Reduced physical fitness in children and adolescents with type 1 diabetes
Reduced physical fitness in children and adolescents with type 1 diabetes
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DOI：
10.1111/j.1399-5448.2012.00848.x
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发表时间：
2012-08-01
影响因子：
3.4
通讯作者：
Barkai, Laszlo
中科院分区：
文献类型：
--
作者：
Lukacs, Andrea;Mayer, Krisztina;Barkai, Laszlo
目的评价1型糖尿病青年患者的运动能力和心肺功能，并与年龄匹配的对照组进行比较，分析体力活动水平、人体测量和体能参数对长期代谢控制的影响。方法采用Eurofit测试对106例糖尿病青年和130例健康青年（年龄818岁）的运动能力、心肺适能（VO 2 max）、皮褶厚度和体重指数进行评定。体力活动水平通过问卷调查进行评估。预测体质和代谢控制的回归分析。结果两组在身体成分和体力活动水平上均无差异，但年龄较小的糖尿病女孩在上肢运动速度、腹肌力量、上肢力量、跑步速度和最大摄氧量方面表现较差;年龄较大的糖尿病女孩在上肢运动速度、腹肌力量、上肢力量和最大摄氧量方面表现较差。与对照组相比，年龄较小的糖尿病男孩在上肢运动速度、灵活性、手部静态力量和腹肌力量方面的结果受损;年龄较大的糖尿病男孩在上肢运动速度、灵活性、腹肌力量、上身力量和最大摄氧量方面的结果较差。年龄较大、女性、较低的体力活动水平和较高的HbA 1c是最大摄氧量较差的重要独立预测因素。更好的VO 2 max被证明是有利HbA 1c的单一预测因素。结论：糖尿病青少年的体能参数降低。应努力改善身体健康，作为1型糖尿病儿童和青少年治疗和护理的一部分。
Aims To evaluate motor performance and cardiorespiratory function in youths with type 1 diabetes in comparison with age-matched control groups and to analyze the influence of physical activity level, anthropometric and physical fitness parameters on long-term metabolic control. Methods 106 youths with diabetes and 130 healthy youths aged 818 were assessed by the Eurofit test regarding motor performances, cardiorespiratory fitness (VO2max), skinfold thickness, and body mass index. Physical activity level was assessed through the use of questionnaires. Predictors of physical fitness and metabolic control were determined with regression analysis. Results There were no differences either in body composition or in physical activity level, but younger girls with diabetes had impaired results in speed of upper limb movement, abdominal muscle strength, upper body strength, running speed, and VO2max; older girls with diabetes had poor results in speed of upper limb movement, abdominal muscle strength, upper body strength and VO2max. Younger boys with diabetes had impaired results in speed of upper limb movement, flexibility, static strength of hand, and abdominal muscle strength; and older boys with diabetes had poor results in speed of upper limb movement, flexibility, abdominal muscle strength, upper body strength, and VO2max compared with control groups. Older age, female gender, lower physical activity level, and higher HbA1c were significant independent predictors of poorer VO2max. Better VO2max proved to be the single predictor of favorable HbA1c. Conclusions Youths with diabetes have reduced fitness parameters. Efforts should be carried out to improve physical fitness as part of treatment and care of children and adolescents with type 1 diabetes.