PMID- 31689232 OWN - NLM STAT- MEDLINE DCOM- 20200511 LR - 20200511 IS - 2191-0251 (Electronic) IS - 0334-018X (Linking) VI - 32 IP - 12 DP - 2019 Dec 18 TI - Once-weekly supervised combined training improves neurocognitive and psychobehavioral outcomes in young patients with type 1 diabetes mellitus. PG - 1341-1350 LID - 10.1515/jpem-2019-0120 [doi] AB - Background Previous studies investigating the beneficial effects of exercise in type 1 diabetes mellitus (T1DM) are relatively insufficient compared to studies on type 2 diabetes mellitus (T2DM), due to the fear of hypoglycemia. Recently, several researchers have reported that combined aerobic and resistance exercise prevents hypoglycemia during and after exercise. Furthermore, exercise has been shown to have beneficial effects on the psychological status of patients with various diseases. The aim of this study was to evaluate the effect of combined aerobic and resistance exercise in adolescents with T1DM. Methods Thirty-five type 1 diabetic patients were enrolled, and subjects were divided into either an exercise group or a control group. Thirty patients (20 patients in the exercise group, 10 patients in the control group) completed the study. The exercise program was performed for 1 h at a time, once a week, for 12 weeks. Study parameters were evaluated at baseline and 3 months after baseline evaluation. Results Combined aerobic and resistance exercise better controlled the body mass index (BMI), and also improved maximum muscular strength and maximum exercise intensity. On psychological tests, subjects' attention and quality of life showed improving tendency, while their stress and behavioral problems diminished. The number of exercise events increased in the training group, while the daily total insulin dose and glycated hemoglobin (HbA1c) level showed no significant changes. Conclusions A 12-week structured exercise program consisting of aerobic and resistance exercises improves cardiovascular, neurocognitive and psychobehavioral functions, and positively helps lifestyle modification in patients with T1DM. FAU - Suh, Junghwan AU - Suh J AUID- ORCID: 0000-0002-2092-2585 AD - Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Korea. FAU - Choi, Han Saem AU - Choi HS AD - Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Korea. FAU - Kwon, Ahreum AU - Kwon A AD - Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Korea. FAU - Chae, Hyun Wook AU - Chae HW AD - Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Korea. FAU - Eom, Soyong AU - Eom S AD - Epilepsy Research Institute, Yonsei University College of Medicine, Seoul, Korea. FAU - Kim, Ho-Seong AU - Kim HS AD - Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Korea. LA - eng PT - Journal Article PL - Germany TA - J Pediatr Endocrinol Metab JT - Journal of pediatric endocrinology & metabolism : JPEM JID - 9508900 SB - IM MH - Adolescent MH - Adult MH - Body Mass Index MH - Case-Control Studies MH - Child MH - Diabetes Mellitus, Type 1/*therapy MH - Exercise Therapy/*methods MH - Female MH - Follow-Up Studies MH - *Health Behavior MH - Humans MH - Male MH - Neurocognitive Disorders/*prevention & control MH - Prognosis MH - Resistance Training MH - Stress, Psychological/*prevention & control MH - Young Adult OTO - NOTNLM OT - adolescent OT - aerobic exercise OT - resistance training OT - type 1 diabetes mellitus EDAT- 2019/11/07 06:00 MHDA- 2020/05/12 06:00 CRDT- 2019/11/06 06:00 PHST- 2019/03/11 00:00 [received] PHST- 2019/08/28 00:00 [accepted] PHST- 2019/11/07 06:00 [pubmed] PHST- 2020/05/12 06:00 [medline] PHST- 2019/11/06 06:00 [entrez] AID - /j/jpem.ahead-of-print/jpem-2019-0120/jpem-2019-0120.xml [pii] AID - 10.1515/jpem-2019-0120 [doi] PST - ppublish SO - J Pediatr Endocrinol Metab. 2019 Dec 18;32(12):1341-1350. doi: 10.1515/jpem-2019-0120.