Effect of Regular Physical Activity on Metabolic Control in Pediatric Age Group with Type 1 Diabetes Mellitus (original) (raw)
Related papers
Baltic Journal of Health and Physical Activity, 2018
Background: Children with type 1 diabetes (T1D) are at high risk of having insufficient physical activity during school days and, thus, the importance of special program in promoting regular physical exercise has been largely emphasized. Therefore, this study examined the levels of physical activity and glycemia control in children with T1D, with particular focus on the relative contributions of regular physical education and physical activity program during the diabetes camp. Material and methods: Ninety-eight children suffering from T1D for 3.0 ±1.4 years free of diabetic complications participated in the study. Glycemia, insulin doses and diet were monitored, and physical activity was repeatedly measured across school days (GrS) and during the diabetes camp (GrR). Results: Physical activity of T1D children during the diabetes camp program were significantly higher compared to their regular physical education program GrS (p < 0.001). The age of study participants had a significant impact on physical activity, glycemia and daily insulin doses. Conclusions: Physical activity of children and adolescents with type 1 diabetes is lower compared to reference ranges for healthy population. Our findings highlighted that diabetic camps-based physical activity, in addition to regular physical education classes, could be of heath benefit in children with T1D.
Effects of Exercise in Children and Adoles-cent with Type 1 Diabetes Mellitus
Exercise is one of the most important components, together with insulin therapy and diet, in the clinical management of type 1 diabetes mellitus (T1DM). Physical activity has multiple health benefits, like blood pressure reduction, improvement of cardiovascular fitness and lipoprotein profile. The benefits for children with diabetes may also include positive effects on glycemic metabolism. The following review examines the main studies about the effects of exercise on diabetes. Additional longitudinal studies are needed to verify the hypothetical positive relationship between sport and T1DM and between sport and diabetic complications. However, aerobic and moderate intensity physical activity in children and adolescents with T1DM should be encouraged also for its beneficial psychological effects.
Journal of Clinical Practice and Research, 2023
The objective of this study was to examine the nutritional habits and exercise patterns in children with type 1 diabetes (T1DM) at the familial level and investigate their relationship with glycemic control. Materials and Methods: This cross-sectional study included 6-18-year-old patients with T1DM and non-diabetic children from the dietitian outpatient clinic. The Family Nutrition and Physical Activity screening tool (FNPA) was administered to all parents to determine their nutrition and exercise habits. The participants were divided into three subgroups based on their body mass index percentile (underweight, normal weight, overweight/ obese), and children with T1DM were further divided into two subgroups based on their Hemoglobin A1c (HbA1c) value as good and poor glycemic control. FNPA scores were compared between the groups/subgroups using t-test/one-way Analysis of Variance (ANOVA). Additionally, a multiple linear regression model was developed to identify the determinants of the FNPA score. Results: A total of 240 children (129 with T1DM) were included in the study. Children with T1DM had significantly higher FNPA scores than non-diabetic children (p=0.013). When the analysis was restricted to subgroups within the same weight status, this difference was significant only between the overweight/obese subgroups (p=0.032). The mean FNPA score of children with T1DM who had good glycemic control was significantly higher than those with poor glycemic control (p<0.001). Conclusion: This study is the first to evaluate the FNPA scale in children with T1DM and demonstrates the relationship between family nutrition and physical activity habits with glycemic control. These results highlight the significance of promoting proper nutrition and physical activity at the family level to achieve treatment goals.
Turkiye Klinikleri Journal of Pediatrics, 2022
Type 1 diabetes mellitus (T1DM) is one of the most common chronic diseases in childhood, and its incidence has been increasing worldwide. 1 More than 1.2 million children in the world between the ages of 0-19 are reported to have T1DM; more than half of them (54%) are under the age of 15; and the number of new T1DM cases between the ages of 0-19 is 184.100 each year. The prevalence of children with T1DM between the ages of 0-19 was reported 5.8/1000 in 2021, and the incidence was reported 2.8/1000 in Türkiye. 2
Type 1 diabetes and exercise management among children and adolescents: an overview
Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo, 2023
Exercise is determinant to the management of type 1 diabetes mellitus. Despite being crucial for a healthy development, it brings several challenges for patients, families and professionals that deal with insulin therapy. In fact, the type, duration, intensity of the exercise (among several other factors) can have an important impact on glycemic control. For that reason, this paper aims to present an overview of some basic concepts related with exercise in children and adolescents with type 1 diabetic patients, that will be useful for clinicians to develop an effective management that enables this activity while avoiding hypo and hyperglycemia.
