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Physical Activity in Adolescents with and without Type 1 Diabetes during the New Zealand COVID-19 Pandemic Lockdown of 2020

Author

Listed:
  • Deborah M. Telford

    (Department of Exercise Sciences, Faculty of Science, University of Auckland, Auckland 1023, New Zealand)

  • Dana M. Signal

    (Liggins Institute, University of Auckland, Auckland 1023, New Zealand
    Starship Children’s Health, Auckland 1023, New Zealand)

  • Paul L. Hofman

    (Liggins Institute, University of Auckland, Auckland 1023, New Zealand
    Starship Children’s Health, Auckland 1023, New Zealand)

  • Silmara Gusso

    (Department of Exercise Sciences, Faculty of Science, University of Auckland, Auckland 1023, New Zealand)

Abstract

Physical activity (PA) is an important part of lifestyle management for adolescents with Type 1 diabetes (T1D). Opportunities for PA were reduced by COVID-19 restrictions. Therefore, the purpose of this cross-sectional study was to compare PA among adolescents with and without T1D during the first New Zealand (NZ) COVID-19 lockdown. PA levels of adolescents aged 11–18 years with T1D ( n = 33) and healthy controls ( n = 34) were assessed through self-reported and parent proxy-reported questionnaires. Overall, PA levels during lockdown were below recommended levels. PA levels did not differ between T1D and control participants ( p = 0.212) nor between genders ( p = 0.149). Younger adolescents tended to be more active than older adolescents ( p = 0.079). PA level was negatively associated with BMI z-score ( r = −0.29, p = 0.026) but was not associated with socioeconomic status (SES) or T1D-related parameters. In the T1D group, higher HbA1c was associated with lower school decile ( r = −0.58, p < 0.001) and higher BMI z-score ( r = 0.68, p < 0.001). Overall, young people were insufficiently active during lockdown, and some sub-groups were more affected than others by the restrictions. Pandemics are likely to be part of our future, and further studies are needed to understand their impact on the health and wellbeing of adolescents.

Suggested Citation

  • Deborah M. Telford & Dana M. Signal & Paul L. Hofman & Silmara Gusso, 2021. "Physical Activity in Adolescents with and without Type 1 Diabetes during the New Zealand COVID-19 Pandemic Lockdown of 2020," IJERPH, MDPI, vol. 18(9), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4475-:d:541784
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    References listed on IDEAS

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    2. Ewelina Czenczek-Lewandowska & Justyna Leszczak & Joanna Baran & Aneta Weres & Justyna Wyszyńska & Bogumił Lewandowski & Mariusz Dąbrowski & Artur Mazur, 2019. "Levels of Physical Activity in Children and Adolescents with Type 1 Diabetes in Relation to the Healthy Comparators and to the Method of Insulin Therapy Used," IJERPH, MDPI, vol. 16(18), pages 1-17, September.
    3. Xinxin Zhang & Wenfei Zhu & Sifan Kang & Longkun Qiu & Zijun Lu & Yuliang Sun, 2020. "Association between Physical Activity and Mood States of Children and Adolescents in Social Isolation during the COVID-19 Epidemic," IJERPH, MDPI, vol. 17(20), pages 1-12, October.
    4. Bram Constandt & Erik Thibaut & Veerle De Bosscher & Jeroen Scheerder & Margot Ricour & Annick Willem, 2020. "Exercising in Times of Lockdown: An Analysis of the Impact of COVID-19 on Levels and Patterns of Exercise among Adults in Belgium," IJERPH, MDPI, vol. 17(11), pages 1-10, June.
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