Vigorous Intensity Exercise for Glycemic Control in Patients with Type 1 Diabetes

Yardley, Jane E.; Mollard, Rebecca C.; MacIntosh, Andrea; MacMillan, Freya; Wicklow, Brandy; Berard, Lori; Hurd, Carmen; Marks, Seth D.; McGavock, Jonathan

doi:10.1016/j.jcjd.2013.08.269

Cited by 49 publications

(63 citation statements)

References 48 publications

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“…This can infl uence negatively the adaptation of the adolescent in relation to diabetes, cooperating or not with the disease control [9][10][11][12][13][14][15] . The family then worry in an exaggerated manner, and to convey feelings of anxiety and fear in relation to immediate and late complications of the disease, not only when the adolescent doesn't follow treatment properly, causing the same feel and think the same way 22 .…”

Section: "The Complications and Some Injury In Some Organ Scare Me" (mentioning

confidence: 99%

“…For the effective control of the disease treatment should occur correctly and through healthy living habits. However, this is a highly complex treatment, as it requires the adherence to treatment by the patient, combined with a balanced diet and physical exercise, to prevent the complications of diabetes in addition to improving the quality of life [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

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Problems with adherence to treatment among adolescents with diabetes mellitus type 1

Pires¹,

Bani²,

Lima³

et al. 2016

J. Hum. Growth Dev.

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Introduction: Diabetes Mellitus type 1 (DM1) is a chronic degenerative disease with high impact on the lives of children and adolescents. The DM1 affects mainly children and young adults under 30 years old, with a predominance from 10 to 14 years old. As a chronic disease, involves changes in daily habits, being following the recommendations of health professionals one of the main conducts to achieve such changes, however, this follow-up is not easy and can directly infl uence the glycemic control and lead to complications. Objective: Identify the diffi culties of adolescent with DM1 to treatment adherence. The recommendations of this treatment are related to the blood glucose measurements, using a diet plan and insulin application. Methods: The study included 15 adolescent with DM1, of both genders, aged 10-19 years participating in a multidisciplinary group at an outpatient unit in São Paulo, Brazil, aged 13,93 ± 2.4 years, diagnosed with DM1 with an average time of 4.5 years. The following evaluations were employed:1) individual interviews for identifi cation and clinical characterization; 2) characterization of cardiovascular and metabolic parameters; 2) anthropometric assessment and 4) application of a questionnaire with questions about problems of blood glucose measurements, diet plan and insulin application. Data collection was performed before medical appointment with an endocrinologist in a hospital in São Paulo state. Results: The identifi ed diffi culties and cardio-metabolic variables showed the adolescents presented uncontrolled blood glucose levels, doing the rotation of insulin incompletely and face many daily difficulties to perform the appropriate treatment, being the most frequently reported the insulin application and proper nutrition. Conclusion: Adolescents with type 1 diabetes presented diffi culties in adherence to treatment, mainly o follow insulin treatment and proposals for changes in eating habits by following a diet. It is necessary that health professionals offer strategies and orientation to these individuals to improve the handling of their diffi culties that directly affect the course of the disease and leave them more susceptible to developing complications.

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Section: "The Complications and Some Injury In Some Organ Scare Me" (mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Problems with adherence to treatment among adolescents with diabetes mellitus type 1

Pires¹,

Bani²,

Lima³

et al. 2016

J. Hum. Growth Dev.

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“…Recentes revisões sistemáticas têm abordado a relação entre EF e gerenciamento metabólico, físico e psicológico em indivíduos com DM1. Estudos, que também incluem meta-análise de ensaios clínicos randomizados (ECRs), demonstram que melhorias no controle glicêmico com essa prática, de forma planejada, organizada e periódica, são bastante heterogêneas [3][4][5][6][7][8] . Recentes resultados apontados por Macmillan et al 4 sugerem que intevenções mais longas (programa com duração > 12 semanas), atividades mais frequentes (≥ 3 vezes por semana), maior tempo de duração (≥ 60 minutos por sessão), e combinação entre EF aeróbicos e resistidos podem ser mais eficazes na melhoria das taxas de Hemoglobina Glicosilada (HbA 1c ).…”

Section: Introductionunclassified

Efeitos Do Exercício Físico Sobre Diabetes Mellitus Tipo 1: Uma Revisão Sistemática De Ensaios Clínicos E Randomizados

