{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T05:14:52Z","timestamp":1773810892990,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100015769","name":"Dexcom","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015769","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011848","name":"Novo Nordisk Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011848","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008985","name":"Diab\u00e8te Qu\u00e9bec","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008985","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004312","name":"Eli Lilly and Company","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004312","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004339","name":"Sanofi","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004339","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>In people with type 1 diabetes, physical activity provides important health benefits but is mainly limited by fear of hypoglycaemia. Daily step count is a simple indicator of ambulatory activity. This study examined associations between step count and health indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Adults from the Behaviours, Therapies, Technologies and Hypoglycaemic Risk in Type 1 Diabetes registry wore a validated pedometer (PiezoRxD\u00ae) for 7\u201312\u2009days and were classified based on mean daily steps: &lt;7000 (group 1), 7000\u201310\u2009000 (group 2), and &gt;10\u2009000 (group 3). Between\u2010group comparisons used analysis of variance and chi\u2010square\/Fisher's tests with Bonferroni correction. Multivariable models adjusted for potential confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 383 participants (333 T1D, 50 latent autoimmune diabetes) were included (group 1: 163; group 2: 125; group 3: 95). Mean age was 46.7\u2009\u00b1\u200913.3\u2009years, 63% were women, diabetes duration was 24.2\u2009\u00b1\u200915.6\u2009years, and body mass index (BMI) 26.1\u2009\u00b1\u20094.5\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . Overall, 43.6% had glycated haemoglobin (HbA1c) \u22647%. A higher proportion of participants in groups 2 and 3 had HbA1c \u22647% compared with group 1. Level 1 and 2 hypoglycaemia frequency did not differ significantly across groups. Groups 2 and 3 had lower waist circumference than group 1, and group 3 additionally had lower BMI and a lower proportion of depression\/anxiety medication use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among adults living with type 1 diabetes, higher daily step counts were associated with more favourable glycaemic and anthropometric profiles, as well as lower use of depression\/anxiety medication without evidence of increased hypoglycaemia. Causality cannot be inferred, and reverse causation is possible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70473","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T08:30:57Z","timestamp":1768897857000},"page":"2908-2918","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between daily steps, diabetes management and health indicators in people living with type 1 diabetes: A cross\u2010sectional study from the\n                    <scp>BETTER<\/scp>\n                    registry"],"prefix":"10.1111","volume":"28","author":[{"given":"Th\u00e9lo I.","family":"Garr\u00e9","sequence":"first","affiliation":[{"name":"Montr\u00e9al Clinical Research Institute (IRCM)  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Nutrition, Faculty of Medicine Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Capucine G.","family":"Gu\u00e9det","sequence":"additional","affiliation":[{"name":"Montr\u00e9al Clinical Research Institute (IRCM)  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Universit\u00e9 de Lille, Universit\u00e9 d'Artois, Universit\u00e9 du Littoral C\u00f4te d'Opale ULR 7369 \u2013 URePSSS \u2013 Unit\u00e9 de Recherche Pluridisciplinaire Sport, Sant\u00e9, Soci\u00e9t\u00e9 (URePSSS)  Lille France"},{"name":"School of Kinesiology and Physical Activity Sciences Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laure","family":"Alexandre\u2010Heymann","sequence":"additional","affiliation":[{"name":"Montr\u00e9al Clinical Research Institute (IRCM)  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Service de Diab\u00e9tologie et Endocrinologie H\u00f4pital Lariboisi\u00e8re, Assistance Publique\u2010H\u00f4pitaux de Paris  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginie","family":"Messier","sequence":"additional","affiliation":[{"name":"Montr\u00e9al Clinical Research Institute (IRCM)  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Val\u00e9rie","family":"Boudreau","sequence":"additional","affiliation":[{"name":"Montr\u00e9al Clinical Research Institute (IRCM)  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6761-2648","authenticated-orcid":false,"given":"Semah","family":"Tagougui","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lille, Universit\u00e9 d'Artois, Universit\u00e9 du Littoral C\u00f4te d'Opale ULR 7369 \u2013 URePSSS \u2013 Unit\u00e9 de Recherche Pluridisciplinaire Sport, Sant\u00e9, Soci\u00e9t\u00e9 (URePSSS)  Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claude","family":"Laforest","sequence":"additional","affiliation":[{"name":"Patient Partner Affiliated with Montr\u00e9al Clinical Research Institute (IRCM)  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2699-2920","authenticated-orcid":false,"given":"Anne\u2010Sophie","family":"Brazeau","sequence":"additional","affiliation":[{"name":"Montr\u00e9al