International Journal of Environmental Research and Public Health, 2019
Given the fact that physical exertion leads to blood glucose fluctuations, type one diabetes mellitus (T1D) may potentially constitute a barrier for obtaining a sufficient amount of exercise. The main purpose of the study was to compare the level of physical activity between children with T1D (n = 215) and healthy controls (n = 115) and to assess the physical activity of the study group in relation to the applied method of insulin therapy, i.e., the use of insulin pen vs. insulin pump. The level of physical activity was assessed with a hip-worn tri-axial accelerometer (ActiGraph GT3X+) used by the subjects for an uninterrupted period of seven days. Children with T1D had significantly lower median values of total time of moderate (213.3 vs. 272.1 min), vigorous (135.3 vs. 19.6 min) and moderate-to-vigorous (347.4 vs. 467.4 min) physical activity compared to healthy peers respectively, (p < 0.001) in all cases. In addition, the total median number of steps was significantly lower (53,631 vs. 67,542 steps), (p < 0.001). The method of insulin therapy was not associated with significant differences in physical activity level (p > 0.001). The level of physical activity in children and adolescents with T1D is lower than in their healthy peers and does not depend on the insulin therapy method.
The Role of Exercise on Cardiometabolic Profile and Body Composition in Youth with Type 1 Diabetes
Children
Exercise has a direct positive effect on glycemic control by promoting insulin secretion from β-pancreatic islet-cells and by increasing skeletal muscle glucose uptake. The reduction in daily insulin needs and the optimization of glycemic control improves the patient’s quality of life, self-esteem, mental wellness, as well as diabetes-related mobility and mortality. The aim of this study was to investigate the effect of physical activity in children and adolescents with type-1 diabetes (T1D) on diabetic control, cardiovascular, and biochemical profiles; hs-CRP; IL6; leptin; and adiponectin levels of the population under study. This is a prospective cross-sectional study that involved 80 participants (36 boys and 44 girls) with T1D, who were aged 6–21 years and who attended the Diabetes and Metabolism Clinic of the 2nd Pediatric Department, University of Athens, “P & A Kyriakou” Children’s Hospital of Athens. Twenty (25%) children were above the 75th percentile regarding total levels...
Impact of Exercise on Overnight Glycemic Control in Children with Type 1 Diabetes Mellitus
The Journal of Pediatrics, 2005
Objective: To examine the effect of exercise on overnight hypoglycemia in children with type 1 diabetes (T1D). Study Design: At 5 clinical sites, 50 subjects with T1D (11 to 17 years) were studied in a clinical research center on two separate days. One day included an afternoon exercise session on a treadmill. On both days, frequently sampled blood glucose levels were measured at the DirecNet Central Laboratory. Insulin doses were similar on both days. Results: During exercise, plasma glucose levels fell in almost all subjects; 11 (22%) developed hypoglycemia. Mean glucose from 10pm to 6am was lower on the exercise day versus the sedentary day (131 vs. 154 mg/dL, P=0.003). Hypoglycemia developed overnight more often on the exercise nights versus the sedentary nights (P=0.009), occurring only on the exercise night in 13 (26%), only on the sedentary night in 3 (6%), on both nights in 11 (22%), and on neither night in 23 (46%). Hypoglycemia was unusual on the sedentary night if the pre-bedtime snack glucose was >130 mg/ dL. Conclusion: These findings indicate that overnight hypoglycemia post-exercise is common in children with T1D and support the importance of modifying diabetes management following afternoon exercise to reduce the risk of hypoglycemia.
Journal of Physical Activity and Health, 2010
Background:The current study objectively assessed physical activity (PA) levels and patterns in children and adolescents with type 1 diabetes and compared the metabolic and physiologic health profiles of those achieving and those not achieving the current recommendation of 60 minutes a day (minutes·D−1) of at least moderate intensity PA.Method:37 children and adolescents (20 boys, 17 girls) aged 12.7 ± 2.1 years (mean ± SD), disease duration 5.9 ± 3.0 years participated. PA was assessed using heart rate monitoring. Peak VO2, BMI, sum of 5 skinfolds, HbA1c, and daily insulin dosage were also determined.Results:Mean accumulated time in moderate-to-vigorous intensity PA was 53.6 ± 31.4 minutes·D−1. Levels of vigorous-intensity PA were low, mean 8.3 ± 10.2 minutes·D−1. When controlling for age, no differences in metabolic or physiologic health outcomes were evident between those individuals achieving, and those not achieving, 60 minutes·D−1 of moderate-to-vigorous intensity PA. PA predo...