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Hypoglycaemia avoidance behaviour and exercise levels in active youth with type 1 diabetes

机译：有效青少年的低血糖避免行为和运动水平，1型糖尿病

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Aims The primary goal of this exploratory study was to examine the association between fear of hypoglycaemia (FOH), hypoglycaemia avoidance behaviours and exercise in active youth with type 1 diabetes (T1D). Methods 30 youth with T1D who participate in some physical activity (PA), age 15.0?±?2.4?years, on insulin pump therapy completed the ‘Type 1 Diabetes Report of Exercise Practices Survey (T1D‐REPS)’ and parent and child hypoglycaemia fear surveys (HFS). Twenty‐eight participants completed the 3‐day PA recall survey. Clinical data and pump downloads were obtained at the time of the survey collection. Results Higher child HFS behaviour and total scores were associated with higher PA levels ( P =?.003, P =?.027), and higher parent HFS behaviour score was associated with higher youth PA levels ( P =?.031), after adjusting for age, sex, duration of diabetes and BMI. Higher child HFS behaviour score was associated with a higher exercise hypoglycaemia avoidance score on T1D‐REPS ( r =?.38, P =?.043). Higher child HFS worry and total scores were associated with higher HbA1c ( r =?.48, P =?.008; r =?.46, P =?.012). Conclusions This study demonstrated that, in a generally active cohort of youth with T1D, increased hypoglycaemia avoidance behaviour was associated with higher PA levels. Higher overall FOH scores were associated with PA level, driven by higher behaviour subscale scores, while worry subscales were not correlated with PA level. Those with more FOH intervene more to specifically avoid exercise‐associated hypoglycaemia and appear to have worse overall glycaemic control. Thus, improved education is required to improve glycaemic control around exercise while maintaining avoidance of hypoglycaemia.
机译：旨在探讨这项探索性研究的主要目标是检查对低血糖（FOH）的恐惧之间的关联，低血症避免行为和在活性青年中锻炼，患有1型糖尿病（T1D）。方法方法30青年与T1D参与一些身体活动（PA），年龄15.0岁？±2.4？年，关于胰岛素泵治疗完成的“型糖尿病患者的运动实践调查（T1D-REP）”和父母和儿童低血糖报告恐惧调查（HFS）。二十八名参与者完成了3天的PA召回调查。在调查收集时获得了临床数据和泵下载。结果更高的儿童HFS行为和总分比与较高的PA水平相关（P = 003，P = 027），并且较高的父母HFS行为分数与更高的青年PA水平相关联（P = 031）。调整年龄，性别，糖尿病和BMI的持续时间。高级儿童HFS行为得分与T1D-REP上的较高运动低血糖避免得分相关（R = 38，P = 043）。较高的儿童HFS担心和总分比与较高的HBA1C（R = 48，P =Δ.008; r =Δ.46，p = 012）。结论本研究表明，在一般有效的青少年队列中，低血糖避免行为增加与较高的PA水平相关。通过更高的行为次要分数驱动，较高的总体FOH分数与PA级别相关联，而担心分量与PA级别无关。那些具有更多FOH的介于特异性地避免锻炼相关的低血糖，并且似乎具有更糟糕的整体血糖控制。因此，需要改善教育以改善血糖控制围绕运动，同时保持避免低血糖。

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