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Current perspectives on physical activity and exercise for youth with diabetes
Author(s) -
Pivovarov Jacklyn A,
Taplin Craig E,
Riddell Michael C
Publication year - 2015
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/pedi.12272
Subject(s) - medicine , cardiorespiratory fitness , overweight , psychosocial , diabetes mellitus , type 2 diabetes , type 1 diabetes , population , insulin , obesity , physical fitness , physical therapy , gerontology , endocrinology , environmental health , psychiatry
Regular physical activity (PA) for youth with diabetes improves cardiorespiratory fitness, body composition, bone health, insulin sensitivity, and psychosocial well‐being. However many youth with diabetes or pre‐diabetes fail to meet minimum PA guidelines and a large percentage of youth with diabetes are overweight or obese. Active youth with type 1 diabetes tend to have lower HbA1c levels and reduced insulin needs, whereas activity in adolescents at‐risk for type 2 diabetes improves various measures of metabolism and body composition. Insulin and nutrient adjustments for exercise in type 1 diabetes is complex because of varied responses to exercise type and because of the different times of day that exercise is performed. This review highlights the benefits of exercise and the established barriers to exercise participation in the pediatric diabetes population. A new exercise management algorithm for insulin and carbohydrate intake strategies for active youth with type 1 diabetes is presented.