IJPR.2017.202

Type of Article:  Original Research

Volume 5; Issue 5 (September 2017)

Page No.: 2332-2336

DOI: https://dx.doi.org/10.16965/ijpr.2017.202

EVALUATION OF PHYSICAL FITNESS IN CHILDREN WITH TYPE 1 DIABETES

Aisha A Hagag1, Mohamed K Seyam2, Naglaa A Zaky3, Eman Y Salem 4.

*1 Department of Physical Therapy for Cardiovascular/Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Egypt,

2 Departement of physical therapy, Zagazig University Hospital, Egypt

3 Department of Physical Therapy for Growth and Development Disorders in Children and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt

4 Department of Fitness and Rehabilitation Unit, Cairo University Hospitals, Egypt.

Address for Correspondence:  Dr. Aisha A Hagag, Department of Physical Therapy for Cardiovascular/Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Egypt. E-Mail: Aishahagag73@gmail.com 

ABSTRACT

Purpose: the aim of the study was to compare the physical fitness of children with type 1 diabetes with reference to healthy controls.

Subjects and Methods: thirty male children with type 1 diabetes have been selected randomly to participate in this study; their ages ranged from12 to 17 years old .They were referred from out patient’s clinic of Pediatrics in Zagazig university hospital.  Thirty healthy children volunteers participated to represent the control group; they were matched in age to the diabetic group.

Procedure: Physical fitness was evaluated using the ‘‘EUROFIT Physical Fitness Test Battery’’. This battery estimates body composition, cardiopulmonary, and musculoskeletal fitness.

Results: there were no significant differences concerning BMI, skin folds and PBF between the diabetic and control groups. The 6-min walking distance and VO2max were significantly lower in the diabetic group (PB<0.05). Jump-stretch, handgrip and side-bending of trunk tests were also lower in the diabetic group.

Conclusion: physical functional capacity is much lower in diabetic children than in age-matched control subjects.

Key words: Type 1 diabetes, physical fitness, Eurofit test battery.

REFERENCES

  1. Atkinson M. A. and Maclaren N. K. Mechanisms of disease: the pathogenesis of insulin-dependent diabetes mellitus. The New England Journal of Medicine 1994;331(21):1428–1436.
  2. Mathis D., Vence L., and Benoist C. β-cell death during progression to diabetes. Nature 2001;414(6865):792-798.
  3. Komatsu W. R., Lima Gabbay M. A., Castro M. L. et al. Aerobic exercise capacity in normal adolescents and those with type 1 diabetes mellitus,” Pediatric Diabetes 2005;6(3):145–149.
  4. Williams B. K., Guelfi K. J., Jones T. W., and Davis E.A. Lower cardiorespiratory fitness in children with type 1 diabetes. Diabetic Medicine 2011;28(8):1005-1007.
  5. Haugstvedt A., Wentzel-Larsen T., Rokne B., and Graue M. Psychosocial family factors and glycemic control among children aged 1-15 years with type 1 diabetes: a population-based survey. BMC Pediatrics 2011;11:118.
  6. Winnick JP, Short FX. The Brockport Physical Fitness Test Manual. Champaign, IL: Human Kinetics, 1999.
  7. Vanhees L, Lefevre J, Philippaerts R, Martensa M, Huygens W, Troosters T, et al. How to assess physical activity? How to assess physical fitness? Eur J Cardiovasc Prev Rehabil 2005;12:102–14.
  8. Oja P, and Tuxworth B. Eurofit for adults. Assessment of health-related fitness. Strasbourg: Council of Europe-UKK Institute, Tampere; 1995.
  9. TESTING PHYSICAL FITNESS EUROFIT  Experimental Battery  PROVISIONAL HANDBOOK. Republished on the Internet by www.bitworks-engineering.co.uk. March 2011.
  10. Dezenberg CV, Nagy TR, Gower BA, Johnson R, Goran MI.Predicting body composition from anthropometry in preadolescent children. Int J Obesity 1999;23:253–259.
  11. Robert M Ross, Jayasimha N Murthy, Istvan D Wollak and Andrew S Jackson: The six minute walk test accurately estimates mean peak oxygen uptake BMC Pulmonary Medicine, 2010;10:31.
  12. Committee of Experts on Sports Research. Eurofit: Handbook for the Eurofit tests of physical fitness, 2nd Strasbourg: Council of Europe, Committee for the Development of Sports, 2003.
  13. Williams BK, Guelfi KJ, Jones TW, Davis EA. Lower cardiorespiratory fitness in childrenwith type 1 diabetes. Diabet Med. 2011;28:1005–1007.
  14. Maggio AB, Hofer MF, Martin XE, Marchand LM, Beghetti M, Farpour-Lambert NJ. Reduced physical activity level and cardiorespiratory fitness in children with chronic diseases. Eur J Pediatr. 2010;169:1187–1193.
  15. Luk´acs A,Mayer K, Juh´asz E, Varga B, Fodor B, Barkai L. Reduced physical fitness in children and adolescents with type 1 diabetes. Pediatric Diabetes 2012;13:432–437.
  16. Barkai L, Peja M, V´amosi I. Physical work capacity in diabetic children and adolescents with and without cardiovascular autonomic Diabet Med 1996;13:254–258.
  17. Krause MP, Riddell MC, Hawke TJ. Effects of type 1 diabetes mellitus on skeletal muscle: clinical observations and physiological mechanisms. Pediatr Diabetes 2011;12:345–364.
  18. Cahalin L, Pappagianopoulos P, Prevost S, Wain J, Ginns L; The relationship of the 6-min walk test to maximal oxygen consumption in transplant candidates with end-stage lung disease.Chest. 1995 Aug;108(2):452-9.
  19. Andersen, Motor function in diabetic neuropathy, Acta Neurol. Scand. 1999;100:211-220.
  20. Andersen, E. Stalberg, M.D. Gjersta, Association of muscle strength and electrophysiological measures of reinnervation in diabetic neuropathy, Muscle Nerve 1998;21:1647-1654.
  21. Mehtap O¨ zdirenc, Sevinc¸ Biberog˘lu b, Ays¸e O. zcan a Evaluation of physical fitness in patients with Type 2 diabetes mellitus Diabetes Research and Clinical Practice 2003;60:171-176.
  22. W.P. Hanten, W.Y. Chan, A.A. Austin, Maximum grip strength in normal subjects from 20_/64 years of age, J. Hand Ther. 1999;12:193-200.

Cite this article: Aisha A Hagag, Mohamed K Seyam, Naglaa A Zaky, Eman Y Salem. EVALUATION OF PHYSICAL FITNESS IN CHILDREN WITH TYPE 1 DIABETES. Int J Physiother Res 2017;5(5):2332-2336. DOI: 10.16965/ijpr.2017.202