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(05-08-12) How does physical activity and fitness influence glycaemic control in young people with Type 1 diabetes?



Cuenca-Garc?a M, Jago R, Shield JP, Burren CP.
Source
Department of Medical Physiology, School of Medicine, Granada University,
Granada, Spain Centre for Exercise, Nutrition and Health Sciences, School for
Policy Studies, University of Bristol, Bristol, UK School of Clinical Sciences,
University of Bristol and Bristol Royal Hospital for Children, Bristol, UK.
Abstract
To assess physical Aim:  activity and fitness levels of young people with Type
1 diabetes compared with siblings without diabetes, and to investigate the
association between physical activity, physical fitness and glycaemic control
(HbA(1c) ) in The study consisted those young people with diabetes. Methods:
of 97 young years (62% male) from a Paediatric Diabetes people aged 8 to 16
Service in 1 South West England. Sixty participants (67% male) had Type
diabetes and 37 participants (54% male) were siblings without diabetes (control
group). We measured weight, height and waist circumference, calculated BMI and
waist-height ratio and recorded pubertal status, blood pressure and current
insulin regimen information. We assessed physical activity by accelerometry,
from which we calculated light and moderate-to-vigorous intensity activity. We
measured physical fitness by multistage sub-maximal bicycle ergometer test. We
There were no obtained HbA(1c) by venipuncture. Results: differences between
the young people with diabetes and siblings without diabetes in body
composition, blood pressure, physical activity and fitness. Moderate-to-
vigorous physical activity was associated with better glycaemic control,
0.295-0.374) of the variance for = accounting for 30-37% (R(2) HbA(1c) .
 Physical fitness was not associated with HbA(1c.) Conclusions: Moderate-to-
vigorous physical activity was associated with better glycaemic control while
fitness was not. Findings suggest that developing strategies to increased
moderate-to-vigorous physical activity may prove an effective method of
improving glycaemic control in young people with diabetes. ? 2012 The Authors.
Diabetic Medicine ? 2012 Diabetes UK.
? 2012 The Authors. Diabetic Medicine ? 2012 Diabetes UK.

Source: Diabet Med. 2012 Jul 18. doi: 10.1111/j.1464-5491.2012.03740.x.

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