胰岛素依赖型糖尿病儿童及青少年的体能状况

Physical fitness of children and adolescents with insulin-dependent diabetes mellitus.

作者信息

Huttunen N P, Käär M L, Knip M, Mustonen A, Puukka R, Akerblom H K

出版信息

Ann Clin Res. 1984;16(1):1-5.

Abstract

The physical working capacity (PWC170) of 84 children and adolescents with insulin-dependent diabetes mellitus (IDDM) and of 94 non-diabetic subjects was measured by a submaximal progressive exercise test. The age of the diabetic subjects ranged from 6.3 to 18.8 years and that of the control subjects from 8.5 to 18.8 years. The PWC170 of diabetic boys was lower than that of non-diabetic boys (p less than 0.01) while no difference was observed between diabetic and non-diabetic girls. PWC170 was inversely related to age (p less than 0.01) and concentration of hemoglobin A1 (p less than 0.025) in diabetic boys but not in diabetic girls. No relationship was observed between PWC170 and duration of diabetes in either boys or in girls. The results indicate that good physical fitness in boys is associated with a better metabolic control. Hence the study indirectly supports previous observations that physical activity improves the metabolic control of IDDM.

摘要

通过次极量渐进性运动试验，对84例胰岛素依赖型糖尿病（IDDM）儿童及青少年和94例非糖尿病受试者的身体工作能力（PWC170）进行了测量。糖尿病受试者的年龄在6.3至18.8岁之间，对照组受试者的年龄在8.5至18.8岁之间。糖尿病男孩的PWC170低于非糖尿病男孩（p<0.01），而糖尿病女孩与非糖尿病女孩之间未观察到差异。在糖尿病男孩中，PWC170与年龄（p<0.01）及糖化血红蛋白A1浓度（p<0.025）呈负相关，而在糖尿病女孩中则无此关系。在男孩或女孩中，均未观察到PWC170与糖尿病病程之间存在关联。结果表明，男孩良好的身体素质与更好的代谢控制相关。因此，该研究间接支持了先前的观察结果，即体育活动可改善IDDM的代谢控制。