Atividade física na criança com diabetes tipo 1

Abstract

Objectives: To discuss the practical aspects of safe physical activity and sports participation in children and adolescents with type 1 diabetes mellitus. Sources: A literature search was conducted using national (SciELO) and international (PubMed/MEDLINE) databases and the reference lists of the articles found, adopting the following limits: articles on physical activity published in the last 10 years, preferably conducted in children and adolescents with type 1 diabetes. Most studies had an experimental design or were meta-analyses. Summary of the findings: Skeletal muscle glucose uptake is greater during aerobic metabolism in order to generate energy for muscle contraction, which suppresses hepatic gluconeogenesis and thus promotes a decrease in blood glucose levels and increased risk of hypoglycemia. Adequate carbohydrate replacement before, during, and after exercise and reduction of preprandial rapid-acting insulin doses are the main allies in avoiding severe hypoglycemic events among diabetic children and adolescents. Conclusions: Type, duration, and intensity of physical activity must be considered when planning carbohydrate replacement and insulin dose reduction, as must the timing of exercise. Nonetheless, physical activity and participation in many individual and team sports is possible and highly recommended in the treatment of type 1 diabetes in children and adolescents.

Self-Care of Adolescents with Type 1 Diabetes Mellitus: Knowledge about the Disease

“…It is important to define the type, intensity and duration of the physical activity and, consequently, reduce in 10% to 20% the insulin dose of the previous meal. Capillary blood glucose should be monitored before, during and after the physical activity, and adolescents should be provided with carbohydrates (Miculis et al, 2010). In relation to insulin storage, most adolescents (51%) consider that, after opening the cartridge, insulin must be kept in the fridge.…”

Práticas Corporais Em Crianças E Adolescentes Com Diabetes Tipo 1 E Com Excesso De Peso: Experiências De Um Programa De Extensão Universitária

“…A participação da criança e do adolescente com DM1 em diferentes modalidades esportivas e de intensidades variadas é possível, sendo recomendada no tratamento coadjuvante do DM1 na infância (MICULIS et. al., 2010).…”

Efeito do treinamento físico em diabéticos tipo I: revisão sistemática de ensaios clínicos randomizados

“…O EF de intensidade vigorosa de modo intermitente promove um menor declínio da glicose sanguínea, pois estimula respostas hormonais e metabólicas antagonistas a diminuição da glicemia. Assim, por mais que eleve os níveis de lactato, pode-se ter um efeito positivo contribuindo na atenuação do declínio da glicemia por inibição da ação da insulina 1 . Além disso, o aumento das catecolaminas em resposta o EF intenso intermi-tente estimula a produção de glicose hepática, ao mesmo tempo em que inibe o consumo de glicose mediado pela insulina 1 .…”