Startseite Medizin Once-weekly supervised combined training improves neurocognitive and psychobehavioral outcomes in young patients with type 1 diabetes mellitus
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Once-weekly supervised combined training improves neurocognitive and psychobehavioral outcomes in young patients with type 1 diabetes mellitus

  • Junghwan Suh ORCID logo , Han Saem Choi , Ahreum Kwon , Hyun Wook Chae , Soyong Eom und Ho-Seong Kim EMAIL logo
Veröffentlicht/Copyright: 5. November 2019

Abstract

Background

Previous studies investigating the beneficial effects of exercise in type 1 diabetes mellitus (T1DM) are relatively insufficient compared to studies on type 2 diabetes mellitus (T2DM), due to the fear of hypoglycemia. Recently, several researchers have reported that combined aerobic and resistance exercise prevents hypoglycemia during and after exercise. Furthermore, exercise has been shown to have beneficial effects on the psychological status of patients with various diseases. The aim of this study was to evaluate the effect of combined aerobic and resistance exercise in adolescents with T1DM.

Methods

Thirty-five type 1 diabetic patients were enrolled, and subjects were divided into either an exercise group or a control group. Thirty patients (20 patients in the exercise group, 10 patients in the control group) completed the study. The exercise program was performed for 1 h at a time, once a week, for 12 weeks. Study parameters were evaluated at baseline and 3 months after baseline evaluation.

Results

Combined aerobic and resistance exercise better controlled the body mass index (BMI), and also improved maximum muscular strength and maximum exercise intensity. On psychological tests, subjects’ attention and quality of life showed improving tendency, while their stress and behavioral problems diminished. The number of exercise events increased in the training group, while the daily total insulin dose and glycated hemoglobin (HbA1c) level showed no significant changes.

Conclusions

A 12-week structured exercise program consisting of aerobic and resistance exercises improves cardiovascular, neurocognitive and psychobehavioral functions, and positively helps lifestyle modification in patients with T1DM.


*Corresponding author: Ho-Seong Kim, MD, PhD, Department of Pediatrics, Severance Children’s Hospital, Endocrine Research Institute, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea, Phone: +82 2 2228 2069, Fax: +82 2 393 9118

Acknowledgments

None declared.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment of leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

  6. Conflict of interest: None declared.

References

1. Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act 2010;7:40.10.1186/1479-5868-7-40Suche in Google Scholar PubMed

2. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007;116:1081–93.10.1161/CIRCULATIONAHA.107.185649Suche in Google Scholar PubMed

3. Zinman B, Ruderman N, Campaigne BN, Devlin JT, Schneider SH. Physical activity/exercise and diabetes mellitus. Diabetes Care 2003;26(Suppl 1):S73–7.10.2337/diacare.26.2007.S73Suche in Google Scholar PubMed

4. Umpierre D, Ribeiro PA, Kramer CK, Leitao CB, Zucatti AT, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. J Am Med Assoc 2011;305:1790–9.10.1001/jama.2011.576Suche in Google Scholar

5. Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, et al. Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care 2010;33:e147–67.10.2337/dc10-9990Suche in Google Scholar PubMed

6. Castaneda C, Layne JE, Munoz-Orians L, Gordon PL, Walsmith J, et al. A randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes. Diabetes Care 2002;25:2335–41.10.2337/diacare.25.12.2335Suche in Google Scholar PubMed

7. Galassetti P, Riddell MC. Exercise and type 1 diabetes (T1DM). Compr Physiol 2013;3:1309–36.10.1002/cphy.c110040Suche in Google Scholar PubMed

8. Ostman C, Jewiss D, King N, Smart NA. Clinical outcomes to exercise training in type 1 diabetes: a systematic review and meta-analysis. Diabetes Res Clin Pract 2018;139:380–91.10.1016/j.diabres.2017.11.036Suche in Google Scholar PubMed

9. Mosher PE, Nash MS, Perry AC, LaPerriere AR, Goldberg RB. Aerobic circuit exercise training: effect on adolescents with well-controlled insulin-dependent diabetes mellitus. Arch Phys Med Rehabil 1998;79:652–7.10.1016/S0003-9993(98)90039-9Suche in Google Scholar PubMed

10. Riddell MC, Gallen IW, Smart CE, Taplin CE, Adolfsson P, et al. Exercise management in type 1 diabetes: a consensus statement. Lancet Diabetes Endocrinol 2017;5:377–90.10.1016/S2213-8587(17)30014-1Suche in Google Scholar PubMed

11. Tsalikian E, Mauras N, Beck RW, Tamborlane WV, Janz KF, et al. Impact of exercise on overnight glycemic control in children with type 1 diabetes mellitus. J Pediatr 2005;147:528–34.10.1016/j.jpeds.2005.04.065Suche in Google Scholar PubMed PubMed Central

