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Association between Physical Activity and Sport Participation on Hemoglobin A1c Among Children and Adolescents with Type 1 Diabetes

Author

Listed:
  • Kristi M. King

    (Wendy Novak Diabetes Center, Division of Pediatric Endocrinology, School of Medicine, University of Louisville, Louisville, KY 40202, USA
    Department of Health and Sport Sciences, University of Louisville, Louisville, KY 40292, USA)

  • Jason R. Jaggers

    (Wendy Novak Diabetes Center, Division of Pediatric Endocrinology, School of Medicine, University of Louisville, Louisville, KY 40202, USA
    Department of Health and Sport Sciences, University of Louisville, Louisville, KY 40292, USA)

  • Lindsay J. Della

    (Department of Communication, University of Louisville, Louisville, KY 40292, USA)

  • Timothy McKay

    (Wendy Novak Diabetes Center, Division of Pediatric Endocrinology, School of Medicine, University of Louisville, Louisville, KY 40202, USA)

  • Sara Watson

    (Wendy Novak Diabetes Center, Division of Pediatric Endocrinology, School of Medicine, University of Louisville, Louisville, KY 40202, USA)

  • Amy E. Kozerski

    (Epidemiology and Cancer Control, St. Jude Children’s Research Hospital, Memphis, TN 38105, USA)

  • Kimberly R. Hartson

    (School of Nursing, University of Louisville, Louisville, KY 40292, USA)

  • Kupper A. Wintergerst

    (Wendy Novak Diabetes Center, Division of Pediatric Endocrinology, School of Medicine, University of Louisville, Louisville, KY 40202, USA)

Abstract

Purpose: To determine associations between physical activity (PA) and sport participation on HbA1c levels in children with type 1 diabetes (T1D). Method: Pediatric patients with T1D were invited to complete a PA and sport participation survey. Data were linked to their medical records for demographic characteristics, diabetes treatment and monitoring plans, and HbA1c levels. Results: Participants consisted of 71 females and 81 males, were 13 ± 3 years old with an average HbA1c level of 8.75 ± 1.81. Children accumulating 60 min of activity 3 days or more a week had significantly lower HbA1c compared to those who accumulated less than 3 days ( p < 0.01) of 60 min of activity. However, there was no significant difference in HbA1c values based on sport participation groups. A multiple linear regression model indicated that PA, race, age, duration of diagnosis, and CGM use all significantly predicted HbA1c ( p < 0.05). Conclusion: This study demonstrated the significant relationship between daily PA and HbA1c. Those in this sample presented with lower HbA1c values even if accumulating less than the recommended number of days of activity. Further, it was shown that sport participation alone may not be adequate enough to impact HbA1c in a similar manner.

Suggested Citation

  • Kristi M. King & Jason R. Jaggers & Lindsay J. Della & Timothy McKay & Sara Watson & Amy E. Kozerski & Kimberly R. Hartson & Kupper A. Wintergerst, 2021. "Association between Physical Activity and Sport Participation on Hemoglobin A1c Among Children and Adolescents with Type 1 Diabetes," IJERPH, MDPI, vol. 18(14), pages 1-10, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7490-:d:594047
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    Cited by:

    1. Kristi M. King & Timothy McKay & Bradly J. Thrasher & Kupper A. Wintergerst, 2022. "Maximal Oxygen Uptake, VO 2 Max, Testing Effect on Blood Glucose Level in Adolescents with Type 1 Diabetes Mellitus," IJERPH, MDPI, vol. 19(9), pages 1-7, May.

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