Most adults with type 1 diabetes want to exercise more, but face significant barriers

Although a majority of adults with type 1 diabetes (T1D) wish to increase their physical activity levels, significant barriers such as lack of motivation, work-life demands, and inadequate guidance from healthcare providers impede their ability to do so, according to a study that emphasizes the importance of providing more support and advice to help these individuals overcome obstacles and improve their physical activity levels.

The questionnaire-based study surveyed adults with T1D from 1 outpatient clinic in the UK and 2 in Denmark. Participants were assessed on their exercise characteristics, motivators, and barriers to physical activity.

Among the 332 respondents, 8.4% rated themselves as inactive, 48% as light active, and 43% as moderate-to-vigorous active. A significant 78% of the inactive and light active participants desired to increase their physical activity levels. In addition, 53% of respondents reported receiving guidance on exercise and physical activity from their diabetes care team.

The study found that being male and having received guidance were associated with higher physical activity levels. Key motivators for engaging in physical activity included improved mental and physical health, as well as better glycaemic control. Common barriers to exercise were being busy with work or personal life and a lack of motivation. Among the least active groups, concerns about glucose fluctuations, costs, lack of knowledge, and health-related issues were more prevalent barriers.

Reference
Johansen RF, Caunt S, Heller S, et al. Factors Influencing Physical Activity level in Adults with Type 1 Diabetes: A Cross-Sectional Study. Can J Diabetes. 2024;S1499-2671(24)00126-6. doi: 10.1016/j.jcjd.2024.06.002. Epub ahead of print. PMID: 38969062.