Objective: To determine the effects of recreational football combined with caloric control on glycemia and cardiovascular health of adolescent boys with type 1 diabetes.Background: Though 12 weeks of physical activity alone improves the health of people with type 1 diabetes, there is little evidence that physical activity alone can improve glycemia in 12 weeks.Research Design and Methods: The participants were divided into four groups as follows: football with diet, football-only, diet-only, and the control groups. Each group consisted of 10 participants. The football with diet and the football-only groups had 1.5 h of football twice a week for 12 weeks. The following outcomes were measured before and after 12 weeks: Glycated hemoglobin, fasting blood glucose, total cholesterol, high-density lipoprotein, low-density lipoprotein, triglycerides, and resting blood pressures. Changes were considered significant when p ≤ 0.050 and common language effect size ≤42% or common language effect size ≥58%.Results: Glycated hemoglobin decreased in the football with diet group (mean change (standard deviation) = −0.9 (1.0) %, p = 0.019, and common language effect size = 31.5%) and was different from the control group (p = 2.4 × 10 −4 and common language effect size = 95.5%.). However, none of the intervention groups showed a clear change in blood lipids nor blood pressure.Conclusions: 12 weeks of combined football with diet intervention provides the greatest improvement in glycemia in adolescent boys with type 1 diabetes.
K E Y W O R D Scalorie control, cardiovascular health, football (soccer), glycemia, type 1 diabetes mellitus
| INTRODUCTIONDiabetes mellitus is a disease caused by improper control of glucose levels in the body 1 and can lead to several complications such as coronary artery disease and damage of the nerves, eyes, and kidneys. 2 Currently, there are about 1,110,100 children in the world with type 1 diabetes (T1D) 2 and there is no viable cure for T1D apart from pancreas transplantation or islet cell transplantation. 1 Thus, children with T1D are prescribed other ways to manage their disease. The recommended way of managing T1D is through the use of insulin, diet monitoring, and physical activity. 3 Regarding physical activity, children with T1D and healthy children are recommended to perform at least 60 min of physical activity every day. They are also recommended to perform highintensity aerobic activity and activities that make bones and muscles stronger at least 3 days a week. [3][4][5]