Effects of a home-based aerobic exercise programme in children with type 1 diabetes mellitus

Ching Hsiang Wong, Yi Chien Chiang, Jackson Pui Man Wai, Fu Sung Lo, Chao Hsing Yeh, Shih Chi Chung, Chi Wen Chang

Research output: Contribution to journalArticle

Abstract

Aims: To explore the effects of exercise programme on glycosylated haemoglobin and peak oxygen uptake in children and adolescents with type 1 diabetes mellitus. Background: Regular exercise has been shown to be effective in blood glucose control, which includes improving glucose tolerance and insulin sensitivity, decreasing glycosylated haemoglobin levels and improving cardiorespiratory fitness. Design: Quasi-experimental design with a twelve-week home-based aerobic exercise programme. Method: Twenty-eight participants completed the study: 12 in the home-based exercise group, 11 in the non-exercise control group and five in the self-directed exercise group. A mixed model was used to capture longitudinal change in glycosylated haemoglobin levels. Results: The home-based aerobic exercise group showed no significant effect on glycemic control and peak oxygen uptake in this study across assessment times. However, a group difference in glycosylated haemoglobin levels at the nine-month follow-up was significant (general linear model: F=4·06, p=0·03). A Bonferroni test indicated that glycosylated haemoglobin levels in the home-based exercise group were higher than in the self-directed exercise group (p<0·05) and higher in the control group than in the self-directed exercise group (p<0·05) at the nine-month follow-up. Home-based aerobic exercise showed no significant effect on peak oxygen uptake in this study. Conclusions: A three-month home-based aerobic exercise programme has no significant effect on glycosylated haemoglobin and peak oxygen uptake levels in children with type 1 diabetes mellitus. Relevance to clinical practice. Our exercise programme has designed that children can practice exercise at home and is a viable component of self-care intervention to improve patient's self-care skill and diabetes care control. However, how to encourage patients to adhere the exercise programme is a challenge for health care providers.

Original languageEnglish (US)
Pages (from-to)681-691
Number of pages11
JournalJournal of Clinical Nursing
Volume20
Issue number5-6
DOIs
StatePublished - Mar 2011
Externally publishedYes

Fingerprint

Type 1 Diabetes Mellitus
Exercise
Glycosylated Hemoglobin A
Oxygen
Self Care
Control Groups
Health Personnel
Insulin Resistance
Blood Glucose
Linear Models
Patient Care
Research Design

Keywords

  • Children and adolescents
  • Glycosylated haemoglobin
  • Home-based aerobic exercise
  • Peak oxygen uptake
  • Type 1 diabetes mellitus

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Effects of a home-based aerobic exercise programme in children with type 1 diabetes mellitus. / Wong, Ching Hsiang; Chiang, Yi Chien; Wai, Jackson Pui Man; Lo, Fu Sung; Yeh, Chao Hsing; Chung, Shih Chi; Chang, Chi Wen.

In: Journal of Clinical Nursing, Vol. 20, No. 5-6, 03.2011, p. 681-691.

Research output: Contribution to journalArticle

Wong, Ching Hsiang ; Chiang, Yi Chien ; Wai, Jackson Pui Man ; Lo, Fu Sung ; Yeh, Chao Hsing ; Chung, Shih Chi ; Chang, Chi Wen. / Effects of a home-based aerobic exercise programme in children with type 1 diabetes mellitus. In: Journal of Clinical Nursing. 2011 ; Vol. 20, No. 5-6. pp. 681-691.
@article{ad8d76a4dc6045c7a9106442c4a72b9e,
title = "Effects of a home-based aerobic exercise programme in children with type 1 diabetes mellitus",
abstract = "Aims: To explore the effects of exercise programme on glycosylated haemoglobin and peak oxygen uptake in children and adolescents with type 1 diabetes mellitus. Background: Regular exercise has been shown to be effective in blood glucose control, which includes improving glucose tolerance and insulin sensitivity, decreasing glycosylated haemoglobin levels and improving cardiorespiratory fitness. Design: Quasi-experimental design with a twelve-week home-based aerobic exercise programme. Method: Twenty-eight participants completed the study: 12 in the home-based exercise group, 11 in the non-exercise control group and five in the self-directed exercise group. A mixed model was used to capture longitudinal change in glycosylated haemoglobin levels. Results: The home-based aerobic exercise group showed no significant effect on glycemic control and peak oxygen uptake in this study across assessment times. However, a group difference in glycosylated haemoglobin levels at the nine-month follow-up was significant (general linear model: F=4·06, p=0·03). A Bonferroni test indicated that glycosylated haemoglobin levels in the home-based exercise group were higher than in the self-directed exercise group (p<0·05) and higher in the control group than in the self-directed exercise group (p<0·05) at the nine-month follow-up. Home-based aerobic exercise showed no significant effect on peak oxygen uptake in this study. Conclusions: A three-month home-based aerobic exercise programme has no significant effect on glycosylated haemoglobin and peak oxygen uptake levels in children with type 1 diabetes mellitus. Relevance to clinical practice. Our exercise programme has designed that children can practice exercise at home and is a viable component of self-care intervention to improve patient's self-care skill and diabetes care control. However, how to encourage patients to adhere the exercise programme is a challenge for health care providers.",
keywords = "Children and adolescents, Glycosylated haemoglobin, Home-based aerobic exercise, Peak oxygen uptake, Type 1 diabetes mellitus",
author = "Wong, {Ching Hsiang} and Chiang, {Yi Chien} and Wai, {Jackson Pui Man} and Lo, {Fu Sung} and Yeh, {Chao Hsing} and Chung, {Shih Chi} and Chang, {Chi Wen}",
year = "2011",
month = "3",
doi = "10.1111/j.1365-2702.2010.03533.x",
language = "English (US)",
volume = "20",
pages = "681--691",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
publisher = "Wiley-Blackwell",
number = "5-6",

