A systematic review of physical activity and sedentary behavior intervention studies in youth with type 1 diabetes: study characteristics, intervention design, and efficacy

MacMillan, Freya; Kirk, Alison; Mutrie, Nanette; Matthews, Lynsay; Robertson, Kenneth; Saunders, David H.

doi:10.1111/pedi.12060

Cited by 120 publications

(121 citation statements)

References 34 publications

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“…Similar result was found in previous study [20], in which severe hypoglycemia was independent risk and not related to frequency of exercise.…”

Section: Discussionsupporting

confidence: 80%

“…Studies of training program on group of adolescents with T1DM revealed that regular physical exercise significantly decrease HbA1c [8,18]. Other studies revealed similar significant results [4][5][6]9,19,20] which showed that improvement was associated with the frequency of physical activity [4,20]. Slight decrease in HbA1c was observed with combination of aerobic and muscle strength exercise training program [10,14] and was better with competitive sport [21].…”

Section: Discussionsupporting

confidence: 58%

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Effect of Regular Physical Activity on Metabolic Control in Pediatric Age Group with Type 1 Diabetes Mellitus

Somayah¹

2015

Endocrinol Metab Synd

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“…Similar result was found in previous study [20], in which severe hypoglycemia was independent risk and not related to frequency of exercise.…”

Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 58%

Effect of Regular Physical Activity on Metabolic Control in Pediatric Age Group with Type 1 Diabetes Mellitus

Somayah¹

2015

Endocrinol Metab Synd

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“…It is also the first study to incorporate a physical activity protocol with high-intensity sprints which resembles everyday activities of young people. The scenario of not announcing physical activity to the system and not providing uncovered snacks relates to real-life situations experienced by an adolescent population often unable to adhere to the recommended measures before physical activity [2,8].…”

Section: Discussionmentioning

confidence: 99%

“…Regular physical activity is a fundamental part of type 1 diabetes management recommendations [1] and has a positive impact on cardiovascular health, insulin requirement, body fitness and general wellbeing [2]. Recent data from large diabetes registries have shown a positive correlation between physical activity and metabolic control [3].…”

Section: Introductionmentioning

confidence: 99%

Closed-loop glucose control in young people with type 1 diabetes during and after unannounced physical activity: a randomised controlled crossover trial

et al. 2017

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Aims/hypothesis Hypoglycaemia during and after exercise remains a challenge. The present study evaluated the safety and efficacy of closed-loop insulin delivery during unannounced (to the closed-loop algorithm) afternoon physical activity and during the following night in young people with type 1 diabetes. Methods A randomised, two-arm, open-label, in-hospital, crossover clinical trial was performed at a single site in Slovenia. The order was randomly determined using an automated web-based programme with randomly permuted blocks of four. Allocation assignment was not masked. Children and adolescents with type 1 diabetes who were experienced insulin pump users were eligible for the trial. During four separate in-hospital visits, the participants performed two unannounced exercise protocols: moderate intensity (55% of V Á O 2max ) and moderate intensity with integrated highintensity sprints (55/80% of V Á O 2max ), using the same study device either for closed-loop or open-loop insulin delivery. We investigated glycaemic control during the exercise period and the following night. The closed-loop insulin delivery was applied from 15:00 h on the day of the exercise to 13:00 h on the following day.Results Between 20 January and 16 June 2016, 20 eligible participants (9 female, mean age 14.2 ± 2.0 years, HbA 1c 7.7 ± 0.6% [60.0 ± 6.6 mmol/mol]) were included in the trial and performed all trial-mandated activities. The median proportion of time spent in hypoglycaemia below 3.3 mmol/l was 0.00% for both treatment modalities (p = 0.7910). Use of the closed-loop insulin delivery system increased the proportion of time spent within the target glucose range of 3.9-10 mmol/l when compared with open-loop delivery: 84.1% (interquartile range 70.0-85.5) vs 68.7% (59.0-77.7), respectively (p = 0.0057), over the entire study period. This was achieved with significantly less insulin delivered via the closed-loop (p = 0.0123). Conclusions/interpretation Closed-loop insulin delivery was safe both during and after unannounced exercise protocols in the in-hospital environment, maintaining glucose values mostly within the target range without an increased risk of hypoglycaemia.Trial registration Clinicaltrials.gov NCT02657083 Funding

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“…Regarding activity and exercise within the school environment, most of the participants answered that diabetic children could attend the physical activity sessions. However, they were not aware about the measures that should be taken before, during or after any activity -such as blood glucose monitoring before and after any activity, consuming additional carbohydrates, and if using an insulin pump, decisions related to whether the pump should be disconnected or temporary basal rates set [25].…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Primary and Intermediate School Staffs’ Knowledge, Attitude and Practice on Care of Children with Type 1 Diabetes at School, Al-Jouf, Saudi Arabia

A¹,

Nail²

2017

SJMS

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Background: Children with diabetes type 1 (T1DM) need close monitoring for their blood glucose, food intake, insulin therapy and physical activity during school hours in order to guard against the development of acute and long-term complications. Objectives: To evaluate the current situation of management of T1DM in primary and intermediate schools children through assessment of the working staffs' attitude, knowledge and practice at Al-Jouf, Saudi Arabia. Materials and Methods:This descriptive cross-sectional study enrolled consented voluntarily participating working staffs from primary and intermediate schools in Al-Jouf region, Saudia Arabia. A questionnaire (included 23 questions) testing knowledge, attitudes and practice regarding T1DM and care of diabetic children was used. Results: 744 teachers were studied (62.1% females) where58.1%of them were working in primary schools. Of all, 69% were class teachers, 20.4% administrators, 8.6% school counselors, and 2% physical education teachers. 75.4% of the participants had adequate general knowledge about diabetes. Only 43.78% of the respondents had specific knowledge about diabetes in the school and teachers with a family diabetic patient showed higher knowledge about diabetes vs. their counterparts. Only 16.0%of the participants reported that their schools have trained personnel in diabetes. Large proportion of study teachers' (94%) was willing to join a training program for care of diabetic students. Of the total group of teachers, 665 support recruitment of a school nurse. Conclusion: Diabetes care training programs for school teachers and staffs, availability of school nurses and instigating collaboration between the diabetic center and the school is essential for safety of such diabetes student patients in the schools.

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A systematic review of physical activity and sedentary behavior intervention studies in youth with type 1 diabetes: study characteristics, intervention design, and efficacy

Abstract: Few RCTs explored the efficacy of unsupervised theory-based physical activity and/or sedentary behavior interventions in youth with type 1 diabetes. Limited reporting made comparison of findings challenging. There was an overall significant beneficial effect of physical activity on HbA1c.

Cited by 120 publications

References 34 publications

Effect of Regular Physical Activity on Metabolic Control in Pediatric Age Group with Type 1 Diabetes Mellitus

Effect of Regular Physical Activity on Metabolic Control in Pediatric Age Group with Type 1 Diabetes Mellitus

Closed-loop glucose control in young people with type 1 diabetes during and after unannounced physical activity: a randomised controlled crossover trial

Assessment of the Primary and Intermediate School Staffs’ Knowledge, Attitude and Practice on Care of Children with Type 1 Diabetes at School, Al-Jouf, Saudi Arabia

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