Exercise and the Patient with Type I Diabetes Mellitus

Stein, Richard A.; Goldberg, Nieca; Kalman, F.; Chesler, Roseann

doi:10.1016/s0031-3955(16)34613-2

Cited by 13 publications

(5 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the literature, only Hagan et al (12) found no difference in maximal oxygen uptake between diabetic and nondiabetic males, while the other authors observed a lower oxygen uptake at maximal work load in diabetics than in healthy subjects (1,14,17,20). It could be postulated that early autonomic dysfunction could be the basis for reduced heart rate in the poorly controlled diabetic group (24). Some studies have shown the beneficial effect of a physical activity program upon the maximal oxygen uptake in diabetic teenagers (3,17).…”

Section: Discussionmentioning

confidence: 99%

Influence of the Degree of Metabolic Control on Physical Fitness in Type I Diabetic Adolescents

Poortmans¹,

Saerens²,

Edelman³

et al. 1986

Int J Sports Med

View full text Add to dashboard Cite

Seventeen type I male diabetic adolescents and 17 control subjects matched for age, height, and weight were submitted to maximal exercise on a bicycle ergometer. The diabetic subjects were divided into two groups according to their degree of metabolic control using total glycosylated hemoglobin (HbA1): group 1, diabetics with HbA1 less than 8.5% (n = 9) and group 2, diabetics with HbA1 greater than 8.5% (n = 8). Oxygen uptake, pulmonary ventilation, and heart rate were recorded at rest and at maximal load. Glucose, lactate, and free fatty acids were determined in blood before and after exercise. Maximal work load and oxygen uptake were significantly lower in the two diabetic groups than in the healthy controls. An inverse relationship was observed between HbA1 concentration and the maximal work load (r = -0.63; P less than 0.01). It can be concluded that diabetic adolescents should obtain the best possible degree of metabolic control to improve their performances.

show abstract

Section: Discussionmentioning

confidence: 99%

Influence of the Degree of Metabolic Control on Physical Fitness in Type I Diabetic Adolescents

Poortmans¹,

Saerens²,

Edelman³

et al. 1986

Int J Sports Med

View full text Add to dashboard Cite

show abstract

“…Exercise has long been used as an effective cardioprotective agent in diabetes (19,28,34,37). The structural and functional abnormalities of the diabetic heart respond favorably to exercise training.…”

mentioning

confidence: 99%

Exercise training improves cardiac performance in diabetes: in vivo demonstration with quantitative cine-MRI analyses

Loganathan

Bilgen²,

Al-Hafez³

et al. 2007

Journal of Applied Physiology

View full text Add to dashboard Cite

show abstract

“…6 However, formidable barriers need to be overcome before the therapeutic strategy toward a cure could be fully realized. Exercise has long been considered as beneficial in the amelioration of diabetes; 7,8 however, this has not been without uncertainties due to early reports of impaired exercise capacity in diabetic individuals. 9,10 Recent results have challenged this idea as the cardiovascular responses of individuals with uncomplicated type 1 diabetes were shown to be similar to their nondiabetic control counterparts.…”

Section: Exercise In the Management Of Type 1 Diabetesmentioning

confidence: 99%

“…8 Exercise-induced benefits can occur on specific functional components of diabetic myocardium that may improve the contractile function of the diabetic heart. This has indeed been shown to be the case within various animal models of type 1 diabetes, in which early exercise training prevented abnormalities that compromised cardiac function in the sedentary (non-exercised) animals.…”

Section: Diabetic Cardiomyopathymentioning

confidence: 99%