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What Shapes Physical Activity in Teenagers With Type 1 Diabetes

Studies what helps or hinders exercise in adolescents living with type 1 diabetes.

Key facts

Who runs it
Biruni University
Where
Istanbul, TürkiyeSee the site
Trial code
Registry title
Examining Multilevel Factors Affecting Participation in Physical Activity Among Adolescents With Type 1 Diabetes Using the Socio-Ecological Model
Status
Recruiting
People taking part
55 people, planned
Started
2 Jan 2026
Planned end
13 Sept 2026
Type of study
Observational
Record updated
5 May 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for school-age children and teenagers with type 1 diabetes who go to school in Istanbul. It studies what affects their physical activity.

Age
9 to 18 years
Sex
All sexes
Disease stage
Type 1 diabetes diagnosed at least 1 year ago, with an HbA1c of 8% (64 mmol/mol) or higher within the past year.
Earlier treatment
Under regular medical follow-up and using at least one glucose monitoring device.
Biomarker or test result
HbA1c value of 8% (64 mmol/mol) or higher within the past year; glucose metabolism biomarkers reported.

Main reasons for not taking part

  • No consent from a parent
  • Other nerve, movement or thinking disorders
  • Moderate to severe intellectual disability
  • Other whole-body (systemic) diseases
  • HbA1c data not reported

The registry criteria, word for word

Show all 13 criteriaShow less

Who can take part

  • Diagnosed with Type 1 diabetes at least 1 year prior to enrollment,
  • Aged between 9 and 18 years,
  • Currently attending school in Istanbul,
  • Willing to participate in the study (with voluntary consent),
  • HbA1c value ≥ 8% within the past year,
  • Reported glucose metabolism biomarkers,
  • Sufficient cognitive ability to understand and complete the questionnaires,
  • Under regular medical follow-up and using at least one glucose monitoring device

Who cannot take part

  • Presence of additional neurological, motor, or cognitive disorders,
  • Presence of systemic comorbid diseases,
  • Failure to report HbA1c data
  • Lack of parental consent,
  • Inadequate mental status or diagnosis of moderate to severe intellectual disability,

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 9 and 18 years old?

Where in Türkiye

  • Biruni UniversityIstanbul, TürkiyeContact: Buket Akinci, ProfessorTaking people

About the trial

What the trial wants to find out

The goal of this observational study is to examine the multilevel factors influencing physical activity participation in adolescents with Type 1 diabetes (T1D) within the framework of the Socio-Ecological Model (SEM). Physical activity is a multidimensional behavior shaped by individual, interpersonal, institutional, community, and policy-level influences, and it plays a critical role in diabetes management, metabolic health, and overall well-being in youth with T1D.

Read full original descriptionShow less

The main questions it aims to answer are:

Do factors at the individual, interpersonal, institutional, community, and policy levels of the Socio-Ecological Model significantly influence physical activity participation, social participation, and diabetes management in adolescents with Type 1 diabetes? Which modifiable barriers and facilitators at these multiple levels are associated with higher or lower levels of physical activity?

Participants diagnosed with Type 1 diabetes will complete questionnaires assessing their daily living activities, exercise habits, social participation, psychosocial characteristics, and perceived social and environmental support. Objective measurements related to circadian rhythm patterns and glycemic control will also be collected. The study will analyze how multilevel socio-ecological factors are associated with physical activity behavior, social engagement, and diabetes management outcomes.

The findings are expected to provide a comprehensive biopsychosocial understanding of physical activity behaviors in adolescents with Type 1 diabetes and to inform the development of supportive, school- and community-based intervention strategies aimed at improving quality of life, self-efficacy, psychological resilience, and sustainable participation in physical activity.

The group in the trial

  • Adolescents with Type 1 Diabetes

    This cohort consists of adolescents aged 9-18 years diagnosed with Type 1 diabetes for at least one year and currently receiving regular medical follow-up in Istanbul. Participants meet predefined inclusion criteria, including documented HbA1c values ≥8% within the previous year and reported glycemic biomarkers. All participants use at least one glucose monitoring device and are capable of completing study questionnaires. This is an observational, cross-sectional study. No experimental intervention is applied. Participants will complete validated questionnaires assessing physical activity, daily living activities, social participation, psychosocial factors, and socio-ecological determinants. Objective measures related to glycemic control .

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Examining Multilevel Factors Affecting Participation in Physical Activity Among Adolescents With Type 1 Diabetes Using the Socio-Ecological Model
Plain-language title
What Shapes Physical Activity in Teenagers With Type 1 DiabetesGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Fit questions
Built from NCT07568028, who can take part
Record updated
5 May 2026