}

TY - JOUR

T1 - Effects of a home-based aerobic exercise programme in children with type 1 diabetes mellitus

AU - Wong, Ching Hsiang

AU - Chiang, Yi Chien

AU - Wai, Jackson Pui Man

AU - Lo, Fu Sung

AU - Yeh, Chao Hsing

AU - Chung, Shih Chi

AU - Chang, Chi Wen

PY - 2011/3

Y1 - 2011/3

N2 - Aims: To explore the effects of exercise programme on glycosylated haemoglobin and peak oxygen uptake in children and adolescents with type 1 diabetes mellitus. Background: Regular exercise has been shown to be effective in blood glucose control, which includes improving glucose tolerance and insulin sensitivity, decreasing glycosylated haemoglobin levels and improving cardiorespiratory fitness. Design: Quasi-experimental design with a twelve-week home-based aerobic exercise programme. Method: Twenty-eight participants completed the study: 12 in the home-based exercise group, 11 in the non-exercise control group and five in the self-directed exercise group. A mixed model was used to capture longitudinal change in glycosylated haemoglobin levels. Results: The home-based aerobic exercise group showed no significant effect on glycemic control and peak oxygen uptake in this study across assessment times. However, a group difference in glycosylated haemoglobin levels at the nine-month follow-up was significant (general linear model: F=4·06, p=0·03). A Bonferroni test indicated that glycosylated haemoglobin levels in the home-based exercise group were higher than in the self-directed exercise group (p<0·05) and higher in the control group than in the self-directed exercise group (p<0·05) at the nine-month follow-up. Home-based aerobic exercise showed no significant effect on peak oxygen uptake in this study. Conclusions: A three-month home-based aerobic exercise programme has no significant effect on glycosylated haemoglobin and peak oxygen uptake levels in children with type 1 diabetes mellitus. Relevance to clinical practice. Our exercise programme has designed that children can practice exercise at home and is a viable component of self-care intervention to improve patient's self-care skill and diabetes care control. However, how to encourage patients to adhere the exercise programme is a challenge for health care providers.

AB - Aims: To explore the effects of exercise programme on glycosylated haemoglobin and peak oxygen uptake in children and adolescents with type 1 diabetes mellitus. Background: Regular exercise has been shown to be effective in blood glucose control, which includes improving glucose tolerance and insulin sensitivity, decreasing glycosylated haemoglobin levels and improving cardiorespiratory fitness. Design: Quasi-experimental design with a twelve-week home-based aerobic exercise programme. Method: Twenty-eight participants completed the study: 12 in the home-based exercise group, 11 in the non-exercise control group and five in the self-directed exercise group. A mixed model was used to capture longitudinal change in glycosylated haemoglobin levels. Results: The home-based aerobic exercise group showed no significant effect on glycemic control and peak oxygen uptake in this study across assessment times. However, a group difference in glycosylated haemoglobin levels at the nine-month follow-up was significant (general linear model: F=4·06, p=0·03). A Bonferroni test indicated that glycosylated haemoglobin levels in the home-based exercise group were higher than in the self-directed exercise group (p<0·05) and higher in the control group than in the self-directed exercise group (p<0·05) at the nine-month follow-up. Home-based aerobic exercise showed no significant effect on peak oxygen uptake in this study. Conclusions: A three-month home-based aerobic exercise programme has no significant effect on glycosylated haemoglobin and peak oxygen uptake levels in children with type 1 diabetes mellitus. Relevance to clinical practice. Our exercise programme has designed that children can practice exercise at home and is a viable component of self-care intervention to improve patient's self-care skill and diabetes care control. However, how to encourage patients to adhere the exercise programme is a challenge for health care providers.

KW - Children and adolescents

KW - Glycosylated haemoglobin

KW - Home-based aerobic exercise

KW - Peak oxygen uptake

KW - Type 1 diabetes mellitus

UR - http://www.scopus.com/inward/record.url?scp=79951537483&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79951537483&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2702.2010.03533.x

DO - 10.1111/j.1365-2702.2010.03533.x

M3 - Article

C2 - 21320197

AN - SCOPUS:79951537483

VL - 20

SP - 681

EP - 691

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 5-6

ER -