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Benefits of physical activity in children and adolescents with type 1 diabetes: A systematic review

Hélène Absil1, Lia Baudet1, Annie Robert2

  • 1Unité d'Endocrinologie Pédiatrique, Cliniques universitaires Saint Luc, Belgium.

Diabetes Research and Clinical Practice
|August 12, 2019
PubMed

Insights

Physical activity benefits children with type 1 diabetes, improving metabolic health and quality of life. However, more research is needed to confirm its impact on glycemic control.

Area of Science:

  • Pediatric Endocrinology
  • Exercise Physiology
  • Metabolic Health

Background:

  • Type 1 diabetes (T1D) management in children requires comprehensive strategies.
  • The role of physical activity in T1D pediatric care is an area of ongoing investigation.
  • Understanding the health benefits of exercise is crucial for improving patient outcomes.

Purpose of the Study:

  • To systematically review clinical trials on physical activity's health benefits in pediatric patients with type 1 diabetes.
  • To synthesize evidence regarding exercise interventions in this population.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) published in English before 1998.
  • Searches conducted across four databases, adhering to PICOS criteria and PRISMA guidelines.
  • Inclusion criteria focused on pediatric patients with type 1 diabetes and physical activity interventions.

Main Results:

  • Seven RCTs involving 2655 participants were included.
  • Positive effects observed in blood lipid profiles, physical fitness, quality of life, and body composition.
  • Only one study demonstrated a significant positive effect on glycemic control.

Conclusions:

  • Physical activity positively impacts metabolic and psychological health in children with T1D.
  • Variations in study protocols and sample sizes may limit the statistical power to demonstrate improved glycemic control.
  • Future trials should consider specific design elements to enhance the understanding of physical activity's role in T1D management.
Abstract

Keywords:
AdolescentsBlood lipid profileBody compositionChildrenGlycemic controlPhysical activityQuality of lifeType 1 diabetes

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