久坐不动行为和体力活动与1型糖尿病青少年的心理社会结果相关
Daniel R Tilden1, Amy E Noser2, Sarah S Jaser3
1Endocrinology, Diabetes, and Clinical Pharmacology, University of Kansas Medical Center, Kansas City, KS, USA.
患有1型糖尿病 (T1D) 的青少年受益于增加中度至剧烈的体力活动 (MVPA) 和减少久坐时间,这与降低糖尿病痛苦有关. 客观监测证实了这些关联,支持以活动为基础的干预措施,以改善心理社会结果.
科学领域:
- 内分泌学和新陈代谢学
- 青少年健康 青少年健康
- 行为科学 行为科学
背景情况:
- 患有1型糖尿病 (T1D) 的青少年患糖尿病困扰率高,生活质量降低.
- 以前的研究表明,身体活动与一般人群中改善的心理社会结果之间存在联系.
- 对T1D青少年的研究依赖主观测量,需要客观活动监测.
研究的目的:
- 研究客观测量的体力活动与患有T1D的青少年心理社会结果之间的关联.
- 确定中度至强度体力活动 (MVPA) 和久坐行为与糖尿病困扰,抑郁症状和生活质量之间的关系.
主要方法:
- 从参与29名T1D青少年 (平均年龄15.9岁) 的试点睡眠干预试验的基线数据的二次分析.
- 客观测量MVPA和静坐行为使用加速度计 (动图) 超过一周.
- 通过验证的调查评估心理社会结果,包括糖尿病困扰,抑郁症状和与糖尿病相关的生活质量.
主要成果:
- 参与者平均每天服用MVPA19.6分钟,68%的清醒时间是静坐.
- 较高的MVPA显著与较低的糖尿病困扰相关 (调整后的分析:-2.6分,95%CI:-5.0至-0.3).
- 久坐时间的增加与糖尿病困扰的增加有关 (调整后的分析:6.3分,95% CI:1.3至11.2),但在未调整的模型中并不显著. 没有发现对生活质量或抑郁症状有重大关联.
结论:
- 客观数据证实,较大的MVPA和较少的静坐时间与T1D青少年糖尿病困扰的减少有关.
- 这些发现强调了身体活动对于改善这一群体的心理社会福祉的重要性.
- 旨在减少久坐行为的干预措施可能是一个可行的策略,以提高T1D青少年的心理社会结果.
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