Lifestyle and physical fitness in adolescents with type 1 diabetes and obesity

• DOI: 10.1016/j.heliyon.2023.e13109
• Publication Date: 2023-01-21T23:34:02Z
• Authors: Patrizia Calella; Daniela Vitucci; Angela Zanfardino; Francesca Cozzolino; Alessia Terracciano; Francesco Zanfardino; Assunta Serena Ro...; Alessia Piscopo; Francesca Gallè; Annamaria Mancini; Valeria Di Onofrio; Dario Iafusco; Giuliana Valerio; Pasqualina Buono; Giorgio Liguori
• Keywords: Diabetology; Glycated hemoglobin

The association between Type 1 Diabetes Mellitus (T1DM) and obesity (Ob) is no longer unexpected due to unhealthy lifestyle mostly in adolescents. We compared clinical-biochemical characteristics, adherence the Mediterranean Diet (MD), habits physical fitness across different weight categories of T1DM adolescents from Campania Region. As second aim, we assessed relationship among these patients.74 (35M; 39F; 13-18 y), with diagnosed at least 6 mo before study, were enrolled Regional Center for Pediatric Diabetology Vanvitelli University Naples. Height, weight, Body Mass Index (BMI), BMI z-score, Clinical Biochemical health-related parameters determined. MD adherence, activity (PA) amount sedentary by questionnaires. Handgrip strength, 2-Min Step test (2-MST) cardiorespiratory endurance Timed up go (TUG) agility balance used evaluation.Our sample included 22 normal (NW), 37 overweight (OW) 15 Obese Across three groups, showed similar Clinical-Biochemical parameters, PA amount, walking (9.3 h/w), daily video exposure (8.5 h/d) handgrip or 2-MST performance. Better performance was observed NW OW Ob TUG (7 vs 8 9 s; p < 0.05). A positive correlation found BMI, while HbA1c (glycated haemoglobin) z score 2-MST.T1DM did not meet recommendations active lifestyle, despite a medium/good MD, particular youths. Sedentary correlated poor HbA1c. Further, reduced participants.Future research should be aimed examine wider samples design health promotion interventions