Abstract：
OBJECTIVE: Current exercise recommendations for people with type 1 diabetes (PWT1D) are based on research involving primarily young, fit male participants. Recent studies have shown possible differences between male and female blood glucose response to exercise, but little is known about whether these differences are sex-related (due to physiological differences between male and female participants), or gender-related (behavioural differences between men and women).
METHODS: To better understand gender-based behavioural differences surrounding physical activity (PA), we asked men and women (n=10 each) with T1D to participate in semistructured interviews. Topics discussed included motivation and barriers to exercise, diabetes management strategies, and PA preferences (type, frequency, duration of exercise, etc). Interview transcripts were coded by 2 analysts before being grouped into themes.
RESULTS: Six themes were identified impacting participants\' PA experience: motivation, fear of hypoglycemia, time lost to T1D management, medical support for PA, the role of technology in PA accessibility, and desire for more community. Gender differences were found in motivations, medical support, and desire for more community. Women were more motivated by directional weight dissatisfaction, and men were more motivated to stay in shape. Men felt less supported by their health-care providers than women. Women more often preferred to exercise in groups, and sought more community surrounding T1D and PA.
CONCLUSIONS: Although men and women with T1D experience similar barriers around PA, there are differences in motivation, desire for community, and perceived support from medical providers.
METHODS: To better understand gender-based behavioural differences surrounding physical activity (PA), we asked men and women (n=10 each) with T1D to participate in semistructured interviews. Topics discussed included motivation and barriers to exercise, diabetes management strategies, and PA preferences (type, frequency, duration of exercise, etc). Interview transcripts were coded by 2 analysts before being grouped into themes.
RESULTS: Six themes were identified impacting participants\' PA experience: motivation, fear of hypoglycemia, time lost to T1D management, medical support for PA, the role of technology in PA accessibility, and desire for more community. Gender differences were found in motivations, medical support, and desire for more community. Women were more motivated by directional weight dissatisfaction, and men were more motivated to stay in shape. Men felt less supported by their health-care providers than women. Women more often preferred to exercise in groups, and sought more community surrounding T1D and PA.
CONCLUSIONS: Although men and women with T1D experience similar barriers around PA, there are differences in motivation, desire for community, and perceived support from medical providers.
摘要：
背景：目前针对1型糖尿病患者（PWT1D）的运动建议基于主要涉及年轻人的研究，适合男性参与者。最近的研究表明，男性和女性对运动的血糖反应可能存在差异，但是对于这些差异是否与性别相关（由于男性和女性参与者之间的生理差异）知之甚少，或性别相关（男性和女性之间的行为差异）。
方法：为了更好地了解围绕身体活动（PA）的基于性别的行为差异，我们要求T1D患者的男性和女性(各10人)参加半结构化访谈.讨论的主题包括运动的动机和障碍，糖尿病管理策略，和PA首选项(类型，频率,锻炼的持续时间，等。).面试记录由两名分析师编码，然后分为主题。
结果：确定了影响参与者PA体验的六个主题：动机，对低血糖的恐惧，失去了T1D管理的时间，对身体活动的医疗支持，技术在PA可达性中的作用，渴望更多的社区。在动机上发现了性别差异，医疗支持,渴望更多的社区。女性更多的动力是方向性的体重不满，男人更有动力保持体形。与女性相比，男性受到医疗保健提供者的支持较少。女性更喜欢集体锻炼，并寻求更多围绕T1D和PA的社区。
结论：虽然患有T1D的男性和女性在PA周围经历相似的障碍，动机，对社区的渴望，和医疗提供者的感知支持不同。
方法：为了更好地了解围绕身体活动（PA）的基于性别的行为差异，我们要求T1D患者的男性和女性(各10人)参加半结构化访谈.讨论的主题包括运动的动机和障碍，糖尿病管理策略，和PA首选项(类型，频率,锻炼的持续时间，等。).面试记录由两名分析师编码，然后分为主题。
结果：确定了影响参与者PA体验的六个主题：动机，对低血糖的恐惧，失去了T1D管理的时间，对身体活动的医疗支持，技术在PA可达性中的作用，渴望更多的社区。在动机上发现了性别差异，医疗支持,渴望更多的社区。女性更多的动力是方向性的体重不满，男人更有动力保持体形。与女性相比，男性受到医疗保健提供者的支持较少。女性更喜欢集体锻炼，并寻求更多围绕T1D和PA的社区。
结论：虽然患有T1D的男性和女性在PA周围经历相似的障碍，动机，对社区的渴望，和医疗提供者的感知支持不同。
