Physical activity level and body composition among adults with Type 1 diabetes

Brazeau, Anne‐Sophie; Leroux, Catherine; Mircescu, Hortensia; Rabasa‐Lhoret, Rémi

doi:10.1111/j.1464-5491.2012.03757.x

Cited by 53 publications

(38 citation statements)

References 26 publications

(32 reference statements)

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“…The rate of severe hypoglycemia with coma was lowest in the most active subjects, irrespective of age or sex. Regarding findings from other studies, the effect of PA on the occurrence of hypoglycemia is still controversial, as some studies have shown more hypoglycemic events in physically active subjects with type 1 diabetes (30,31), whereas others have failed to find this relationship (12,32). Moreover, there is a lack of sex-or age-specific analyses.…”

Section: Discussionmentioning

confidence: 96%

Impact of Physical Activity on Glycemic Control and Prevalence of Cardiovascular Risk Factors in Adults With Type 1 Diabetes: A Cross-sectional Multicenter Study of 18,028 Patients

Bohn

Herbst

Pfeifer³

et al. 2015

Diabetes Care

270

178

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OBJECTIVEPhysical activity (PA) can improve cardiovascular risk in the general population and in patients with type 2 diabetes. Studies also indicate an HbA 1c -lowering effect in patients with type 2 diabetes. Since reports in patients with type 1 diabetes are scarce, this analysis aimed to investigate whether there is an association between PA and glycemic control or cardiovascular risk in subjects with type 1 diabetes. RESEARCH DESIGN AND METHODSA total of 18,028 adults ( ‡18 to <80 years of age) from Germany and Austria with type 1 diabetes from the Diabetes-Patienten-Verlaufsdokumentation (DPV) database were included. Patients were stratified according to their self-reported frequency of PA (PA0, inactive; PA1, one to two times per week; PA2, more than two times per week). Multivariable regression models were applied for glycemic control, diabetes-related comorbidities, and cardiovascular risk factors. Data were adjusted for sex, age, and diabetes duration. P values for trend were given. SAS 9.4 was used for statistical analysis. RESULTSAn inverse association between PA and HbA 1c , diabetic ketoacidosis, BMI, dyslipidemia (all P < 0.0001), and hypertension (P = 0.0150), as well as between PA and retinopathy or microalbuminuria (both P < 0.0001), was present. Severe hypoglycemia (assistance required) did not differ in PA groups (P = 0.8989), whereas severe hypoglycemia with coma was inversely associated with PA (P < 0.0001). CONCLUSIONSPA seemed to be beneficial with respect to glycemic control, diabetes-related comorbidities, and cardiovascular risk factors without an increase of adverse events. Hence, our data underscore the recommendation for subjects with type 1 diabetes to perform regular PA.

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Section: Discussionmentioning

confidence: 96%

Impact of Physical Activity on Glycemic Control and Prevalence of Cardiovascular Risk Factors in Adults With Type 1 Diabetes: A Cross-sectional Multicenter Study of 18,028 Patients

Bohn

Herbst

Pfeifer³

et al. 2015

Diabetes Care

270

178

View full text Add to dashboard Cite

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“…1,2 Despite these benefits, most adults with T1D participate less frequently in PA than their nondiabetic counterparts 3 and may adopt unhealthy lifestyles that contribute to cardiometabolic risk. 4 Although the reasons for this are multifactorial, including concerns over loss of control and low fitness levels, the overriding barrier to PA appears to be fear of severe hypoglycemia, coupled with a lack of knowledge of effective strategies for hypoglycemia avoidance.…”

Section: Original Articlementioning

confidence: 99%

Physical Activity and Type 1 Diabetes

Colberg

Laan

Dassau

et al. 2015

J Diabetes Sci Technol

124

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While being physically active bestows many health benefits on individuals with type 1 diabetes, their overall blood glucose control is not enhanced without an effective balance of insulin dosing and food intake to maintain euglycemia before, during, and after exercise of all types. At present, a number of technological advances are already available to insulin users who desire to be physically active with optimal blood glucose control, although a number of limitations to those devices remain. In addition to continued improvements to existing technologies and introduction of new ones, finding ways to integrate all of the available data to optimize blood glucose control and performance during and following exercise will likely involve development of "smart" calculators, enhanced closed-loop systems that are able to use additional inputs and learn, and social aspects that allow devices to meet the needs of the users.

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“…An isoprime stable isotope ratio mass spectrometer connected to a Multiflow-Bio module for Isoprime and a Gilson 222XL Autosampler (GV Instruments, Manchester, UK) were used for daily energy expenditure measurements. 47 The stability tests performed each day before testing gave an SD of 0.026% for deuterium and 0.004% for 18 O.…”

Section: Physical Activity Levelmentioning

confidence: 98%

Changes in glucose disposal after a caloric restriction–induced weight loss program in obese postmenopausal women

et al. 2015

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Physical activity level and body composition among adults with Type 1 diabetes

Abstract: As in the population without diabetes, an active lifestyle is associated with a better body composition profile in adults with Type 1 diabetes.

Cited by 53 publications

References 26 publications

Impact of Physical Activity on Glycemic Control and Prevalence of Cardiovascular Risk Factors in Adults With Type 1 Diabetes: A Cross-sectional Multicenter Study of 18,028 Patients

Impact of Physical Activity on Glycemic Control and Prevalence of Cardiovascular Risk Factors in Adults With Type 1 Diabetes: A Cross-sectional Multicenter Study of 18,028 Patients

Physical Activity and Type 1 Diabetes

Changes in glucose disposal after a caloric restriction–induced weight loss program in obese postmenopausal women

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