Key points are not available for this paper at this time.
The main aim of the current study was to measure physical activity, sedentary behaviors and sleep levels across the different seasons in people with type 1 diabetes in Kuwait. A prospective cross-sectional study was conducted from August 2021 to September 2022. Physical activity and sleep metrics were measured over a 7-day period with a wrist-worn accelerometer (GENEActiv). The mean daily physical activity was measured as a Euclidean Norm Minus One (ENMO) in milli gravitational units (mg). Accelerometer metrics were compared across the seasons and between the sex. A total of 784 people with type 1 diabetes participated. Mean daily physical activity was 25.2 mg (SD=7.3). Seasonal differences were seen in total daily physical activity (ENMO) (p= 0.05), inactivity (p=0.04), light activity (p=0.001), the intensity gradient (p=0.001) and sleep efficiency (p=0.02). Poorer metrics were generally seen in Spring and Summer. ENMO, moderate and vigorous physical activity, and inactivity were significantly higher in males compared to females (p≤ 0.02). Females had a longer sleeping duration (p=0.02), and higher sleep efficiency (p= 0.04) and light physical activity (p=0.01). ENMO and the intensity gradient were negatively associated with HbA1c (both p=0.01). Physical activity levels were generally low and sleep poor in people with type 1 diabetes in Kuwait and these varied by sex and season. The current data are useful to target and develop interventions to improve physical activity and glycemic control.
Al‐Ozairi et al. (Fri,) studied this question.