Acute changes in glucose induced by continuous or intermittent exercise in children and adolescents with type 1 diabetes

ABSTRACT Objective: To estimate the rate of change during exercise and during recovery in moderate-continuous exercise (MCE) and high-intensity intermittent exercise (HIIE) in children and adolescents with type 1 diabetes (T1D). Subjects and methods: Participants performed 2 sessions of exercise:...

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Main Authors: Luis Paulo Gomes Mascarenhas, Valderi Abreu de Lima, Denise Barth Rebesco, Suzana Nesi França, Gabriel Ribeiro Cordeiro, Jorge Mota, Neiva Leite
Format: Article
Language:English
Published: Brazilian Society of Endocrinology and Metabolism 2022-04-01
Series:Archives of Endocrinology and Metabolism
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972022005003201&tlng=en
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author Luis Paulo Gomes Mascarenhas
Valderi Abreu de Lima
Denise Barth Rebesco
Suzana Nesi França
Gabriel Ribeiro Cordeiro
Jorge Mota
Neiva Leite
author_facet Luis Paulo Gomes Mascarenhas
Valderi Abreu de Lima
Denise Barth Rebesco
Suzana Nesi França
Gabriel Ribeiro Cordeiro
Jorge Mota
Neiva Leite
author_sort Luis Paulo Gomes Mascarenhas
collection DOAJ
description ABSTRACT Objective: To estimate the rate of change during exercise and during recovery in moderate-continuous exercise (MCE) and high-intensity intermittent exercise (HIIE) in children and adolescents with type 1 diabetes (T1D). Subjects and methods: Participants performed 2 sessions of exercise: thirty minutes of continuous activity on a cycle ergometer (60% of VO2max) and thirty minutes (60% VO2max) interspersed with five bouts of maximum intensity lasting ten seconds every five minutes. Capillary blood glucose was measured before and after each test. The glucose rate of change in exercise (RoCE) was calculated (final blood glucose – onset blood glucose/exercise time), and the glucose rate of change in recovery (RoCR) (blood glucose 30 minutes after exercise – end of exercise blood glucose/recovery time). Results: The study included thirty-one participants (aged 13 ± 1.88 years). A lower blood glucose reduction was observed in the HIIE group, as well as better recovery values before, after, and thirty minutes after the test, respectively (333.14 ± 69.53, 226.19 ± 68.05 and 201.77 ± 66.84 versus 211.36 ± 91.03, 155.98 ± 82,68 and 165.76 ± 72.94). Covariance analyses showed a significant difference in glycemic variation between continuous and intermittent protocols immediately after exercise (−2.90 versus −2.08) and during the recovery period (−0.677 versus −0.389). Conclusions: HIIE led to a lower glucose reduction rate per minute during exercise and better recovery in the first 30 minutes after exercise compared to MCE in children and adolescents with T1D.
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spelling doaj.art-4bbcb60bd49648b385219c4b7e0ba27f2022-12-21T21:17:28ZengBrazilian Society of Endocrinology and MetabolismArchives of Endocrinology and Metabolism2359-42922022-04-0110.20945/2359-3997000000444Acute changes in glucose induced by continuous or intermittent exercise in children and adolescents with type 1 diabetesLuis Paulo Gomes Mascarenhashttps://orcid.org/0000-0002-7762-2727Valderi Abreu de Limahttps://orcid.org/0000-0002-9413-4645Denise Barth Rebescohttps://orcid.org/0000-0002-2536-6987Suzana Nesi Françahttps://orcid.org/0000-0002-3987-3998Gabriel Ribeiro Cordeirohttps://orcid.org/0000-0002-2776-4479Jorge Motahttps://orcid.org/0000-0001-6919-0015Neiva Leitehttps://orcid.org/0000-0002-4752-6697ABSTRACT Objective: To estimate the rate of change during exercise and during recovery in moderate-continuous exercise (MCE) and high-intensity intermittent exercise (HIIE) in children and adolescents with type 1 diabetes (T1D). Subjects and methods: Participants performed 2 sessions of exercise: thirty minutes of continuous activity on a cycle ergometer (60% of VO2max) and thirty minutes (60% VO2max) interspersed with five bouts of maximum intensity lasting ten seconds every five minutes. Capillary blood glucose was measured before and after each test. The glucose rate of change in exercise (RoCE) was calculated (final blood glucose – onset blood glucose/exercise time), and the glucose rate of change in recovery (RoCR) (blood glucose 30 minutes after exercise – end of exercise blood glucose/recovery time). Results: The study included thirty-one participants (aged 13 ± 1.88 years). A lower blood glucose reduction was observed in the HIIE group, as well as better recovery values before, after, and thirty minutes after the test, respectively (333.14 ± 69.53, 226.19 ± 68.05 and 201.77 ± 66.84 versus 211.36 ± 91.03, 155.98 ± 82,68 and 165.76 ± 72.94). Covariance analyses showed a significant difference in glycemic variation between continuous and intermittent protocols immediately after exercise (−2.90 versus −2.08) and during the recovery period (−0.677 versus −0.389). Conclusions: HIIE led to a lower glucose reduction rate per minute during exercise and better recovery in the first 30 minutes after exercise compared to MCE in children and adolescents with T1D.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972022005003201&tlng=enType 1 diabeteshypoglycemiamoderate-continuous exercisehigh-intensity exercise
spellingShingle Luis Paulo Gomes Mascarenhas
Valderi Abreu de Lima
Denise Barth Rebesco
Suzana Nesi França
Gabriel Ribeiro Cordeiro
Jorge Mota
Neiva Leite
Acute changes in glucose induced by continuous or intermittent exercise in children and adolescents with type 1 diabetes
Archives of Endocrinology and Metabolism
Type 1 diabetes
hypoglycemia
moderate-continuous exercise
high-intensity exercise
title Acute changes in glucose induced by continuous or intermittent exercise in children and adolescents with type 1 diabetes
title_full Acute changes in glucose induced by continuous or intermittent exercise in children and adolescents with type 1 diabetes
title_fullStr Acute changes in glucose induced by continuous or intermittent exercise in children and adolescents with type 1 diabetes
title_full_unstemmed Acute changes in glucose induced by continuous or intermittent exercise in children and adolescents with type 1 diabetes
title_short Acute changes in glucose induced by continuous or intermittent exercise in children and adolescents with type 1 diabetes
title_sort acute changes in glucose induced by continuous or intermittent exercise in children and adolescents with type 1 diabetes
topic Type 1 diabetes
hypoglycemia
moderate-continuous exercise
high-intensity exercise
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972022005003201&tlng=en
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