Article

OBJECTIVE: To evaluate the effect of combined exercise training on metabolic
control, physical fitness and quality of life in adolescents with type 1
diabetes. DESIGN: A double-blind randomized controlled trial with patients
receiving combined aerobic and strength or no training.
SETTING: University
Hospital Ghent (Belgium). SUBJECTS: Sixteen children with type 1 diabetes were
randomized into a control group (n = 8) and an intervention group (n = 8).
INTERVENTIONS: Patients participated twice a week for 20 weeks in the combined
aerobic and strength group. The control group continued their normal daily
activities. MAIN MEASURES: Before and after the intervention anthropometric
variables (weight, length, BMI, body composition), metabolic control (glycaemia,
HbA1c, daily insulin injected), aerobic capacity (peak Vo(2), peak power, peak
heart rate, 6-minute walk distance), strength (1 repetition maximum of upper and
lower limb, hand grip strength, muscle fatigue resistance, sit-to-stand) and
quality of life (SF-36) were assessed. RESULTS: At baseline, none of the measured
parameters differed significantly between the two groups. There was no
significant evolution in the groups concerning anthropometric indices, glycaemia
and HbA1c. However, the daily doses of insulin injected were significantly
lowered in the training group (0.96 IU/kg.day pre versus 0.90 IU/kg.day post; P <
0,05), while it was increased in the control group. Physical fitness increased
significantly in the training group. General health, vitality and role emotional
had a tendency to improve. CONCLUSION: Combined exercise training seemed to lower
daily insulin requirement and improve physical fitness, together with better
well-being.

Langue : ANGLAIS