Abstract
Background and aim: Regular physical exercise (RPA) have a great role in management of type 1 diabetes mellitus (T1DM). We aimed from this study to correlate between regular physical activity and glycaemic control in pediatric age group with T1DM. Patients and methods: This is a cross-sectional study, includes 243 T1DM children and adolescents visiting pediatric diabetes clinic at King Abdul-Aziz University Hospital (KAUH). Clinical and laboratory characteristics of patients were all recorded. Patients were divided into two groups, good glycemic control (HbA1c<8%) and poor glycemic control (HbA1c ≥ 8%). The collected data used to examine cross-sectional association between glycaemic control (HbA1c) and physical activity Results: There was no significant difference between two groups regarding age, gender, mother education, father education, family history of type 1 diabetes and duration of RPA ( P value>0.05 ), while there was significant difference between two groups regarding RPA and frequency of RPA /week( P value<0.05 ). We found. Lower level of HbA1c in patients with more frequent RPA (P<0.05). Patients with no RPA were at 3.5 times risk of poor glycemic control (HbA1c ≥ 8%). Patients with long duration of diabetes had higher HbA1c. Conclusion: Children and adolescents with T1DM should be encouraged to participate regularly in physical activity which results in better glycaemic control.
Highlights
Diabetes Type 1 (T1D), is one of the commonest chronic diseases that affect children and adolescents
Children and adolescents with type 1 diabetes mellitus (T1DM) should be encouraged to participate regularly in physical activity which results in better glycaemic control
We found that frequency of Regular physical exercise (RPA)/week affects HbA1c P value
Summary
Diabetes Type 1 (T1D), is one of the commonest chronic diseases that affect children and adolescents. The rate of T1D incidence among children under age 14 is estimated to increase by three percent annually worldwide [1]. The reported prevalence of T1DM among Saudi Arabian children and adolescents in 2008 was 109.5/100,000 [2]. Because of the increase in the understanding of the pathogenesis of type 1 diabetes, it has become possible to consider interventions to slow or even prevent hyperglycemia. Most complications of type 1 diabetes developed when the risk increases with age and maturation, it is important to consider such an interventions at early age as in childhood and adolescence. We aimed from this study to correlate between regular physical activity and glycaemic control in pediatric age group with T1DM
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