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Influence of combined aerobic and resistance training on metabolic control, cardiovascular fitness and quality of life in adolescents with type 1 diabetes: a randomized controlled trial

Roseline D'hooge UGent, Tinneke Hellinckx UGent, Christophe Van Laethem UGent, Sanne Stegen UGent, Jean De Schepper UGent, SARA VAN AKEN UGent, Daniël De Wolf UGent and Patrick Calders UGent (2011) CLINICAL REHABILITATION. 25(4). p.349-359
abstract
OBJECTIVE: To evaluate the effect of combined exercise training on metabolic control, physical fitness and quality of life in adolescents with type 1 diabetes. DESIGN: A double-blind randomized controlled trial with patients receiving combined aerobic and strength or no training. SETTING: University Hospital Ghent (Belgium). SUBJECTS: Sixteen children with type 1 diabetes were randomized into a control group (n = 8) and an intervention group (n = 8). INTERVENTIONS: Patients participated twice a week for 20 weeks in the combined aerobic and strength group. The control group continued their normal daily activities. MAIN MEASURES: Before and after the intervention anthropometric variables (weight, length, BMI, body composition), metabolic control (glycaemia, HbA1c, daily insulin injected), aerobic capacity (peak Vo(2), peak power, peak heart rate, 6-minute walk distance), strength (1 repetition maximum of upper and lower limb, hand grip strength, muscle fatigue resistance, sit-to-stand) and quality of life (SF-36) were assessed. RESULTS: At baseline, none of the measured parameters differed significantly between the two groups. There was no significant evolution in the groups concerning anthropometric indices, glycaemia and HbA1c. However, the daily doses of insulin injected were significantly lowered in the training group (0.96 IU/kg.day pre versus 0.90 IU/kg.day post; P < 0,05), while it was increased in the control group. Physical fitness increased significantly in the training group. General health, vitality and role emotional had a tendency to improve. CONCLUSION: Combined exercise training seemed to lower daily insulin requirement and improve physical fitness, together with better well-being.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
journal title
CLINICAL REHABILITATION
Clin. Rehabil.
volume
25
issue
4
pages
349 - 359
Web of Science type
Article
Web of Science id
000288532000006
JCR category
REHABILITATION
JCR impact factor
2.123 (2011)
JCR rank
11/57 (2011)
JCR quartile
1 (2011)
ISSN
0269-2155
DOI
10.1177/0269215510386254
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1095166
handle
http://hdl.handle.net/1854/LU-1095166
date created
2011-01-06 14:14:31
date last changed
2012-04-26 14:13:40
@article{1095166,
  abstract     = {OBJECTIVE: To evaluate the effect of combined exercise training on metabolic control, physical fitness and quality of life in adolescents with type 1 diabetes.
DESIGN: A double-blind randomized controlled trial with patients receiving combined aerobic and strength or no training.
SETTING: University Hospital Ghent (Belgium).
SUBJECTS: Sixteen children with type 1 diabetes were randomized into a control group (n = 8) and an intervention group (n = 8).
INTERVENTIONS: Patients participated twice a week for 20 weeks in the combined aerobic and strength group. The control group continued their normal daily activities.
MAIN MEASURES: Before and after the intervention anthropometric variables (weight, length, BMI, body composition), metabolic control (glycaemia, HbA1c, daily insulin injected), aerobic capacity (peak Vo(2), peak power, peak heart rate, 6-minute walk distance), strength (1 repetition maximum of upper and lower limb, hand grip strength, muscle fatigue resistance, sit-to-stand) and quality of life (SF-36) were assessed.
RESULTS: At baseline, none of the measured parameters differed significantly between the two groups. There was no significant evolution in the groups concerning anthropometric indices, glycaemia and HbA1c. However, the daily doses of insulin injected were significantly lowered in the training group (0.96 IU/kg.day pre versus 0.90 IU/kg.day post; P {\textlangle} 0,05), while it was increased in the control group. Physical fitness increased significantly in the training group. General health, vitality and role emotional had a tendency to improve.
CONCLUSION: Combined exercise training seemed to lower daily insulin requirement and improve physical fitness, together with better well-being.},
  author       = {D'hooge, Roseline and Hellinckx, Tinneke and Van Laethem, Christophe and Stegen, Sanne and De Schepper, Jean and VAN AKEN, SARA and De Wolf, Dani{\"e}l and Calders, Patrick},
  issn         = {0269-2155},
  journal      = {CLINICAL REHABILITATION},
  language     = {eng},
  number       = {4},
  pages        = {349--359},
  title        = {Influence of combined aerobic and resistance training on metabolic control, cardiovascular fitness and quality of life in adolescents with type 1 diabetes: a randomized controlled trial},
  url          = {http://dx.doi.org/10.1177/0269215510386254},
  volume       = {25},
  year         = {2011},
}

Chicago
D’hooge, Roseline, Tinneke Hellinckx, Christophe Van Laethem, Sanne Stegen, Jean De Schepper, SARA VAN AKEN, Daniël De Wolf, and Patrick Calders. 2011. “Influence of Combined Aerobic and Resistance Training on Metabolic Control, Cardiovascular Fitness and Quality of Life in Adolescents with Type 1 Diabetes: a Randomized Controlled Trial.” Clinical Rehabilitation 25 (4): 349–359.
APA
D’hooge, R., Hellinckx, T., Van Laethem, C., Stegen, S., De Schepper, J., VAN AKEN, S., De Wolf, D., et al. (2011). Influence of combined aerobic and resistance training on metabolic control, cardiovascular fitness and quality of life in adolescents with type 1 diabetes: a randomized controlled trial. CLINICAL REHABILITATION, 25(4), 349–359.
Vancouver
1.
D’hooge R, Hellinckx T, Van Laethem C, Stegen S, De Schepper J, VAN AKEN S, et al. Influence of combined aerobic and resistance training on metabolic control, cardiovascular fitness and quality of life in adolescents with type 1 diabetes: a randomized controlled trial. CLINICAL REHABILITATION. 2011;25(4):349–59.
MLA
D’hooge, Roseline, Tinneke Hellinckx, Christophe Van Laethem, et al. “Influence of Combined Aerobic and Resistance Training on Metabolic Control, Cardiovascular Fitness and Quality of Life in Adolescents with Type 1 Diabetes: a Randomized Controlled Trial.” CLINICAL REHABILITATION 25.4 (2011): 349–359. Print.