Are We Compensating for the Lack of Physical Activity in Our Diabetic Patients with Treatment Intensification?
| Autor: | Maja Cigrovski Berkovic MC; Clinical Department of Endocrinology, Diabetes and Metabolism, University Hospital Centre 'Sestre Milosrdnice', 10000 Zagreb, Croatia. maja.cigrovskiberkovic@gmail.com., Bilic-Curcic I; Faculty of Medicine, J. J. Strossmayer University Osijek, Clinical Hospital Center Osijek, 31000 Osijek, Croatia. ibcurcic@mefos.hr., Gradiser M; Department of Internal medicine, General Hospital Čakovec, 40101 Čakovec, Croatia. marina.gradiser@gmail.com., Herman-Mahecic D; Clinical Department of Endocrinology, Diabetes and Metabolism, University Hospital Centre 'Sestre Milosrdnice', 10000 Zagreb, Croatia. dherman_cro@yahoo.com., Cigrovski V; Faculty of Kinesiology, University of Zagreb, 10000 Zagreb, Croatia. vjekoslav.cigrovski@kif.hr., Ivandic M; Faculty of Medicine, J. J. Strossmayer University Osijek, Clinical Hospital Center Osijek, 31000 Osijek, Croatia. mivandic@yahoo.com. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Sports (Basel, Switzerland) [Sports (Basel)] 2017 Aug 07; Vol. 5 (3). Date of Electronic Publication: 2017 Aug 07. |
| DOI: | 10.3390/sports5030058 |
| Abstrakt: | Background: We studied the association between leisure time physical activity (LTPA) and glycemic control, body mass index (BMI), and hypoglycemic incidents in type 1 (T1DM) and type 2 diabetes patients (T2DM). Methods: This is a cross-sectional study of 198 diabetic patients (60 with type 1 diabetes, 138 with type 2 diabetes). LTPA was assessed by a validated 12-month questionnaire. Patients were grouped as sedentary and moderately to vigorously active. Outcome measures were Hemoglobin A1c (HbA1c), BMI, and hypoglycemic episodes. Results: LTPA effect on the HbA1c reduction was present in diabetes type 1 patients. Patients who were involved in the moderate to vigorous-intensity physical activity had a greater decrease in the HbA1c (p = 0.048) than patients with low physical activity (p = 0.085). Level of LTPA was neither associated with increased number of hypoglycemic episodes, nor BMI. After an average of 4 years of diabetes, the number of patients requiring more than one antidiabetic agent increased, although the observed difference did not correlate with LTPA level. Conclusions: LTPA has an influence on the regulation of diabetes type 1, and intensification of medical treatment is compensating for the lack of lifestyle change-especially in type 2 diabetics. Competing Interests: The authors declare no conflict of interest. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|