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. 2023 Mar 22;23(1):131.
doi: 10.1186/s12887-023-03940-3.

Factors affecting the support for physical activity in children and adolescents with type 1 diabetes mellitus: a national survey of health care professionals' perceptions

Emma J Cockcroft  1 , Eva L Wooding  2   3 , Parth Narendran  4   5 , Renuka P Dias  5   6 , Alan R Barker  7 , Christopher Moudiotis  3 , Ross Clarke  2 , Robert C Andrews  2   8
Affiliations

Factors affecting the support for physical activity in children and adolescents with type 1 diabetes mellitus: a national survey of health care professionals' perceptions

Emma J Cockcroft et al. BMC Pediatr. .

Abstract

Background: Many children and adolescents with Type 1 Diabetes Mellitus (T1DM) don't meet the recommended levels of physical activity. Healthcare professionals (HCPs) have a key role in supporting and encouraging children and adolescents with T1DM to be physically active. This study aims to understand the perspectives of HCPs in relation to supporting physical activity and implementing guidelines relating to physical activity.

Methods: An online mixed methods survey was circulated to HCPs in pediatric diabetes units in England and Wales. Participants were asked about how they support physical activity in their clinic and their perceptions of barriers/enablers of providing physical activity support to children and adolescents with T1DM. Quantitative data were analysed descriptively. An deductive thematic approach was applied to the free text responses using the Capability Opportunity Motivation model of Behaviour (COM-B) as a framework.

Results: Responses were received from 114 individuals at 77 different pediatric diabetes units (45% of pediatric diabetes units in England and Wales). HCPs surveyed felt that the promotion of physical activity is important (90%) and advised patients to increase levels of physical activity (88%). 19% of the respondents felt they did not have sufficient knowledge to provide support. HCPs reported limited knowledge and confidence, time and resources as barriers to providing support. They also felt the current guidance was too complicated with few practical solutions.

Conclusion: Pediatric HCPs need training and support to be able to encourage and support children and adolescents with T1D to be a physical activity. In addition, resources that provide simple and practical advice to manage glucose around exercise are needed.

Keywords: Behaviour change; Exercise; Intervention development; Young people.

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Conflict of interest statement

All the authors declare that they have no competing interest,financial or otherwise.

Figures

Fig. 1
Fig. 1
Distribution of respondents by county
Fig. 2
Fig. 2
Summary of HCP level barriers and enablers to supporting physical activity
See this image and copyright information in PMC

References

    1. Jin MW, An Q, Wang L. Chronic conditions in adolescents (Review) Exp Ther Med. 2017;14(1):478–482. doi: 10.3892/etm.2017.4526. - DOI - PMC - PubMed
    1. DiMeglio LA, Acerini CL, Codner E, Craig ME, Hofer SE, Pillay K, et al. ISPAD Clinical Practice Consensus Guidelines 2018: Glycemic control targets and glucose monitoring for children, adolescents, and young adults with diabetes. Pediatr Diabetes. 2018;19:105–114. doi: 10.1111/pedi.12737. - DOI - PubMed
    1. Reddigan JI, Riddell MC, Kuk JL. The joint association of physical activity and glycaemic control in predicting cardiovascular death and all-cause mortality in the US population. Diabetologia. 2012;55(3):632–635. doi: 10.1007/s00125-011-2374-3. - DOI - PubMed
    1. Aljawarneh YMPMCBRN, Wardell DWPRNW-BC, Wood GLPRNF, Rozmus CLPRN. A systematic review of physical activity and exercise on physiological and biochemical outcomes in children and adolescents with type 1 diabetes. J Nurs Sch. 2019;51(3):337–45. doi: 10.1111/jnu.12472. - DOI - PubMed
    1. Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7(1):40. doi: 10.1186/1479-5868-7-40. - DOI - PMC - PubMed

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