Improved Glycemic Control After Supervised 8-wk Exercise Program in Insulin-Dependent Diabetic Adolescents

Stratton, Russell J.; Wilson, Don P.; Endres, Robert K.; Goldstein, David E.

doi:10.2337/diacare.10.5.589

Cited by 48 publications

(63 citation statements)

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“…56,58,59,73,81,83,84,87,92,93,95,96,98,[102][103][104][105][106][107][108][109][111][112][113][117][118][119][120][121]126,127,131,133 Of the remaining studies, the interventions took place in family units, 59,60,97,124,129,134 in a mixture of group and individual settings, 94,[114][115][116]130 in some other arrangement or the details were not provided. 57,89,91,101,128 Of the 13 individual-based interventions, eight studies included a CG (five were RCTs and three involved a non...…”

mentioning

confidence: 99%

Effects of educational and psychosocial interventions for adolescents with diabetes mellitus: a systematic review

Hampson

Skinner

Hart

et al. 2001

Health Technol Assess

280

210

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mentioning

confidence: 99%

Effects of educational and psychosocial interventions for adolescents with diabetes mellitus: a systematic review

Hampson

Skinner

Hart

et al. 2001

Health Technol Assess

280

210

View full text Add to dashboard Cite

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“…Although regular exercise potentially could improve HbA 1c , the majority of studies have failed to show this (31)(32)(33)(34). Exercise training improved aerobic capacity in this study without affecting glucose control in the participants with diabetes, suggesting that the effects of glycemic status and exercise training may work independently to improve aerobic capacity.…”

Section: Discussionmentioning

confidence: 99%

Exercise Training Improves but Does Not Normalize Left Ventricular Systolic and Diastolic Function in Adolescents With Type 1 Diabetes

et al. 2017

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OBJECTIVETo determine the impact of 20 weeks of exercise training in aerobic capacity on left ventricular function and glycemic control in adolescents with and without type 1 diabetes. RESEARCH DESIGN AND METHODSFifty-three adolescents with type 1 diabetes (aged 15.6 years) were divided into two groups: exercise training (n = 38) and nontraining (n = 15). Twenty-two healthy adolescents without diabetes (aged 16.7 years) were included and, with the 38 participants with type 1 diabetes, participated in a 20-week exercise-training intervention. Assessments included VO 2max and body composition. Left ventricular parameters were obtained at rest and during acute exercise using MRI. RESULTSExercise training improved aerobic capacity (10%) and stroke volume (6%) in both trained groups, but the increase in the group with type 1 diabetes remained lower than trained control subjects. Increased stroke volume in adolescents with type 1 diabetes resulted from greater left ventricular contractility (9% increase in ejection fraction and an 11% reduction in end-systolic volumes) and, to a lesser extent, improved left ventricular filling (6%), suggesting that impaired diastolic function can be affected by exercise training in adolescents with type 1 diabetes. Insulin use decreased by ∼10%, but no change in glycemic status was observed. CONCLUSIONSThese data demonstrate that in adolescents, the impairment in left ventricular function seen with type 1 diabetes can be improved, although not normalized, with regular intense physical activity. Importantly, diastolic dysfunction, a common mechanism causing heart failure in older subjects with diabetes, appears to be partially reversible in this age group.Regular physical activity has many potential health benefits, and there is strong evidence of its role in the primary and secondary prevention of chronic diseases such as cardiovascular disease and diabetes (1). In particular, exercise training improves exercise capacity and cardiac output by increasing left ventricular function (2-5). Training increases left ventricular stroke volume by enhancing intrinsic cardiac contractility

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“…Some clinical trials documented beneficial effects of exercise on glycemic control [30]- [34]. Stratton R et al, studying a sample of 16 diabetic patients, found that after an exercise-program of 8 weeks, glycosilated serum albumin and blood glucose values improved despite reduced daily insulin dosage [31]. Mauvais-Jarvis F et al demonstrated that T1DM patients could perform intense muscle exercise after a 50% -90% reduction in insulin dose.…”

Section: Long-term Effects Of Physical Activity On T1dm Childrenmentioning

confidence: 99%

Effects of Exercise in Children and Adolescent with Type 1 Diabetes Mellitus

Gavioli¹,

Bonetti²,

Predieri³

2015

Health

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Exercise is one of the most important components, together with insulin therapy and diet, in the clinical management of type 1 diabetes mellitus (T1DM). Physical activity has multiple health benefits, like blood pressure reduction, improvement of cardiovascular fitness and lipoprotein profile. The benefits for children with diabetes may also include positive effects on glycemic metabolism. The following review examines the main studies about the effects of exercise on diabetes. Additional longitudinal studies are needed to verify the hypothetical positive relationship between sport and T1DM and between sport and diabetic complications. However, aerobic and moderate intensity physical activity in children and adolescents with T1DM should be encouraged also for its beneficial psychological effects.

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Improved Glycemic Control After Supervised 8-wk Exercise Program in Insulin-Dependent Diabetic Adolescents

Cited by 48 publications

References 0 publications

Effects of educational and psychosocial interventions for adolescents with diabetes mellitus: a systematic review

Effects of educational and psychosocial interventions for adolescents with diabetes mellitus: a systematic review

Exercise Training Improves but Does Not Normalize Left Ventricular Systolic and Diastolic Function in Adolescents With Type 1 Diabetes

Effects of Exercise in Children and Adolescent with Type 1 Diabetes Mellitus

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