Document Detail


Adherence to physical activity in young people with type 1 diabetes.
MedLine Citation:
PMID:  15796088     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Regular physical activity plays a key role in the management of children and adolescents with Type 1 diabetes mellitus but it is not considered as a treatment for diabetes. Aim of this study was to investigate time spent exercising, adherence to the programme for a safe exercise and ability of young people with diabetes to take appropriate measures to reduce potential risks. Ninety one Type 1 diabetes mellitus young people (aged from 10 to 18 years, duration of diabetes longer than 6 months) without associated chronic diseases were randomly enrolled in the study. Age, sex, weight, height, BMI, duration of disease, mean HbA1c value over preceding 6 months have been collected. The time weekly spent for physical activity, the type of exercise usually performed, the measures taken to reduce exercise risks have been collected by a structured questionnaire. BMI was 21.6+/-3.05 in the boys and 21.3+/-3.63 in the girls. All patients spent exercising 438+/-221 minutes/week. Boys exercised 71 minutes longer than girls in competitive sports. Children exercising less than 60 minutes weekly showed a mean HbA1c level (8,9+/-05%) higher than that found in children exercising 120-360 minutes (8,3+/-0.4 %; p=0.002) or 360-480 minutes (8,0+/-0.6 %; p< 0.01) weekly. Children attending a competitive sport (at least 360 min per week) had a better glycemic control (HbA1c=7,39+/-0.6 %; p=0.03) than other active peers. Fifty percent of patients reported to monitor blood glucose levels during exercise; 32 % changed insulin dose according to blood glucose levels; 60 % usually added carbohydrate-based foods before (35%), during (15%) or after (10%) exercise. Hypoglycemic episodes (37.7%) were reported more frequently than hyperglycemic ones (p=0.024), but only twelve percent of them were symptomatic and appeared 30 minutes to 2 hours after the end of exercise. These results must encourage health care professionals to review regularly the ability of their patients in managing physical activity and to check their adherence to the program for a safe exercise.
Authors:
Anna Lucia Bernardini; Maurizio Vanelli; Giovanni Chiari; Brunella Iovane; Chiara Gelmetti; Rosa Vitale; Maria Katrin Errico
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta bio-medica : Atenei Parmensis     Volume:  75     ISSN:  0392-4203     ISO Abbreviation:  -     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2005-03-30     Completed Date:  2005-05-20     Revised Date:  2006-12-18    
Medline Journal Info:
Nlm Unique ID:  101295064     Medline TA:  Acta Biomed     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  153-7     Citation Subset:  IM    
Affiliation:
Interuniversity regional Centre for diabetes management in children and adolescents, Department of Pediatrics, Children's Hospital, Parma, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Blood Glucose / analysis
Blood Glucose Self-Monitoring
Body Mass Index
Child
Cohort Studies
Combined Modality Therapy
Diabetes Mellitus, Type 1 / blood,  diet therapy,  drug therapy,  psychology*
Diabetic Diet
Exercise
Female
Hemoglobin A, Glycosylated / analysis
Humans
Hypoglycemia / etiology
Insulin / administration & dosage,  adverse effects,  therapeutic use
Male
Motor Activity*
Patient Compliance / statistics & numerical data*
Questionnaires
Risk Management
Safety
Sampling Studies
Sports / statistics & numerical data
Time Factors
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Hemoglobin A, Glycosylated; 11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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