Department of Health and Sport Sciences, University of Louisville, Louisville, KY 40292, USA.
Norton Children's Hospital, Louisville, KY 40202, USA.
Int J Environ Res Public Health. 2022 May 3;19(9):5543. doi: 10.3390/ijerph19095543.
Assessing maximal oxygen uptake (VO2 max) is generally considered safe when performed properly for most adolescents; however, for adolescents with type 1 diabetes mellitus (T1DM), monitoring glucose levels before and after exercise is critical to maintaining euglycemic ranges. Limited guidance exists for glucose level recommendations for the pediatric population; therefore, the purpose of this retrospective clinical chart review study was to determine the effects of VO2 max testing on blood glucose levels for adolescents with T1DM. A total of 22 adolescents (mean age = 15.6 ± 1.8 years; male = 13, 59.1%) with a diagnosis of T1DM participated in a Bruce protocol for VO2 max from January 2019 through February 2020. A statistically significant reduction in glucose levels between pretest (<30 min, mean = 191.1 mg/dL ± 61.2) and post-test VO2 max (<5 min, mean = 166.7 mg/dL ± 57.9); t(21) = 2.3, p < 0.05) was detected. The results from this current study can help guide health and fitness professionals in formulating glycemic management strategies in preparatory activities prior to exercise testing and during exercise testing.
评估最大摄氧量（VO2 max）对于大多数青少年来说，只要正确进行，通常被认为是安全的；然而，对于 1 型糖尿病（T1DM）青少年来说，在运动前后监测血糖水平对于维持血糖正常范围至关重要。目前针对儿科人群的血糖水平建议存在有限的指导；因此，本回顾性临床图表审查研究的目的是确定 VO2 max 测试对 T1DM 青少年血糖水平的影响。共有 22 名青少年（平均年龄=15.6±1.8 岁；男性=13 名，占 59.1%）在 2019 年 1 月至 2020 年 2 月期间接受了 VO2 max 的布鲁斯方案测试。在 VO2 max 测试前（<30 分钟，平均=191.1mg/dL±61.2）和测试后（<5 分钟，平均=166.7mg/dL±57.9）之间，血糖水平呈显著下降（t(21)=2.3，p<0.05）。本研究的结果可以帮助健康和健身专业人员在运动测试前的准备活动和运动测试期间制定血糖管理策略。
