High volume‐low intensity exercise camp and glycemic control in diabetic children

AimsTo synthesize evidence from randomized and non-randomized studies of physical activity interventions in children and young people with Type 1 diabetes so as to explore clinically relevant health outcomes and inform the promotion of physical activity.MethodWe conducted a search of CINAHL Plus, the Cochrane Library, EMBASE, MEDLINE, PsycINFO, SCOPUS, SportDiscus and Web of Science between October and December 2012. Eligible articles included subjects aged ≤18 years with Type 1 diabetes and a physical activity intervention that was more than a one-off activity session. Physiological, psychological, behavioural or social outcomes were those of interest.ResultsA total of 26 articles (10 randomized and 16 non-randomized studies), published in the period 1964–2012, were reviewed. Although there was heterogeneity in study design, methods and reporting, 23 articles reported at least one significant beneficial health outcome at follow-up. Meta-analyses of these studies showed potential benefits of physical activity on HbA1c (11 studies, 345 participants, standardized mean difference -0.52, 95% CI -0.97 to -0.07; P = 0.02), BMI (four studies, 195 participants, standardized mean difference -0.41, 95% CI -0.70 to -0.12; P = 0.006) and triglycerides (five studies, 206 participants, standardized mean difference -0.70, 95% CI -1.25 to -0.14; P = 0.01).The largest effect size was for total cholesterol (five studies, 206 participants, standardized mean difference -0.91, 95% CI -1.66 to -0.17; P = 0.02).ConclusionsPhysical activity is important for diabetes management and has the potential to delay cardiovascular disease, but there is a lack of studies that are underpinned by psychological behaviour change theory, promoting sustained physical activity and exploring psychological outcomes. There remains a lack of knowledge of how to promote physical activity in people with Type 1 diabetes.

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“…The length of interventions ranged from 2 to 39 weeks . The modal duration of intervention was 12 weeks .…”

Section: Resultsmentioning

confidence: 99%

Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta‐analysis

et al. 2014

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“…Previous studies have demonstrated a direct association between glycemic control and physical activity (16,31) and cardiorespiratory fitness (11). Aman and colleagues (1) found that a reduction of sedentary activities through an increase in physical activity was associated with improved glycemic control and reduced levels of HbA1c.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity Levels of Adolescents with Type 1 Diabetes Physical Activity in T1D

Lima

Mascarenhas

Decimo

et al. 2017

Pediatric Exercise Science

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The aim of this study was to evaluate the level of physical activity and cardiorespiratory fitness in teenagers with type 1 diabetes mellitus (T1D) in comparison with healthy scholar participants. Total of 154 teenagers (T1D=45 and CON=109). Height, weight, cardiorespiratory fitness (VO2max), and the level of physical activity by the Bouchard's Physical Activity Record were measured, and glycated hemoglobin (HbA1c)

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“…In the 1950s, Joslin proposed that exercise is the third essential component in blood glucose regulation for persons with type 1 diabetes (T1D), after insulin and dietary management. Although most studies have shown little impact upon hemoglobin A1c (HbA1c) levels , and many only a brief improvement unless the exercise was sustained for 6 months , a cross‐sectional analysis of data on a larger group showed that the frequency of regular physical activity was associated with lower HbA1c without increasing the risk of severe hypoglycemia . Younk et al have provided a useful review .…”

Section: Introductionmentioning

confidence: 99%

Exercise in children and adolescents with diabetes

et al. 2014

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High volume‐low intensity exercise camp and glycemic control in diabetic children

Cited by 37 publications

References 32 publications

Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta‐analysis

Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta‐analysis

Physical Activity Levels of Adolescents with Type 1 Diabetes Physical Activity in T1D

Exercise in children and adolescents with diabetes

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