患有1型糖尿病的儿科患者的身体组成 - - 计划体育炼的重要性
Maria Adriana Rangel1, Rita Calejo2, Vilma Lopes3
1Paediatric Endocrinology and Diabetology Unit, Unidade de Saúde Local de Gaia e Espinho, Rua Conceição Fernandes, Vila Nova de Gaia, 4430, Portugal.
Annales d'endocrinologie
|September 22, 2024
概括
患有1型糖尿病 (T1D) 的儿童进行定期体育炼可以显著改善身体组成,减少体脂和内脏脂肪. 促进身体活动对于改善T1D患者的代谢和血糖控制至关重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 代谢健康 代谢健康
- 糖尿病管理 糖尿病管理
背景情况:
- 1型糖尿病 (T1D) 的管理需要监测代谢健康和身体组成.
- 儿科T1D患者在保持最佳的身体组成方面经常面临挑战.
- 生物阻抗分析提供了一种方法来评估T1D的身体组成.
研究的目的:
- 为了评估T1D的儿科患者的身体组成.
- 为了确定影响这个群体体的身体组成的因素.
- 评估体育炼对T1D身体组成的作用.
主要方法:
- 利用InBody 570生物阻抗系统进行身体组成分析.
- 包括78名患有T1D的儿科患者,不包括学龄前儿童和最近诊断的病例.
- 收集了关于年龄,性别,糖尿病管理 (CSII,闭环),HbA1c,BMI SDS和体育炼习惯的数据.
主要成果:
- 48%的患者有异常的体脂百分比 (PBF),PBF中位数为21.5%.
- 在学校以外的体育炼与较低的PBF,较低的内脏脂肪和较高的肌肉与脂肪比率有关.
- PBF与内脏脂肪,女性性别和体育炼有显著的相关性.
结论:
- 身体炼是改善儿童T1D体质组成的关键因素.
- 减少PBF和内脏脂肪与定期体力活动有关.
- 促进体育炼对于提高T1D的代谢和血糖控制至关重要.
相关概念视频
Carbohydrate Metabolism
10.9K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
10.9K
Insulin: Dosing Regimen and Adverse Effects
156
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
156
Diabetes Mellitus: Overview and Type I Subtype
2.5K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.5K
Diabetes Mellitus: Type 2 and Gestational
2.2K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.2K
Diabetes: Symptoms, Diagnosis, and Complications
516
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
516
Diabetes: Management and Pharmacotherapy
244
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
244


