Exercise Management for Young People With Type 1 Diabetes: A Structured Approach to the Exercise Consultation

Tarini Chetty, Vinutha Shetty, Paul Albert Fournier, Peter Adolfsson, Timothy William Jones, Elizabeth Ann Davis

Research output: Contribution to journalReview article

Abstract

Regular physical activity during childhood is important for optimal physical and psychological development. For individuals with Type 1 Diabetes (T1D), physical activity offers many health benefits including improved glycemic control, cardiovascular function, blood lipid profiles, and psychological well-being. Despite these benefits, many young people with T1D do not meet physical activity recommendations. Barriers to engaging in a physically active lifestyle include fear of hypoglycemia, as well as insufficient knowledge in managing diabetes around exercise in both individuals and health care professionals. Diabetes and exercise management is complex, and many factors can influence an individual's glycemic response to exercise including exercise related factors (such as type, intensity and duration of the activity) and person specific factors (amount of insulin on board, person's stress/anxiety and fitness levels). International guidelines provide recommendations for clinical practice, however a gap remains in how to apply these guidelines to a pediatric exercise consultation. Consequently, it can be challenging for health care practitioners to advise young people with T1D how to approach exercise management in a busy clinic setting. This review provides a structured approach to the child/adolescent exercise consultation, based on a framework of questions, to assist the health care professional in formulating person-specific exercise management plans for young people with T1D.

Original languageEnglish
Article number326
Number of pages10
JournalFrontiers in Endocrinology
Volume10
DOIs
Publication statusPublished - 14 Jun 2019

Cite this

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title = "Exercise Management for Young People With Type 1 Diabetes: A Structured Approach to the Exercise Consultation",
abstract = "Regular physical activity during childhood is important for optimal physical and psychological development. For individuals with Type 1 Diabetes (T1D), physical activity offers many health benefits including improved glycemic control, cardiovascular function, blood lipid profiles, and psychological well-being. Despite these benefits, many young people with T1D do not meet physical activity recommendations. Barriers to engaging in a physically active lifestyle include fear of hypoglycemia, as well as insufficient knowledge in managing diabetes around exercise in both individuals and health care professionals. Diabetes and exercise management is complex, and many factors can influence an individual's glycemic response to exercise including exercise related factors (such as type, intensity and duration of the activity) and person specific factors (amount of insulin on board, person's stress/anxiety and fitness levels). International guidelines provide recommendations for clinical practice, however a gap remains in how to apply these guidelines to a pediatric exercise consultation. Consequently, it can be challenging for health care practitioners to advise young people with T1D how to approach exercise management in a busy clinic setting. This review provides a structured approach to the child/adolescent exercise consultation, based on a framework of questions, to assist the health care professional in formulating person-specific exercise management plans for young people with T1D.",
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author = "Tarini Chetty and Vinutha Shetty and Fournier, {Paul Albert} and Peter Adolfsson and Jones, {Timothy William} and Davis, {Elizabeth Ann}",
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language = "English",
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Exercise Management for Young People With Type 1 Diabetes : A Structured Approach to the Exercise Consultation. / Chetty, Tarini; Shetty, Vinutha; Fournier, Paul Albert; Adolfsson, Peter; Jones, Timothy William; Davis, Elizabeth Ann.

In: Frontiers in Endocrinology, Vol. 10, 326, 14.06.2019.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Exercise Management for Young People With Type 1 Diabetes

T2 - A Structured Approach to the Exercise Consultation

AU - Chetty, Tarini

AU - Shetty, Vinutha

AU - Fournier, Paul Albert

AU - Adolfsson, Peter

AU - Jones, Timothy William

AU - Davis, Elizabeth Ann

PY - 2019/6/14

Y1 - 2019/6/14

N2 - Regular physical activity during childhood is important for optimal physical and psychological development. For individuals with Type 1 Diabetes (T1D), physical activity offers many health benefits including improved glycemic control, cardiovascular function, blood lipid profiles, and psychological well-being. Despite these benefits, many young people with T1D do not meet physical activity recommendations. Barriers to engaging in a physically active lifestyle include fear of hypoglycemia, as well as insufficient knowledge in managing diabetes around exercise in both individuals and health care professionals. Diabetes and exercise management is complex, and many factors can influence an individual's glycemic response to exercise including exercise related factors (such as type, intensity and duration of the activity) and person specific factors (amount of insulin on board, person's stress/anxiety and fitness levels). International guidelines provide recommendations for clinical practice, however a gap remains in how to apply these guidelines to a pediatric exercise consultation. Consequently, it can be challenging for health care practitioners to advise young people with T1D how to approach exercise management in a busy clinic setting. This review provides a structured approach to the child/adolescent exercise consultation, based on a framework of questions, to assist the health care professional in formulating person-specific exercise management plans for young people with T1D.

AB - Regular physical activity during childhood is important for optimal physical and psychological development. For individuals with Type 1 Diabetes (T1D), physical activity offers many health benefits including improved glycemic control, cardiovascular function, blood lipid profiles, and psychological well-being. Despite these benefits, many young people with T1D do not meet physical activity recommendations. Barriers to engaging in a physically active lifestyle include fear of hypoglycemia, as well as insufficient knowledge in managing diabetes around exercise in both individuals and health care professionals. Diabetes and exercise management is complex, and many factors can influence an individual's glycemic response to exercise including exercise related factors (such as type, intensity and duration of the activity) and person specific factors (amount of insulin on board, person's stress/anxiety and fitness levels). International guidelines provide recommendations for clinical practice, however a gap remains in how to apply these guidelines to a pediatric exercise consultation. Consequently, it can be challenging for health care practitioners to advise young people with T1D how to approach exercise management in a busy clinic setting. This review provides a structured approach to the child/adolescent exercise consultation, based on a framework of questions, to assist the health care professional in formulating person-specific exercise management plans for young people with T1D.

KW - Type 1 diabetes

KW - exercise

KW - physical activity

KW - hypoglycemia

KW - blood glucose

KW - child

KW - adolescent

KW - consultation

KW - INTERMITTENT HIGH-INTENSITY

KW - BLOOD-GLUCOSE LEVELS

KW - PHYSICAL-ACTIVITY

KW - GLYCEMIC CONTROL

KW - INDUCED HYPOGLYCEMIA

KW - MODERATE EXERCISE

KW - POSTEXERCISE HYPOGLYCEMIA

KW - PREVENT HYPOGLYCEMIA

KW - RESISTANCE EXERCISE

KW - MAINTAIN EUGLYCEMIA

U2 - 10.3389/fendo.2019.00326

DO - 10.3389/fendo.2019.00326

M3 - Review article

VL - 10

JO - Frontiers in Endocrinology

JF - Frontiers in Endocrinology

SN - 1664-2392

M1 - 326

ER -