Association of physical activity metrics with indicators of cardiovascular function and control in children with and without type 1 diabetes
Objective Little is known about the role of physical activity accumulation in cardiovascular disease risk for children with type 1 diabetes. Improved insight to identify factors of influence in key health outcomes could be provided by considering the entire physical activity profile. Methods Pulse w...
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| Veröffentlicht in: | Pediatric diabetes 2021-03, Vol.22 (2), p.320-328 |
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| container_title | Pediatric diabetes |
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| creator | Marshall, Zoë A. Mackintosh, Kelly A. Lewis, Michael J. Ellins, Elizabeth A. McNarry, Melitta A. |
| description | Objective
Little is known about the role of physical activity accumulation in cardiovascular disease risk for children with type 1 diabetes. Improved insight to identify factors of influence in key health outcomes could be provided by considering the entire physical activity profile.
Methods
Pulse wave velocity (PWV), augmentation index and heart rate variability (HRV) were assessed cross‐sectionally in children with (n = 29, 12.1 ± 2.1 years) and without (n = 19, 12.1 ± 2.1 years) type 1 diabetes. Time spent sedentary and in each physical activity intensity, intensity gradient and average acceleration were derived from seven consecutive days of monitoring with wrist‐worn accelerometry. Comparison between groups and influence of physical activity accumulation on cardiovascular metrics were explored with linear mixed models.
Results
Diabetic children demonstrated a higher PWV and a greater volume of light physical activity (p |
| doi_str_mv | 10.1111/pedi.13159 |
| format | Article |
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Little is known about the role of physical activity accumulation in cardiovascular disease risk for children with type 1 diabetes. Improved insight to identify factors of influence in key health outcomes could be provided by considering the entire physical activity profile.
Methods
Pulse wave velocity (PWV), augmentation index and heart rate variability (HRV) were assessed cross‐sectionally in children with (n = 29, 12.1 ± 2.1 years) and without (n = 19, 12.1 ± 2.1 years) type 1 diabetes. Time spent sedentary and in each physical activity intensity, intensity gradient and average acceleration were derived from seven consecutive days of monitoring with wrist‐worn accelerometry. Comparison between groups and influence of physical activity accumulation on cardiovascular metrics were explored with linear mixed models.
Results
Diabetic children demonstrated a higher PWV and a greater volume of light physical activity (p < 0.01), a more negative intensity gradient (p < 0.01), a lower average acceleration and less time in bouted moderate‐to‐vigorous physical activity (MVPA; p < 0.05). Overall, intensity gradient was strongly correlated with average acceleration, MVPA and bouted MVPA (r2 = 0.89, r2 = 0.80, r2 = 0.79, respectively; all p < 0.05), while average acceleration was correlated with MVPA and bouted MVPA (r2 = 0.85, r2 = 0.83, respectively; p < 0.05). Accounting for disease status, intensity gradient and average acceleration were significant predictors of HRV indices (p < 0.05) and PWV (p < 0.01, p < 0.05, respectively).
Conclusion
Overall, MVPA was most associated with central stiffness, highlighting the importance of meeting activity guidelines. Diabetic children demonstrated poorer cardiovascular health than their counterparts, likely attributable to a lower intensity and physical activity volume, identifying physical activity intensity as a key target for future interventions.]]></description><identifier>ISSN: 1399-543X</identifier><identifier>EISSN: 1399-5448</identifier><identifier>DOI: 10.1111/pedi.13159</identifier><identifier>PMID: 33215796</identifier><language>eng</language><publisher>Former Munksgaard: John Wiley & Sons A/S</publisher><subject>Accelerometry ; Adolescent ; arterial stiffness ; average acceleration ; Blood Pressure - physiology ; Cardiovascular diseases ; Cardiovascular system ; Case-Control Studies ; Child ; Children ; Cross-Sectional Studies ; Diabetes ; Diabetes mellitus (insulin dependent) ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - physiopathology ; Diabetes Mellitus, Type 1 - therapy ; Exercise ; Female ; Health Behavior ; Heart rate ; Heart Rate - physiology ; heart rate variability ; Humans ; intensity gradient ; Male ; Physical activity ; Pulse Wave Analysis ; pulse wave velocity ; Sedentary Behavior ; Vascular Stiffness - physiology</subject><ispartof>Pediatric diabetes, 2021-03, Vol.22 (2), p.320-328</ispartof><rights>2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3939-f581a783588b6a49ad5fb4627d865449294c570481737bea00ae541034acc4853</citedby><cites>FETCH-LOGICAL-c3939-f581a783588b6a49ad5fb4627d865449294c570481737bea00ae541034acc4853</cites><orcidid>0000-0003-4100-2689</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpedi.13159$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpedi.13159$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33215796$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marshall, Zoë A.</creatorcontrib><creatorcontrib>Mackintosh, Kelly A.</creatorcontrib><creatorcontrib>Lewis, Michael J.</creatorcontrib><creatorcontrib>Ellins, Elizabeth A.</creatorcontrib><creatorcontrib>McNarry, Melitta A.</creatorcontrib><title>Association of physical activity metrics with indicators of cardiovascular function and control in children with and without type 1 diabetes</title><title>Pediatric diabetes</title><addtitle>Pediatr Diabetes</addtitle><description><![CDATA[Objective
Little is known about the role of physical activity accumulation in cardiovascular disease risk for children with type 1 diabetes. Improved insight to identify factors of influence in key health outcomes could be provided by considering the entire physical activity profile.
