Increase in physical activity is associated with lower HbA1c levels in children and adolescents with type 1 diabetes: results from a cross-sectional study based on the Swedish pediatric diabetes quality registry (SWEDIABKIDS)

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Fältnamn	Indikatorer	Metadata
000		04533naa a2200505 4500
001		oai:DiVA.org:oru-35269
003		SwePub
008		140607s2014 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:liu-109230
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-352692 URI
024	7	a https://doi.org/10.1016/j.diabres.2014.01.0292 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1092302 URI
040		a (SwePub)orud (SwePub)liu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Beraki, Åsau Linköpings universitet4 aut
245	1 0	a Increase in physical activity is associated with lower HbA1c levels in children and adolescents with type 1 diabetes :b results from a cross-sectional study based on the Swedish pediatric diabetes quality registry (SWEDIABKIDS)
264	1	a Clare, Ireland :b Elsevier,c 2014
338		a print2 rdacarrier
520		a Aims: To evaluate the associations between physical activity (PA) and metabolic control, measured by glycated hemoglobin (HbA1c), in a large group of children and adolescents with type 1 diabetes.Methods: Cross-sectional analysis of data from 4655 patients, comparing HbA1c values with levels of physical activity. The data for the children and adolescents were obtained from the Swedish pediatric diabetes quality registry, SWEDIABKIDS. The patients were 7-18 years of age, had type 1 diabetes and were not in remission. Patients were grouped into five groups by frequency of PA.Results: Mean HbA1c level was higher in the least physically active groups (PA0: 8.8% +/- 1.5 (72 +/- 16 mmol/mol)) than in the most physically active groups (PA4: 7.7% +/- 1.0 (60 +/- 11 mmol/mol)) (p < 0.001). An inverse dose-response association was found between PA and HbA1c (beta: -0.30, 95%CI: -0.34 to -0.26, p < 0.001). This association was found in both sexes and all age groups, apart from girls aged 7-10 years. Multiple regression analysis revealed that the relationship remained significant (beta: -0.21, 95% CI: -0.25 to -0.18, p < 0.001) when adjusted for possible confounding factors.Conclusions: Physical activity seems to influence HbA1c levels in children and adolescents with type 1 diabetes. In clinical practice these patients should be recommended daily physical activity as a part of their treatment.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Pediatrik0 (SwePub)302212 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Pediatrics0 (SwePub)302212 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Endokrinologi och diabetes0 (SwePub)302052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Endocrinology and Diabetes0 (SwePub)302052 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng
653		a HbA1c
653		a Physical activity
653		a Metabolic control
653		a Quality register
653		a Pediatrik
653		a Pediatrics
700	1	a Magnusson, Andersu Clinical Epidemiology and Biostatistic Unit, Örebro University Hospital, Örebro, Sweden4 aut
700	1	a Särnblad, Stefan,d 1963-u Örebro universitet,Institutionen för läkarutbildning,Region Örebro län,Department of Pediatrics, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)snsd
700	1	a Åman, Jan,d 1948-u Region Örebro län,Department of Pediatrics, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)jnaa
700	1	a Samuelsson, Ulfu Östergötlands Läns Landsting,Linköpings universitet,Avdelningen för kliniska vetenskaper,Hälsouniversitetet,Barn- och ungdomskliniken i Linköping4 aut0 (Swepub:liu)ulfsa43
710	2	a Linköpings universitetb Clinical Epidemiology and Biostatistic Unit, Örebro University Hospital, Örebro, Sweden4 org
773	0	t Diabetes Research and Clinical Practiced Clare, Ireland : Elsevierg 105:1, s. 119-125q 105:1<119-125x 0168-8227x 1872-8227
856	4	u http://liu.diva-portal.org/smash/get/diva2:737193/FULLTEXT01
856	4	u https://liu.diva-portal.org/smash/get/diva2:737193/FULLTEXT01.pdfx primaryx Raw objecty fulltext:postprint
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-35269
856	4 8	u https://doi.org/10.1016/j.diabres.2014.01.029
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-109230

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