Influence of physical activity on metabolic control, body composition and cardiovascular system in children and adolescent with T1DM
Abstract
Data di Pubblicazione:
2016
Abstract:
Objectives: Our study aims to evaluate the effect of physical activity
(PA) on body composition, metabolic control, systolic and diastolic
blood pressure (SBP and DBP) and heart rate (HR) in young patients
with type 1 diabetes mellitus (T1DM).
Methods: We performed a cross-sectional study on 81 patients
(45 male) with T1DM aged 16.0(5.6) years, with disease duration of
86(62) months and free of coeliac disease and/or thyroiditis. Every
patient was asked to report which type of physical activity was used
practicing every week and how long. Depending on the type of sport
practiced and the time spent in their practice, the total hours of physical
activity per week were divided into three categories of exercise:
aerobic, anaerobic and mixed. Body composition was assessed
through body mass index (BMI), body impedance and skinfolds, and
metabolic control was evaluated through mean and SD of HBGM,
HBGI, LBGI and HbA1c. For each patient were also taken into
account the following parameters: systolic and diastolic pressure,
heart rate and insulin need. Data are reported as median (IQR). Simple
and multiple regression analysis and Mann–Whitney test were
used for statistical analysis.
Results: The time spent on PA was inversely correlated with fat mass
% (FM%) (R2 = 0,194; p < 0.0002). FM% was directly correlated with
SDS-DBP (R2 = 0.082; p < 0.01) while BMI was directly correlated with
the SDS-SBP (R2 = 0.066; p = 0.02). Mixed exercise was associated
with significant lower FM% then the aerobic and anaerobic one [17.9
(6.4) vs 27.5 (15); p < 0.001]. We did not find correlations between the
amount and type of PA and any of the others parameters we collected.
Conclusions: Our results seem to highlight a positive effect of exercise,
particularly the mixed one, on body composition and that the
latter improves DBP. Furthermore, it does not seem that PA has a
significative effect on metabolic control.
(PA) on body composition, metabolic control, systolic and diastolic
blood pressure (SBP and DBP) and heart rate (HR) in young patients
with type 1 diabetes mellitus (T1DM).
Methods: We performed a cross-sectional study on 81 patients
(45 male) with T1DM aged 16.0(5.6) years, with disease duration of
86(62) months and free of coeliac disease and/or thyroiditis. Every
patient was asked to report which type of physical activity was used
practicing every week and how long. Depending on the type of sport
practiced and the time spent in their practice, the total hours of physical
activity per week were divided into three categories of exercise:
aerobic, anaerobic and mixed. Body composition was assessed
through body mass index (BMI), body impedance and skinfolds, and
metabolic control was evaluated through mean and SD of HBGM,
HBGI, LBGI and HbA1c. For each patient were also taken into
account the following parameters: systolic and diastolic pressure,
heart rate and insulin need. Data are reported as median (IQR). Simple
and multiple regression analysis and Mann–Whitney test were
used for statistical analysis.
Results: The time spent on PA was inversely correlated with fat mass
% (FM%) (R2 = 0,194; p < 0.0002). FM% was directly correlated with
SDS-DBP (R2 = 0.082; p < 0.01) while BMI was directly correlated with
the SDS-SBP (R2 = 0.066; p = 0.02). Mixed exercise was associated
with significant lower FM% then the aerobic and anaerobic one [17.9
(6.4) vs 27.5 (15); p < 0.001]. We did not find correlations between the
amount and type of PA and any of the others parameters we collected.
Conclusions: Our results seem to highlight a positive effect of exercise,
particularly the mixed one, on body composition and that the
latter improves DBP. Furthermore, it does not seem that PA has a
significative effect on metabolic control.
Tipologia CRIS:
Abstract (in Rivista)
Keywords:
Physical activity, Diabetes, Insulin
Elenco autori:
A. Trettene, R. Cardani; Salvatoni, Alessandro
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