The impact of COVID-19 restrictions on accelerometer-assessed physical activity and sleep in individuals with type 2 diabetes
The impact of COVID-19 restrictions on accelerometer-assessed physical activity and sleep in individuals with type 2 diabetes
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DOI：
10.1111/dme.14549
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发表时间：
2021-03-23
影响因子：
3.5
通讯作者：
Yates, Tom
中科院分区：
文献类型：
--
作者：
Rowlands, Alex V.;Henson, Joseph J.;Yates, Tom
目标：COVID-19危机期间的限制将影响积极参与的机会。我们的目的是（a）量化COVID-19限制对2型糖尿病患者加速度计评估的体力活动和睡眠的影响;（B）确定COVID-19限制期间体力活动的预测因素。方法：参与者来自英国2型糖尿病患者的时间型和对血糖控制的影响（CODEC）观察性研究。参与者在COVID-19限制之前和期间在手腕上佩戴了加速计8天。加速度计结果包括以下内容：总体体力活动、中度至剧烈体力活动（MVPA）、不活动时间、连续MVPA>= 30分钟的天数/周和睡眠。COVID前体力活动变化的预测因素包括：年龄、性别、种族、体重指数（BMI）、社会经济状况和病史。结果：共纳入165名参与者（年龄（平均值+/- S.D = 64. 2 +/-8. 3岁，BMI= 31. 4 +/-5. 4 kg/m2，45%为女性）。在限制期间，整体身体活动减少了1.7 mg（类似于800步/天），不活动时间增加了21.9分钟/天，但MVPA和睡眠时间没有统计学显著变化。相比之下，每周>= 1天>= 30分钟连续MVPA的人的百分比更高（34% cf. 24%）。较低的体力活动和/或较高的非活动时间的一致预测因素是较高的BMI和/或女性。年龄较大和/或来自少数民族群体与更高的非活动时间相关。结论：在COVID-19限制期间，2型糖尿病成人的总体体力活动，但MVPA不降低。妇女和较重、年龄较大、不活动和/或来自少数民族群体的个人在限制期间最有可能减少身体活动。
Aims: Restrictions during the COVID-19 crisis will have impacted on opportunities to be active. We aimed to (a) quantify the impact of COVID-19 restrictions on accelerometer-assessed physical activity and sleep in people with type 2 diabetes and (b) identify predictors of physical activity during COVID-19 restrictions.Methods: Participants were from the UK Chronotype of Patients with type 2 diabetes and Effect on Glycaemic Control (CODEC) observational study. Participants wore an accelerometer on their wrist for 8 days before and during COVID-19 restrictions. Accelerometer outcomes included the following: overall physical activity, moderate-to-vigorous physical activity (MVPA), time spent inactive, days/week with >= 30-minute continuous MVPA and sleep. Predictors of change in physical activity taken pre-COVID included the following: age, sex, ethnicity, body mass index (BMI), socio-economic status and medical history.Results: In all, 165 participants (age (mean +/- S.D = 64.2 +/- 8.3 years, BMI=31.4 +/- 5.4 kg/m(2), 45% women) were included. During restrictions, overall physical activity was lower by 1.7 mg (similar to 800 steps/day) and inactive time 21.9 minutes/day higher, but time in MVPA and sleep did not statistically significantly change. In contrast, the percentage of people with >= 1 day/week with >= 30-minute continuous MVPA was higher (34% cf. 24%). Consistent predictors of lower physical activity and/or higher inactive time were higher BMI and/or being a woman. Being older and/or from ethnic minorities groups was associated with higher inactive time.Conclusions: Overall physical activity, but not MVPA, was lower in adults with type 2 diabetes during COVID-19 restrictions. Women and individuals who were heavier, older, inactive and/or from ethnic minority groups were most at risk of lower physical activity during restrictions.