Barriers to physical activity among patients with type 1 diabetes.

Barriers to physical activity among patients with type 1 diabetes.
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1型糖尿病患者体育锻炼的障碍。

DOI:
10.2337/dc08-0720
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发表时间:
2008-11
期刊:
影响因子:
16.2
通讯作者:
Mircescu, Hortensia
Mircescu, Hortensia
中科院分区:
医学1区
文献类型:
--
作者:
Brazeau, Anne-Sophie;Rabasa-Lhoret, Remi;Strychar, Irene;Mircescu, Hortensia

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明确性-在1型糖尿病成人人群中,使用糖尿病特异性障碍测量(糖尿病[1型] [BAPAD 1]量表中的身体活动障碍)和与这些障碍相关的因素确定定期身体活动的障碍。研究设计和方法:100名成年1型糖尿病患者回答了一份问卷调查,评估身体活动的障碍和相关因素。A1 C是从每个人的病历中获得的。低血糖恐惧被认为是身体活动的最大障碍。对胰岛素药代动力学的更多了解和使用适当的方法尽量减少运动引起的低血糖是与较少感知障碍相关的因素。更大的障碍与A1 C水平呈正相关(r = 0.203; P = 0.042),与幸福感呈负相关(r =-0.45; P < 0.001)。结论:对低血糖的恐惧是1型糖尿病成年患者进行常规体力活动的最大障碍,因此应告知并支持低血糖管理。
OBJECTIVE—To determine, in an adult population with type 1 diabetes, barriers to regular physical activity using a diabetes-specific barriers measure (the Barriers to Physical Activity in Diabetes [type 1] [BAPAD1] scale) and factors associated with these barriers. RESEARCH DESIGN AND METHODS—One hundred adults with type 1 diabetes answered a questionnaire assessing perceived barriers to physical activity and related factors. A1C was obtained from the medical chart of each individual. RESULTS—Fear of hypoglycemia was identified as being the strongest barrier to physical activity. Greater knowledge about insulin pharmacokinetics and using appropriate approaches to minimize exercise-induced hypoglycemia were factors associated with fewer perceived barriers. Greater barriers were positively correlated with A1C levels (r = 0.203; P = 0.042) and negatively with well-being (r = −0.45; P < 0.001). CONCLUSIONS—Fear of hypoglycemia is the strongest barrier to regular physical activity in adults with type 1 diabetes, who should therefore be informed and supported in hypoglycemia management.
DOI: 10.1249/01.mss.0000228937.86539.95
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