Al-Ozairi, E., Irshad, M., Al-Ozairi, A., Al-Kandari, J., Taghadom, E., Varghese, A., Megahed, A., Abdullah, A., Murad, S. and Gray, S. R. (2024) Seasonal differences in physical activity, sedentary behaviour, and sleep patterns in people with type 1 diabetes in Kuwait. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, (doi: 10.1016/j.dsx.2024.103046) (In Press)
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Abstract
Aims: 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. Methods: 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). The mean daily physical activity was measured as a Euclidean Norm Minus One (ENMO) in milli gravitational units (mg). Accelerometer metrics were compared across the seasons and between the sex. Results: 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 total daily physical activity (ENMO) (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. ENMO, 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). ENMO and the intensity gradient were negatively associated with HbA1c (both p=0.01). Conclusions: 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.
Item Type: | Articles |
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Additional Information: | The study has been funded by the Kuwait Foundation of Advancement of Science (KFAS) and Ministry of Health. |
Keywords: | Type 1 diabetes, physical activity, sedentary behaviors, seasonal pattern, glycaemic control. |
Status: | In Press |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Gray, Professor Stuart |
Authors: | Al-Ozairi, E., Irshad, M., Al-Ozairi, A., Al-Kandari, J., Taghadom, E., Varghese, A., Megahed, A., Abdullah, A., Murad, S., and Gray, S. R. |
College/School: | College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health |
Journal Name: | Diabetes and Metabolic Syndrome: Clinical Research and Reviews |
Publisher: | Elsevier |
ISSN: | 1871-4021 |
ISSN (Online): | 1878-0334 |
Published Online: | 24 May 2024 |
Copyright Holders: | Copyright © 2024 The Authors |
First Published: | First published in Diabetes and Metabolic Syndrome: Clinical Research and Reviews 2024 |
Publisher Policy: | Reproduced under a Creative Commons License |
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