Patton Susana R, Gal Robin L, Bergford Simon, Calhoun Peter, Clements Mark A, Sherr Jennifer L, Riddell Michael C
Nemours Children's Health, Jacksonville, FL, United States.
Jaeb Center for Health Research, Tampa, FL, United States.
JMIR Pediatr Parent. 2024 Jun 13;7:e57198. doi: 10.2196/57198.
Regular physical activity and exercise are fundamental components of a healthy lifestyle for youth living with type 1 diabetes (T1D). Yet, few youth living with T1D achieve the daily minimum recommended levels of physical activity. For all youth, regardless of their disease status, minutes of physical activity compete with other daily activities, including digital gaming. There is an emerging area of research exploring whether digital games could be displacing other physical activities and exercise among youth, though, to date, no studies have examined this question in the context of youth living with T1D.
We examined characteristics of digital gaming versus nondigital gaming (other exercise) sessions and whether youth with T1D who play digital games (gamers) engaged in less other exercise than youth who do not (nongamers), using data from the Type 1 Diabetes Exercise Initiative Pediatric study.
During a 10-day observation period, youth self-reported exercise sessions, digital gaming sessions, and insulin use. We also collected data from activity wearables, continuous glucose monitors, and insulin pumps (if available).
The sample included 251 youths with T1D (age: mean 14, SD 2 y; self-reported glycated hemoglobin A1c level: mean 7.1%, SD 1.3%), of whom 105 (41.8%) were female. Youth logged 123 digital gaming sessions and 3658 other exercise (nondigital gaming) sessions during the 10-day observation period. Digital gaming sessions lasted longer, and youth had less changes in glucose and lower mean heart rates during these sessions than during other exercise sessions. Youth described a greater percentage of digital gaming sessions as low intensity (82/123, 66.7%) when compared to other exercise sessions (1104/3658, 30.2%). We had 31 youths with T1D who reported at least 1 digital gaming session (gamers) and 220 youths who reported no digital gaming (nongamers). Notably, gamers engaged in a mean of 86 (SD 43) minutes of other exercise per day, which was similar to the minutes of other exercise per day reported by nongamers (mean 80, SD 47 min).
Digital gaming sessions were longer in duration, and youth had less changes in glucose and lower mean heart rates during these sessions when compared to other exercise sessions. Nevertheless, gamers reported similar levels of other exercise per day as nongamers, suggesting that digital gaming may not fully displace other exercise among youth with T1D.
规律的体育活动和锻炼是1型糖尿病（T1D）青少年健康生活方式的基本组成部分。然而，很少有T1D青少年达到每日推荐的最低体育活动水平。对于所有青少年，无论其疾病状况如何，体育活动时间都与其他日常活动竞争，包括电子游戏。有一个新兴的研究领域在探索电子游戏是否会取代青少年的其他体育活动和锻炼，不过，迄今为止，尚无研究在T1D青少年的背景下探讨这个问题。
我们使用1型糖尿病运动倡议儿科研究的数据，研究了电子游戏与非电子游戏（其他锻炼）时段的特征，以及玩电子游戏的T1D青少年（游戏玩家）与不玩电子游戏的青少年（非游戏玩家）相比，进行的其他锻炼是否更少。
在为期10天的观察期内，青少年自我报告锻炼时段、电子游戏时段和胰岛素使用情况。我们还从活动可穿戴设备、连续血糖监测仪和胰岛素泵（如有）收集数据。
样本包括251名T1D青少年（年龄：平均14岁，标准差2岁；自我报告的糖化血红蛋白A1c水平：平均7.1%，标准差1.3%），其中105名（41.8%）为女性。在为期10天的观察期内，青少年记录了123次电子游戏时段和3658次其他锻炼（非电子游戏）时段。电子游戏时段持续时间更长，与其他锻炼时段相比，青少年在这些时段的血糖变化更小，平均心率更低。与其他锻炼时段（1104/3658，30.2%）相比，青少年将更大比例的电子游戏时段描述为低强度（82/123，66.7%）。我们有31名报告至少1次电子游戏时段的T1D青少年（游戏玩家）和220名未报告玩电子游戏的青少年（非游戏玩家）。值得注意的是，游戏玩家每天平均进行86（标准差43）分钟的其他锻炼，这与非游戏玩家报告的每天其他锻炼分钟数相似（平均80，标准差47分钟）。
电子游戏时段持续时间更长，与其他锻炼时段相比，青少年在这些时段的血糖变化更小，平均心率更低。然而，游戏玩家报告的每天其他锻炼水平与非游戏玩家相似，这表明电子游戏可能不会完全取代T1D青少年的其他锻炼。