Clinical Research Institute (IRCM)  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"School of Human Nutrition McGill University  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4706-5170","authenticated-orcid":false,"given":"R\u00e9mi","family":"Rabasa\u2010Lhoret","sequence":"additional","affiliation":[{"name":"Montr\u00e9al Clinical Research Institute (IRCM)  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Nutrition, Faculty of Medicine Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"School of Kinesiology and Physical Activity Sciences Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Endocrinology Montreal University Hospital Center (CHUM) et CHUM research center (CR\u2010CHUM)  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8761-7019","authenticated-orcid":false,"given":"Jane E.","family":"Yardley","sequence":"additional","affiliation":[{"name":"Montr\u00e9al Clinical Research Institute (IRCM)  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"School of Kinesiology and Physical Activity Sciences Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13030246"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11192668"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00592-021-01718-6"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-0720"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2025.101677"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000228937.86539.95"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41574-022-00756-6"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.15277"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc22-0524"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(25)00164-1"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-8-79"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.15254"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-024-06127-2"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2022.05.010"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.70252\/WCBC9967"},{"key":"e_1_2_13_17_1","unstructured":"Government of Canada (Statistics Canada).Income of individuals by age group sex and income source Canada provinces and selected census metropolitan areas.2025Available fromwww150.statcan.gc.ca. Accessed 8 October 2025"},{"key":"e_1_2_13_18_1","unstructured":"Government of Canada Statistics Canada Dictionary Census of Population 2021 Census metropolitan influenced zone (MIZ).2022Available from:www12.statcan.gc.ca. Accessed 8 October 2025"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2021.101277"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.56016\/dahudermj.1253273"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.18.4.517"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.3.626"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-1343"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2011.10.005"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-2112"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3430"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3837"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40608-018-0193-5"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2009.75"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc16-0102"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2022.108134"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2022.11.004"},{"key":"e_1_2_13_34_1","article-title":"Effects of physical exercise on neuroplasticity and brain function: a systematic review in human and animal studies","volume":"2020","author":"Sousa Fernans MS","year":"2020","journal-title":"Neural Plast"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14669"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-2082-x"}],"container-title":["Diabetes, Obesity and Metabolism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dom-pubs.pericles-prod.literatumonline.com\/doi\/pdf\/10.1111\/dom.70473","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dom-pubs.pericles-prod.literatumonline.com\/doi\/full-xml\/10.1111\/dom.70473","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dom-pubs.pericles-prod.literatumonline.com\/doi\/pdf\/10.1111\/dom.70473","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T04:25:11Z","timestamp":1773807911000},"score":1,"resource":{"primary":{"URL":"https:\/\/dom-pubs.pericles-prod.literatumonline.com\/doi\/10.1111\/dom.70473"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,20]]},"references-count":35,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/dom.70473"],"URL":"https:\/\/doi.org\/10.1111\/dom.70473","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/DOM.70473\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70473\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70473\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70473\/v1\/review3","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70473\/v1\/review4","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70473\/v1\/review5","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70473\/v1\/review6","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70473\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70473\/v2\/response1","asserted-by":"object"}]},"ISSN":["1462-8902","1463-1326"],"issn-type":[{"value":"1462-8902","type":"print"},{"value":"1463-1326","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,20]]},"assertion":[{"value":"2025-10-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}