Physical Activity in Youth With Type 1 Diabetes: a Review

Tully, Carrie; Aronow, Laura; Mackey, Eleanor R.; Streisand, Randi

doi:10.1007/s11892-016-0779-6

Cited by 40 publications

(35 citation statements)

References 70 publications

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“…For children and adolescents specifically, the reduction or elimination of physical education in the school environment and participation in sedentary extracurricular activities reduces participation in physical activity [60]. In addition, loss of T1D control and external temperature are barriers to physical activity for children and adolescents [53].…”

Section: Physical Activity and Individuals With T1dmentioning

confidence: 99%

Biopsychosocial Aspects of Weight Management in Type 1 Diabetes: a Review and Next Steps

et al. 2017

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Purpose of Review This review aims to summarize the type 1 diabetes (T1D) and weight literature with an emphasis on barriers associated with weight management, the unique T1D-specific factors that impact weight loss success, maladaptive and adaptive strategies for weight loss, and interventions to promote weight loss. Recent Findings Weight gain is associated with intensive insulin therapy. Overweight and obese weight status in individuals with T1D is higher than the general population and prevalence is rising. A variety of demographic (e.g., female sex), clinical (e.g., greater insulin needs), environmental (e.g., skipping meals), and psychosocial (e.g., depression, stress) factors are associated with overweight/obese weight status in T1D. Fear of hypoglycemia is a significant barrier to engagement in physical activity. Studies evaluating adaptive weight loss strategies in people with T1D are limited. Summary There is a growing literature highlighting the prevalence and seriousness of overweight and obesity among both youth and adults with T1D. There is an urgent need to develop evidence-based weight management guidelines and interventions that address the unique concerns of individuals with T1D and that concurrently address glycemic control.

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Section: Physical Activity and Individuals With T1dmentioning

confidence: 99%

Biopsychosocial Aspects of Weight Management in Type 1 Diabetes: a Review and Next Steps

et al. 2017

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“…Fear of hypoglycemia appears to be the most common reason to avoid exercise in children and adolescents. Therefore, addressing the appropriate management of insulin regimen and carbohydrate intake is important to avoid these fluctuations in glycemic control for safety and also for reassuring the child/adolescent and families (27,28). Severe hypoglycemia may be related to insulin-dependent and insulin-independent glucose uptake.…”

Section: Hypoglycemia and Hyperglycemiamentioning

confidence: 99%

Management of diabetes mellitus in children and adolescents: engaging in physical activity

Nadella¹,

Indyk²,

Kamboj³

2017

Transl. Pediatr.

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Regular physical activity is an important component in the management of both type 1 and type 2 diabetes mellitus (T1DM and T2DM), as it has the potential to improve glycemic control, delay cardiovascular complications, and increase overall well-being. Unfortunately, many children and adolescents with diabetes do not partake in regular exercise and physical activity for multiple reasons. This review identifies the barriers to participation from the aspect of the patient, caregiver, and the healthcare provider.The management of physical activity of children and adolescents with diabetes mellitus is unique and requires an understanding of exercise physiology and how it differs in these children and adolescents from those without the condition. These individuals are at risk for important and potentially life threatening complications including, but not limited to, severe or delayed nocturnal hypoglycemia. It is essential to identify these risks as well as, monitor and manage adjustments to carbohydrate intake and insulin dosing through basal-bolus regimen or insulin pump adjustments appropriately before, during, and after the exercise activity. This review discusses these issues and also outlines differences in management between patients with T1DM and T2DM.

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“…Exercise education provided to patients and families living with type 1 diabetes may focus on the management of blood glucose levels during and after exercise rather than stressing its cardiovascular health benefits and its primary role in the management of type 1 diabetes . However, a review of the literature indicated that increasing provider focus on promoting exercise starting at diagnosis of type 1 diabetes is supported …”

Section: Introductionmentioning

confidence: 99%

“…Studies demonstrate that at least two thirds of children with type 1 diabetes may not be meeting exercise recommendations . This is concerning due to the fact that children with type 1 diabetes have twice the risk of developing heart disease during their lifetime when compared to those without diabetes . According to the American Diabetes Association (ADA) Standards of Medical Care in Diabetes (2019) guidelines, children and adolescents with type 1 diabetes, type 2 diabetes, or prediabetes should participate in moderate to vigorous‐intensity aerobic activity for at least 60 minutes per day, with vigorous muscle‐strengthening and bone‐strengthening activities at least 3 days per week .…”

Section: Introductionmentioning

confidence: 99%

Perspectives on the role of exercise in the treatment of pediatric type 1 diabetes

Ilkowitz

Wu²,

Chen³

et al. 2020

Pediatr Diabetes

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Background: Studies demonstrate that children with type 1 diabetes may not be meeting exercise recommendations. This, coupled with the lack of data on the determinants of exercise promotion in youth, may indicate a need for additional focus on exercise guidelines and promotion in youth with type 1 diabetes.Objective: The objective of this study is to understand provider perspectives regarding exercise promotion in children with type 1 diabetes. Subjects and methods:An online survey regarding perspectives on exercise was emailed to Pediatric Endocrine Society members.Results: Of the 84 respondents, 85.5% believe counseling regarding exercise recommendations is a priority. However, 87.8% did not identify Office of Disease Prevention and Health Promotion (ODPHP) guidelines correctly and 79.3% did not identify American Diabetes Association (ADA) guidelines correctly. Providers who exercised regularly (P = .009) and providers who identified ODPHP guidelines correctly (P = .004) were more likely to identify ADA guidelines correctly. Providers who identified ADA guidelines correctly were 4.21 times (OR 4.21; 95% CI 1.30-13.7) more likely to make good recommendations and those who discussed recommendations at diagnosis were 6.10 times (OR 6.10; 95% CI 1.76-21.2) more likely to make good recommendations. Conclusion:To our knowledge, this study is the first to investigate provider perspectives of exercise promotion in children with type 1 diabetes. We found provider recommendations were not consistent with ADA exercise guidelines and most providers were not fully aware of the recommendations. Future research should address increasing provider education regarding exercise guidelines and developing exercise promotion tools. K E Y W O R D Sdiabetes mellitus, education, exercise, pediatrics, referral and consultation, type 1

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Physical Activity in Youth With Type 1 Diabetes: a Review

Cited by 40 publications

References 70 publications

Biopsychosocial Aspects of Weight Management in Type 1 Diabetes: a Review and Next Steps

Biopsychosocial Aspects of Weight Management in Type 1 Diabetes: a Review and Next Steps

Management of diabetes mellitus in children and adolescents: engaging in physical activity

Perspectives on the role of exercise in the treatment of pediatric type 1 diabetes

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