A Cross-sectional Study on the Impact of Educational Status on Physical Activity Level in Danish and English Adults With Type 1 Diabetes

IF 2.3 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Canadian Journal of Diabetes Pub Date : 2024-04-01 DOI:10.1016/j.jcjd.2024.01.002

Sarah Elton Sander MSc, RN , Rakel Fuglsang Johansen PhD, MD , Sharon Caunt PhD , Esben Søndergaard MD, PhD , Monica Gylling Rolver MS , Anni Sandbæk MBA , Simon Heller DM, FRCP , Peter Lommer Kristensen PhD, MD , Stig Molsted PhD

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Abstract

Objectives

Physical activity is associated with improved health in people with type 1 diabetes. However, physical activity level may be associated with socioeconomic status. The primary aim of this study was to investigate the association between education level and physical activity level among people with type 1 diabetes.

Methods

In this cross-sectional study, data on physical activity level (high or low) was measured using the Saltin–Grimby Physical Activity Level Scale, and education level (low, medium, or high) was self-reported.

Results

Respondents were recruited from outpatient clinics (Steno Diabetes Centre Aarhus, Denmark; Nordsjællands Hospital, Denmark; or Sheffield Diabetes and Endocrine Centre, United Kingdom), by health-care personnel from September 2019 to July 2021. A total of 324 people with type 1 diabetes were included (54% male, median age 50 years [interquartile range 30–60 years]). Education level was low in 10%, medium in 33%, and high in 57%. A logistic regression analysis, adjusted for age, sex, cohabitation status and nationality, found that a medium vs. high education level was associated with lower odds of a high physical activity level (odds ratio [OR] 0.55, 95% confidence interval [CI] 0.32–0.94, p=0.029), while no association was found for low vs. high education level with high physical activity level (OR 0.56, 95% CI 0.25–1.29, p=0.173).

Conclusions

Medium education level compared with a high education level was associated with a lower level of physical activity in people with type 1 diabetes. Health-care professionals are advised to be attentive of physical activity levels among people with type 1 diabetes.

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关于教育状况对丹麦和英国成年 1 型糖尿病患者体育锻炼水平影响的横断面研究

目的体力活动与改善 1 型糖尿病（T1D）患者的健康状况有关。然而，体力活动水平可能与社会经济地位有关。研究的主要目的是调查 T1D 患者的教育水平与体力活动水平之间的关系。方法在这项横断面研究中，体力活动水平（高或低）的数据使用 Saltin-Grimby 体力活动水平量表进行测量，教育水平（低、中或高）则由受访者自我报告。结果2019年9月至2021年7月期间，医护人员从门诊诊所（丹麦奥胡斯斯泰诺糖尿病中心、丹麦Nordsjællands医院或英国谢菲尔德糖尿病与内分泌中心）招募受访者。共纳入 324 名 T1D 患者（54% 为男性，中位年龄为 50 岁（IQR 30-60））。受教育程度低的占 10%，中等的占 33%，高的占 57%。经年龄、性别、同居状况和国籍调整后进行的逻辑回归分析发现，中等教育水平与高教育水平相比，高体力活动水平的几率较低，OR 为 0.55 [95% CI 0.32;0.94]，P=0.029，而低教育水平与高教育水平相比，高体力活动水平与低教育水平没有关联（OR 为 0.56 [0.25; 1.29]，P=0.173）。建议医疗保健专业人员关注T1D患者的体育锻炼水平：P-2016-48.s赞助商彼得-洛默-克里斯滕森

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Diabetes ENDOCRINOLOGY & METABOLISM-

CiteScore

4.80

自引率

4.00%

发文量

130

审稿时长

54 days

期刊介绍： The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals. Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.