Evidence map›Paper›PMID 30834621›Full record

Trial reportPediatric diabetes2019

Feasibility and safety of a group physical activity program for youth with type 1 diabetes.

Garrett I Ash, Kevin L Joiner, Mary Savoye, Julien S Baker, James Gerosa, Emma Kleck, Neha S Patel, Lois S Sadler, Matthew Stults-Kolehmainen, Stuart A Weinzimer and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in Pediatric diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Garrett I AshYale University School of Nursing, West Haven, Connecticut.ORCID 0000-0002-8655-7525
Kevin L JoinerYale University School of Nursing, West Haven, Connecticut.
Mary SavoyeDepartment of Pediatric Endocrinology, Yale University, New Haven, Connecticut.
Julien S BakerInstitute of Clinical Exercise and Health Sciences, School of Science and Sport, University of the West of Scotland, Hamilton, UK.
James GerosaDepartment of Exercise Science, Southern Connecticut State University, New Haven, Connecticut.
Emma KleckYale University School of Nursing, West Haven, Connecticut.
Neha S PatelDivision of Endocrinology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Lois S SadlerYale University School of Nursing, West Haven, Connecticut.
Matthew Stults-KolehmainenBariatric Surgery Program, Yale-New Haven Hospital, New Haven, Connecticut.
Stuart A WeinzimerDepartment of Pediatric Endocrinology, Yale University, New Haven, Connecticut.
Margaret GreyYale University School of Nursing, West Haven, Connecticut.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Multidisciplinary Behavioral Research Training in T1DT32DK097718 · NIDDK · YALE UNIVERSITY · PI GREY, MARGARET, WEINZIMER, STUART ALAN · 2012 to 2017
$771k
NCATS NIH HHS UL1 TR000142NCATS NIH HHS UL1TR000142NCATS NIH HHS UL1 TR001863NIDDK NIH HHS T32 DK097718NIDDK NIH HHS T32DK097718
6 · The paper itself

Abstract

BACKGROUND/

objectiveMany adolescents with type 1 diabetes do not achieve 60 minutes of daily moderate-to-vigorous intensity physical activity (MVPA). Recognizing the importance of peer influence during adolescence, we evaluated the feasibility and safety of a group MVPA intervention for this population.

methodsEighteen adolescents with type 1 diabetes (age 14.1 ± 2 .3 years, female 67%, black or Latino 67%, median body mass index 92%'ile, A1c 79.9 ± 25.1 mmol/mol, 9.5 ± 2.3%). Intervention sessions (35 minutes MVPA and 45 minutes discussion) occurred 1×/week for 12 weeks. Feasibility and safety metrics were enrollment, completion of intervention and assessments, cost, and hypoglycemia rates. Participants completed MVPA (accelerometry), and exploratory nutritional, psychosocial, clinical, and fitness variable assessments at baseline, 3 months, and 7 months. Hedges' effect sizes were calculated.

resultsEnrollment was 16%, and intervention completion was 56%. Assessment completion at 7 months was 67% for MVPA, nutrition, and fitness, 83% for psychosocial assessments, and 94% for clinical assessments. Cost was $1241 per completing participant. One episode of mild hypoglycemia occurred during the sessions (0.6%). Self-reported daily fruit/vegetable servings (d = -0.72) and diabetes self-management behaviors decreased over time (d = -0.40). In the 10 completers, endurance run score improved (d = 0.49) from low baseline levels, while systolic blood pressure decreased (d = -0.75) and low-density lipoprotein increased (d = 0.49) but stayed within normal ranges.

conclusionsThe protocol for the group MVPA intervention was safe and had some feasibility metrics meriting further investigation. MVPA levels and glycemic control remained suboptimal, suggesting the need for more intensive interventions for this population.

Indexed as

Group ProcessesAccelerometryAdolescentAge FactorsBlood GlucoseChildCombined Modality TherapyDiabetes Mellitus, Type 1Diet RecordsExerciseExercise TherapyFeasibility StudiesFemaleHealth BehaviorHumansMaleBlood Glucoseadolescentbehaviordiabetes mellitusexerciseglycated hemoglobin Atype 1

Identifiers

PMID30834621
PMCPMC6508986

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.