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. 2005 Jun 7;90(12):1223–1226. doi: 10.1136/adc.2005.075283

Patterns of physical activity determined by heart rate monitoring among diabetic children

M Massin 1, M Lebrethon 1, D Rocour 1, P Gerard 1, J Bourguignon 1
PMCID: PMC1720226  PMID: 15941770

Abstract

Background: Children with type 1 diabetes should be encouraged to participate in physical activity because exercise can benefit insulin sensitivity and improve known risk factors for atherosclerosis.

Methods: Physical activity patterns of 127 children and adolescents with stable type 1 diabetes were investigated by 24 hour continuous heart rate monitoring. The percentage of heart rate reserve was used to measure the amounts of physical activity at different intensities. The results were compared with normative data.

Results: Diabetic preschoolchildren accumulated 192.7 (78.1), 39.1 (24.3), and 21.3 (9.4) minutes/day (mean (SD)) of light, moderate, and vigorous physical activity, respectively. At the same activity levels, diabetic schoolchildren accumulated 168.9 (76.7), 37.9 (15.9), and 19.0 (14.8) minutes/day, and diabetic teenagers accumulated 166.3 (67.5), 45.6 (26.9), and 25.2 (15.3) minutes/day. Diabetic schoolchildren were significantly more active than healthy peers when considering moderate activity; diabetic teenagers were significantly more active when considering moderate and vigorous activity. There was a negative correlation between the most recent glycated haemoglobin and the time spent in light activities in schoolchildren, and a negative correlation between mean glycated haemoglobin for one year and time spent in light and moderate activities in schoolchildren.

Conclusion: The majority of our diabetic patients meet the classical paediatric guidelines for physical activity and compare favourably with their healthy peers.

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Figure 1.

Figure 1

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 Correlation between mid-term metabolic control and time spent in light physical activity by schoolchildren.

Figure 2.

