Dasman Diabetes Institute, Kuwait City, Kuwait.
Dasman Diabetes Institute, Kuwait City, Kuwait; Department of Psychological Medicine, Faculty of Medicine, Kuwait University, Kuwait.
Diabetes Metab Syndr. 2024 Jun;18(6):103046. doi: 10.1016/j.dsx.2024.103046. Epub 2024 May 24.
The main aim of the current study was to measure physical activity, sedentary behaviors and sleep levels across the different seasons in people with type 1 diabetes in Kuwait.
A prospective cross-sectional study was conducted from August 2021 to September 2022. Physical activity and sleep metrics were measured over a 7-day period with a wrist-worn accelerometer (GENEActiv). Overall physical activity was measured as a Euclidean Norm Minus One in milli gravitational units (mg). Accelerometer metrics were compared across the seasons and between the sex.
A total of 784 people with type 1 diabetes participated. Mean daily physical activity was 25.2 mg (SD = 7.3). Seasonal differences were seen in overall physical activity (p = 0.05), inactivity (p = 0.04), light activity (p = 0.001), the intensity gradient (p = 0.001) and sleep efficiency (p = 0.02). Poorer metrics were generally seen in Spring and Summer. Overall physical activity, moderate and vigorous physical activity, and inactivity were significantly higher in males compared to females (p ≤ 0.02). Females had a longer sleeping duration (p = 0.02), and higher sleep efficiency (p = 0.04) and light physical activity (p = 0.01). Overall physical activity and the intensity gradient were negatively associated with HbA1c (both p = 0.01).
Physical activity levels were generally low and sleep poor in people with type 1 diabetes in Kuwait and these varied by sex and season. The current data are useful to target and develop interventions to improve physical activity and glycemic control.
本研究的主要目的是在科威特的 1 型糖尿病患者中，测量不同季节的身体活动、久坐行为和睡眠水平。
本前瞻性横断面研究于 2021 年 8 月至 2022 年 9 月进行。使用腕戴式加速度计（GENEActiv）在 7 天内测量身体活动和睡眠指标。整体身体活动以欧几里得范数减 1 表示，单位为毫重力单位（mg）。比较了不同季节和不同性别的加速度计指标。
共有 784 名 1 型糖尿病患者参与。平均每日身体活动量为 25.2mg（SD=7.3）。总体身体活动（p=0.05）、不活动（p=0.04）、轻度活动（p=0.001）、强度梯度（p=0.001）和睡眠效率（p=0.02）存在季节性差异。春季和夏季的指标普遍较差。与女性相比，男性的总体身体活动、中高强度身体活动和不活动量显著更高（p≤0.02）。女性的睡眠时间更长（p=0.02），睡眠效率更高（p=0.04），轻度身体活动更多（p=0.01）。总体身体活动和强度梯度与 HbA1c 呈负相关（均 p=0.01）。
科威特 1 型糖尿病患者的身体活动水平普遍较低，睡眠质量较差，且这些情况因性别和季节而异。目前的数据有助于针对这些问题并开发干预措施，以提高身体活动量和血糖控制水平。
