Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis

QUIRK, Helen, BLAKE, H., TENNYSON, R., RANDELL, T. L. and GLAZEBROOK, C. (2014). Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis. Diabetic Medicine, 31 (10), 1163-1173.

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    Abstract

    Aims To synthesize evidence from randomized and non‐randomized studies of physical activity interventions in children and young people with Type 1 diabetes so as to explore clinically relevant health outcomes and inform the promotion of physical activity. Method We conducted a search of CINAHL Plus, the Cochrane Library, EMBASE, MEDLINE, PsycINFO, SCOPUS, SportDiscus and Web of Science between October and December 2012. Eligible articles included subjects aged ≤18 years with Type 1 diabetes and a physical activity intervention that was more than a one‐off activity session. Physiological, psychological, behavioural or social outcomes were those of interest. Results A total of 26 articles (10 randomized and 16 non‐randomized studies), published in the period 1964–2012, were reviewed. Although there was heterogeneity in study design, methods and reporting, 23 articles reported at least one significant beneficial health outcome at follow‐up. Meta‐analyses of these studies showed potential benefits of physical activity on HbA1c (11 studies, 345 participants, standardized mean difference ‐0.52, 95% CI ‐0.97 to ‐0.07; P = 0.02), BMI (four studies, 195 participants, standardized mean difference ‐0.41, 95% CI ‐0.70 to ‐0.12; P = 0.006) and triglycerides (five studies, 206 participants, standardized mean difference ‐0.70, 95% CI ‐1.25 to ‐0.14; P = 0.01).The largest effect size was for total cholesterol (five studies, 206 participants, standardized mean difference ‐0.91, 95% CI ‐1.66 to ‐0.17; P = 0.02). Conclusions Physical activity is important for diabetes management and has the potential to delay cardiovascular disease, but there is a lack of studies that are underpinned by psychological behaviour change theory, promoting sustained physical activity and exploring psychological outcomes. There remains a lack of knowledge of how to promote physical activity in people with Type 1 diabetes.

    Item Type: Article
    Research Institute, Centre or Group - Does NOT include content added after October 2018: Centre for Sport and Exercise Science
    Departments - Does NOT include content added after October 2018: Health and Well-being > Department of Sport
    Identification Number: https://doi.org/10.1111/dme.12531
    Page Range: 1163-1173
    Depositing User: Louise Beirne
    Date Deposited: 12 Sep 2018 10:54
    Last Modified: 16 Nov 2018 13:17
    URI: http://shura.shu.ac.uk/id/eprint/22479

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