Department of Physiology, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland.
Department of Pediatrics, Diabetology and Endocrinology, Gdansk Medical University, 80-210 Gdansk, Poland.
Int J Environ Res Public Health. 2021 Jan 15;18(2):692. doi: 10.3390/ijerph18020692.
The purpose of this study was to investigate the influence of maximal oxygen uptake (VO max) on the glycemic changes during low and high intensity exercises in young type 1 diabetic patients. Twenty boys (age: 14.3 ± 1.6 years; height: 171.0 ± 11.3 cm; weight; 59.5 ± 12.8 kg) were divided into low-fit group (LFG, = 10) and high-fit group (HFG, = 10). According to the experimental design, participants performed three physical efforts (VO max test, mixed aerobic-anaerobic effort and aerobic effort) on the cycloergometer, during which real-time glycemia was measured. Mixed aerobic-anaerobic exercise demanded significantly smaller carbohydrate supplementation (0.2 ± 0.2 g/kg during exercise) than the aerobic test session (0.4 ± 0.3 g/kg during exercise). Moreover, patients with higher VO max had lower tendency for glycemic changes during the aerobic effort. The results of the current study suggest that young type 1 diabetic patients should perform different intensity activities using continuous glycemic monitoring system to avoid acute and chronic complications of the disease.
本研究旨在探讨最大摄氧量（VO max）对年轻 1 型糖尿病患者进行低强度和高强度运动时血糖变化的影响。20 名男孩（年龄：14.3 ± 1.6 岁；身高：171.0 ± 11.3cm；体重：59.5 ± 12.8kg）被分为低适应组（LFG，n=10）和高适应组（HFG，n=10）。根据实验设计，参与者在自行车测力计上进行了三项体力活动（VO max 测试、混合有氧-无氧运动和有氧运动），同时实时测量血糖。混合有氧-无氧运动比有氧运动需要的碳水化合物补充量少（运动中 0.2 ± 0.2 g/kg）。此外，VO max 较高的患者在进行有氧运动时血糖变化的趋势较低。本研究结果表明，年轻的 1 型糖尿病患者应使用连续血糖监测系统进行不同强度的活动，以避免疾病的急性和慢性并发症。
