Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
Evaluation of Physical Activity and Related Conditions in Children with Type 1 Diabetes: A Cross-Sectional Study
Tip 1 Diabetes Mellitus'lu Çocuklarda Fiziksel Aktivite ve İlişkili Durumların Değerlendirilmesi: Kesitsel Bir Çalışma
Nevin USLUa, Gül DİREKb, Zeynep UZAN TATLIb, Filiz ARICANb, Nurten VARİYENLİb, Nihal HATİPOĞLUc
aDepartment of Pediatric Nursing, Burdur Mehmet Akif Ersoy University, Burdur, Türkiye
bDepartment of Pediatric Endocrinology, Erciyes University Mustafa Eraslan and Fevzi Mercan Children's Hospital, Kayseri, Türkiye
cDepartment of Pediatric Endocrinology, Erciyes University Medical Faculty, Kayseri, Türkiye
Turkiye Klinikleri J Pediatr. 2022;31(3):160-9
doi: 10.5336/pediatr.2022-88803
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted to determine the physical activity level of children with Type 1 Diabetes Mellitus and to evaluate the conditions that may be associated with physical activity. Material and Methods: This cross-sectional study was conducted in the pediatric endocrinology outpatient clinic of a university hospital between September 1, 2018, and March 30, 2019. Data were collected through the Personal Information Form for Children and the Physical Activity Questionnaire for Children (PAQC). Data analysis included the Independent t-test, One-way Anova test, Pearson Correlation, and Linear Regression Model. Results: Results showed that the physical activity mean score of children with Type 1 Diabetes Mellitus (n=111) was 2.75±0.6, and the children had a moderate physical activity level. No statistically significant relationships were detected between hemoglobin A1c (HbA1c) levels, Body Mass Index values, daily TV viewing time, and PAQC averages of children with Type 1 Diabetes Mellitus. It was found that fathers'education level, adherence to medical nutrition therapy, regular physical activity, total daily insulin dose, and daily sleep duration were effective variables on the total PAQC averages. Regular physical activity, total daily insulin dose, and sleep duration were found to explain 26.6% of the PAQC averages. Conclusion: This study found that the total daily insulin dose and sleep duration decreased as the physical activity level increased. It was determined that there was no correlation between physical activity and HbA1c level.

Keywords: Child; Type 1 Diabetes Mellitus; physical activity; HbA1c; glycemic control
ÖZET
 Amaç: Bu çalışma, Tip 1 Diabetes Mellitus'lu çocukların fiziksel aktivite düzeyini belirlemek ve fiziksel aktivite ile ilişkili olabilecek durumları değerlendirmek için yapılmıştır. Gereç ve Yöntemler: Kesitsel özellikteki bu çalışma, bir üniversite hastanesinin çocuk endokrinoloji polikliniğinde 1 Eylül 2018-30 Mart 2019 tarihleri arasında yapılmıştır. Veri toplamada Çocuğu Tanıtıcı Anket Formu ve Çocuk Fiziksel Aktivite Anketi (ÇFAA) kullanılmıştır. Veriler, Independent ttesti, One-way Anova testi, Pearson Korelasyon ve Doğrusal Regresyon Modeli ile değerlendirilmiştir. Bulgular: Çalışmada, Tip 1 Diabetes Mellitus'lu çocukların (n=111) fiziksel aktivite ölçek puan ortalamalarının 2.75±0.6 olduğu ve orta düzeyde fiziksel aktivite yaptıkları belirlenmiştir. Tip 1 Diabetes Mellitus'lu çocukların hemoglobin A1c (HbA1c) düzeyleri, Beden Kitle İndeksi değerleri ve günlük TV izleme süresi ile ÇFAA ortalamaları arasında istatistiksel olarak önemli bir ilişki olmadığı saptanmıştır. Tip 1 Diabetes Mellitus'lu çocukların baba eğitim düzeyi, tıbbi beslenme tedavisine uyum, düzenli fiziksel aktivite yapma, günlük toplam insülin dozu ve günlük uyku süresi toplam ÇFAA ortalamaları üzerinde etkili değişkenler olduğu bulunmuştur. Düzenli fiziksel aktivite yapma, günlük toplam insülin dozu ve günlük uyku süresinin fiziksel aktivite düzeyi ölçek puan ortalamalarının %26.6'sını açıkladığı belirlenmiştir. Sonuç: Bu çalışmada, fiziksel aktivite arttıkça günlük toplam insülin dozunun ve uyku süresinin azaldığı saptanmıştır. Fiziksel aktivite ile HbA1c düzeyi arasında bir korelasyon olmadığı belirlenmiştir.

Anahtar Kelimeler: Çocuk; Tip 1 Diabetes Mellitus; fiziksel aktivite; HbA1c; glisemik kontrol
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