{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T10:40:57Z","timestamp":1756464057799,"version":"3.41.2"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,5,30]],"date-time":"2020-05-30T00:00:00Z","timestamp":1590796800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Endocrino Diabet &amp; Metabol"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The primary goal of this exploratory study was to examine the association between fear of hypoglycaemia (FOH), hypoglycaemia avoidance behaviours and exercise in active youth with type 1 diabetes (T1D).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>30 youth with T1D who participate in some physical activity (PA), age 15.0\u00a0\u00b1\u00a02.4\u00a0years, on insulin pump therapy completed the \u2018Type 1 Diabetes Report of Exercise Practices Survey (T1D\u2010REPS)\u2019 and parent and child hypoglycaemia fear surveys (HFS). Twenty\u2010eight participants completed the 3\u2010day PA recall survey. Clinical data and pump downloads were obtained at the time of the survey collection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Higher child HFS behaviour and total scores were associated with higher PA levels (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.003, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.027), and higher parent HFS behaviour score was associated with higher youth PA levels (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.031), after adjusting for age, sex, duration of diabetes and BMI. Higher child HFS behaviour score was associated with a higher exercise hypoglycaemia avoidance score on T1D\u2010REPS (<jats:italic>r<\/jats:italic>\u00a0=\u00a0.38, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.043). Higher child HFS worry and total scores were associated with higher HbA1c (<jats:italic>r<\/jats:italic>\u00a0=\u00a0.48, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.008; <jats:italic>r\u00a0<\/jats:italic>=\u00a0.46, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.012).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrated that, in a generally active cohort of youth with T1D, increased hypoglycaemia avoidance behaviour was associated with higher PA levels. Higher overall FOH scores were associated with PA level, driven by higher behaviour subscale scores, while worry subscales were not correlated with PA level. Those with more FOH intervene more to specifically avoid exercise\u2010associated hypoglycaemia and appear to have worse overall glycaemic control. Thus, improved education is required to improve glycaemic control around exercise while maintaining avoidance of hypoglycaemia.<\/jats:p><\/jats:sec>","DOI":"10.1002\/edm2.153","type":"journal-article","created":{"date-parts":[[2020,5,30]],"date-time":"2020-05-30T09:18:57Z","timestamp":1590830337000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Hypoglycaemia avoidance behaviour and exercise levels in active youth with type 1 diabetes"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0221-6273","authenticated-orcid":false,"given":"Alissa J.","family":"Roberts","sequence":"first","affiliation":[{"name":"Seattle Children\u2019s Hospital Division of Endocrinology and Diabetes Seattle WA USA"},{"name":"University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joyce P.","family":"Yi\u2010Frazier","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Research Institute Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Carlin","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Research Institute Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig E.","family":"Taplin","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Hospital Division of Endocrinology and Diabetes Seattle WA USA"},{"name":"University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2217\/dmt.11.60"},{"issue":"6","key":"e_1_2_11_3_1","first-page":"1187","article-title":"Severe hypoglycemia in youth with insulin\u2010dependent diabetes mellitus: frequency and causative factors","volume":"88","author":"Bhatia V","year":"1991","journal-title":"Pediatrics"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5448.2007.00242.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2009.02867.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-016-0762-2"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-0720"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2015.12.001"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017813"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-0748"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2016-000377"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0108019"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsu068"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.2004.10609159"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1598"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12402"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-0720"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12247"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721719860491"}],"container-title":["Endocrinology, Diabetes &amp; 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