Integration of Consumer-Based Activity Monitors into Clinical Practice for Children with Type 1 Diabetes: A Feasibility Study

Jason R. Jaggers, Timothy McKay, Kristi M. King, Bradly J. Thrasher and Kupper A. Wintergerst
Additional contact information
Jason R. Jaggers: Wendy Novak Diabetes Center, Department of Pediatrics, Division of Endocrinology, School of Medicine, University of Louisville, Norton Children’s Hospital, Louisville, KY 40202, USA
Timothy McKay: Wendy Novak Diabetes Center, Department of Pediatrics, Division of Endocrinology, School of Medicine, University of Louisville, Norton Children’s Hospital, Louisville, KY 40202, USA
Kristi M. King: Wendy Novak Diabetes Center, Department of Pediatrics, Division of Endocrinology, School of Medicine, University of Louisville, Norton Children’s Hospital, Louisville, KY 40202, USA
Bradly J. Thrasher: Wendy Novak Diabetes Center, Department of Pediatrics, Division of Endocrinology, School of Medicine, University of Louisville, Norton Children’s Hospital, Louisville, KY 40202, USA
Kupper A. Wintergerst: Wendy Novak Diabetes Center, Department of Pediatrics, Division of Endocrinology, School of Medicine, University of Louisville, Norton Children’s Hospital, Louisville, KY 40202, USA

IJERPH, 2021, vol. 18, issue 20, 1-9

Abstract: Current technology commonly utilized in diabetes care includes continuous glucose monitors (CGMs) and insulin pumps. One often overlooked critical component to the human glucose response is daily physical activity habits. Consumer-based activity monitors may be a valid way for clinics to collect physical activity data, but whether or not children with type 1 diabetes (T1D) would wear them or use the associated mobile application is unknown. Therefore, the purpose of this study was to test the feasibility of implementing a consumer-based accelerometer directly into ongoing care for adolescents managing T1D. Methods: Adolescents with T1D were invited to participate in this study and instructed to wear a mobile physical activity monitor while also completing a diet log for a minimum of 3 days. Clinical compliance was defined as the number of participants who were compliant with all measures while also having adequate glucose recordings using either a CGM, insulin pump, or on the diet log. Feasibility was defined as >50% of the total sample reaching clinical compliance. Results: A total of 57 children and teenagers between the ages of 7 and 19 agreed to participate in this study and were included in the final analysis. Chi-square results indicated significant compliance for activity tracking ( p < 0.001), diet logs ( p = 0.04), and overall clinical compliance ( p = 0.04). Conclusion: More than half the children in this study were compliant for both activity monitoring and diet logs. This indicates that it is feasible for children with T1D to wear a consumer-based activity monitor while also recording their diet for a minimum of three days.

Keywords: physical activity; pediatric; clinical exercise; accelerometer; diabetes (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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