SUMMARYAims: To evaluate motor performance and cardiorespiratory function in youths with type 1 diabetes in comparison with age-matched control group; and to analyse the influence of physical activity level, anthropometric and physical fitness parameters on long-term metabolic control. Methods: 106 youths with diabetes and 130 healthy youths aged 8-18 were assessed by the Eurofit Test Battery regarding motor performances, cardiorespiratory fitness (VO 2max ), skinfold thickness, and body mass index. Physical activity level was assessed through the use of questionnaires. Predictors of physical fitness and metabolic control were determined with regression analysis. Results: There were no differences either in body composition or in physical activity level, but younger girls with diabetes had impaired results in speed of upper limb movement, abdominal muscle strength, upper body strength, running speed and VO 2max ; older girls with diabetes had poor results in speed of upper limb movement, abdominal muscle strength, upper body strength and VO 2max . Younger boys with diabetes had impaired results in speed of upper limb movement, flexibility, static strength of the hand and abdominal muscle strength; and older boys with diabetes had poor results in speed of upper limb movement, flexibility, abdominal muscle strength, upper body strength and VO 2max . Older age, female gender, higher skinfold thickness, lower physical activity level and higher HbA 1c were significant independent predictors of poorer VO 2max . Better VO 2max proved to be the single predictor of favourable HbA 1c . Conclusions: Youths with diabetes have reduced fitness parameters. Efforts should be carried out to improve physical fitness as part of treatment and care of children and adolescents with type 1 diabetes.
Background and aims This study examines exercise addiction (EA) in amateur runners from a multidimensional approach, including demographics (age, sex, educational attainment, and financial situation), training factors (duration of running activity, weekly time spent running, mean workout distance per session, other sports activities, and childhood physical activity), psychological features (perceived health, life satisfaction, loneliness, stress, anxiety, depression, body shape, and eating disorders), and anthropometrics (body mass index) that might predict EA. Methods The well-validated Exercise Dependence Scale (EDS) was applied to evaluate the prevalence of EA in amateur runners. A multinomial logistic regression was performed to find explanatory variables of risk of EA using the SPSS 24.0 statistical software. Results A total of 257 runners (48.9% females, Mage = 40.49, SD = 8.99 years) with at least 2 years running activity participated in an anonymous questionnaire survey. About 53.6% of respondents were characterized as non-dependent symptomatic and 37.8% as non-dependent asymptomatic. About 8.6% had prevalence of being at risk of EA. The logistic regression model displayed five variables that significantly predicted the risk of EA: (a) anxiety, (b) loneliness, (c) weekly time spent running, (d) childhood physical activity, and (e) education level. Discussion and conclusions Findings indicate that loneliness and anxiety may lead to withdrawal and uncontrolled behavior that in turn leads to increased amount of exercise in amateur runners. Lower level of education attainment is also a likely risk of EA development, and childhood sports activity is a predictor.
Significant association can be observed between HRQoL and RS. Supposedly, higher level of PA promotes higher level of RS that in turn helps increase HRQoL in adolescents with T1D. Treatment with insulin pump therapy also promotes better HRQoL.
This study aimed to investigate the association of the anthropometric, clinical variables and maximal oxygen uptake (VO2max) with diabetes-specific health-related quality of life (HRQoL) in youths with type 1 diabetes mellitus (T1DM) and to find the predictors of HRQoL and blood glucose control. A total of 239 youths with diabetes (124 boys and 115 girls) were recruited from diabetes-based summer camps. HRQoL assessment was carried out with the Pediatric Quality of Life Inventory™ 3.0 Diabetes Module (Information Resources Centre, Mapi Research Trust, France); VO2max was evaluated by conducting the 20-m shuttle run test. Higher VO2max and the insulin pump therapy were significant predictors of the HRQoL in the multiple regression analysis; other clinical and anthropometric variables had no effect. The better blood glucose control was explained only by the higher VO 2max . The good cardiorespiratory fitness (expressed by VO 2max ) has clinical and QoL benefits for paediatric patients with T1DM.
Abstract. Background: The novel coronavirus disease has caused a worldwide pandemic and has been distressing for the general population including the student population in higher education. Aims: This study assesses the changes in the lives of university students, and finds an association between fear of COVID-19 and mental well-being controlled by demographic and socio-psychological factors. Method: Students from one of the largest universities of Hungary were sampled responding to multidimensional questions about their life situations prior to and after social isolation measures, 4–6 weeks after the COVID-19 outbreak in Hungary. The questionnaire packet included the 8-item version of the Center for Epidemiological Studies-Depression Scale for evaluating mental well-being. Results: Students experienced significant negative changes after 4–6 weeks of confinement in terms of physical activity, relationship with family, friends, studies, financial situation, perceived health, future prospects, and life satisfaction. Desirable changes were observed in smoking habits, cannabis use, and alcohol consumption, including binge drinking. Explanatory variables of favorable mental well-being were younger age, better-perceived health status, higher life satisfaction, and more optimism about future prospects. Limitations: Mental well-being was measured only during social isolation. The pre-pandemic status of the students was reported retrospectively, making it prone to recall bias. Conclusion: Findings suggest that the pandemic with its associated social isolation measures negatively affected students’ everyday life and well-being, however, the fear of the coronavirus did not contribute to it. Higher institutions should offer a wide range of measures to mitigate the downstream mental health consequences of the COVID-19 outbreak in university population.
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