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Physical activity and overweight in children and adolescents using intensified insulin treatment
Author(s) -
Øverby Nina C,
Margeirsdottir Hanna D,
Brunborg Cathrine,
Anderssen Sigmund A,
Andersen Lene F,
DahlJørgensen Knut
Publication year - 2009
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/j.1399-5448.2008.00454.x
Subject(s) - medicine , overweight , physical activity , insulin , type 1 diabetes , regimen , population , diabetes mellitus , type 2 diabetes , pediatrics , obesity , physical therapy , endocrinology , environmental health
Aim: To describe physical activity and inactivity and parameters associated with overweight in a population‐based study of children and adolescents on intensive insulin treatment. Methods: Physical activity and inactivity were evaluated in 723 type 1 diabetic subjects, 240 children aged 6–10 yr and 483 adolescents aged 11–19 yr, using a questionnaire that can estimate total amount of time spent on inactivity and light, moderate and vigorous activity. Results: Overall, 54% of the participants do not fulfil the international recommendations of 60 min of moderate‐to‐vigorous activity per day. Girls are less active than boys in childhood (70 vs. 88 min/d, p = 0.01) and in adolescence (47 vs. 57 min/d, p = 0.02). Furthermore, this study shows that those who are more active are also those who seldom skip meals (p < 0.001). Forty‐three percent of the participants watch TV for more than 2 h a day, and TV viewing was found to be related to overweight in children and adolescents with type 1 diabetes [OR: 2.5 (1.40–4.54), p = 0.002]. No statistical differences in physical activity were noted between the different intensified insulin regimens. Patients wearing insulin pumps were not less active. Conclusion: To increase physical activity to recommended level and limit TV viewing should be an important issue in education of all children and adolescents with type 1 diabetes, independent of insulin regimen.