The Relationship Between Physical Activity and Body Mass Index with Hemoglobin A1c in Children with Type 1 Diabetes Mellitus
Yunita Putri Ragil Pratiwi1, Nur Rochmah2,3*, Rio Wironegoro4,5, Azwin Menghindra Putra2,3
Abstract
Background: In children with type 1 diabetes mellitus (T1DM), extensive destruction of pancreatic β-cells is observed, primarily mediated by autoimmune processes. Physical activity functions to increase insulin sensitivity, thereby aiding in the maintenance of good glycemic control and body mass index (BMI) in T1DM patients. Glycemic control in children with T1DM is commonly monitored through hemoglobin A1c (HbA1c) levels. Objective: This study aims to analyze the relationship between physical activity and BMI with HbA1c levels in children with T1DM. Methods: This research employs an observational analytic method to assess the association of physical activity and BMI with HbA1c levels in children with T1DM in a cross-sectional design at a specific sample and time frame. Sampling was conducted using the consecutive random sampling method, in line with the research criteria, followed by distributing questionnaires to the parents or caregivers of children with T1DM at the Pediatric Endocrinology Clinic of Dr. Soetomo Regional General Hospital. Physical activity was measured using the Physical Activity Questionnaire for Children (PAQ-C) and the Physical Activity Questionnaire for Adolescents (PAQ-A). Results: A total of 37 samples were obtained for this study, with the following details: The range of HbA1c among respondents was 6.8%–13.6%, with an average HbA1c of 9.44% (high risk). The range of physical activity levels, as measured by the PAQ-C and PAQ-A, was between 1 and 5, with an average activity level of 2. The respondents’ BMI ranged from 8.44 to 26.02, with an average BMI of 18.81 (underweight). The study results showed no significant association between physical activity (p = 0.373) and BMI (p = 0.230) with HbA1c levels in children with T1DM, with a significance level of p < 0.05. Conclusion: No significant association was found between physical activity and BMI with HbA1c levels in children with T1DM.
Keywords
children; physical activity; T1DM; HbA1c; BMI.
Cite This Article
Pratiwi, Y. P. R., Rochmah, N., Wironegoro, R., Putra, A. M. (2024). The Relationship Between Physical Activity and Body Mass Index with Hemoglobin A1c in Children with Type 1 Diabetes Mellitus. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 6: Nov-Dec 2024, Pages 1265-1268, URL: https://www.ijscia.com/wp-content/uploads/2024/12/Volume5-Issue6-Nov-Dec-No.716-1265-1268.pdf
Volume 5 | Issue 6: Nov – Dec 2024
