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Health Behaviour in Children and Adolescents with Type 1 Diabetes Compared to a Representative Reference Population

Author

Listed:
  • Sebastian Kummer
  • Anna Stahl-Pehe
  • Katty Castillo
  • Christina Bächle
  • Christine Graf
  • Klaus Straßburger
  • Burak Salgin
  • Ertan Mayatepek
  • Guido Giani
  • Reinhard W Holl
  • Thomas Meissner
  • Joachim Rosenbauer

Abstract

Objective: We provide a population-based overview of health behaviours of children and adolescents with type 1 diabetes in comparison to the general population, and analyse their relevance for glycaemic control and self-rated health status. Methods: Data from questionnaires of 11- to 17-year-old children and adolescents with diabetes (n = 629) were compared to a representative sample (n = 6,813). Results: Children and adolescents with type 1 diabetes had a significantly increased odds of infrequent physical activity (adjusted OR 1.56), short overall duration of physical activity per week (OR 1.55, difference -1.3 hours/week), and high daily computer use (OR 2.51). They had a lower odds of active and passive smoking (OR 0.31 and OR 0.29), and high daily television time (OR 0.68). The odds of an at least good and excellent self-rated health status was increased with intense physical activity, and decreased with active smoking and prolonged daily use of computer and television. Active smoking and prolonged daily use of computer were associated with higher HbA1c. Conclusions: Children and adolescents with type 1 diabetes showed a different profile of health behaviour. Their overall health may improve if their education stresses specifically frequent physical activity with longer overall duration and less frequent television or computer use.

Suggested Citation

  • Sebastian Kummer & Anna Stahl-Pehe & Katty Castillo & Christina Bächle & Christine Graf & Klaus Straßburger & Burak Salgin & Ertan Mayatepek & Guido Giani & Reinhard W Holl & Thomas Meissner & Joachim, 2014. "Health Behaviour in Children and Adolescents with Type 1 Diabetes Compared to a Representative Reference Population," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-11, November.
    • Handle: RePEc:plo:pone00:0112083
    DOI: 10.1371/journal.pone.0112083
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    References listed on IDEAS

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    1. Bercedis Peterson & Frank E. Harrell, 1990. "Partial Proportional Odds Models for Ordinal Response Variables," Journal of the Royal Statistical Society Series C, Royal Statistical Society, vol. 39(2), pages 205-217, June.
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    1. Mhairi Patience & Xanne Janssen & Alison Kirk & Stephanie McCrory & Eilidh Russell & William Hodgson & Megan Crawford, 2023. "24-Hour Movement Behaviours (Physical Activity, Sedentary Behaviour and Sleep) Association with Glycaemic Control and Psychosocial Outcomes in Adolescents with Type 1 Diabetes: A Systematic Review of ," IJERPH, MDPI, vol. 20(5), pages 1-18, February.

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