Diabetes and Obesity in Youth: Parent and Teen Perspectives on a Personalized Exercise Program

2.50
Hdl Handle:
http://hdl.handle.net/10755/152041
Type:
Presentation
Title:
Diabetes and Obesity in Youth: Parent and Teen Perspectives on a Personalized Exercise Program
Abstract:
Diabetes and Obesity in Youth: Parent and Teen Perspectives on a Personalized Exercise Program
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Faulkner, Melissa Spezia, RN, DSN, FAAN
P.I. Institution Name:College of Nursing/University of Arizona
Title:Gladys E. Sorensen Endowed Professor
Co-Authors:Sara Michaliszyn, PhD; Omar Contreras, BS; Kimberly Romney, BS
[Research Presentation] Purpose: Childhood diabetes is a growing epidemic worldwide. Youth with type 1 (T1DM) or type 2 diabetes (T2DM), or who are obese, require physically active lifestyles to maintain glucose control or prevent insulin resistance. This study aimed to determine the feasibility of conducting a 16-week personalized exercise program (PEP) based upon individual fitness levels (V02 peak)  for teens with T1DM, T2DM, or who were obese (BMI > 95th percentile). Methods: Mixed methods were used to examine adherence to PEP and to obtain feedback from interviews with parents and teens. Teens were to wear the MTI Actigraph accelerometer while awake 5 days/week during PEP. At least 10 hours/day of accelerometer data were required for the analysis. Results: Twenty teens participated (13 T1DM, 2 T2 DM, 5 obese): 11 Hispanics, 9 Non-Hispanics; 14 males, 6 females. Mean age was 14.3 +/- 1.6 yrs. Mean A1c levels were 9.1 +/- 1.9 (T1DM) vs. 7.2 +/- 0.7% (T2DM). Mean duration of moderate to vigorous physical activity (MVPA)/day was 58.9 +/- 26.7 minutes, the mean intensity level was 3.9 +/- 0.4 metabolic equivalents (METS), and the frequency of attaining 60 minutes of MVPA was 33.1 +/- 27.5 % . There were no significant differences in adherence among groups. A limitation is that the teens wore the accelerometer the required 10 hours/day an average of 56 +/- 30 days. Themes in interviews were gaining responsibility to exercise, improving glucose control, needing flexibility in routines, and disliking wearing the accelerometer. Conclusion: This is the first study to explore the use of accelerometers to measure longitudinal exercise adherence. Teens achieved moderate levels of activity close to the recommended duration of 1 hr/day, but not at the recommended frequency of 5 days/week. Further study is needed to develop and test strategies to promote exercise and measure adherence in this population.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDiabetes and Obesity in Youth: Parent and Teen Perspectives on a Personalized Exercise Programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152041-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Diabetes and Obesity in Youth: Parent and Teen Perspectives on a Personalized Exercise Program</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Faulkner, Melissa Spezia, RN, DSN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">College of Nursing/University of Arizona</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Gladys E. Sorensen Endowed Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mailto:mfaulkner@nursing.arizona.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sara Michaliszyn, PhD; Omar Contreras, BS; Kimberly Romney, BS</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Purpose: Childhood diabetes is a growing epidemic worldwide. Youth with type 1 (T1DM) or type 2 diabetes (T2DM), or who are obese, require physically active lifestyles to maintain glucose control or prevent insulin resistance. This study aimed to determine the feasibility of conducting a 16-week personalized exercise program (PEP) based upon individual fitness levels (V02 peak) &nbsp;for teens with T1DM, T2DM, or who were obese (BMI &gt; 95th percentile). Methods: Mixed methods were used to examine adherence to PEP and to obtain feedback from interviews with parents and teens. Teens were to wear the MTI Actigraph accelerometer while awake 5 days/week during PEP. At least 10 hours/day of accelerometer data were required for the analysis. Results: Twenty teens participated (13 T1DM, 2 T2 DM, 5 obese): 11 Hispanics, 9 Non-Hispanics; 14 males, 6 females. Mean age was 14.3 +/- 1.6 yrs. Mean A1c levels were 9.1 +/- 1.9 (T1DM) vs. 7.2 +/- 0.7% (T2DM). Mean duration of moderate to vigorous physical activity (MVPA)/day was 58.9 +/- 26.7 minutes, the mean intensity level was 3.9 +/- 0.4 metabolic equivalents (METS), and the frequency of attaining 60 minutes of MVPA was 33.1 +/- 27.5 % . There were no significant differences in adherence among groups. A limitation is that the teens wore the accelerometer the required 10 hours/day an average of 56 +/- 30 days. Themes in interviews were gaining responsibility to exercise, improving glucose control, needing flexibility in routines, and disliking wearing the accelerometer. Conclusion: This is the first study to explore the use of accelerometers to measure longitudinal exercise adherence. Teens achieved moderate levels of activity close to the recommended duration of 1 hr/day, but not at the recommended frequency of 5 days/week. Further study is needed to develop and test strategies to promote exercise and measure adherence in this population.</td></tr></table>en_GB
dc.date.available2011-10-26T11:22:09Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:22:09Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.