Is exercise a therapeutic tool for improvement of cardiovascular risk factors in adolescents with type 1 diabetes mellitus? A randomised controlled trial

Salem, Mona A; AboElAsrar, Mohammed A; Elbarbary, Nancy S; ElHilaly, Rana A; Refaat, Yara M

doi:10.1186/1758-5996-2-47

Cited by 140Diabetes Management and ResearchPhysical Activity and HealthDiabetes, Cardiovascular Risks, and Lipoproteins

Is exercise a therapeutic tool for improvement of cardiovascular risk factors in adolescents with type 1 diabetes mellitus? A randomised controlled trial

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Salem, Mona A, AboElAsrar, Mohammed A, Elbarbary, Nancy S, ElHilaly, Rana A, Refaat, Yara M·2010·Diabetology & Metabolic Syndrome

DOI 10.1186/1758-5996-2-47PMC PMC3238209

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Abstract

BACKGROUND: Type 1 diabetes mellitus (T1DM) is associated with a high risk for early atherosclerotic complications especially risk of coronary heart disease. OBJECTIVE: To evaluate the impact of six months exercise prgram on glycemic control, plasma lipids values, blood pressure, severity and frequency of hypoglycemia, anthropometric measurements and insulin dose in a sample of adolescents with T1DM. RESEARCH DESIGN AND METHODS: A total of 196 type 1 diabetic patients participated in the study. They were classified into three groups: Group (A) did not join the exercise program(n = 48), group (B) attended the exercise sessions once/week (n = 75), group (C) attended the exercise sessions three times/week (n = 73). Studied parameters were evaluated before and six months after exercise programe. RESULTS: Exercise improved glycemic control by reducing HbA1c values in exercise groups (P = 0.03, P = 0.01 respectively) and no change in those who were not physically active (P = 0.2). Higher levels of HbA1c were associated with higher levels of cholesterol, LDL-c, and triglycerides (P = 0.000 each). In both groups, B and C, frequent exercise improved dyslipidemia and reduced insulin requirements significantly (P = 0.00 both), as well as a reduction in BMI (P = 0.05, P = 0.00 respectively) and waist circumference(P = 0.02, P = 0.00 respectively). The frequency of hypoglycemic attacks were not statistically different between the control group and both intervention groups (4.7 +/- 3.56 and 4.82 +/- 4.23, P = 0.888 respectively). Reduction of blood pressure was statistically insignificant apart from the diastolic blood presure in group C (P = 0.04). CONCLUSION: Exercise is an indispensable component in the medical treatment of patients with T1DM as it improves glycemic control and decreases cardiovascular risk factors among them.

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Physical activity was not assessed.
“Physical activity, a known determinant of insulin requirements 25 , 26 , was not assessed.”
From A study of changes in insulin requirements related to the menstrual cycle in Japanese women with type 1 diabetes using the advanced hybrid closed‐loop system (2026) · cites this paper as [25]

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Open Access
Salem, M. A. (2013)
Self-citation
Effects of 12 Weeks Aerobic Exercise with a Diet Regimen on the Glycemic Control and Cardiovascular Health of Boys with Type 1 Diabetes Mellitus
Mohammed, M. H. H., & Al-Qahtani, M. H. (2019) · DOAJ (DOAJ: Directory of Open Access Journals) · doi:10.30472/ijaep.v8i3.518 · Cited by 3 · see citing works

Authors: Salem, M. A., AboElAsrar, M. A., Elbarbary, N. S., ElHilaly, R. A., & Refaat, Y. M.
Affiliations: Ain Shams University (EG)
Corresponding author: Salem, Mona A
ORCID: Elbarbary, Nancy S
Venue: Diabetology & Metabolic Syndrome
Publisher: Springer Science and Business Media LLC
Published: 2010-07-11
Volume: 2
Issue: 1
Pages: 47-47
ISSN: 1758-5996 (ISSN-L)
DOI: 10.1186/1758-5996-2-47
PMC: PMC3238209
OpenAlex: W2142357242
Cited by: 140
References: 40
Citations by year: 2026: 5 · 2025: 11 · 2024: 7 · 2023: 4 · 2022: 11 · 2021: 15 · 2020: 7 · 2019: 11 · 2018: 13 · 2017: 7 · 2016: 11 · 2015: 8 · 2014: 8 · 2013: 11 · 2012: 6
FWCI: 5.08
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/2.0 (tdm)
Locations: Diabetology & Metabolic Syndrome (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Greater South Information System
Funders: Ain Shams University
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Physiology › Physical Activity and Health
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords: type 1 diabetes, adolescents, exercise therapy, glycemic control, HbA1c, dyslipidemia, cardiovascular risk factors, insulin dose, hypoglycemia, body mass index, waist circumference, blood pressure

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Is exercise a therapeutic tool for improvement of cardiovascular risk factors in adolescents with type 1 diabetes mellitus? A randomised controlled trial

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