“CoVidentary”：一项在线运动训练计划，旨在减少1型糖尿病儿童在新冠疫情期间的久坐行为。
"CoVidentary": An online exercise training program to reduce sedentary behaviours in children with type 1 diabetes during the COVID-19 pandemic.
作者信息
Calcaterra Valeria, Iafusco Dario, Carnevale Pellino Vittoria, Mameli Chiara, Tornese Gianluca, Chianese Antonietta, Cascella Crescenzo, Macedoni Maddalena, Redaelli Francesca, Zuccotti Gianvincenzo, Vandoni Matteo
机构信息
Department of Pediatrics, "Vittore Buzzi" Children's Hospital, Milano, Italy.
Pediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia, Pavia, Italy.
出版信息
J Clin Transl Endocrinol. 2021 Jul 10;25:100261. doi: 10.1016/j.jcte.2021.100261. eCollection 2021 Sep.
AIM
We explored the physical activity (PA) level and the variation in glycaemic control in children with type 1 diabetes (T1D) before and during the lockdown. Then, we proposed an online training program supported by sport-science specialists.
METHODS
Parents of children with T1D (<18 years) filled out an online survey. Anthropometric characteristics, PA, play, sport and sedentary time and the medical related outcomes were recorded. An adapted online program "Covidentary" was proposed through full-training (FT) and active breaks (AB) modality.
RESULTS
280 youth (11.8 ± 3.3 years) were included in the analysis. We reported a decline in sport (-2.1 ± 2.1 h/week) and outdoor-plays (-73.9 ± 93.6 min/day). Moreover, we found an increase in sedentary time (+144.7 ± 147.8 min/day), in mean glycaemic values (+25.4 ± 33.4 mg/dL) and insulin delivery (71.8% of patients). 37% of invited patients attended the training program, 46% took part in AB and 54% in FT. The AB was carried out for 90% of the total duration, while the FT for 31%. Both types of training were perceived as moderate intensity effort.
CONCLUSION
A decline of participation in sport activities and a subsequent increase of sedentary time influence the management of T1D of children, increasing the risk of acute/long-term complications. Online exercise program may contrast the pandemic's sedentary lifestyle.
目的
我们探讨了1型糖尿病（T1D）患儿在封锁前及封锁期间的身体活动（PA）水平以及血糖控制的变化。然后，我们提出了一个由运动科学专家支持的在线培训项目。
方法
T1D患儿（<18岁）的家长填写了一份在线调查问卷。记录了人体测量特征、PA、玩耍、运动和久坐时间以及与医学相关的结果。通过全时训练（FT）和主动休息（AB）模式提出了一个经过改编的在线项目“Covidentary”。
结果
280名青少年（11.8±3.3岁）纳入分析。我们报告运动时间减少（-2.1±2.1小时/周），户外玩耍时间减少（-73.9±93.6分钟/天）。此外，我们发现久坐时间增加（+144.7±147.8分钟/天），平均血糖值增加（+25.4±33.4毫克/分升），胰岛素注射量增加（71.8%的患者）。37%的受邀患者参加了培训项目，46%参加了AB，54%参加了FT。AB占总时长的90%，而FT占31%。两种类型的训练都被认为是中等强度的运动。
结论
体育活动参与度下降以及随后久坐时间增加会影响儿童T1D的管理，增加急性/长期并发症的风险。在线锻炼项目可能会对抗疫情期间的久坐生活方式。
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