12. Chimen M, Kennedy A, Nirantharakumar K, Pang TT, Andrews R, et al. What are the health benefits of physical activity in type 1 diabetes mellitus? A literature review. Diabetologia 2012;55:542–51.10.1007/s00125-011-2403-2Suche in Google Scholar PubMed

13. Robertson K, Riddell MC, Guinhouya BC, Adolfsson P, Hanas R, et al. ISPAD Clinical Practice Consensus Guidelines 2014. Exercise in children and adolescents with diabetes. Pediatr Diabetes 2014;15(Suppl 20):203–23.10.1111/pedi.12176Suche in Google Scholar PubMed

14. Kennedy A, Nirantharakumar K, Chimen M, Pang TT, Hemming K, et al. Does exercise improve glycaemic control in type 1 diabetes? A systematic review and meta-analysis. PLoS One 2013;8:e58861.10.1371/journal.pone.0058861Suche in Google Scholar PubMed PubMed Central

15. Tonoli C, Heyman E, Roelands B, Buyse L, Cheung SS, et al. Effects of different types of acute and chronic (training) exercise on glycaemic control in type 1 diabetes mellitus: a meta-analysis. Sports Med 2012;42:1059–80.10.1007/BF03262312Suche in Google Scholar PubMed

16. Riddell MC, Iscoe KE. Physical activity, sport, and pediatric diabetes. Pediatr Diabetes 2006;7:60–70.10.1111/j.1399-543X.2006.00146.xSuche in Google Scholar PubMed

17. Farinha JB, Krause M, Rodrigues-Krause J, Reischak-Oliveira A. Exercise for type 1 diabetes mellitus management: general considerations and new directions. Med Hypotheses 2017;104:147–53.10.1016/j.mehy.2017.05.033Suche in Google Scholar PubMed

18. D’Hooge R, Hellinckx T, Van Laethem C, Stegen S, De Schepper J, et al. Influence of combined aerobic and resistance training on metabolic control, cardiovascular fitness and quality of life in adolescents with type 1 diabetes: a randomized controlled trial. Clin Rehabil 2011;25:349–59.10.1177/0269215510386254Suche in Google Scholar PubMed

19. Kokkonen J, Lautala P, Salmela P. The state of young adults with juvenile onset diabetes. Int J Circumpolar Health 1997;56:76–85.Suche in Google Scholar PubMed

20. Zoppini G, Carlini M, Muggeo M. Self-reported exercise and quality of life in young type 1 diabetic subjects. Diabetes Nutr Metab 2003;16:77–80.Suche in Google Scholar PubMed

21. Reynolds JM, Gordon TJ, Robergs RA. Prediction of one repetition maximum strength from multiple repetition maximum testing and anthropometry. J Strength Cond Res 2006;20:584–92.10.1519/00124278-200608000-00020Suche in Google Scholar PubMed

22. Rabasa-Lhoret R, Bourque J, Ducros F, Chiasson JL. Guidelines for premeal insulin dose reduction for postprandial exercise of different intensities and durations in type 1 diabetic subjects treated intensively with a basal-bolus insulin regimen (ultralente-lispro). Diabetes Care 2001;24:625–30.10.2337/diacare.24.4.625Suche in Google Scholar PubMed

23. Committee for the Development of Growth Standard for Korean Children and Adolescents, Korean Pediatric Society, Committee for School Health and Public Health Statistics. 2007 Korean children and adolescents growth standard. Cheongwon: Korea Centers for Disease Control and Prevention, Division of Chronic Disease Surveillance; 2007.Suche in Google Scholar

24. Bruce RA, Kusumi F, Hosmer D. Maximal oxygen intake and nomographic assessment of functional aerobic impairment in cardiovascular disease. Am Heart J 1973;85:546–62.10.1016/0002-8703(73)90502-4Suche in Google Scholar PubMed

25. Llorente AM, Voigt RG, Williams J, Frailey JK, Satz P, et al. Children’s Color Trails Test 1 & 2: test-retest reliability and factorial validity. Clin Neuropsychol 2009;23:645–60.10.1080/13854040802427795Suche in Google Scholar PubMed

26. Kwak K, Choi H, Kim C. A study for the standardization of Korean Wechsler Intelligence Scale-Third Edition (WISC-III). Korean J Dev Psychol 2002;15:19–33.Suche in Google Scholar

27. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561–71.10.1001/archpsyc.1961.01710120031004Suche in Google Scholar PubMed

28. Kovacs M. The Children’s Depression, Inventory (CDI). Psychopharmacol Bull 1985;21:995–8.Suche in Google Scholar PubMed

29. Reynolds CR, Richmond BO. What I think and feel: a revised measure of children’s manifest anxiety. J Abnorm Child Psychol 1978;6:271–80.10.1007/BF00919131Suche in Google Scholar PubMed

