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.

Influence of physical activity on metabolic control, body composition and cardiovascular system in children and adolescent with T1DM

SALVATONI, ALESSANDRO
2016-01-01

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.
2016
A. Trettene, R. Cardani; Salvatoni, Alessandro
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11383/2062417
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