The effect of aerobic exercise and diet on selected physical fitness indices and blood glucose hemostasis in patients with diabetes type I

محورهای موضوعی : Journal of Physical Activity and Hormones

Farkhondeh sadat Abdolrahimi ¹ (MA, Department of Physical Education and Sports Science, Rasht Branch, Islamic Azad University, Rasht, Iran)
Raziyeh Shoyoie ² (Ph.D. Candidate in Exercise Physiology, Department of Physical Education and Sports Science, Rasht Branch, Islamic Azad University, Rasht, Iran)

تاریخ دریافت : 1402/07/01 تاریخ پذیرش : 1402/07/11 تاریخ انتشار : 1402/06/10

کلید واژه: Diet, diabetes type I, Pilates, glucose homeostasis, combined exercise training,

چکیده مقاله :

Introduction: This study aimed to examine the impact of aerobic exercise and diet on physical fitness and blood glucose regulation in type I diabetes patients.Material & Methods: The study aimed to investigate the effects of a 12-week combined exercise program on the blood sugar, glycosylated hemoglobin (HbA1c), and aerobic and anaerobic capacity of 40 eligible volunteer children aged 11-15 years. The participants were randomly divided into two groups: control and experimental. The exercise program included pilates, weight-bearing, and aerobic exercises and was conducted three times a week for one hour. The participant's blood sugar, HbA1c, and aerobic and anaerobic capacity were measured before and after training. The data was analyzed using SPSS software version 26 at a significance level 0.05.Results:After conducting a paired t-test, it was found that the control group showed a significant increase in body mass index and waist circumference. In contrast, the experimental group showed a significant decrease in fasting blood sugar and hemoglobin levels and an increase in aerobic and anaerobic capacity (P<0.05). When comparing the two groups, it was observed that the experimental group had a significant decrease in waist size, FBS, and HbA1c and a significant increase in aerobic and anaerobic power (P<0.05). No significant difference was observed in other research variables.Conclusions: Based on the available evidence, it is likely that engaging in a combination of exercises would lead to improvements in anthropometric indices and glucose homeostasis.

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References

1. Sobhi A, Ahadi H, Rajab A, Nafisi K, Hejazi M .(2009). Mental health and coping with stress in parents and child's metabolic control style. Iranian J Diabetes Lipid Disord. 3:327-38.


2. Al Razooqi H, AlNajjar,B, AlShamsi, E, Ibrahim,K. (2023), Correlation between Glycated Hemoglobin Levels and Knowledge, Attitude, and Practice of Type 2 Diabetic Patients Attending Primary Health Care Centers in Dubai Health Authority, Dubai Med J 2023;6:107–114


3. Heidari H, Alhani F, Kazemnejad A, Tol A, Moezi F .(2012). [Assessing the effect of educational program based on empowerment model on HbA1C among adolescents with type 1 diabetes]. Health Syst Res. 7:137683


4. Fernández A, Berrocal P, Gutiérrez M(2023), The relationship between well-being and HbA1c in adults with type 1 diabetes: A systematic review, Journal of Diabetes. 2023; 15: 152–164. Wiley online library.com/ journal/ jdb


5. Muhuza M, Zhang L, Wu Q, Qi L, (2023), The association between maternal HbA1c and adverse outcomes in gestational diabetes, Frontiers in Endocrinology, Endocrinol. 14:1105899.


6. Han,F, Shi,X, Pan,J, Wu, K, Zhu,Q. (2023), Elevated serum HbA1c level, rather than previous history of diabetes, predicts the disease severity and clinical outcomes of acute pancreatitis, BMJ Open Diab Res Care 2023;11:e003070


7. Christie et al ., (2014), Using motivational interviewing to engage adolescents and young adults with diabetes, Volume31, Issue6 July/August 2014, Pages 252-256.


8. Selvin E, Marinopoulos S, Berkenblit G, et al. Meta-Analysis: glycosylated hemoglobin and cardiovascular disease in diabetes mellitus. Ann Intern Med 2004;141:421–31.


9. Albright A, Franz M, Hornsby G, Kriska A, Marrero D, Ullrich I, et al.(2000). American College of Sports Medicine position stand. Exercise and type 2 diabetes. Medicine and science in sports and exercise. 32(7):1345.11


10. Peirce N.(1999). Diabetes and exercise .British journal of sports medicine. 33(3):161- 72.


11. Nelson KM, Reiber G, Boyko EJ.(2002). Diet and exercise among adults with type 2 diabetes findings from the third national health and nutrition examination survey (NHANES III .) Diabetes care. 25(10):1722-8.


12. Hancox RJ, Milne BJ, Poulton R .(2004). Association between child and adolescent television viewing and adult health: a longitudinal birth cohort study. Lancet. 364:257-62


13. O’Hagan C, De Vito G, Boreham CA.(2013). Exercise prescription in the treatment of type 2 diabetes mellitus. Sports Med. 43(1):39‐49.


14. Heyman E, Toutain C, Delamarche P, Berthon P, Briard D, Youssef H, Dekerdanet M, Gratas-Delamarche A .(2007). Exercise training and cardiovascular risk factors in type 1 diabetic adolescent girls. Pediatr Exerc Sci. 19:408-19.


15. Boyaci, A., Tutar, M., & Biyikli, T. (2018). The Effect of Dynamic and Static Core Exercises on Physical Performance in Children. Online Submission, 4(7), 50-61.


16. Erlandson MC, Hounjet S, Treen T, Lanovaz JL( 2018 Jul 18 ). Upper and lower limb loading during weightbearing activity in children: reaction forces and influence of body weight. Journal of sports sciences.36(14):1640-7.


17. Rokka S, Kouli O, Bebetsos E, Goulimaris D, Mavridis G .(2019). Effect of Dance Aerobic Programs on Intrinsic Motivation and Perceived Task Climate in Secondary School Students. International Journal of Instruction. 12(1):641-54.


18. Forbes JM, Cooper ME .(2013). Mechanisms of diabetic complications. Physiological reviews. 93(1):137-88.


19. Saki H, Nazem F, Fariba F. Effect of Combined Exercise Training on Heart Rate Variability and Aerobic Capacity of Boys with Type 1 Diabetes. Avicenna J Clin Med 2023; 29 (4) :232-239.


20. Ghalavand A, Delaramnasab M, Afshounpour M, Zare A. Effects of continuous aerobic exercise and circuit resistance training on fasting blood glucose control and plasma lipid profile in male patients with type II diabetes mellitus. J Diabetes Nurs 2016; 4 (1) :8-19.


21. Tunar et al (2012) The effects of Pilates on metabolic control and physical performance in adolescents with type 1 diabetes mellitus. Journal of diabetes and its complications.;26 (4) , 348-51.


22. Landt, KW, Campaigne, BN., James, FW. Sperling, MA .(1985 ). Effects of Exercise Training on Insulin Sensitivity in Adolescents with Type I Diabetes. Diabetes Care. 8: 461-465.


23. Dahl-Jorgensen, K., Meen, H.D., Hanssen, K.F. and Aagenaes, O. (1980) The Effect of Exercise on Diabetic Control and Hemoglobin A1 (HbA1) in Children. Acta Paediatrica, 69, 53-56.