Figure 2

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 Correlation between mid-term metabolic control and time spent in moderate physical activity by schoolchildren.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arslanian S., Nixon P. A., Becker D., Drash A. L. Impact of physical fitness and glycemic control on in vivo insulin action in adolescents with IDDM. Diabetes Care. 1990 Jan;13(1):9–15. doi: 10.2337/diacare.13.1.9. [DOI] [PubMed] [Google Scholar]
  2. Bunt Joy C., Salbe Arline D., Harper Inge T., Hanson Robert L., Tataranni P. Antonio. Weight, adiposity, and physical activity as determinants of an insulin sensitivity index in pima Indian children. Diabetes Care. 2003 Sep;26(9):2524–2530. doi: 10.2337/diacare.26.9.2524. [DOI] [PubMed] [Google Scholar]
  3. Chazan B. I., Balodimos M. C., Ryan J. R., Marble A. Twenty-five to forty-five years of diabetes with and without vascular complications. Diabetologia. 1970 Dec;6(6):565–569. doi: 10.1007/BF00418222. [DOI] [PubMed] [Google Scholar]
  4. Durant R. H., Baranowski T., Davis H., Rhodes T., Thompson W. O., Greaves K. A., Puhl J. Reliability and variability of indicators of heart-rate monitoring in children. Med Sci Sports Exerc. 1993 Mar;25(3):389–395. [PubMed] [Google Scholar]
  5. Emons H. J., Groenenboom D. C., Westerterp K. R., Saris W. H. Comparison of heart rate monitoring combined with indirect calorimetry and the doubly labelled water (2H2(18)O) method for the measurement of energy expenditure in children. Eur J Appl Physiol Occup Physiol. 1992;65(2):99–103. doi: 10.1007/BF00705064. [DOI] [PubMed] [Google Scholar]
  6. Eston R. G., Rowlands A. V., Ingledew D. K. Validity of heart rate, pedometry, and accelerometry for predicting the energy cost of children's activities. J Appl Physiol (1985) 1998 Jan;84(1):362–371. doi: 10.1152/jappl.1998.84.1.362. [DOI] [PubMed] [Google Scholar]
  7. Falgairette G., Gavarry O., Bernard T., Hebbelinck M. Evaluation of habitual physical activity from a week's heart rate monitoring in French school children. Eur J Appl Physiol Occup Physiol. 1996;74(1-2):153–161. doi: 10.1007/BF00376508. [DOI] [PubMed] [Google Scholar]
  8. Gavarry O., Bernard T., Giacomoni M., Seymat M., Euzet J. P., Falgairette G. Continuous heart rate monitoring over 1 week in teenagers aged 11-16 years. Eur J Appl Physiol Occup Physiol. 1998;77(1-2):125–132. doi: 10.1007/s004210050310. [DOI] [PubMed] [Google Scholar]
  9. Glasgow R. E., McCaul K. D., Schafer L. C. Barriers to regimen adherence among persons with insulin-dependent diabetes. J Behav Med. 1986 Feb;9(1):65–77. doi: 10.1007/BF00844645. [DOI] [PubMed] [Google Scholar]
  10. Huttunen N. P., Kär M. L., Knip M., Mustonen A., Puukka R., Akerblom H. K. Physical fitness of children and adolescents with insulin-dependent diabetes mellitus. Ann Clin Res. 1984;16(1):1–5. [PubMed] [Google Scholar]
  11. Johnson S. B., Silverstein J., Rosenbloom A., Carter R., Cunningham W. Assessing daily management in childhood diabetes. Health Psychol. 1986;5(6):545–564. doi: 10.1037/0278-6133.5.6.545. [DOI] [PubMed] [Google Scholar]
  12. Krolewski A. S., Kosinski E. J., Warram J. H., Leland O. S., Busick E. J., Asmal A. C., Rand L. I., Christlieb A. R., Bradley R. F., Kahn C. R. Magnitude and determinants of coronary artery disease in juvenile-onset, insulin-dependent diabetes mellitus. Am J Cardiol. 1987 Apr 1;59(8):750–755. doi: 10.1016/0002-9149(87)91086-1. [DOI] [PubMed] [Google Scholar]
  13. LaPorte R. E., Dorman J. S., Tajima N., Cruickshanks K. J., Orchard T. J., Cavender D. E., Becker D. J., Drash A. L. Pittsburgh Insulin-Dependent Diabetes Mellitus Morbidity and Mortality Study: physical activity and diabetic complications. Pediatrics. 1986 Dec;78(6):1027–1033. [PubMed] [Google Scholar]
  14. Loman D. G., Galgani C. A. Physical activity in adolescents with diabetes. Diabetes Educ. 1996 Mar-Apr;22(2):121–125. doi: 10.1177/014572179602200204. [DOI] [PubMed] [Google Scholar]
  15. Ludvigsson J., Larsson Y., Svensson P. G. Attitudes towards physical exercise in juvenile diabetics. Acta Paediatr Scand Suppl. 1980;283:106–111. doi: 10.1111/j.1651-2227.1980.tb15331.x. [DOI] [PubMed] [Google Scholar]
  16. Maffeis C., Pinelli L., Zaffanello M., Schena F., Iacumin P., Schutz Y. Daily energy expenditure in free-living conditions in obese and non-obese children: comparison of doubly labelled water (2H2(18)O) method and heart-rate monitoring. Int J Obes Relat Metab Disord. 1995 Sep;19(9):671–677. [PubMed] [Google Scholar]
  17. Massin M. M., Bourguignont A., Lepage Ph, Gérard P. Patterns of physical activity defined by continuous heart rate monitoring among children from Liège. Acta Clin Belg. 2004 Nov-Dec;59(6):340–345. doi: 10.1179/acb.2004.049. [DOI] [PubMed] [Google Scholar]
  18. Massin M. M., Derkenne B., Tallsund M., Rocour-Brumioul D., Ernould C., Lebrethon M. C., Bourguignon J. P. Cardiac autonomic dysfunction in diabetic children. Diabetes Care. 1999 Nov;22(11):1845–1850. doi: 10.2337/diacare.22.11.1845. [DOI] [PubMed] [Google Scholar]
  19. Pate R. R., Pratt M., Blair S. N., Haskell W. L., Macera C. A., Bouchard C., Buchner D., Ettinger W., Heath G. W., King A. C. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995 Feb 1;273(5):402–407. doi: 10.1001/jama.273.5.402. [DOI] [PubMed] [Google Scholar]
  20. Peirce N. S. Diabetes and exercise. Br J Sports Med. 1999 Jun;33(3):161-72; quiz 172-3, 222. doi: 10.1136/bjsm.33.3.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Puyau Maurice R., Adolph Anne L., Vohra Firoz A., Butte Nancy F. Validation and calibration of physical activity monitors in children. Obes Res. 2002 Mar;10(3):150–157. doi: 10.1038/oby.2002.24. [DOI] [PubMed] [Google Scholar]
  22. Reilly J. J., Jackson D. M., Montgomery C., Kelly L. A., Slater C., Grant S., Paton J. Y. Total energy expenditure and physical activity in young Scottish children: mixed longitudinal study. Lancet. 2004 Jan 17;363(9404):211–212. doi: 10.1016/s0140-6736(03)15331-7. [DOI] [PubMed] [Google Scholar]
  23. Riddoch Chris J., Bo Andersen Lars, Wedderkopp Niels, Harro Maarike, Klasson-Heggebø Lena, Sardinha Luis B., Cooper Ashley R., Ekelund Ulf. Physical activity levels and patterns of 9- and 15-yr-old European children. Med Sci Sports Exerc. 2004 Jan;36(1):86–92. doi: 10.1249/01.MSS.0000106174.43932.92. [DOI] [PubMed] [Google Scholar]
  24. Rowlands A. V., Eston R. G., Ingledew D. K. Measurement of physical activity in children with particular reference to the use of heart rate and pedometry. Sports Med. 1997 Oct;24(4):258–272. doi: 10.2165/00007256-199724040-00004. [DOI] [PubMed] [Google Scholar]
  25. Sackey A. H., Jefferson I. G. Physical activity and glycaemic control in children with diabetes mellitus. Diabet Med. 1996 Sep;13(9):789–793. doi: 10.1002/(SICI)1096-9136(199609)13:9<789::AID-DIA184>3.0.CO;2-5. [DOI] [PubMed] [Google Scholar]
  26. Trost S. G. Objective measurement of physical activity in youth: current issues, future directions. Exerc Sport Sci Rev. 2001;29(1):32–36. doi: 10.1097/00003677-200101000-00007. [DOI] [PubMed] [Google Scholar]
  27. Vranic M., Berger M. Exercise and diabetes mellitus. Diabetes. 1979 Feb;28(2):147–163. doi: 10.2337/diab.28.2.147. [DOI] [PubMed] [Google Scholar]

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