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10.1111/dme.14549

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33650112!7995208!33650112
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suck abstract from ncbi


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pmid33650112      Diabet+Med 2021 ; 38 (10): e14549
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  • The impact of COVID-19 restrictions on accelerometer-assessed physical activity and sleep in individuals with type 2 diabetes #MMPMID33650112
  • Rowlands AV; Henson JJ; Coull NA; Edwardson CL; Brady E; Hall A; Khunti K; Davies M; Yates T
  • Diabet Med 2021[Oct]; 38 (10): e14549 PMID33650112show ga
  • AIMS: Restrictions during the COVID-19 crisis will have impacted on opportunities to be active. We aimed to (a) quantify the impact of COVID-19 restrictions on accelerometer-assessed physical activity and sleep in people with type 2 diabetes and (b) identify predictors of physical activity during COVID-19 restrictions. METHODS: Participants were from the UK Chronotype of Patients with type 2 diabetes and Effect on Glycaemic Control (CODEC) observational study. Participants wore an accelerometer on their wrist for 8 days before and during COVID-19 restrictions. Accelerometer outcomes included the following: overall physical activity, moderate-to-vigorous physical activity (MVPA), time spent inactive, days/week with >/=30-minute continuous MVPA and sleep. Predictors of change in physical activity taken pre-COVID included the following: age, sex, ethnicity, body mass index (BMI), socio-economic status and medical history. RESULTS: In all, 165 participants (age (mean+/-S.D = 64.2 +/- 8.3 years, BMI=31.4 +/- 5.4 kg/m(2) , 45% women) were included. During restrictions, overall physical activity was lower by 1.7 mg (~800 steps/day) and inactive time 21.9 minutes/day higher, but time in MVPA and sleep did not statistically significantly change. In contrast, the percentage of people with >/=1 day/week with >/=30-minute continuous MVPA was higher (34% cf. 24%). Consistent predictors of lower physical activity and/or higher inactive time were higher BMI and/or being a woman. Being older and/or from ethnic minorities groups was associated with higher inactive time. CONCLUSIONS: Overall physical activity, but not MVPA, was lower in adults with type 2 diabetes during COVID-19 restrictions. Women and individuals who were heavier, older, inactive and/or from ethnic minority groups were most at risk of lower physical activity during restrictions.
  • |*Communicable Disease Control/methods[MESH]
  • |Accelerometry[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19/epidemiology/*prevention & control[MESH]
  • |Diabetes Mellitus, Type 2/epidemiology/*physiopathology/therapy[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Motor Activity/*physiology[MESH]
  • |SARS-CoV-2/physiology[MESH]
  • |Sleep/*physiology[MESH]


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