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Physical activity patterns in type 1 diabetes in Spain: The SED1 study
F Gómez-Peralta1,2, E Menéndez3, S Conde4
1Endocrinology and Nutrition Unit, Hospital General de Segovia, Segovia, Spain. fgomezperalta@gmail.com.
BMC Sports Science, Medicine & Rehabilitation
|July 25, 2023
Summary
Spanish adults with type 1 diabetes (T1D) engage in frequent and intense physical activity (PA), often exceeding general population levels. However, this study found no direct link between PA levels and glycemic control in this T1D cohort.
Area of Science:
- Endocrinology and Metabolism
- Exercise Physiology
- Public Health
Background:
- Physical activity (PA) is crucial for managing type 1 diabetes mellitus (T1D).
- Understanding PA patterns and their impact on glycemic control in T1D populations is essential for optimizing treatment strategies.
Purpose of the Study:
- To characterize the frequency and intensity of physical activity among Spanish individuals with type 1 diabetes.
- To investigate the association between physical activity levels and glycemic control in this population.
Main Methods:
- A cross-sectional observational study (SED1) involving 592 patients with T1D (age >14 years) across 75 Spanish hospitals.
- International Physical Activity Questionnaire (IPAQ) used to assess PA frequency and intensity (METs).
- Analysis of the relationship between PA, glycemic control, and diabetes therapeutic education.
Main Results:
- The majority of participants engaged in vigorous physical activity (72.3%), with significant variations in energy expenditure (METs) between genders.
- Men reported higher overall and vigorous METs compared to women.
- No significant correlation was observed between physical activity intensity (METs) and glycemic control (HbA1c).
Conclusions:
- The Spanish T1D population exhibits a high frequency and intensity of physical activity, potentially surpassing that of the general population.
- Despite high PA levels, a direct link to improved glycemic control was not established in this study.
- Further research is warranted to explore potential long-term benefits and confounding factors influencing the PA-glycemic control relationship in T1D.
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