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

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 to the Mediterranean Diet (MD), lifestyle habits and physical fitness across different weight...

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Published in:Heliyon 2023-01, Vol.9 (1), p.e13109-e13109, Article e13109
Main Authors: Calella, Patrizia, Vitucci, Daniela, Zanfardino, Angela, Cozzolino, Francesca, Terracciano, Alessia, Zanfardino, Francesco, Rollato, Assunta Serena, Piscopo, Alessia, Gallè, Francesca, Mancini, Annamaria, Di Onofrio, Valeria, Iafusco, Dario, Valerio, Giuliana, Buono, Pasqualina, Liguori, Giorgio
Format: Article
Language:English
Subjects:
Adolescents
Lifestyle
Physical fitness
Type 1 diabetes mellitus
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Summary: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 to the Mediterranean Diet (MD), lifestyle habits and physical fitness across different weight categories of T1DM adolescents from Campania Region. As second aim, we assessed the relationship among lifestyle and physical fitness in these patients. 74 adolescents (35M; 39F; 13–18 y), with T1DM diagnosed at least 6 mo before the study, were enrolled at the Regional Center for Pediatric Diabetology of Vanvitelli University of Naples. Height, weight, Body Mass Index (BMI), BMI z-score, and Clinical Biochemical health-related parameters were determined. MD adherence, physical activity (PA) amount and sedentary habits were assessed by questionnaires. Handgrip strength, 2-Min Step test (2-MST) cardiorespiratory endurance and Timed up and go test (TUG) for agility and balance were used for physical fitness evaluation. Our sample included 22 normal weight (NW), 37 overweight (OW) and 15 with Obese (Ob) adolescents. Across the three groups, adolescents showed similar Clinical-Biochemical parameters, MD adherence, PA amount, mostly walking (9.3 h/w), daily video exposure (8.5 h/d) and similar handgrip or 2-MST performance. Better performance was observed in NW compared to OW or Ob for TUG (7 vs 8 vs 9 s; p 
ISSN:2405-8440
2405-8440
DOI:10.1016/j.heliyon.2023.e13109