{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T08:50:37Z","timestamp":1789203037793,"version":"build-2803163510"},"reference-count":42,"publisher":"Human Kinetics","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Purpose<\/jats:bold>:<\/jats:italic> The authors examined associations between preschoolers\u2019 daily glycemic variability, parents\u2019 report of hypoglycemia fear, and preschoolers\u2019 daily moderate to vigorous physical activity (MVPA) and sedentary behavior (SB) in 25 families of preschoolers with type 1 diabetes. <jats:italic><jats:bold>Methods<\/jats:bold>:<\/jats:italic> Parents completed a valid measure of hypoglycemia fear, and their child wore an accelerometer for up to 7\u00a0days. Parents provided glucose data from their child\u2019s devices. The authors used multiple regression and multilevel modeling to analyze their data. <jats:italic><jats:bold>Results<\/jats:bold>:<\/jats:italic> Preschoolers (mean age 4.2 [1.7]\u00a0y; 50% boys) engaged in a mean of 154.5 (59.6) and 339.2 (85.1)\u00a0minutes of MVPA and SB per day, respectively, and parents reported relatively low levels of hypoglycemia worry and avoidance behaviors. Preschoolers\u2019 SB (<jats:italic>r<\/jats:italic>\u2009=\u2009.19, <jats:italic>P<\/jats:italic>\u2009=\u2009.02) and MVPA (<jats:italic>r<\/jats:italic>\u2009=\u2009\u2212.20, <jats:italic>P<\/jats:italic>\u2009=\u2009.01) levels were significantly correlated with parental hypoglycemia worry scores but not with parents\u2019 hypoglycemia behavior scores (<jats:italic>P<\/jats:italic>\u2009=\u2009.15 and <jats:italic>P<\/jats:italic>\u2009=\u2009.92, respectively). While multilevel models did not show an association between MVPA and preschoolers\u2019 glycemic variability, preschoolers who engaged in more daily SB experienced higher glycemic variability (<jats:italic>P<\/jats:italic>\u2009=\u2009.04). <jats:italic><jats:bold>Conclusions<\/jats:bold>:<\/jats:italic> Research exploring MVPA, SB, and parental hypoglycemia fear in preschoolers with type 1 diabetes could have important clinical implications because it may reveal modifiable treatment targets that can impact preschoolers\u2019 health and activity patterns.<\/jats:p>","DOI":"10.1123\/pes.2021-0046","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T03:42:03Z","timestamp":1642563723000},"page":"135-140","source":"Crossref","is-referenced-by-count":9,"title":["Physical Activity, Glycemic Variability, and Parental Hypoglycemia Fear in Preschoolers With Type 1 Diabetes"],"prefix":"10.1123","volume":"34","author":[{"given":"Susana R.","family":"Patton","sequence":"first","affiliation":[{"name":"University of Kansas Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra D.","family":"Monzon","sequence":"additional","affiliation":[{"name":"University of Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy E.","family":"Noser","sequence":"additional","affiliation":[{"name":"University of Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Clements","sequence":"additional","affiliation":[{"name":"Children\u2019s Mercy Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"1","key":"r1","series-title":"Cell Transplant","doi-asserted-by":"publisher","first-page":"23","DOI":"10.3727\/096368916X693022","article-title":"Active subjects with autoimmune type 1 diabetes have better metabolic profiles than sedentary controls","volume":"26","author":"Adamo M","year":"2017","unstructured":"Adamo M, Codella R, Casiraghi F, et\u00a0al. 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