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- Title
Aktywność fizyczna dzieci i młodzieży z cukrzycą typu 1.
- Authors
Wójcik, Małgorzata; Pasternak-Pietrzak, Katarzyna; Fros, Dorota; Kobyłka, Agnieszka Ilona; Krawczyk-Ożóg, Agata; Wołek, Monika Paulina; Kaziuk, Magdalena; Starzyk, Jerzy B.
- Abstract
Rational physical exercise, next to diet and insulin, is an important element of the diabetes mellitus type 1 (DM1) treatment, however its influence on clinically relevant metabolic outcomes remain a subject of discussion. The aims. 1. Evaluation of the changes in physical activity after diagnosis of DM1 in comparison to the period preceding the illness. 2. Evaluation of the influence of physical activity on parameters of metabolic control. Materials and methods. The study included 95 patients with DM1 at the age 8 to 18 (mean14) years, divided into groups according to the time of diagnose of DM1- 1: ≤2 years, n=26; 2: >2 years. The survey consisted of 15 structured questions concerning physical activity before and after the diagnosis of DM1. Data concerning the course of the illness and metabolic control have been obtained from individual medical records. Results. The diagnosis of DM1 did not affect the physical activity of the majority of examined patients (55%). 11% of the them increased, and the same percentage the decreased physical activity after the diagnosis of DM1. 23% were not able to define the impact of DM1 on their physical performance. 49% of the respondents claimed that DM1 causes no problems with exercising, 46% said that DM1 have a small impact on their physical activity and 5% declared that the DM1 obstruct their physical performance. The average of physical activities per week is greater for boys and last 4,8 hours, for girls 3,9 hours. 75% of the study participants stated that exercising helps them in gaining better glycemic control. 92% of the patients, who have been suffering from DM1 for less than 2 years, frequently indicated that physical performance helped in gaining better glycemic control, however no significant correlation between the time spent on exercising and the HbA1c level(r=0.68, p=0.5), BMI SDS (p>0.05, r=0.2), or daily insulin intake (p>0.05, r=0.06) was found. Conclusions. 1. The diagnosis of DM1 do not affect the physical activity of children and youth. 2. The level of physical activity does not have a significant impact on the metabolic control defined by mean HbA1c, however the patients point on the positive impact of physical exercises on gaining better glycemic control.
- Subjects
PHYSICAL activity; DIABETES in children; EXERCISE; TREATMENT of diabetes; TYPE 1 diabetes; METABOLIC regulation
- Publication
Pediatric Endocrinology / Endokrynologia Pediatryczna, 2014, Vol 13, Issue 3, p35
- ISSN
1730-0282
- Publication type
Article
- DOI
10.18544/ep-01.13.03.1493