Marçal¹,

Alexandrino²,

Cortez³

et al. 2018

J Phys Educ

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RESUMODiabetes mellitus tipo 1 (DM1) caracteriza-se como patologia crônica autoimune. Exercício físico (EF) é considerado estratégia positiva no processo terapêutico do DM1. O objetivo do estudo foi avaliar evidências científicas sobre os efeitos do EF em indivíduos com DM1. Trata-se de revisão sistemática de literatura, de estudos clínicos e randomizados. Realizou-se levantamento em periódicos indexados nas bases de dados PUBMED, SCOPUS, COCHRANE, LILACS e SCIELO. Os Descritores em Ciências da Saúde utilizados foram: diabetes mellitus, type 1 AND exercise e seus correspondentes em português e espanhol. Foram incluídos 28 artigos publicados entre os anos de 2012 e 2016. Todos os estudos abordaram a relação entre o gerenciamento da patologia e diferentes tipos, frequência, volume, duração e intensidade de exercícios. Diferentes assuntos foram abordados, como: pâncreas artificiais, dieta, suplementação, insulina e hipoglicemia. Um dos grandes desafios para assegurar boa gestão do DM1 com prática de EF são relacionados ao controle da glicemia e à hipoglicemia durante, logo depois ou tardiamente após a intervenção. Os EF aeróbicos, resistidos, pilates e intermitentes, em conjunto com dieta adequada, horários de refeições e suplementação mostraram-se eficazes no gerenciamento de diversas váriáveis metabólicas e clínicas dos pacientes com DM1. Palavras-chave: Diabetes mellitus tipo 1. Exercício. Glicemia. Insulina. ABSTRACTType 1 Diabetes mellitus (DM1) is characterized as chronic autoimmune pathology. Physical exercise (PE) is considered a positive strategy in DM1 therapy. The aim of the study was to systematize scientific evidence linking EF interventions in individuals with DM1. This is a systematic review of the literature, from clinical and randomized studies. A survey was carried out in indexed journals in the PUBMED, SCOPUS, COCHRANE, LILACS and SCIELO databases. The Descritors Health Sciences used were: diabetes mellitus, type 1 AND exercise and their correspondents in portuguese and spanish. We included 28 articles published between the years 2012 and 2016. All studies addressed the relationship between pathology management and different types, frequency, volume, duration and intensity of exercises. Different subjects were approached, such as: artificial pancreas, diet, supplementation, insulin and hypoglycemia. One of the great challenges to ensure good management of DM1 with EF practice is related to glycemic control and hypoglycemia during, shortly after or after intervention. The aerobic, resisted, pilates and intermittent PE, along with adequate diet, meal times and supplementation were effective in managing the various metabolic and clinical variables of patients with DM1. Keywords: Diabetes mellitus, type 1. Exercise. Glycemia. Insulin. IntroduçãoO Diabetes Mellitus Tipo 1 (DM1) caracteriza-se como uma patologia autoimune causada pela destruição das células beta-pancreáticas, responsáveis pela produção de insulina, esse quadro resulta na dependência, ao longo da vida, da administração do hormônio via e...

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“…Furthermore, it may reduce the risk for secondary complications, and as such should constitute a key component of lifestyle in diabetic patients [7][8][9][10]. While the effects of regular physical activity on metabolic control are well established, still little is known on the influence of high or moderate intensity short-term exercise being a common element of everyday activities in children [11].…”

Section: Introductionmentioning

confidence: 99%

The effects of a single bout of submaximal exercise on rheological properties of the blood in children with type 1 diabetes mellitus

Gazurek

Kępińska

Kulis

et al. 2017

Clinical Diabetology

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Vigorous Intensity Exercise for Glycemic Control in Patients with Type 1 Diabetes

Cited by 49 publications

References 48 publications

Problems with adherence to treatment among adolescents with diabetes mellitus type 1

Problems with adherence to treatment among adolescents with diabetes mellitus type 1

Efeitos Do Exercício Físico Sobre Diabetes Mellitus Tipo 1: Uma Revisão Sistemática De Ensaios Clínicos E Randomizados

The effects of a single bout of submaximal exercise on rheological properties of the blood in children with type 1 diabetes mellitus

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