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Are We Compensating for the Lack of Physical Activity in Our Diabetic Patients with Treatment Intensification?
Background: We studied the association between leisure time physical activity (LTPA) and glycemic control, body mass index (BMI), and hypoglycemic incidents in type 1 (T1DM) and type 2 diabetes patients (T2DM). Methods: This is a cross-sectional study of 198 diabetic patients (60 with type 1 diabete...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968955/ https://www.ncbi.nlm.nih.gov/pubmed/29910418 http://dx.doi.org/10.3390/sports5030058 |
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author | Cigrovski Berkovic, Maja Bilic-Curcic, Ines Gradiser, Marina Herman-Mahecic, Davorka Cigrovski, Vjekoslav Ivandic, Marul |
author_facet | Cigrovski Berkovic, Maja Bilic-Curcic, Ines Gradiser, Marina Herman-Mahecic, Davorka Cigrovski, Vjekoslav Ivandic, Marul |
author_sort | Cigrovski Berkovic, Maja |
collection | PubMed |
description | Background: We studied the association between leisure time physical activity (LTPA) and glycemic control, body mass index (BMI), and hypoglycemic incidents in type 1 (T1DM) and type 2 diabetes patients (T2DM). Methods: This is a cross-sectional study of 198 diabetic patients (60 with type 1 diabetes, 138 with type 2 diabetes). LTPA was assessed by a validated 12-month questionnaire. Patients were grouped as sedentary and moderately to vigorously active. Outcome measures were Hemoglobin A1c (HbA1c), BMI, and hypoglycemic episodes. Results: LTPA effect on the HbA1c reduction was present in diabetes type 1 patients. Patients who were involved in the moderate to vigorous-intensity physical activity had a greater decrease in the HbA1c (p = 0.048) than patients with low physical activity (p = 0.085). Level of LTPA was neither associated with increased number of hypoglycemic episodes, nor BMI. After an average of 4 years of diabetes, the number of patients requiring more than one antidiabetic agent increased, although the observed difference did not correlate with LTPA level. Conclusions: LTPA has an influence on the regulation of diabetes type 1, and intensification of medical treatment is compensating for the lack of lifestyle change—especially in type 2 diabetics. |
format | Online Article Text |
id | pubmed-5968955 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-59689552018-06-13 Are We Compensating for the Lack of Physical Activity in Our Diabetic Patients with Treatment Intensification? Cigrovski Berkovic, Maja Bilic-Curcic, Ines Gradiser, Marina Herman-Mahecic, Davorka Cigrovski, Vjekoslav Ivandic, Marul Sports (Basel) Article Background: We studied the association between leisure time physical activity (LTPA) and glycemic control, body mass index (BMI), and hypoglycemic incidents in type 1 (T1DM) and type 2 diabetes patients (T2DM). Methods: This is a cross-sectional study of 198 diabetic patients (60 with type 1 diabetes, 138 with type 2 diabetes). LTPA was assessed by a validated 12-month questionnaire. Patients were grouped as sedentary and moderately to vigorously active. Outcome measures were Hemoglobin A1c (HbA1c), BMI, and hypoglycemic episodes. Results: LTPA effect on the HbA1c reduction was present in diabetes type 1 patients. Patients who were involved in the moderate to vigorous-intensity physical activity had a greater decrease in the HbA1c (p = 0.048) than patients with low physical activity (p = 0.085). Level of LTPA was neither associated with increased number of hypoglycemic episodes, nor BMI. After an average of 4 years of diabetes, the number of patients requiring more than one antidiabetic agent increased, although the observed difference did not correlate with LTPA level. Conclusions: LTPA has an influence on the regulation of diabetes type 1, and intensification of medical treatment is compensating for the lack of lifestyle change—especially in type 2 diabetics. MDPI 2017-08-07 /pmc/articles/PMC5968955/ /pubmed/29910418 http://dx.doi.org/10.3390/sports5030058 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Cigrovski Berkovic, Maja Bilic-Curcic, Ines Gradiser, Marina Herman-Mahecic, Davorka Cigrovski, Vjekoslav Ivandic, Marul Are We Compensating for the Lack of Physical Activity in Our Diabetic Patients with Treatment Intensification? |
title | Are We Compensating for the Lack of Physical Activity in Our Diabetic Patients with Treatment Intensification? |
title_full | Are We Compensating for the Lack of Physical Activity in Our Diabetic Patients with Treatment Intensification? |
title_fullStr | Are We Compensating for the Lack of Physical Activity in Our Diabetic Patients with Treatment Intensification? |
title_full_unstemmed | Are We Compensating for the Lack of Physical Activity in Our Diabetic Patients with Treatment Intensification? |
title_short | Are We Compensating for the Lack of Physical Activity in Our Diabetic Patients with Treatment Intensification? |
title_sort | are we compensating for the lack of physical activity in our diabetic patients with treatment intensification? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968955/ https://www.ncbi.nlm.nih.gov/pubmed/29910418 http://dx.doi.org/10.3390/sports5030058 |
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