Physical activity during COVID-19 pandemic and its impact on glycemic control in children with type 1 diabetes mellitus
DOI:
https://doi.org/10.18203/2349-3291.ijcp20230726Keywords:
Physical activity, HbA1c, Diabetes mellitusAbstract
Background: Physical activity is one of the important factors affecting glycemic control in type 1 diabetes mellitus (T1DM). During COVID-19 pandemic the government imposed restrictions to prevent the spread of COVID and physical activity of children was curtailed. We assessed the physical activity during COVID-19 pandemic restrictions (from September 2020 to September 2021) and its association with their glycemic control.
Methods: 48 children with T1DM receiving treatment in paediatric endocrinology outpatient department (OPD), AIIMS, New Delhi were enrolled. Socio-clinical data were collected using pre-validated and tested self-structured tool, physical activity was assessed using global physical activity questionnaire and glycemic control was assessed by glycated haemoglobin (HbA1C) and compared to baseline level before the onset of pandemic.
Results: Among 48 children (11.2±3.7 years, 25 M: 23 F), 79.2% fulfilled the 60 minutes’ requirement of physical activity/day. Moderate negative correlation was found in recommended physical activity duration and HbA1c during COVID-19 pandemic. However, there was a significant increase in the HbA1C level from 7.6±1.5 to 8.5±1.8 during COVID-19 pandemic.
Conclusions: There was a moderate negative correlation between duration of physical activity and HbA1c of children. In spite of restrictions imposed by the government, children who were physically active were able to maintain good glycemic control. Although there was significant increase in the mean HbA1c of children during COVID-19 pandemic but the percentage of hyperglycemic events was significantly lower among the children who had walked/rode bicycle for going from one place to another and who had more rooms to play at home had good glycemic control.
References
International Diabetes Federation. Type 1 diabetes. Available at: https://www.idf.org/aboutdiabetes/ type-1-diabetes.html. Accessed on 11 November 2022.
Newton KH, Wiltshire EJ, Elley CR. Pedometers and Text Messaging to Increase Physical Activity: Randomized controlled trial of adolescents with type 1 diabetes. Diabetes Care. 2009;32(5):813-5.
Herbst A, Bachran R, Kapellen T, Holl RW. Effects of Regular Physical Activity on Control of Glycemia in Pediatric Patients With Type 1 Diabetes Mellitus. Arch Pediatr Adolesc Med. 2006;160(6):573-7.
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet. 2020;395(10223):497-506.
Surveillance and Population-Based Prevention. Prevention of Noncommunicable Diseases Department. World Health Organization Global Physical Activity Questionnaire (GPAQ). Available at: https://www.who.int/docs/default-source/ncds/ ncd-surveillance/gpaq-analysis-guide.pdf. Accessed on 11 November 2022.
Herrmann SD, Heumann KJ, Ananian CAD, Ainsworth BE. Validity and Reliability of the Global Physical Activity Questionnaire (GPAQ). Measurement in Physical Education and Exercise Science. 17(3):221-35.
World Health Organization. Physical activity. Available at: https://www.who.int/news-room/fact-sheets/detail/physical-activity. Accessed on 11 November 2022.
CDC. What Counts for Children and Adolescents? Centers for Disease Control and Prevention. 2020. Available at: https://www.cdc.gov/physicalactivity/ basics/children/what_counts.htm. Accessed on 11 November 2022.
Tornese G, Ceconi V, Monasta L, Carletti C, Faleschini E, Barbi E. Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity. Diabetes Technol Therap. 2020;22(6):462-7.
Verma A, Rajput R, Verma S, Balania VKB, Jangra B. Impact of lockdown in COVID 19 on glycemic control in patients with type 1 Diabetes Mellitus. Diabetes & Metabolic Syndrome: Clin Res Rev. 2020;14(5):1213-6.
Shah N, Karguppikar M, Bhor S, Ladkat D, Khadilkar V, Khadilkar A. Impact of lockdown for COVID-19 pandemic in Indian children and youth with type 1 diabetes from different socio-economic classes. J Pediatric Endocrinol Metabolism. 2021;34(2):217-23.
Saulnier DD, Brolin Ribacke K, Von Schreeb J. No Calm after the Storm: A Systematic Review of Human Health Following Flood and Storm Disasters. Prehospital Disaster Med. 2017;32(5):568-79.
Ghosal S, Sinha B, Majumder M, Misra A. Estimation of effects of nationwide lockdown for containing coronavirus infection on worsening of glycosylated haemoglobin and increase in diabetes-related complications: A simulation model using multivariate regression analysis. Diabetes Metabolic Syndrome: Clin Res Rev. 2020;14(4):319-23.
Tomio J, Sato H. Emergency and disaster preparedness for chronically ill patients: a review of recommendations. Open Access Emerg Med. 2014;6:69-79.
Galler A, Lindau M, Ernert A, Thalemann R, Raile K. Associations Between Media Consumption Habits, Physical Activity, Socioeconomic Status, and Glycemic Control in Children, Adolescents, and Young Adults With Type 1 Diabetes: Table 1. Dia Care. 2011;34(11):2356-9.
