Feasibility and safety of a group physical activity program for youth with type 1 diabetes

Garrett I. Ash, Kevin L. Joiner, Mary Savoye, Julien S. Baker, James Gerosa, Emma Kleck, Neha Patel, Lois S. Sadler, Matthew Stults-Kolehmainen, Stuart A. Weinzimer, Margaret Grey

Research output: Contribution to journalArticle

Abstract

Background/Objective: Many adolescents with type 1 diabetes do not achieve 60 minutes of daily moderate-to-vigorous intensity physical activity (MVPA). Recognizing the importance of peer influence during adolescence, we evaluated the feasibility and safety of a group MVPA intervention for this population. Methods: Eighteen adolescents with type 1 diabetes (age 14.1 ± 2.3 years, female 67%, black or Latino 67%, median body mass index 92%‘ile, A1c 79.9 ± 25.1 mmol/mol, 9.5 ± 2.3%). Intervention sessions (35 minutes MVPA and 45 minutes discussion) occurred 1×/week for 12 weeks. Feasibility and safety metrics were enrollment, completion of intervention and assessments, cost, and hypoglycemia rates. Participants completed MVPA (accelerometry), and exploratory nutritional, psychosocial, clinical, and fitness variable assessments at baseline, 3 months, and 7 months. Hedges' effect sizes were calculated. Results: Enrollment was 16%, and intervention completion was 56%. Assessment completion at 7 months was 67% for MVPA, nutrition, and fitness, 83% for psychosocial assessments, and 94% for clinical assessments. Cost was $1241 per completing participant. One episode of mild hypoglycemia occurred during the sessions (0.6%). Self-reported daily fruit/vegetable servings (d = −0.72) and diabetes self-management behaviors decreased over time (d = −0.40). In the 10 completers, endurance run score improved (d = 0.49) from low baseline levels, while systolic blood pressure decreased (d = −0.75) and low-density lipoprotein increased (d = 0.49) but stayed within normal ranges. Conclusions: The protocol for the group MVPA intervention was safe and had some feasibility metrics meriting further investigation. MVPA levels and glycemic control remained suboptimal, suggesting the need for more intensive interventions for this population.

Original languageEnglish (US)
Pages (from-to)450-459
Number of pages10
JournalPediatric Diabetes
Volume20
Issue number4
DOIs
StatePublished - Jun 1 2019

Fingerprint

Type 1 Diabetes Mellitus
Exercise
Safety
Hypoglycemia
Accelerometry
Blood Pressure
Costs and Cost Analysis
Physical Fitness
Self Care
LDL Lipoproteins
Hispanic Americans
Vegetables
Population
Fruit
Reference Values
Body Mass Index

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism

Cite this

Ash, G. I., Joiner, K. L., Savoye, M., Baker, J. S., Gerosa, J., Kleck, E., ... Grey, M. (2019). Feasibility and safety of a group physical activity program for youth with type 1 diabetes. Pediatric Diabetes, 20(4), 450-459. https://doi.org/10.1111/pedi.12841
Ash, Garrett I. ; Joiner, Kevin L. ; Savoye, Mary ; Baker, Julien S. ; Gerosa, James ; Kleck, Emma ; Patel, Neha ; Sadler, Lois S. ; Stults-Kolehmainen, Matthew ; Weinzimer, Stuart A. ; Grey, Margaret. / Feasibility and safety of a group physical activity program for youth with type 1 diabetes. In: Pediatric Diabetes. 2019 ; Vol. 20, No. 4. pp. 450-459.
@article{b606dccdb1fe4644ba4756f947572c3e,
title = "Feasibility and safety of a group physical activity program for youth with type 1 diabetes",
abstract = "Background/Objective: Many adolescents with type 1 diabetes do not achieve 60 minutes of daily moderate-to-vigorous intensity physical activity (MVPA). Recognizing the importance of peer influence during adolescence, we evaluated the feasibility and safety of a group MVPA intervention for this population. Methods: Eighteen adolescents with type 1 diabetes (age 14.1 ± 2.3 years, female 67{\%}, black or Latino 67{\%}, median body mass index 92{\%}‘ile, A1c 79.9 ± 25.1 mmol/mol, 9.5 ± 2.3{\%}). Intervention sessions (35 minutes MVPA and 45 minutes discussion) occurred 1×/week for 12 weeks. Feasibility and safety metrics were enrollment, completion of intervention and assessments, cost, and hypoglycemia rates. Participants completed MVPA (accelerometry), and exploratory nutritional, psychosocial, clinical, and fitness variable assessments at baseline, 3 months, and 7 months. Hedges' effect sizes were calculated. Results: Enrollment was 16{\%}, and intervention completion was 56{\%}. Assessment completion at 7 months was 67{\%} for MVPA, nutrition, and fitness, 83{\%} for psychosocial assessments, and 94{\%} for clinical assessments. Cost was $1241 per completing participant. One episode of mild hypoglycemia occurred during the sessions (0.6{\%}). Self-reported daily fruit/vegetable servings (d = −0.72) and diabetes self-management behaviors decreased over time (d = −0.40). In the 10 completers, endurance run score improved (d = 0.49) from low baseline levels, while systolic blood pressure decreased (d = −0.75) and low-density lipoprotein increased (d = 0.49) but stayed within normal ranges. Conclusions: The protocol for the group MVPA intervention was safe and had some feasibility metrics meriting further investigation. MVPA levels and glycemic control remained suboptimal, suggesting the need for more intensive interventions for this population.",
author = "Ash, {Garrett I.} and Joiner, {Kevin L.} and Mary Savoye and Baker, {Julien S.} and James Gerosa and Emma Kleck and Neha Patel and Sadler, {Lois S.} and Matthew Stults-Kolehmainen and Weinzimer, {Stuart A.} and Margaret Grey",
year = "2019",
month = "6",
day = "1",
doi = "10.1111/pedi.12841",
language = "English (US)",
volume = "20",
pages = "450--459",
journal = "Pediatric Diabetes",
issn = "1399-543X",
publisher = "Blackwell Munksgaard",
number = "4",

