Physiotherapy for children with type 1 diabetes mellitus (T1DM) in Malta: effects of exercise and perceptions towards exercise

Pawley, D. Carabott; Damato, A; Torpiano, John; de, John Xerri

doi:10.1016/j.physio.2016.10.028

Cited by 2 publications

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“…In the fifth study by Carabott Pawley et al. (), the results showed stabilized levels of HbA1c in the experimental group compared with a 0.6% increase in the control group after the exercise program; however, the results were statistically insignificant ( p > .05). Blood glucose regulation was assessed in three interventional studies (Adolfsson et al., ; Carabott Pawley et al., ; Nguyen et al., ).…”

Section: Resultsmentioning

confidence: 91%

“…With a high‐intensity and long‐duration aerobic exercise program (Adolfsson et al., ), blood glucose levels were higher during exercise in diabetic adolescents; however, the levels decreased over time in both groups, with much smaller changes in controls than in diabetic adolescents. In contrast, blood glucose levels remained stable during and after exercise in the experimental group compared to the control group with regular exercise of moderate intensity (Carabott Pawley et al., ). With regard to glycemic control, diabetic adolescents with poor glycemic control who participated in a single session of the acute aerobic fitness program had higher glucose values following the aerobic test ( p < .05) than children with good glycemic control (Nguyen et al., ).…”

Section: Resultsmentioning

confidence: 92%

“…Characteristics and results of the observational studies are presented in Table S2. The number of participants per study ranged from 10 (Carabott Pawley, Damato, Torpiano, & Caro, 2016) to 4,655 (Beraki, Magnuson, Sarnblad, Aman, & Samuelsson, 2014), for a total of 8,263 participants across all studies. The mean sample size was 33 in the interventional studies and 446 in the observational studies.…”

Section: Overall Description Of Studiesmentioning

confidence: 99%

“…All studies provided data on the duration of the exercise sessions. The number of sessions ranged from one time per day (Adolfsson, Nilsson, Albertsson, & Lindblad, 2012;Carabott Pawley et al, 2016;Gusso et al, 2012) to three times per week (Shin et al, 2014;Tomar, Hamdan, & Al-Qahtani, 2014), and the mean duration of follow-up after enrollment ranged from 3 days (Adolfsson et al, 2012) to 9 months (Maggio et al, 2012). All studies included data on the duration of the exercise sessions and included advice to exercise for at least 10 min per session.…”

Section: Characteristics Of Pa and Exercisementioning

confidence: 99%

“…All of the interventional studies but one (Carabott Pawley et al, 2016) demonstrated high quality with a score of 6 or more. Random allocation was applied in all of the studies except two (Carabott Pawley et al, 2016;Shin et al, 2014), whereas none of the studies except for one (Maggio et al, 2012) had blinded subjects. Based on PEDro scores, all of the studies were included in the review.…”

Section: Quality Assessmentmentioning

confidence: 99%

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A Systematic Review of Physical Activity and Exercise on Physiological and Biochemical Outcomes in Children and Adolescents With Type 1 Diabetes

Aljawarneh

Wardell

Wood

et al. 2019

J of Nursing Scholarship

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Purpose In this systematic review we aimed to evaluate the effects of physical activity (PA) and exercise on biochemical and physiological outcomes in children and adolescents with type 1 diabetes (T1D). Design The review was conducted and reported following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Methods The search of literature was performed using PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, the Cochrane Library, Scopus, Medline, PsycINFO, the Nursing Reference Center, and Google Scholar. The search was limited to include peer‐reviewed articles published in English from May 2012 to May 2018 and included adolescents <19 years of age with T1D. Twenty‐seven studies met the inclusion criteria: 8 interventional and 19 observational studies. Findings Both observational and interventional studies showed considerable agreement that supervised regular moderate to vigorous physical activity (MVPA) is more effective on adiposity and cardiorespiratory fitness than habitual PA. Further, it was reported that PA of different intensities improves insulin sensitivity and decreases daily insulin dosage. Results of glycemic control were equivocal. Although observational studies reported improvement in glycemic control with PA of different intensities, most of the experimental studies revealed no significant associations. A consistent agreement among the studies revealed a considerable benefit of regular habitual PA of light to moderate intensity on blood glucose regulation and lipid profile. Conclusions The reviewed studies showed that regular MVPA was associated with several health benefits in adolescents with T1D; however, additional studies are needed to fully understand the effect of PA on health outcomes. Clinical Relevance Regular MVPA (at least 4 hr per week) with good glycemic control is a promising option for adolescents with T1D when risk management of hypoglycemia is appropriately taken.

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Section: Resultsmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 92%

Section: Overall Description Of Studiesmentioning

confidence: 99%

Section: Characteristics Of Pa and Exercisementioning

confidence: 99%

Section: Quality Assessmentmentioning

confidence: 99%

See 3 more Smart Citations

A Systematic Review of Physical Activity and Exercise on Physiological and Biochemical Outcomes in Children and Adolescents With Type 1 Diabetes

Aljawarneh

Wardell

Wood

et al. 2019

J of Nursing Scholarship

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Therapeutic Exercise Platform for Type-2 Diabetic Mellitus

2021

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Exercise enables continuous glycemic control for diabetic patients, and it is effective in preventing diabetic complications and maintaining emotional stability. However, it is difficult for diabetic patients to know the appropriate intensity and duration of exercise. Excessive exercise causes sudden hypoglycemia, and patients avoid therapeutic exercise or perform it conservatively owing to the repeated hypoglycemia symptoms. In this paper, we propose a new therapeutic exercise platform that supports type 2 diabetes patients to exercise regularly according to the exercise prescription received from the hospital. The proposed platform includes the following three significant contributions. First, we develop a hardware platform that automatically tracks and records all aerobic exercise performed by a patient indoors or outdoors using a wearable band and aerobic exercise equipment. Second, we devise a patient-specific exercise stress test to know whether the patient is exercising according to his or her usual exercise regimen. Finally, we develop a mobile application that informs patients in real-time whether they are exercising appropriately for their exercise regimen each time they exercise. For platform evaluation and future improvement, we received satisfaction ratings and functional improvements through a questionnaire survey on 10 type 2 diabetes patients and 10 persons without a diabetes diagnosis who had used the proposed platform for more than 3 months. Most users were (1) satisfied with automatic exercise recording, and (2) exercise time increased. Diabetics reported that their fasting blood glucose was dropped, and they were more motivated to exercise. These results prove that exercise must be combined with medication for blood glucose management in chronic diabetic patients. The proposed platform can be helpful for patients to continue their daily exercise according to their exercise prescription.

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Physiotherapy for children with type 1 diabetes mellitus (T1DM) in Malta: effects of exercise and perceptions towards exercise

Cited by 2 publications

References 0 publications

A Systematic Review of Physical Activity and Exercise on Physiological and Biochemical Outcomes in Children and Adolescents With Type 1 Diabetes

A Systematic Review of Physical Activity and Exercise on Physiological and Biochemical Outcomes in Children and Adolescents With Type 1 Diabetes

Therapeutic Exercise Platform for Type-2 Diabetic Mellitus

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