Effects of Regular Physical Activity on Control of Glycemia in Pediatric Patients With Type 1 Diabetes Mellitus

Herbst, Antje; Bachran, Rainer; Kapellen, Thomas; Holl, Reinhard W.

doi:10.1001/archpedi.160.6.573

Cited by 101 publications

(118 citation statements)

References 27 publications

(40 reference statements)

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“…This comes with Herbst et al [16] who studied the relation between frequency of RPA and glycemic control and revealed that HbA1c level was higher in the groups with less frequent RPA ( 8.4% in group RPA0 vs. 8.1% in group RPA2). Also, he stated that multiple regression analysis revealed RPA was one of the most important factors influencing glycemic control which comes with our results.…”

Section: Discussionmentioning

confidence: 60%

Effect of Regular Physical Activity on Metabolic Control in Pediatric Age Group with Type 1 Diabetes Mellitus

Somayah¹

2015

Endocrinol Metab Synd

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Section: Discussionmentioning

confidence: 60%

Effect of Regular Physical Activity on Metabolic Control in Pediatric Age Group with Type 1 Diabetes Mellitus

Somayah¹

2015

Endocrinol Metab Synd

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“…The use of different methods of assessing PA and/or small study populations might explain the conflicting results. One of the studies that revealed a statistically significant correlation between physical activity and HbA1c is a large German cross-sectional questionnaire study (6).…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have focused on the correlation between physical activity and HbA1c. Some have succeeded in showing a significant HbA1c-lowering effect of physical activity (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15), whereas others have failed do so (16)(17)(18)(19)(20)(21)(22). HbA1c is a main variable in pediatric diabetes care.…”

Section: Introductionmentioning

confidence: 99%

Increase in physical activity is associated with lower HbA1c levels in children and adolescents with type 1 diabetes: Results from a cross-sectional study based on the Swedish pediatric diabetes quality registry (SWEDIABKIDS)

Beraki

Magnuson

Särnblad

et al. 2014

Diabetes Research and Clinical Practice

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“…Apesar do risco de hipoglicemia, a AF é recomendada para crianças com DM1 47,48 . Segundo Hoffman 49 , com um regime adequado de insulina e com um plano alimentar individualizado, crianças com DM1 podem usufruir dos benefícios físicos e psicossociais promovidos pelo exercício.…”

Section: O Medo Da Hipoglicemiaunclassified

“…Herbst et al 47 relataram que a AF regular é o fator que mais influencia o controle da glicemia sem, no entanto, aumentar o risco de hipoglicemia em crianças com DM1. Da mesma forma, alguns estudos têm comprovado que a AF regular, seja ela contínua ou intermitente 41,66,73 , não aumenta o risco de hipoglicemia 13 .…”

Section: O Esporte E a Criança Com Diabetes Tipounclassified

Physical activity in children with type 1 diabetes

Miculis¹,

Mascarenhas²,

Boguszewski³

et al. 2010

J Pediatr (Rio J)

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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.J Pediatr (Rio J). 2010;86(4):271-278: Type 1 diabetes mellitus, exercise, hypoglycemia, children, adolescents. ResumoObjetivo: Abordar os aspectos práticos da realização segura de atividade física e esportes em crianças e adolescentes portadores de diabetes tipo 1. Fontes dos dados:A pesquisa dos artigos foi conduzida em fontes de dados nacionais (SciELO) e internacionais (PubMed/MEDLINE), assim como nas próprias referências dos artigos encontrados, adotando como limites: artigos publicados nos últimos 10 anos, preferencialmente conduzidos em crianças e adolescentes com diabetes tipo 1, sendo em sua maioria estudos experimentais e meta-análises sobre atividade física. Síntese dos dados:Com o metabolismo aeróbico, os músculos esqueléticos consomem maior quantidade de glicose para gerar energia, o que diminui a gliconeogênese hepática, levando a uma diminuição na glicemia e aumentando o risco de hipoglicemia. A reposição de carboidratos antes, durante e após o exercício em quantidade adequada e a redução da dose de insulina de ação rápida (pré-refeição) são os principais aliados da criança e adolescente com diabetes tipo 1 para evitar a ocorrência da hipoglicemia severa.Conclusões: Para a reposição de carboidratos e a redução da dose de insulina, deve-se considerar o tipo, a duração e a intensidade da atividade física, bem como o horário de sua realização. A participação em diversos esportes, coletivos e individuais, e em atividades físicas de intensidades variadas é possível, sendo muito recomendado no tratamento do diabetes infantil. J Pediatr (Rio J) IntroduçãoO diabetes tipo 1 (DM1) é uma doença autoimune caracterizada pela ...

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Effects of Regular Physical Activity on Control of Glycemia in Pediatric Patients With Type 1 Diabetes Mellitus

Abstract: In pediatric patients with type 1 diabetes mellitus, frequency of RPA is a major factor influencing the control of glycemia without increasing the risk for severe hypoglycemia. Regular physical activity should be recommended in pediatric patients with type 1 diabetes mellitus.

Cited by 101 publications

References 27 publications

Effect of Regular Physical Activity on Metabolic Control in Pediatric Age Group with Type 1 Diabetes Mellitus

Effect of Regular Physical Activity on Metabolic Control in Pediatric Age Group with Type 1 Diabetes Mellitus

Increase in physical activity is associated with lower HbA1c levels in children and adolescents with type 1 diabetes: Results from a cross-sectional study based on the Swedish pediatric diabetes quality registry (SWEDIABKIDS)

Physical activity in children with type 1 diabetes

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