Methods
Pulse wave velocity (PWV), augmentation index and heart rate variability (HRV) were assessed cross‐sectionally in children with (n = 29, 12.1 ± 2.1 years) and without (n = 19, 12.1 ± 2.1 years) type 1 diabetes. Time spent sedentary and in each physical activity intensity, intensity gradient and average acceleration were derived from seven consecutive days of monitoring with wrist‐worn accelerometry. Comparison between groups and influence of physical activity accumulation on cardiovascular metrics were explored with linear mixed models.
Results
Diabetic children demonstrated a higher PWV and a greater volume of light physical activity (p < 0.01), a more negative intensity gradient (p < 0.01), a lower average acceleration and less time in bouted moderate‐to‐vigorous physical activity (MVPA; p < 0.05). Overall, intensity gradient was strongly correlated with average acceleration, MVPA and bouted MVPA (r2 = 0.89, r2 = 0.80, r2 = 0.79, respectively; all p < 0.05), while average acceleration was correlated with MVPA and bouted MVPA (r2 = 0.85, r2 = 0.83, respectively; p < 0.05). Accounting for disease status, intensity gradient and average acceleration were significant predictors of HRV indices (p < 0.05) and PWV (p < 0.01, p < 0.05, respectively).
Conclusion
Overall, MVPA was most associated with central stiffness, highlighting the importance of meeting activity guidelines. Diabetic children demonstrated poorer cardiovascular health than their counterparts, likely attributable to a lower intensity and physical activity volume, identifying physical activity intensity as a key target for future interventions.]]></description><subject>Accelerometry</subject><subject>Adolescent</subject><subject>arterial stiffness</subject><subject>average acceleration</subject><subject>Blood Pressure - physiology</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular system</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Children</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes mellitus (insulin dependent)</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diabetes Mellitus, Type 1 - physiopathology</subject><subject>Diabetes Mellitus, Type 1 - therapy</subject><subject>Exercise</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Heart rate</subject><subject>Heart Rate - physiology</subject><subject>heart rate variability</subject><subject>Humans</subject><subject>intensity gradient</subject><subject>Male</subject><subject>Physical activity</subject><subject>Pulse Wave Analysis</subject><subject>pulse wave velocity</subject><subject>Sedentary Behavior</subject><subject>Vascular Stiffness - physiology</subject><issn>1399-543X</issn><issn>1399-5448</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1K9TAQhoMo_m-8AAm4-RCOJk3SNkvx8w8EXSi4K9Mk5UR6mpqkSu_Biza16sKF2czAPHmS4UXogJITms5pb7Q9oYwKuYa2KZNyITgv13969rSFdkJ4JoQWkvFNtMVYRkUh8230fhaCUxaidR12De6XY7AKWgwq2lcbR7wy0VsV8JuNS2w7nabR-TDBCry27hWCGlrwuBk69emBTmPluuhdm25gtbSt9qabFdNwatwQcRx7gynWFmoTTdhDGw20wex_1V30eHnxcH69uL27ujk_u10oJplcNKKkUJRMlGWdA5egRVPzPCt0mafNZSa5EgXhJS1YURsgBIzglDAOSvFSsF30b_b23r0MJsRqZYMybQudcUOoMp4zSojgRUKPfqHPbvBd-l2i0ksiE2yijmdKeReCN03Ve7sCP1aUVFNG1ZRR9ZlRgg-_lEO9MvoH_Q4lAXQG3mxrxj9U1f3F_5tZ-gECDZ1p</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Marshall, Zoë A.</creator><creator>Mackintosh, Kelly A.</creator><creator>Lewis, Michael J.</creator><creator>Ellins, Elizabeth A.</creator><creator>McNarry, Melitta A.</creator><general>John Wiley & Sons A/S</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4100-2689</orcidid></search><sort><creationdate>202103</creationdate><title>Association of physical activity metrics with indicators of cardiovascular function and control in children with and without type 1 diabetes</title><author>Marshall, Zoë A. ; Mackintosh, Kelly A. ; Lewis, Michael J. ; Ellins, Elizabeth A. ; McNarry, Melitta A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3939-f581a783588b6a49ad5fb4627d865449294c570481737bea00ae541034acc4853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Accelerometry</topic><topic>Adolescent</topic><topic>arterial stiffness</topic><topic>average acceleration</topic><topic>Blood Pressure - physiology</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular system</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Children</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes mellitus (insulin dependent)</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Diabetes Mellitus, Type 1 - physiopathology</topic><topic>Diabetes Mellitus, Type 1 - therapy</topic><topic>Exercise</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Heart rate</topic><topic>Heart Rate - physiology</topic><topic>heart rate variability</topic><topic>Humans</topic><topic>intensity gradient</topic><topic>Male</topic><topic>Physical activity</topic><topic>Pulse Wave Analysis</topic><topic>pulse wave velocity</topic><topic>Sedentary Behavior</topic><topic>Vascular Stiffness - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marshall, Zoë A.