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 language | English (US) |
|---|---|
| Pages (from-to) | 681-691 |
| Number of pages | 11 |
| Journal | Journal of Clinical Nursing |
| Volume | 20 |
| Issue number | 5-6 |
| DOIs | |
| State | Published - Mar 2011 |
| Externally published | Yes |
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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 journal › Article
}
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 -