Better cardiorespiratory fitness associated with favourable metabolic control and health-related quality of life in youths with type 1 diabetes mellitus

Abstract

Objective: to explore the relationship among health-related quality of life (HRQoL), clinical variables, anthropometric measures, physical activity and cardiorespiratory fitness in children and adolescents with type 1 diabetes. Furthermore, we aimed to find predictors of HRQoL and metabolic control. Methods: A total of 106 patients (sex ratio: 1:1) with mean HbA1c of 8.55 (± 1.44) % and diabetes duration of 5.15 (± 3.24) years were assessed. The average age was 13.22 (± 3.08) years. Results: We observed statistically significant negative medium correlation between HbA 1c and VO 2max (r = -0.343; p < 0.001). There was statistically significant small positive correlation between the HRQoL and the maximal oxygen consumption (r = 0.208; p = 0.032). We found no significant correlation between the HbA 1c and the patients' HRQoL. In the multiple linear regression analysis both the better metabolic control and the HRQoL was predicted by the VO 2max , other variables had no effect. Physical activity level did not explain the HRQoL. Boys had significantly better HRQoL and less skinfold thickness than girls. Conclusion: Better cardiorespiratory fitness associated with both favourable metabolic control and better HRQoL of diabetic youths. Regular aerobic exercise improves the young patients' physical fitness and overall health status, and perception of health-related quality of life, respectively.

Non-Exercise Based Estimation of Cardiorespiratory Fitness Mediates Associations between Comorbidities and Health-Related Quality of Life in Older Korean Adults with Diabetes

“…Using patient records from the 2002 to 2012 Calidad de Vida Center, Clennin et al [11] examined the relationship between CRF and HRQoL in a Uruguayan cohort at risk for developing cardiovascular disease (CVD) and found positive associations between CRF and several dimensions of HRQoL (women: vitality, physical health, physical role, bodily pain, and general health; men: physical health). In children and adolescents with type 1 diabetes, Lukács et al [31] examined associations among HRQoL, clinical profiles, anthropometric measures, and physical activity and CRF and found that good CRF was significantly associated with better HRQoL and favorable metabolic control among the youth. Similarly, this positive association between CRF and HRQoL was observed in community-dwelling older adults [32] and workers [33], as well as in patients with CVD [11], McArdle disease [34], severe mental illness [35], and survivors of cancer [36].…”

Szenzorral támogatott inzulinpumpa használata extrém fizikai terhelés során 1-es típusú diabetes mellitusban

“…A testi fittség hozzájárul az életminőség javulásához is. 3 Ráadásul a megfelelő fizikai állapot nemcsak a már ismert és kezelt cukorbetegek számára hasznos, hanem a diabetes kialakulásának lehetőségét is csökkentheti. 4,5,6 Az 1-es típusú diabetesesekre fókuszálva azt látjuk, hogy gondozottjaink egy része tisztában van ugyan a testmozgás jótékony szerepével, de -a betegek nagyobb részére jellemzően -a hypoglykaemiától való félelem óvatosabbá teszi őket, ahogy arról többek között egy kanadai munkacsoport is beszámolt.…”

Testmozgás és 1-es típusú diabe-tes gyermek- és serdülőkorban: szisztematikus irodalmi áttekintés

“…A glykaemiás kontrollra csak a kardiorespiratorikus fittség volt szignifikáns befolyásoló hatással. 27 A jobb fizikai fittség és a kedvezőbb glykaemiás kontroll között a tanulmányok jelentős száma szoros kapcsolatot mutatott, 27,28,31,40,44,45,46 de találtunk néhány közlést, amelyben szignifikáns kapcsolat nem volt kimutatható. 41,47,48 Kiemelt figyelmet érdemel Aouadi vizsgálata, aki 33 diabeteses gyermeket 3 csoportba osztott.…”