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

The DOI matches its Crossref record; 39 of the 40 references it cites were found in a registry or an index.

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

Open access
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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Figure 1 A reduction in mean level of HbA1c in both groups B & C (p = 0.03, 0.01 respectively), while no change in group A(p = 0.2).
Figure 1 A reduction in mean level of HbA1c in both groups B & C (p = 0.03, 0.01 respectively), while no change in group A(p = 0.2).CC BY · PubMed Central
Figure 2 Frequent exercise was associated with statistically significant decrease in the lipid profile levels of LDL-c, TG, & cholesterol, and statistically significant increase in HDL-c in both groups B&C.
Figure 2 Frequent exercise was associated with statistically significant decrease in the lipid profile levels of LDL-c, TG, & cholesterol, and statistically significant increase in HDL-c in both groups B&C.CC BY · PubMed Central

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Research works printed but not linked: 2

  1. Hornsby WG, Albright AL: Diabetes. ACSM's Exercise Management for Persons with Chronic Diseases & Disabilities/American College of sports Medicine. Edited by: Robertson L, Bihler DK, Davis JL, Bernard K. 2003, Human Kinetics, USA, 133-141. 2
  2. Kelley G, Kelley K: Effects of aerobic exercise on non HDL-c in children & adolescents. prog Cardiovasc Nors. 2008, 23 (3): 128-132. 10.1111/j.1751-7117.2008.00002.x. · DOI

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Metadata

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
Licence
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 › Public Health, Environmental and Occupational Health › 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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