Youth with type 1 diabetes mellitus are more inactive and sedentary than apparently healthy peers: a systematic review and meta-analysis
Fecha
2023Versión
Acceso abierto / Sarbide irekia
Tipo
Artículo / Artikulua
Versión
Versión publicada / Argitaratu den bertsioa
Identificador del proyecto
Impacto
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10.1016/j.diabres.2023.110697
Resumen
Aims: To conduct a meta-analysis of differences in physical activity, sedentary behaviour, and physical fitness
between children and adolescents with type 1 diabetes and their healthy peers.
Methods: The databases EMBASE, PubMed and SportsDiscus were searched for studies. Pooled effects were
calculated using random effects inverse-variance models with the Hartung–Knapp–Sidik–Jonkman adjustment ...
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Aims: To conduct a meta-analysis of differences in physical activity, sedentary behaviour, and physical fitness
between children and adolescents with type 1 diabetes and their healthy peers.
Methods: The databases EMBASE, PubMed and SportsDiscus were searched for studies. Pooled effects were
calculated using random effects inverse-variance models with the Hartung–Knapp–Sidik–Jonkman adjustment.
Results: Thirty-five studies were included, comprising a total of 4,751 youths (53% girls, 2,452 with type 1
diabetes). Youth with type 1 diabetes were less physically active (Cohen’s d = − 0.23, 95%CI − 0.42 to − 0.04),
more sedentary (Cohen’s d = 0.33, 95%CI 0.06 to 0.61), and had lower cardiorespiratory fitness (Cohen’s d =
− 0.52, 95%CI − 0.73 to − 0.31) than their healthy peers. This corresponds to –12.72 min/day of moderate-tovigorous physical activity, 63.3 min/day of sedentary time (accelerometry) and –4.07 ml/kg/min of
maximum/peak oxygen consumption. In addition, young people with type 1 diabetes were less likely to meet the
international physical activity recommendations than their healthy peers (odds ratio = 0.44, 95%CI 0.31 to
0.62).
Conclusions: Keeping in mind the heterogeneity between studies in the design, population and assessment, our
findings show that children and adolescents with type 1 diabetes seem to be less active, more sedentary, and have
lower cardiorespiratory fitness levels than their healthy peers. [--]
Materias
Insulin-dependent diabetes mellitus,
Exercise,
Screen time,
Aerobic capacity,
Physical fitness,
Children,
Adolescents
Editor
Elsevier
Publicado en
Diabetes Research and Clinical Practice, 200 (2023) 110697
Departamento
Universidad Pública de Navarra. Departamento de Ciencias de la Salud /
Nafarroako Unibertsitate Publikoa. Osasun Zientziak Saila