Department of Exercise Sciences, Faculty of Science, University of Auckland, Auckland 1023, New Zealand.
Liggins Institute, University of Auckland, Auckland 1023, New Zealand.
Int J Environ Res Public Health. 2021 Apr 23;18(9):4475. doi: 10.3390/ijerph18094475.
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 ( = 33) and healthy controls ( = 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 ( = 0.212) nor between genders ( = 0.149). Younger adolescents tended to be more active than older adolescents ( = 0.079). PA level was negatively associated with BMI z-score ( = -0.29, = 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 ( = -0.58, < 0.001) and higher BMI z-score ( = 0.68, < 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.
身体活动（PA）是 1 型糖尿病（T1D）青少年生活方式管理的重要组成部分。由于 COVID-19 限制，PA 的机会减少了。因此，本横断面研究的目的是比较新西兰（NZ）首次 COVID-19 封锁期间 T1D 青少年与无 T1D 青少年的 PA 水平。通过自我报告和家长代理报告问卷评估了 11-18 岁患有 T1D（n=33）和健康对照组（n=34）青少年的 PA 水平。总体而言，封锁期间的 PA 水平低于推荐水平。T1D 和对照组参与者之间的 PA 水平没有差异（ = 0.212），也没有性别差异（ = 0.149）。青少年越年轻，越活跃（ = 0.079）。PA 水平与 BMI z 评分呈负相关（ = -0.29， = 0.026），但与社会经济地位（SES）或 T1D 相关参数无关。在 T1D 组中，较高的 HbA1c 与较低的学校十分位数（ = -0.58， < 0.001）和较高的 BMI z 评分（ = 0.68， < 0.001）相关。总体而言，青少年在封锁期间活动不足，一些亚组受到限制的影响比其他亚组更大。大流行很可能是我们未来的一部分，需要进一步研究以了解它们对青少年健康和幸福的影响。
