Barriers to Physical Activity Among Patients With Type 1 Diabetes
Open accessAbstract
OBJECTIVE—To determine, in an adult population with type 1 diabetes, barriers to regular physical activity using a diabetes-specific barriers measure (the Barriers to Physical Activity in Diabetes [type 1] [BAPAD1] scale) and factors associated with these barriers. RESEARCH DESIGN AND METHODS—One hundred adults with type 1 diabetes answered a questionnaire assessing perceived barriers to physical activity and related factors. A1C was obtained from the medical chart of each individual. RESULTS—Fear of hypoglycemia was identified as being the strongest barrier to physical activity. Greater knowledge about insulin pharmacokinetics and using appropriate approaches to minimize exercise-induced hypoglycemia were factors associated with fewer perceived barriers. Greater barriers were positively correlated with A1C levels (r = 0.203; P = 0.042) and negatively with well-being (r = −0.45; P < 0.001). CONCLUSIONS—Fear of hypoglycemia is the strongest barrier to regular physical activity in adults with type 1 diabetes, who should therefore be informed and supported in hypoglycemia management.
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The reason for prolonged sedentary time among these individuals may relate to fear of moderate-to-vigorous physical activity due to their heart condition among those with CVD or the perceived development of hypoglycemia among those with diabetes.
“The reason for this prolonged sedentary time among these individuals may relate to fear of moderate-to-vigorous levels of physical activity due to their heart condition among those with CVD or the perceived development of hypoglycemia among those with diabetes [10,11].”
From Feasibility and Preliminary Efficacy of a “Sit Less” Program Leveraging Fitbit Tracking and Tailored Text Messages in Cardiometabolic Disease: Findings From 2 Parallel Randomized Controlled Trials in Coronary Artery Disease and Type 2 Diabetes (2026) · cites this paper as [11]
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- Authors
- Brazeau, A.-S., Rabasa-Lhoret, R., Strychar, I., & Mircescu, H.
- Affiliations
- Université de Montréal (CA)
- Metabolic Dysfunction Laboratory, Department of Nutrition, University of Montreal, Montreal, Canada
- Corresponding author
- Mircescu, Hortensia
- ORCID
- Brazeau, Anne-Sophie
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2008-11-01
- Volume
- 31
- Issue
- 11
- Pages
- 2108-2109
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC2571055
- OpenAlex
- W2112181364
- Cited by
- 595
- References
- 9
- Citations by year
- 2026: 33 · 2025: 46 · 2024: 34 · 2023: 45 · 2022: 53 · 2021: 40 · 2020: 51 · 2019: 57 · 2018: 38 · 2017: 29 · 2016: 30 · 2015: 37 · 2014: 24 · 2013: 24 · 2012: 24
- FWCI
- 6.76
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Diabetes Care (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- type 1 diabetes, physical activity, barriers to exercise, fear of hypoglycemia, exercise-induced hypoglycemia, insulin pharmacokinetics, glycemic control, HbA1c, well-being
- MeSH terms
- Adult, Attitude to Health, Diabetes Mellitus, Type 1, Female, Humans, Hypoglycemia, Male, Middle Aged, Surveys and Questionnaires, Exercise
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