30. Spielberger C, Gorsuch R, Lushene R. State–Trait Anxiety Inventory manual. Palo Alto, CA: Consulting Psychologists Press, 1970.Suche in Google Scholar

31. Oh K, Lee H. Development of Korean version of Child Behavior Checklist (K-CBCL). Seoul: Korean Research Foundation, 1997.Suche in Google Scholar

32. Lee K, Chung K, Park J, Kim H. Reliability and validity study for the Korean version of Parenting stress index short form (K-PSI-SF). Korean J Woman Psychol 2008;13:363–77.10.18205/kpa.2008.13.3.007Suche in Google Scholar

33. Varni JW, Limbers CA, Burwinkle TM. Parent proxy-report of their children’s health-related quality of life: an analysis of 13,878 parents’ reliability and validity across age subgroups using the PedsQL 4.0 Generic Core Scales. Health Qual Life Outcomes 2007;5:2.10.1186/1477-7525-5-2Suche in Google Scholar PubMed PubMed Central

34. Yardley JE, Kenny GP, Perkins BA, Riddell MC, Balaa N, et al. Resistance versus aerobic exercise: acute effects on glycemia in type 1 diabetes. Diabetes Care 2013;36:537–42.10.2337/dc12-0963Suche in Google Scholar PubMed PubMed Central

35. Farinha JB, Dos Santos GC, Vargas JL, Viana LL, De Souza AL, et al. Capillary glycaemia responses to strength exercises performed before or after high-intensity interval exercise in Type 1 diabetes under real-life settings. Complement Ther Med 2018;40:116–9.10.1016/j.ctim.2018.08.004Suche in Google Scholar PubMed

36. Fahey AJ, Paramalingam N, Davey RJ, Davis EA, Jones TW, et al. The effect of a short sprint on postexercise whole-body glucose production and utilization rates in individuals with type 1 diabetes mellitus. J Clin Endocrinol Metab 2012;97:4193–200.10.1210/jc.2012-1604Suche in Google Scholar PubMed

37. Campaigne BN, Gilliam TB, Spencer ML, Lampman RM, Schork MA. Effects of a physical activity program on metabolic control and cardiovascular fitness in children with insulin-dependent diabetes mellitus. Diabetes Care 1984;7:57–62.10.2337/diacare.7.1.57Suche in Google Scholar PubMed

38. Salem MA, Aboelasrar MA, Elbarbary NS, Elhilaly RA, Refaat YM. Is exercise a therapeutic tool for improvement of cardiovascular risk factors in adolescents with type 1 diabetes mellitus? A randomised controlled trial. Diabetol Metab Syndr 2010;2:47.10.1186/1758-5996-2-47Suche in Google Scholar PubMed PubMed Central

39. Fuchsjager-Mayrl G, Pleiner J, Wiesinger GF, Sieder AE, Quittan M, et al. Exercise training improves vascular endothelial function in patients with type 1 diabetes. Diabetes Care 2002;25:1795–801.10.2337/diacare.25.10.1795Suche in Google Scholar PubMed

40. Laaksonen DE, Atalay M, Niskanen LK, Mustonen J, Sen CK, et al. Aerobic exercise and the lipid profile in type 1 diabetic men: a randomized controlled trial. Med Sci Sports Exercise 2000;32:1541–8.10.1097/00005768-200009000-00003Suche in Google Scholar PubMed

41. Zinman B, Zuniga-Guajardo S, Kelly D. Comparison of the acute and long-term effects of exercise on glucose control in type I diabetes. Diabetes Care 1984;7:515–9.10.2337/diacare.7.6.515Suche in Google Scholar PubMed

42. Cemeroglu AP, Thomas JP, Zande LT, Nguyen NT, Wood MA, et al. Basal and bolus insulin requirements in children, adolescents, and young adults with type 1 diabetes mellitus on continuous subcutaneous insulin infusion (CSII): effects of age and puberty. Endocrinol Pract 2013;19:805–11.10.4158/EP13099.ORSuche in Google Scholar PubMed

43. Chudyk A, Petrella RJ. Effects of exercise on cardiovascular risk factors in type 2 diabetes: a meta-analysis. Diabetes Care 2011;34:1228–37.10.2337/dc10-1881Suche in Google Scholar PubMed PubMed Central

44. Conen D, Ridker PM. Clinical significance of high-sensitivity C-reactive protein in cardiovascular disease. Biomark Med 2007;1:229–41.10.2217/17520363.1.2.229Suche in Google Scholar PubMed

45. Misra A, Alappan NK, Vikram NK, Goel K, Gupta N, et al. Effect of supervised progressive resistance-exercise training protocol on insulin sensitivity, glycemia, lipids, and body composition in Asian Indians with type 2 diabetes. Diabetes Care 2008;31:1282–7.10.2337/dc07-2316Suche in Google Scholar PubMed PubMed Central

