似的趋势，但这些研究受到MVPA和久坐行为主观评估的限制。需要使用直接活动监测来确定T1 D青少年的心理社会结果与MVPA和久坐行为之间的关联。目的探讨客观测量的MVPA和久坐行为与T1 D青少年心理社会结果之间的关联。受试者和方法当前研究是对T1 D青少年睡眠促进干预试点试验收集的基线数据的二次分析。参与者（n= 29，平均年龄15.9 ± 1.3岁）完成基线调查，并在基线访视后佩戴活动记录仪一周。我们检查了每周MVPA的分钟数和久坐不动的清醒时间比例与青少年糖尿病困扰、抑郁症状和糖尿病相关的生活质量的关系。结果参与者平均每天进行MVPA的时间为19.6 ± 22.4分钟，久坐不动的清醒时间占68.6 ± 9.9%。在未校正（−3.6; 95%CI：−6.4至−0.8）和校正（−2.6; 95%CI：−5.0-−0.3）分析中，MVPA与较低的糖尿病痛苦相关。在调整后（6.3; 95%CI：1.3-11.2）但未调整（6.0; 95%CI：-5.6-12.6）分析中，久坐时间与较高的糖尿病痛苦相关。在二次分析中，我们没有观察到生活质量或抑郁症状与MVPA或久坐行为之间的显着关联。DiscussionOur研究结果扩展了先前基于调查的工作，证明糖尿病困扰减少与每周MVPA增加和久坐时间减少之间的关联。目前的研究强调了体力活动在这一人群中的多方面益处，并为制定干预措施以减少久坐时间提供了初步证据，作为改善这一高危人群心理社会结局的替代方法。
BackgroundAdolescents with type 1 diabetes (T1D) are particularly vulnerable to poor psychosocial outcomes—high rates of diabetes distress and poor quality of life are common among this cohort. Previous work in the general population demonstrated positive associations between quality of life and increases in moderate‐to‐vigorous physical activity (MVPA), as well as decreased sedentary behavior. While survey‐based assessments of young adults with T1D observed similar trends, these studies were limited by their use of subjective assessments of MVPA and sedentary behavior. The use of direct activity monitoring is needed to establish the association between psychosocial outcomes and MVPA and sedentary behavior among adolescents with T1D.ObjectiveTo explore the association between objectively measured MVPA and sedentary behavior on psychosocial outcomes among adolescents with T1D.Subjects and MethodsThe current study is a secondary analysis of baseline data collected for a pilot trial of sleep‐promoting intervention for adolescents with T1D. Participants (n= 29, with a mean age of 15.9 ± 1.3 years) completed baseline surveys and wore an actigraph for a week following the baseline visit. We examined minutes per week of MVPA and proportion of awake time spent sedentary in relation to adolescents’ diabetes distress, depressive symptoms, and diabetes‐related quality of life.ResultsParticipants engaged in a mean of 19.6 ± 22.4 minutes of MVPA per day and spent 68.6 ± 9.9% of their awake time sedentary. MVPA was associated with lower diabetes distress in unadjusted (−3.6; 95% CI: −6.4 to −0.8) and adjusted (−2.6; 95% CI: −5.0–−0.3) analyses. Sedentary time was associated with higher diabetes distress in adjusted (6.3; 95% CI: 1.3–11.2) but not unadjusted (6.0; 95% CI: −5.6–12.6) analyses. In secondary analyses, we did not observe significant associations between quality of life or depressive symptoms with either MVPA or sedentary behavior.DiscussionOur findings extend previous survey‐based work demonstrating an association between decreased diabetes distress with greater weekly MVPA and lower sedentary time. The current study highlights the multifaceted benefits of physical activity in this population and provides preliminary evidence for developing interventions to reduce sedentary time as an alternative method to improve psychosocial outcomes in this at‐risk population.