}

Ash, GI, Joiner, KL, Savoye, M, Baker, JS, Gerosa, J, Kleck, E, Patel, N, Sadler, LS, Stults-Kolehmainen, M, Weinzimer, SA & Grey, M 2019, 'Feasibility and safety of a group physical activity program for youth with type 1 diabetes', Pediatric Diabetes, vol. 20, no. 4, pp. 450-459. https://doi.org/10.1111/pedi.12841

Feasibility and safety of a group physical activity program for youth with type 1 diabetes. / Ash, Garrett I.; Joiner, Kevin L.; Savoye, Mary; Baker, Julien S.; Gerosa, James; Kleck, Emma; Patel, Neha; Sadler, Lois S.; Stults-Kolehmainen, Matthew; Weinzimer, Stuart A.; Grey, Margaret.

In: Pediatric Diabetes, Vol. 20, No. 4, 01.06.2019, p. 450-459.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Feasibility and safety of a group physical activity program for youth with type 1 diabetes

AU - Ash, Garrett I.

AU - Joiner, Kevin L.

AU - Savoye, Mary

AU - Baker, Julien S.

AU - Gerosa, James

AU - Kleck, Emma

AU - Patel, Neha

AU - Sadler, Lois S.

AU - Stults-Kolehmainen, Matthew

AU - Weinzimer, Stuart A.

AU - Grey, Margaret

PY - 2019/6/1

Y1 - 2019/6/1

N2 - Background/Objective: Many adolescents with type 1 diabetes do not achieve 60 minutes of daily moderate-to-vigorous intensity physical activity (MVPA). Recognizing the importance of peer influence during adolescence, we evaluated the feasibility and safety of a group MVPA intervention for this population. Methods: Eighteen adolescents with type 1 diabetes (age 14.1 ± 2.3 years, female 67%, black or Latino 67%, median body mass index 92%‘ile, A1c 79.9 ± 25.1 mmol/mol, 9.5 ± 2.3%). Intervention sessions (35 minutes MVPA and 45 minutes discussion) occurred 1×/week for 12 weeks. Feasibility and safety metrics were enrollment, completion of intervention and assessments, cost, and hypoglycemia rates. Participants completed MVPA (accelerometry), and exploratory nutritional, psychosocial, clinical, and fitness variable assessments at baseline, 3 months, and 7 months. Hedges' effect sizes were calculated. Results: Enrollment was 16%, and intervention completion was 56%. Assessment completion at 7 months was 67% for MVPA, nutrition, and fitness, 83% for psychosocial assessments, and 94% for clinical assessments. Cost was $1241 per completing participant. One episode of mild hypoglycemia occurred during the sessions (0.6%). Self-reported daily fruit/vegetable servings (d = −0.72) and diabetes self-management behaviors decreased over time (d = −0.40). In the 10 completers, endurance run score improved (d = 0.49) from low baseline levels, while systolic blood pressure decreased (d = −0.75) and low-density lipoprotein increased (d = 0.49) but stayed within normal ranges. Conclusions: The protocol for the group MVPA intervention was safe and had some feasibility metrics meriting further investigation. MVPA levels and glycemic control remained suboptimal, suggesting the need for more intensive interventions for this population.

AB - Background/Objective: Many adolescents with type 1 diabetes do not achieve 60 minutes of daily moderate-to-vigorous intensity physical activity (MVPA). Recognizing the importance of peer influence during adolescence, we evaluated the feasibility and safety of a group MVPA intervention for this population. Methods: Eighteen adolescents with type 1 diabetes (age 14.1 ± 2.3 years, female 67%, black or Latino 67%, median body mass index 92%‘ile, A1c 79.9 ± 25.1 mmol/mol, 9.5 ± 2.3%). Intervention sessions (35 minutes MVPA and 45 minutes discussion) occurred 1×/week for 12 weeks. Feasibility and safety metrics were enrollment, completion of intervention and assessments, cost, and hypoglycemia rates. Participants completed MVPA (accelerometry), and exploratory nutritional, psychosocial, clinical, and fitness variable assessments at baseline, 3 months, and 7 months. Hedges' effect sizes were calculated. Results: Enrollment was 16%, and intervention completion was 56%. Assessment completion at 7 months was 67% for MVPA, nutrition, and fitness, 83% for psychosocial assessments, and 94% for clinical assessments. Cost was $1241 per completing participant. One episode of mild hypoglycemia occurred during the sessions (0.6%). Self-reported daily fruit/vegetable servings (d = −0.72) and diabetes self-management behaviors decreased over time (d = −0.40). In the 10 completers, endurance run score improved (d = 0.49) from low baseline levels, while systolic blood pressure decreased (d = −0.75) and low-density lipoprotein increased (d = 0.49) but stayed within normal ranges. Conclusions: The protocol for the group MVPA intervention was safe and had some feasibility metrics meriting further investigation. MVPA levels and glycemic control remained suboptimal, suggesting the need for more intensive interventions for this population.

UR - http://www.scopus.com/inward/record.url?scp=85064052590&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064052590&partnerID=8YFLogxK

U2 - 10.1111/pedi.12841

DO - 10.1111/pedi.12841

M3 - Article

C2 - 30834621

AN - SCOPUS:85064052590

VL - 20

SP - 450

EP - 459

JO - Pediatric Diabetes

JF - Pediatric Diabetes

SN - 1399-543X

IS - 4

ER -