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2002, Number 2-4

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Rev Mex Med Fis Rehab 2002; 14 (2-4)

Aerobic exercise utility in the metabolic control applied to child with diabetes mellitus type 1

Sánchez P, Coutiño B, Mendoza L, Torres A, Altamirano N, Mora I

Language: Spanish
References: 24
Page: 83-88
PDF size: 56.64 Kb.


ABSTRACT

Introduction: Type 1 diabetes is the most common endocrine-metabolic disorder in childhood and adolescence. The provision of adequate nutritional intake, precise dose of insulin and exercise allows an appropriate metabolic control, modifying the evolution an prognosis of the illness. Objective: Evaluate the effect of aerobic exercise on the metabolic control of patients with type 1 diabetes. Material and methods: Forty patients with diagnosis of type 1 diabetes, aged 6 to 17 years, clinically stable were included. Glucohemoglobin control was carried out at the beginning and 3 months latter, establishing an exercise program during this period. Results: Thirty patients (75%) carried out the exercise program more than four times per week; the ten remaining (25%) carried it out with a smaller frequency. The patients of the first group presented significant decrease in the levels of glucohemoglobin (p = 0.001). Conclusion: Carrying out a program of aerobic exercise, four times per week, allows to decrease of the glucohemoglobin levels, diminishing the risk of complications.


REFERENCES

  1. Sperling M. Pediatric Endocrinology. WB Saunders Company, Philadelphia 1996: 229-252.

  2. Chavarría C. Temas selectos de pediatría, Asociación Mexicana de Pediatría AC. Endocrinología. McGraw-Hill Interamericana, México 1998: 125-160.

  3. Asociación de Medina Interna de México, Temas de Medicina Interna: Diabetes mellitus, México D.F. Interamericana McGraw-Hill 1993; 1 (4): 621-890.

  4. Muir A, Schatz D, Maclaren N. Endocrinology and metabolisms. Clinics of North America 1992: 21 (2), 199-215.

  5. Rifkns E. Diabetes mellitus. Theory and practice, 4a Ed, NY, Elsevier Science Publishing Co, 1990: 198-219.

  6. Expert Committee on the diagnosis and classification of diabetes mellitus, report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care 2002; 25(S1): S5 a S18.

  7. Behrman EN. Tratado de Pediatría. Interamericana McGraw-Hill , México 1992: 125-130.

  8. Wasserman D, Mohr T, Kelly P. Impact of insulin deficiency on glucose fluxes and muscle glucose metabolism during exercise. Diabetes Care 1992; 41(8): 1229-1237.

  9. González G. Fisiología de la actividad. Interamericana McGraw-Hill; Barcelona 1992: 1-8.

  10. Bowers R. Fisiología del deporte. 3ª. Ed., Paramericana, Buenos Aires 1995: 19-40.

  11. Sergeyerich M, Dimitrieyevich M. Fisiología del deportista. Paidotribo, Barcelona 1997: 105-114.

  12. Basmajian VJ. Terapéutica por el ejercicio. 3ª. Ed, Panamericana, Buenos Aires 1989: 341-382.

  13. Wojtaszewski J, Goodyear L. Cellular effects of exercise to promote muscle insulin sensitivity. Curr Opin Endocrinol Diabetes 1999; 6: 129-134.

  14. Wasserman D. Sinman B. Exercise in individuals with IDDM. Diabetes Care 1994; 17(8): 924-937.

  15. Thoren C. Exercise Testing with special reference to children with diabetes mellitus. Acta Paediatr Scand Suppl., 1980; 283(29): 29-33.

  16. American Diabetes Association, diabetes mellitus and exercise. Diabetes Care 1998; 21 (Supplement 1), S40-S44

  17. Kemmer F. Prevention of Hypoglicemia during exercise in type 1 diabetes. Diabetes Care 1992; 15 (suppl. 4): 1722-1725.

  18. Goldstein D, Little R. Monitorin glycemia in diabetes, endocrinology and metabolism. Clinics of North America 1997; 26 (3): 475-485.

  19. McNiven M, Riddel M. The Reliability and repeatability of the blood glucose response to prolonged exercise in adolescent boys with IDDM. Diabetes Care 1995; 18 (3) 326-332.

  20. Mosher P, Nash M, Perry A, et al. Aerobic circuit exercise training: Effect on adolescents with well-controlled insulin-dependent diabetes mellitus. Arch Phys Med Rehabil 1998; 79: 652-657.

  21. Kiess W, Kapellen T, Siebler T. Practical aspects of managing preschool children with type 1 diabetes. Acta Paediatr 1998; suppl 425: 67-71.

  22. Franz M. Lifestyle modifications for diabetes management. Endocrinology and metabolism. Clinics of North America 1997; 26(3): 499-510.

  23. Pouwer F, Snoek F. Monitoring of psychological well-being in outpatients with diabetes. Diabetes Care 2001, 19291935.

  24. Hoey H, Aanstoot H. Good metabolic control is associated with better quality of life in 2,1001 adolescents with type 1 diabetes.




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