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The impact of COVID-19 restrictions on accelerometer-assessed physical activity and sleep in individuals with type 2 diabetes.
Rowlands, Alex V; Henson, Joseph J; Coull, Nicole A; Edwardson, Charlotte L; Brady, Emer; Hall, Andrew; Khunti, Kamlesh; Davies, Melanie; Yates, Tom.
  • Rowlands AV; NIHR Leicester Biomedical Research Centre, UK and Diabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
  • Henson JJ; Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, Division of Health Sciences, University of South Australia, Adelaide, Australia.
  • Coull NA; NIHR Leicester Biomedical Research Centre, UK and Diabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
  • Edwardson CL; NIHR Leicester Biomedical Research Centre, UK and Diabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
  • Brady E; NIHR Leicester Biomedical Research Centre, UK and Diabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
  • Hall A; Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.
  • Khunti K; Hanning Sleep Laboratory, Leicester General Hospital, Leicester, UK.
  • Davies M; NIHR Leicester Biomedical Research Centre, UK and Diabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
  • Yates T; NIHR Applied Research Collaboration East Midlands, Leicester General Hospital, Leicester, UK.
Diabet Med ; 38(10): e14549, 2021 10.
Article in English | MEDLINE | ID: covidwho-1109524
Semantic information from SemMedBD (by NLM)
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2. Sleep PROCESS_OF Persons
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3. Diabetes Mellitu PROCESS_OF C0030705
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Diabetes Mellitu
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4. Vigorous physical activity TREATS Diabetes Mellitu
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Diabetes Mellitu
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6. Vigorous physical activity TREATS Adult
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7. Diabetes Mellitus, Non-Insulin-Dependent PROCESS_OF Persons
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8. Sleep PROCESS_OF Persons
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11. Diabetes Mellitus, Non-Insulin-Dependent PROCESS_OF Adult
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ABSTRACT

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/m2 , 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.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Sleep / Communicable Disease Control / Diabetes Mellitus, Type 2 / COVID-19 / Motor Activity Subject: Sleep / Communicable Disease Control / Diabetes Mellitus, Type 2 / COVID-19 / Motor Activity Type of study: Determinantes_sociais_saude / Prognostic study Language: English Journal: Diabet Med Clinical aspect: Etiology / Prediction / Prognosis Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Sleep / Communicable Disease Control / Diabetes Mellitus, Type 2 / COVID-19 / Motor Activity Subject: Sleep / Communicable Disease Control / Diabetes Mellitus, Type 2 / COVID-19 / Motor Activity Type of study: Determinantes_sociais_saude / Prognostic study Language: English Journal: Diabet Med Clinical aspect: Etiology / Prediction / Prognosis Year: 2021
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