Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis
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 CINAH...
| Main Authors: | , , , , |
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| Format: | Article |
| Published: |
Wiley
2014
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| Online Access: | https://eprints.nottingham.ac.uk/38997/ |
| _version_ | 1848795737513525248 |
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| author | Quirk, Helen Blake, Holly Tennyson, R. Randell, T.L. Glazebrook, C. |
| author_facet | Quirk, Helen Blake, Holly Tennyson, R. Randell, T.L. Glazebrook, C. |
| author_sort | Quirk, Helen |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T19:36:51Z |
| format | Article |
| id | nottingham-38997 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:36:51Z |
| publishDate | 2014 |
| publisher | Wiley |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-389972020-05-04T20:13:16Z https://eprints.nottingham.ac.uk/38997/ Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis Quirk, Helen Blake, Holly Tennyson, R. Randell, T.L. Glazebrook, C. 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. Wiley 2014-10 Article PeerReviewed Quirk, Helen, Blake, Holly, 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). pp. 1163-1173. ISSN 1464-5491 http://onlinelibrary.wiley.com/doi/10.1111/dme.12531/abstract; doi:10.1111/dme.12531 doi:10.1111/dme.12531 |
| spellingShingle | Quirk, Helen Blake, Holly Tennyson, R. Randell, T.L. Glazebrook, C. Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis |
| title | Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis |
| title_full | Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis |
| title_fullStr | Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis |
| title_full_unstemmed | Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis |
| title_short | Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis |
| title_sort | physical activity interventions in children and young people with type 1 diabetes mellitus: a systematic review with meta-analysis |
| url | https://eprints.nottingham.ac.uk/38997/ https://eprints.nottingham.ac.uk/38997/ https://eprints.nottingham.ac.uk/38997/ |