Graduate Institute of Clinical Medical Sciences, Chang Gung University, Tao-Yuan, Taiwan.
J Clin Nurs. 2011 Mar;20(5-6):681-91. doi: 10.1111/j.1365-2702.2010.03533.x.
To explore the effects of exercise programme on glycosylated haemoglobin and peak oxygen uptake in children and adolescents with type 1 diabetes mellitus.
Regular exercise has been shown to be effective in blood glucose control, which includes improving glucose tolerance and insulin sensitivity, decreasing glycosylated haemoglobin levels and improving cardiorespiratory fitness.
Quasi-experimental design with a twelve-week home-based aerobic exercise programme.
Twenty-eight participants completed the study: 12 in the home-based exercise group, 11 in the non-exercise control group and five in the self-directed exercise group. A mixed model was used to capture longitudinal change in glycosylated haemoglobin levels.
The home-based aerobic exercise group showed no significant effect on glycemic control and peak oxygen uptake in this study across assessment times. However, a group difference in glycosylated haemoglobin levels at the nine-month follow-up was significant (general linear model: F = 4.06, p = 0.03). A Bonferroni test indicated that glycosylated haemoglobin levels in the home-based exercise group were higher than in the self-directed exercise group (p < 0.05) and higher in the control group than in the self-directed exercise group (p < 0.05) at the nine-month follow-up. Home-based aerobic exercise showed no significant effect on peak oxygen uptake in this study.
A three-month home-based aerobic exercise programme has no significant effect on glycosylated haemoglobin and peak oxygen uptake levels in children with type 1 diabetes mellitus.
Our exercise programme has designed that children can practice exercise at home and is a viable component of self-care intervention to improve patient's self-care skill and diabetes care control. However, how to encourage patients to adhere the exercise programme is a challenge for health care providers.
探讨运动方案对 1 型糖尿病儿童和青少年糖化血红蛋白和峰值摄氧量的影响。
有研究表明，规律运动在血糖控制方面是有效的，包括改善葡萄糖耐量和胰岛素敏感性、降低糖化血红蛋白水平和提高心肺适能。
准实验设计，采用为期 12 周的家庭有氧运动方案。
28 名参与者完成了研究：家庭有氧运动组 12 名，非运动对照组 11 名，自我指导运动组 5 名。采用混合模型捕捉糖化血红蛋白水平的纵向变化。
本研究中，家庭有氧运动组在整个评估时间内对血糖控制和峰值摄氧量均没有显著影响。然而，9 个月随访时的糖化血红蛋白水平组间差异具有统计学意义（一般线性模型：F = 4.06，p = 0.03）。Bonferroni 检验表明，家庭有氧运动组的糖化血红蛋白水平高于自我指导运动组（p < 0.05），对照组高于自我指导运动组（p < 0.05）。家庭有氧运动对本研究中峰值摄氧量没有显著影响。
为期 3 个月的家庭有氧运动方案对 1 型糖尿病儿童的糖化血红蛋白和峰值摄氧量水平没有显著影响。
我们的运动方案设计为儿童可以在家中进行运动，是改善患者自我护理技能和糖尿病护理控制的自我护理干预的可行组成部分。然而，如何鼓励患者坚持运动方案是医疗保健提供者面临的挑战。
