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Play, art, music and exercise therapy impact on children with diabetes
Ioana Patricia Bacus1, Husnain Mahomed2, Anne-Marie Murphy3,2
1Department of Paediatrics, School of Medicine, University of Limerick, Limerick, Ireland. bacus.patricia@gmail.com.
Insights
Non-pharmacological therapies like play, art, music, and exercise show positive effects for children with type 1 diabetes (T1D). However, more research is needed to quantify their impact on key diabetes control metrics.
Area of Science:
- Pediatrics
- Endocrinology
- Complementary Therapies
Background:
- Type 1 diabetes (T1D) is a growing global health concern, particularly in children, necessitating lifelong insulin therapy.
- The incidence of pediatric T1D diagnoses is increasing worldwide, highlighting the need for effective management strategies.
Purpose of the Study:
- To review the existing literature on the effects of non-pharmacological therapies on diabetes management in children.
- To evaluate the impact of play, art, music, and exercise therapy on pediatric diabetes control.
Main Methods:
- A comprehensive literature search was conducted across major databases (PubMed, Medline, Embase, Cochrane Library).
- Keywords included "paediatric", "diabetes", "play therapy", "art therapy", "music therapy", and "exercise therapy".
- Eleven relevant studies were selected for review after initial screening of 270 search results.
Main Results:
- All reviewed non-pharmacological therapies demonstrated a positive influence on the well-being of children with diabetes.
- Limited research currently exists that quantifies the impact of these therapies on objective measures like HbA1c or 'time in range'.
Conclusions:
- Non-pharmacological interventions offer benefits for children with T1D.
- Further research is crucial to establish the quantitative efficacy of these therapies in improving glycemic control.
Abstract:
Diabetes mellitus (DM) is a global public health issue. Type 1 diabetes (T1D) is the predominant diabetes type in children and always requires insulin therapy. The incidence rate of newly diagnosed T1D in children continues to increase in Ireland Roche et al. (Eur J Pediatr 175(12):1913-1919, 2016) and worldwide Patterson et al. (Diabetologia 62(3):408-417, 2019). The objective of this study was to conduct a literature review of the effects of various non-pharmacological therapeutic modalities on the control of diabetes in children. A literature review was performed using PubMed, Medline, Embase and Cochrane library to evaluate play, art, music and exercise therapy in the treatment of DM using the keywords: "paediatric", "diabetes", "play therapy", "art therapy", "music therapy" and "exercise therapy". These search terms initially returned 270 cases, which resulted in a total of 11 papers being reviewed after eliminating duplicate or irrelevant papers. Literature review showed that all therapies have a positive impact on the child, but there is limited research looking at the impact of therapy on quantitative measures such as HbA1c or 'time in range'.
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