</creatorcontrib><creatorcontrib>Mackintosh, Kelly A.</creatorcontrib><creatorcontrib>Lewis, Michael J.</creatorcontrib><creatorcontrib>Ellins, Elizabeth A.</creatorcontrib><creatorcontrib>McNarry, Melitta A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric diabetes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marshall, Zoë A.</au><au>Mackintosh, Kelly A.</au><au>Lewis, Michael J.</au><au>Ellins, Elizabeth A.</au><au>McNarry, Melitta A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of physical activity metrics with indicators of cardiovascular function and control in children with and without type 1 diabetes</atitle><jtitle>Pediatric diabetes</jtitle><addtitle>Pediatr Diabetes</addtitle><date>2021-03</date><risdate>2021</risdate><volume>22</volume><issue>2</issue><spage>320</spage><epage>328</epage><pages>320-328</pages><issn>1399-543X</issn><eissn>1399-5448</eissn><abstract><![CDATA[Objective
Little is known about the role of physical activity accumulation in cardiovascular disease risk for children with type 1 diabetes. Improved insight to identify factors of influence in key health outcomes could be provided by considering the entire physical activity profile.
Methods
Pulse wave velocity (PWV), augmentation index and heart rate variability (HRV) were assessed cross‐sectionally in children with (n = 29, 12.1 ± 2.1 years) and without (n = 19, 12.1 ± 2.1 years) type 1 diabetes. Time spent sedentary and in each physical activity intensity, intensity gradient and average acceleration were derived from seven consecutive days of monitoring with wrist‐worn accelerometry. Comparison between groups and influence of physical activity accumulation on cardiovascular metrics were explored with linear mixed models.
Results
Diabetic children demonstrated a higher PWV and a greater volume of light physical activity (p < 0.01), a more negative intensity gradient (p < 0.01), a lower average acceleration and less time in bouted moderate‐to‐vigorous physical activity (MVPA; p < 0.05). Overall, intensity gradient was strongly correlated with average acceleration, MVPA and bouted MVPA (r2 = 0.89, r2 = 0.80, r2 = 0.79, respectively; all p < 0.05), while average acceleration was correlated with MVPA and bouted MVPA (r2 = 0.85, r2 = 0.83, respectively; p < 0.05). Accounting for disease status, intensity gradient and average acceleration were significant predictors of HRV indices (p < 0.05) and PWV (p < 0.01, p < 0.05, respectively).
Conclusion
Overall, MVPA was most associated with central stiffness, highlighting the importance of meeting activity guidelines. Diabetic children demonstrated poorer cardiovascular health than their counterparts, likely attributable to a lower intensity and physical activity volume, identifying physical activity intensity as a key target for future interventions.]]></abstract><cop>Former Munksgaard</cop><pub>John Wiley & Sons A/S</pub><pmid>33215796</pmid><doi>10.1111/pedi.13159</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-4100-2689</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Pediatric diabetes, 2021-03, Vol.22 (2), p.320-328 |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Accelerometry Adolescent arterial stiffness average acceleration Blood Pressure - physiology Cardiovascular diseases Cardiovascular system Case-Control Studies Child Children Cross-Sectional Studies Diabetes Diabetes mellitus (insulin dependent) Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - physiopathology Diabetes Mellitus, Type 1 - therapy Exercise Female Health Behavior Heart rate Heart Rate - physiology heart rate variability Humans intensity gradient Male Physical activity Pulse Wave Analysis pulse wave velocity Sedentary Behavior Vascular Stiffness - physiology |
| title | Association of physical activity metrics with indicators of cardiovascular function and control in children with and without type 1 diabetes |
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