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22 24-hour movement behaviours (physical activity, sedentary behaviour and sleep) impact on adolescents physiological and psychosocial adaptation to type 1 diabetes: a mixed methods systematic review
  1. Mhairi Patience,
  2. Xanne Janssen,
  3. Alison Kirk and
  4. Megan Crawford
  1. University of Strathclyde, Glasgow, UK


Introduction 24-hour movement behaviours (physical activity, sedentary behaviour and sleep) are crucial for physical and mental health (Rollo, Antsygina, & Tremblay, 2020). For adolescents with type 1 diabetes several unique challenges arise from navigating standard adolescent changes combined with the constant 24-hour management required for the condition (Cameron et al., 2018). Previous research has examined these behaviours in isolation, yet few have examined them relative to one another. The aim of this study was to conduct a mixed methods systematic review to comprehensively investigate 24-hour movement behaviours and their impact on glycemic control and quality of life in adolescents with type 1 diabetes.

Methods 10 databases were searched for quantitative and qualitative English language articles reporting at least one of the behaviours and their impact on priori primary and secondary outcomes (figure 1) in adolescents (11-18 years) with type 1 diabetes. There were no restrictions on article publication dates or study design. Articles were subjected to title and abstract screening, full text screening, data extraction and quality assessment.

Results In total 9922 articles were identified from the initial search with 92 articles included for data extraction after title, abstract and full text screening, (figure 2). Data analysis is ongoing, where possible a meta-analysis (quantitative), meta-aggregation (qualitative) and mixed-methods synthesis (quantitative and qualitative narrative summary) will be conducted.

Discussion This extensive investigation on the full spectrum of 24-hour movement behaviours will identify the different, and perhaps complimentary, physiological and psychosocial impacts of each behaviour.


  1. Cameron FJ, Garvey K, Hood KK, Acerini CL, Codner E. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes in adolescence. Pediatr Diabetes 2018;19Suppl 27:250-61.

  2. Rollo S, Antsygina O, Tremblay MS. The whole day matters: Understanding 24-hour movement guideline adherence and relationships with health indicators across the lifespan. J Sport Health Sci 2020.

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