The Effects of Physical Training on Blood Lipid Profiles in Adolescents With Insulin-Dependent Diabetes Mellitus

Abstract

In brief: Fourteen adolescents (eight females and six males) with insulin-dependent diabetes mellitus (IDDM) participated in a 12-week exercise program consisting of three 45-minute sessions per week. Exercise consisted of calisthenic warm-up and stretching (ten minutes), aerobic movement to music (25 minutes at 80% V o2 max), and cool-down (ten minutes). The purpose was to determine whether and to what degree such training would bring about changes in blood lipid and lipoprotein profiles in such patients. The authors found a significant decrease in low-density lipoprotein cholesterol concomitant to an increase in V o2 max with no change in glycemic control. These findings support the beneficial effects of regular exercise for individuals with IDDM.

A systematic review of physical activity and sedentary behavior intervention studies in youth with type 1 diabetes: study characteristics, intervention design, and efficacy

“…Supporting Information (Table S2) summarizes reasons for exclusion at the final screening stage. Twelve articles reporting on 11 RCT studies met inclusion criteria. Two papers reported on the same trial .…”

Patterns of physical activity determined by heart rate monitoring among diabetic children

“…Because of the fear of hypoglycaemia in such a period of instability, diabetic teenagers may tend to increase their food intake during periods of increased activity, and as a result often remain hyperglycaemic. 3 It is therefore not surprising that glycaemic control is not found to improve with increased physical activity during adolescence. Most studies have concentrated on physical fitness rather than patterns of activity.…”

“…E xercise is routinely recommended to children and adolescents with type 1 diabetes as a means of improving glycaemic control, limiting excessive weight gain, increasing sense of wellbeing, and helping in the prevention of later cardiovascular disease. 1 There have however been conflicting reports on the long term chronic effect of physical activity on metabolic control [2][3][4][5][6][7] and prevention of atherosclerosis. 6 8 In this study the physical activity patterns of a large cohort of diabetic children and adolescents were analysed to study whether or not they differed from healthy subjects and to discover if their metabolic control is affected by the volume of physical activity.…”

The Decline in Blood Glucose Levels Is Less With Intermittent High-Intensity Compared With Moderate Exercise in Individuals With Type 1 Diabetes

“…That is, regular physical activity has physiological benefits, including improved physical work capacity, body composition, blood pressure, and blood lipid profile (1)(2)(3) and is associated with less risk of diabetes complications and mortality in individuals with type 1 diabetes (4). In addition, exercise has psychological benefits, including increased sense of well-being, quality of life, and ability to cope with stress (3).…”