PhD Candidate of Exercise Physiology, Faculty of Humanities, Rasht Brunch, Islamic Azad University, Rasht, Iran.
Young Researchers and Elite Club, Rasht Brunch, Islamic Azad University, Rasht, Iran.
J Pediatr Endocrinol Metab. 2020 May 26;33(5):599-604. doi: 10.1515/jpem-2019-0526.
Background Given the importance of anxiety and quality of life for the mental health of children with type 1 diabetes (T1D), exercise prescription can be of crucial significance. The present study aims to explore the effect of concurrent resistance-aerobic training on serum cortisol level, anxiety, and quality of life among pediatric T1D. Methods Forty children (aged 8-14 years) were randomly assigned to experimental (n = 20) and control groups (n = 20) for 16 weeks. The exercise training program was composed of 16 weeks of interval concurrent resistance-aerobic training with a duration of 60 min performed three times a week. The subjects first performed the resistance training (20 min of Pilates exercises and 20 min of body weight-bearing exercises). Then, the aerobic exercises were performed with an intensity of 50-75% of maximum heart rate. Before and after the training, blood tests including cortisol were carried out on the subjects by RIA kit. Anxiety and quality of life were measured by the Revised Children's Manifest Anxiety Scale (RCMAS) and Pediatric Quality of Life (PedsQL), respectively. Body composition was measured by InBody. Data were analyzed by paired and independent t-test at p < 0.05 significance level. Results Sixteen weeks of concurrent resistance-aerobic exercise significantly reduced the anxiety index (p = 0.001) and increased the quality of life (p = 0.003). Although the cortisol index was increased, it did not reveal any significant differences between the experimental and control groups (p = 0.781). No significant differences were observed in the indices of quality of life, anxiety, and cortisol in the control group. Conclusions A 16-week program of concurrent resistance-aerobic training can improve the quality of life and anxiety among children suffering from T1D, but it may not influence the cortisol level (p > 0.05).
鉴于焦虑和生活质量对 1 型糖尿病（T1D）儿童心理健康的重要性，运动处方可能具有至关重要的意义。本研究旨在探讨同时进行的抗阻-有氧训练对儿科 T1D 患者血清皮质醇水平、焦虑和生活质量的影响。
将 40 名（8-14 岁）儿童随机分为实验组（n=20）和对照组（n=20），进行 16 周的实验。运动训练方案由 16 周的间歇式抗阻-有氧训练组成，每周进行 3 次，每次 60 分钟。受试者首先进行抗阻训练（20 分钟的普拉提运动和 20 分钟的体重支撑运动），然后以最大心率的 50-75%进行有氧训练。在训练前后，通过 RIA 试剂盒对受试者进行包括皮质醇在内的血液检测。采用修订后的儿童焦虑量表（RCMAS）和儿童生活质量量表（PedsQL）分别测量焦虑和生活质量。采用 InBody 测量身体成分。数据采用配对和独立 t 检验分析，p<0.05 为差异有统计学意义。
16 周的同时抗阻-有氧运动显著降低了焦虑指数（p=0.001），提高了生活质量（p=0.003）。虽然皮质醇指数有所增加，但实验组和对照组之间没有显著差异（p=0.781）。对照组的生活质量、焦虑和皮质醇指数均无显著差异。
16 周的同时抗阻-有氧训练计划可以提高 T1D 患儿的生活质量和焦虑水平，但可能不会影响皮质醇水平（p>0.05）。
