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Associação entre adesão à prática de atividade física, contagem de carboidratos e monitorização glicêmica em adultos com diabetes tipo 1 durante a pandemia de COVID-19

Year: 2025
Type: article
Study design: Observational Study
Abstract: Introduction: Measures imposed during the COVID-19 pandemic may have compromised factors in the treatment of Type 1 Diabetes Mellitus (DM1), such as adherence to physical activity (PA), glycemic monitoring and dietary care. The objective of this study was to test the association between adherence to PA, Carbohydrate Count (CC) and glycemic monitoring by adults with DM1 during the COVID-19 pandemic in Brazil. Materials and methods: Cross-sectional, descriptive and analytical study, carried out using an online questionnaire with a convenience sample. Information was collected in the following axes: sociodemographic, PA, CC and glycemic monitoring. For statistical analysis, Pearson's Chi-square test was applied, with adjusted residual analysis. Results: Of the 472 participants, 27.5% stopped and 9.5% started practicing PA post-social distancing, 39% remained active and 23.9% remained inactive during this period. The interruption of PA was associated with the interruption of CC (p=0.030), inaccessibility of supplies by the Government for glycemic monitoring, as well as not being able to purchase supplies was associated with physical inactivity (p=0.048). Using a Continuous Glucose Monitoring System (SMCG) and glucometer was associated with remaining active (p=0.007). Knowing, but not doing CC was inversely associated with staying active, and performing it frequently was associated with staying active, even in isolation (p=0.030). Conclusion: Performing CC, using SMCG, a glucometer and purchasing or receiving supplies for glycemic monitoring were factors associated with adherence to PA practice by adults with DM1 in Brazil.
Language: Portuguese
Field: Medicine
Open Access status: diamond
OpenAlex ID: W7219348237
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