ArticleBMJ open2018
Attitudes and barriers to exercise in adults with a recent diagnosis of type 1 diabetes: a qualitative study of participants in the Exercise for Type 1 Diabetes (EXTOD) study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05478707 (Therapeutic Strategies for Microvascular Dysfunction in Type 1 Diabetes), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Therapeutic Strategies for Microvascular Dysfunction in Type 1 Diabetes
Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of HIIT Interventions on Cardiorespiratory Fitness and Glycemic Parameters in Adults with Type 1 Diabetes: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2024Pooled it
- Facilitators, barriers, and interventions for exercise adherence in patients with prediabetes: a mixed-methods systematic review.Therapeutic advances in endocrinology and metabolism · 2026Review
- Effect of breaking up sitting with regular active breaks on glucose management and vascular function in adults with type 1 diabetes who use hybrid closed-loop insulin delivery systems: a randomised crossover trial protocol.BMJ open sport & exercise medicine · 2026Article
- Physical Activity Is Associated With Improved Glycemic Outcomes in Newly Diagnosed Youth With Type 1 Diabetes: 4T Exercise Program.Diabetes care · 2025Article
- Factors Affecting Physical Activity Adherence in Male Office Workers Based on Self-Determination Theory: The Mediating Effects of Psychological Need Satisfaction and Autonomous Motivation.Healthcare (Basel, Switzerland) · 2025Article
- Parental Attitude Toward the Engagement in Physical Activity of Their Children with Type 1 Diabetes Mellitus in Hungary.Children (Basel, Switzerland) · 2025Article
- Are Regular Aerobic Exercisers With Type 1 Diabetes Following Current Physical Activity Self-Management Guidelines? Insights From an Online Survey.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- EXTOD-Immune: a randomised controlled trial to investigate whether a remotely monitored, home-based exercise intervention can reduce disease activity in people with type 1 diabetes.BMJ open sport & exercise medicine · 2024Article
- Effects of postprandial exercise on blood glucose levels in adults with type 1 diabetes: a review.Diabetologia · 2023Review
- Applying the Reasoned Action Approach and Planning to Understand Diabetes Self-Management Behaviors.Behavioral sciences (Basel, Switzerland) · 2022Article
- Examination of exercise benefit/barrier perceptions of individuals with diabetes and affecting factors.African health sciences · 2022Article
- Protective effects of physical activity against health risks associated with type 1 diabetes: "Health benefits outweigh the risks".World journal of diabetes · 2022Review
- Current and Novel Strategies to Reduce Fear of Hypoglycemia as a Barrier to Physical Activity in Adults and Youth With Type 1 Diabetes.Canadian journal of diabetes · 2022Article
- Domesticating the condition: Design lessons gained from a marathon on how to cope with barriers imposed by type 1 diabetes.Frontiers in psychology · 2022Article
- "How we do it": A qualitative study of strategies for adopting an exercise routine while living with type 1 diabetes.Frontiers in endocrinology · 2022Article
- Article
- A Novel Mobile Health App to Educate and Empower Young People With Type 1 Diabetes to Exercise Safely: Prospective Single-Arm Mixed Methods Pilot Study.JMIR diabetes · 2021Article
- Evaluation of Web-Based and In-Person Methods to Recruit Adults With Type 1 Diabetes for a Mobile Exercise Intervention: Prospective Observational Study.JMIR diabetes · 2021Article
- Advances in Exercise and Nutrition as Therapy in Diabetes.Diabetes technology & therapeutics · 2021Article
- Carbohydrate Requirement for Exercise in Type 1 Diabetes: Effects of Insulin Concentration.Journal of diabetes science and technology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesTo explore attitudes and barriers to exercise in adults with new-onset type 1 diabetes mellitus (T1DM).
designQualitative methodology using focus group (n=1), individual face-to-face (n=4) and telephone interviews (n=8). Thematic analysis using the Framework Method.
settingNineteen UK hospital sites.
participantsFifteen participants in the Exercise for Type 1 Diabetes study. We explored current and past levels of exercise, understanding of exercise and exercise guidelines, barriers to increasing exercise levels and preferences for monitoring of activity in a trial.
resultsFive main themes were identified: existing attitudes to exercise, feelings about diagnosis, perceptions about exercise consequences, barriers to increasing exercise and confidence in managing blood glucose. An important finding was that around half the participants reported a reduction in activity levels around diagnosis. Although exercise was felt to positively impact on health, some participants were not sure about the benefits or concerned about potential harms such as hypoglycaemia. Some participants reported being advised by healthcare practitioners (HCPs) not to exercise.
conclusionsExercise should be encouraged (not discouraged) from diagnosis, as patients may be more amenable to lifestyle change. Standard advice on exercise and T1DM needs to be made available to HCPs and patients with T1DM to improve patients' confidence in managing their diabetes around exercise. TRIAL REGISTRATION NUMBER: ISRCTN91388505; Results.
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Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.