ArticleEuropean journal of pediatrics2026
Exercise management in pediatric type 1 diabetes: a multicenter study of healthcare professionals' perspectives.
Article in European journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Regular exercise is an important component of care for children with type 1 diabetes (T1D), supporting both physical and psychological health. However, many do not meet recommended activity levels, and exercise does not consistently improve glycemic control. Exercise management in T1D is complex and influenced by multiple factors, including child, activity, and treatment characteristics. These challenges highlight the importance of comprehensive exercise-directed guidance (EDG). This study aimed to characterize EDG practices in pediatric T1D and identify key challenges faced by healthcare professionals (HCPs). Physicians, nurses, and dietitians from 11 pediatric diabetes centers participated. Participants completed anonymized electronic questionnaires assessing current practices, content, and perceived challenges related to EDG. Response rate was 87.2%; 130 HCPs participated; all reported providing EDG to patients. Considerable variability was observed in the timing, content, and educational resources used. While the majority (85.9%) reported offering guidance to all patients, others indicated guiding only when specific needs arose. The most frequently addressed topics included the immediate effects on blood glucose, adjusting carbohydrate intake, and general preparations for exercise. Less frequently discussed topics were planning exercise regimens and encouraging involvement of family or peers. Challenges by order of prevalence were insufficient teaching aids (42.3%), EDG complexity (40.0%), visit duration (36.2%), and knowledge gaps (33.1%).
conclusionAlthough HCPs acknowledge the importance of exercise in pediatric T1D and incorporate EDG into clinical care, substantial variability exists in its delivery. Improving the availability and usability of educational tools and strengthening social support components may enhance exercise education for children with T1D. WHAT IS KNOWN: • Exercise-directed guidance (EDG) is essential for children with type-1-diabetes, yet challenging to implement. • Knowledge of barriers to EDG is growing, but evidence remains limited across healthcare settings and professional groups. WHAT IS NEW: • In this national multicenter study of healthcare professionals, all participants reported providing EDG, yet its timing,content, and availability of educational tools varied. • Limited teaching aids, the complexity of EDG, and time constraints were the main barriers; addressing family and peer involvement and exercise-specific planning were identified as areas for improvement.
Indexed as
Identifiers
What OpenQuestion holds
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 OpenQuestion graph.