46. Heyman E, Toutain C, Delamarche P, Berthon P, Briard D, et al. Exercise training and cardiovascular risk factors in type 1 diabetic adolescent girls. Pediatr Exercise Sci 2007;19:408–19.10.1123/pes.19.4.408Suche in Google Scholar PubMed

47. Farinha JB, Ramis TR, Vieira AF, Macedo RC, Rodrigues-Krause J, et al. Glycemic, inflammatory and oxidative stress responses to different high-intensity training protocols in type 1 diabetes: a randomized clinical trial. J Diabetes Complications 2018;32:1124–32.10.1016/j.jdiacomp.2018.09.008Suche in Google Scholar PubMed

48. Komatsu WR, Gabbay MA, Castro ML, Saraiva GL, Chacra AR, et al. Aerobic exercise capacity in normal adolescents and those with type 1 diabetes mellitus. Pediatr Diabetes 2005;6:145–9.10.1111/j.1399-543X.2005.00120.xSuche in Google Scholar PubMed

49. Edmunds S, Roche D, Stratton G, Wallymahmed K, Glenn SM. Physical activity and psychological well-being in children with Type 1 diabetes. Psychol Health Med 2007;12:353–63.10.1080/13548500600975446Suche in Google Scholar PubMed

50. Anderson-Hanley C, Arciero PJ, Westen SC, Nimon J, Zimmerman E. Neuropsychological benefits of stationary bike exercise and a cybercycle exergame for older adults with diabetes: an exploratory analysis. J Diabetes Sci Technol 2012;6:849–57.10.1177/193229681200600416Suche in Google Scholar PubMed PubMed Central

51. Ohmann S, Popow C, Rami B, Konig M, Blaas S, et al. Cognitive functions and glycemic control in children and adolescents with type 1 diabetes. Psychol Med 2010;40:95–103.10.1017/S0033291709005777Suche in Google Scholar PubMed

52. Patton SR, Dolan LM, Smith LB, Thomas IH, Powers SW. Pediatric parenting stress and its relation to depressive symptoms and fear of hypoglycemia in parents of young children with type 1 diabetes mellitus. J Clin Psychol Med Settings 2011;18:345–52.10.1007/s10880-011-9256-1Suche in Google Scholar PubMed PubMed Central

53. Gajos G, Pilacinski S, Zozulinska-Ziolkiewicz D. Controversies in diabetes in 2013 – a brief update. Adv Clin Exp Med 2013;22:777–84.Suche in Google Scholar PubMed

Received: 2019-03-11
Accepted: 2019-08-28
Published Online: 2019-11-05
Published in Print: 2019-12-18

©2019 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Mini Review
  3. Can preimplantation genetic diagnosis be used for monogenic endocrine diseases?
  4. Original Articles
  5. The distribution of intrafamilial CYP21A2 mutant alleles and investigation of clinical features in Turkish children and their siblings in Southeastern Anatolia
  6. 3-Methylcrotonyl-CoA carboxylase deficiency newborn screening in a population of 536,008: is routine screening necessary?
  7. Long non-coding RNA HCP5 serves as a ceRNA sponging miR-17-5p and miR-27a/b to regulate the pathogenesis of childhood obesity via the MAPK signaling pathway
  8. Once-weekly supervised combined training improves neurocognitive and psychobehavioral outcomes in young patients with type 1 diabetes mellitus
  9. Associations between thyroid-stimulating hormone, blood pressure and adiponectin are attenuated in children and adolescents with overweight or obesity
  10. Mental health of both child and parents plays a larger role in the health-related quality of life of obese and overweight children
  11. Near final adult height, and body mass index in overweight/obese and normal-weight children with idiopathic central precocious puberty and treated with gonadotropin-releasing hormone analogs
  12. Effects of vitamin D and estrogen receptor polymorphisms on bone mineral density in adolescents with anorexia nervosa
  13. Case Reports
  14. Whole exome sequencing identified a heterozygous KCNJ2 missense variant underlying autosomal dominant familial hypokalemic periodic paralysis in a Pakistani family
  15. Infantile cerebral infarction caused by severe diabetic ketoacidosis in new-onset type 1 diabetes mellitus
  16. Gallstone formation due to rapid weight loss through hyperthyroidism
  17. A neonate with mucolipidosis II and transient secondary hyperparathyroidism
  18. Zoledronate-responsive calcitriol-mediated hypercalcemia in a 5-year-old case with squamous cell carcinoma on the background of xeroderma pigmentosum
Heruntergeladen am 19.12.2025 von https://www.degruyterbrill.com/document/doi/10.1515/jpem-2019-0120/pdf
Button zum nach oben scrollen