Faculty of Medicine, University of Rzeszów, 35-959 Rzeszów, Poland.
Clinical Regional Hospital No. 2 in Rzeszów, Lwowska Street 60, 35-301 Rzeszów, Poland.
Int J Environ Res Public Health. 2019 Sep 19;16(18):3498. doi: 10.3390/ijerph16183498.
Given the fact that physical exertion leads to blood glucose fluctuations, type one diabetes mellitus (T1D) may potentially constitute a barrier for obtaining a sufficient amount of exercise. The main purpose of the study was to compare the level of physical activity between children with T1D ( = 215) and healthy controls ( = 115) and to assess the physical activity of the study group in relation to the applied method of insulin therapy, i.e., the use of insulin pen vs. insulin pump. The level of physical activity was assessed with a hip-worn tri-axial accelerometer (ActiGraph GT3X+) used by the subjects for an uninterrupted period of seven days. Children with T1D had significantly lower median values of total time of moderate (213.3 vs. 272.1 min), vigorous (135.3 vs. 19.6 min) and moderate-to-vigorous (347.4 vs. 467.4 min) physical activity compared to healthy peers respectively, ( < 0.001) in all cases. In addition, the total median number of steps was significantly lower (53,631 vs. 67,542 steps), ( < 0.001). The method of insulin therapy was not associated with significant differences in physical activity level ( > 0.001). The level of physical activity in children and adolescents with T1D is lower than in their healthy peers and does not depend on the insulin therapy method.
鉴于体力活动会导致血糖波动，1 型糖尿病（T1D）可能会成为获得足够运动量的障碍。本研究的主要目的是比较 T1D 患儿（n=215）和健康对照组（n=115）的体力活动水平，并评估研究组的体力活动与应用的胰岛素治疗方法（即胰岛素笔与胰岛素泵）之间的关系。使用三轴加速度计（ActiGraph GT3X+），受试者佩戴在髋部，连续佩戴七天，以评估体力活动水平。与健康同龄人相比，T1D 患儿的中值总中度活动时间（213.3 分钟对 272.1 分钟）、剧烈活动时间（135.3 分钟对 19.6 分钟）和中高强度活动时间（347.4 分钟对 467.4 分钟）均显著降低（均<0.001）。此外，总中位数步数也明显较低（53631 步对 67542 步）（<0.001）。胰岛素治疗方法与体力活动水平无显著差异（>0.001）。T1D 患儿和青少年的体力活动水平低于健康同龄人，且不依赖于胰岛素治疗方法。
