Assessment of Habitual Physical Activity in Adolescents with Type 1 Diabetes

Mohammed, Javed; Deda, Livia; Clarson, Cheril; Cuerden, Meaghan; Mahmud, Farid H.

doi:10.1016/j.jcjd.2014.05.010

Cited by 33 publications

(36 citation statements)

References 32 publications

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“…For blood glucose regulation, in the case‐control study with 200 adolescents who were instructed to cross the maximum distance in meters following the 6‐min walk test, a positive effect of PA on blood glucose without increasing the risk for hypoglycemia was noted (Jegdic et al., ; Metcalf et al., ). Three cross‐sectional studies observed a significant positive association between reported PA and HDLs and a significant negative association with LDLs (Heyman et al., ; Mohammed et al., ; Parthasarathy et al., ). Further, in the cohort study of 1,049 adolescents with T1D who were followed for 5 years, decreases in TG and LDL were more pronounced in adolescents who increased daily PA and decreased sedentary time (Li et al., ).…”

Section: Resultsmentioning

confidence: 99%

“…The length of reported PA in each study ranged from a single session of 6 min of fast walking (Jegdic et al, 2013) to 7 days (Beraki et al, 2014;Cuenca-García et al, 2012). Three studies observed a significant association between lower PA levels and higher BMI and body fat composition in diabetic participants (Heyman et al, 2012;Mohammed, Deda, Clarson, Stein, Cuerden, & Mahmud, 2014;Parthasarathy et al, 2016). However, five studies reported that BMI and body fat composition were not associated with habitual PA levels (Beraki et al, 2014;Cuenca-García et al, 2012;Mosso, Halabi, Ortiz, & Hodgson, 2015;Jegdic et al, 2013;Lukacs et al, 2012).…”

Section: Results On Physiological Outcomes In the Observational Studiesmentioning

confidence: 99%

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A Systematic Review of Physical Activity and Exercise on Physiological and Biochemical Outcomes in Children and Adolescents With Type 1 Diabetes

Aljawarneh

Wardell

Wood

et al. 2019

J of Nursing Scholarship

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Purpose In this systematic review we aimed to evaluate the effects of physical activity (PA) and exercise on biochemical and physiological outcomes in children and adolescents with type 1 diabetes (T1D). Design The review was conducted and reported following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Methods The search of literature was performed using PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, the Cochrane Library, Scopus, Medline, PsycINFO, the Nursing Reference Center, and Google Scholar. The search was limited to include peer‐reviewed articles published in English from May 2012 to May 2018 and included adolescents <19 years of age with T1D. Twenty‐seven studies met the inclusion criteria: 8 interventional and 19 observational studies. Findings Both observational and interventional studies showed considerable agreement that supervised regular moderate to vigorous physical activity (MVPA) is more effective on adiposity and cardiorespiratory fitness than habitual PA. Further, it was reported that PA of different intensities improves insulin sensitivity and decreases daily insulin dosage. Results of glycemic control were equivocal. Although observational studies reported improvement in glycemic control with PA of different intensities, most of the experimental studies revealed no significant associations. A consistent agreement among the studies revealed a considerable benefit of regular habitual PA of light to moderate intensity on blood glucose regulation and lipid profile. Conclusions The reviewed studies showed that regular MVPA was associated with several health benefits in adolescents with T1D; however, additional studies are needed to fully understand the effect of PA on health outcomes. Clinical Relevance Regular MVPA (at least 4 hr per week) with good glycemic control is a promising option for adolescents with T1D when risk management of hypoglycemia is appropriately taken.

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Section: Resultsmentioning

confidence: 99%

Section: Results On Physiological Outcomes In the Observational Studiesmentioning

confidence: 99%

A Systematic Review of Physical Activity and Exercise on Physiological and Biochemical Outcomes in Children and Adolescents With Type 1 Diabetes

Aljawarneh

Wardell

Wood

et al. 2019

J of Nursing Scholarship

View full text Add to dashboard Cite

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“…Regular physical activity has been shown to improve cardiovascular complications (hypertension and dyslipidemia) and improve insulin sensitivity, leading to an improvement in glycemic control in these patients (4)(5)(6). Despite these well recognized benefits, multiple studies demonstrate that children and adolescents with diabetes are less active when compared to children without diabetes (7)(8)(9). There are multiple factors which lead to limitations of physical activity in these individuals, including, but not limited to concerns for altered glycemic control associated with activity, need for increased and closer monitoring,…”

Section: Introductionmentioning

confidence: 99%

Management of diabetes mellitus in children and adolescents: engaging in physical activity

Nadella¹,

Indyk²,

Kamboj³

2017

Transl. Pediatr.

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Regular physical activity is an important component in the management of both type 1 and type 2 diabetes mellitus (T1DM and T2DM), as it has the potential to improve glycemic control, delay cardiovascular complications, and increase overall well-being. Unfortunately, many children and adolescents with diabetes do not partake in regular exercise and physical activity for multiple reasons. This review identifies the barriers to participation from the aspect of the patient, caregiver, and the healthcare provider.The management of physical activity of children and adolescents with diabetes mellitus is unique and requires an understanding of exercise physiology and how it differs in these children and adolescents from those without the condition. These individuals are at risk for important and potentially life threatening complications including, but not limited to, severe or delayed nocturnal hypoglycemia. It is essential to identify these risks as well as, monitor and manage adjustments to carbohydrate intake and insulin dosing through basal-bolus regimen or insulin pump adjustments appropriately before, during, and after the exercise activity. This review discusses these issues and also outlines differences in management between patients with T1DM and T2DM.

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“…In the global TEENS study, about two thirds of youth with T1DM were not participating in 30 min of exercise daily (18). In a Canadian study, adolescents with T1DM were shown to spend more time being inactive than their non-diabetic peers (23). However, in SEARCH about three quarters of youth with T1DM met moderately vigorous PA targets according to self-reported data (24).…”

Section: Body Composition Pa Prescription and Participation In Youtmentioning

confidence: 99%

Current perspectives on physical activity and exercise for youth with diabetes

2015

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Regular physical activity (PA) for youth with diabetes improves cardiorespiratory fitness, body composition, bone health, insulin sensitivity, and psychosocial well-being. However many youth with diabetes or pre-diabetes fail to meet minimum PA guidelines and a large percentage of youth with diabetes are overweight or obese. Active youth with type 1 diabetes tend to have lower HbA1c levels and reduced insulin needs, whereas activity in adolescents at-risk for type 2 diabetes improves various measures of metabolism and body composition. Insulin and nutrient adjustments for exercise in type 1 diabetes is complex because of varied responses to exercise type and because of the different times of day that exercise is performed. This review highlights the benefits of exercise and the established barriers to exercise participation in the pediatric diabetes population. A new exercise management algorithm for insulin and carbohydrate intake strategies for active youth with type 1 diabetes is presented.

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Assessment of Habitual Physical Activity in Adolescents with Type 1 Diabetes

Cited by 33 publications

References 32 publications

A Systematic Review of Physical Activity and Exercise on Physiological and Biochemical Outcomes in Children and Adolescents With Type 1 Diabetes

A Systematic Review of Physical Activity and Exercise on Physiological and Biochemical Outcomes in Children and Adolescents With Type 1 Diabetes

Management of diabetes mellitus in children and adolescents: engaging in physical activity

Current perspectives on physical activity and exercise for youth with diabetes

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