Volume 29, Issue 4 (Avicenna Journal of Clinical Medicine-Winter 2023)                   Avicenna J Clin Med 2023, 29(4): 232-239 | Back to browse issues page


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Saki H, Nazem F, Fariba F. Effect of Combined Exercise Training on Heart Rate Variability and Aerobic Capacity of Boys with Type 1 Diabetes. Avicenna J Clin Med 2023; 29 (4) :232-239
URL: http://sjh.umsha.ac.ir/article-1-2578-en.html
1- Department of Physical Education and Sport Sciences, Bu-Ali Sina University, Hamadan, Iran
2- Department of Physical Education and Sport Sciences, Bu-Ali Sina University, Hamadan, Iran , .nazem@basu.ac.ir
3- Department of Cardiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (1940 Views)
Background and Objective: Dysfunction in the autonomic nervous system can cause cardiovascular complications in patients with type 1 diabetes (T1D). The present study aimed to investigate the effect of combined exercise training on heart rate variability (HRV-5min), aerobic capacity (VO2max), and glycemic index in boys with T1D.
Materials and Methods: In this semi-experimental research, 24 adolescent boys with insulin-dependent T1D and 12 healthy boys of the same age with an age range of 12 to 18 years were selected and divided into three groups: healthy, control diabetic, and exercise diabetic. The exercise diabetic group performed combined exercises for 12 weeks, three sessions a week. Blood variables and cardiac variables were measured 48 h before and 72 h after the intervention. Dependent t-tests and one-way analysis of variance were used for statistical analysis.
Results: After the intervention, a significant increase in VO2max variables, high frequency HRV (HF) and a significant decrease in Resting Heart Rate Variables (HRrest), the ratio of low frequency to high frequency HRV (LF.HF) and glycemic index were observed in the exercise diabetic group (P<0.05). In addition, in the inter-group analysis of the difference between the pre-test and post-test results, a significant difference was observed in VO2max, HRrest, HF, LF.HF, and blood glucose indices in the exercise diabetic group compared to the healthy and diabetic control groups (P<0.05).
Conclusion: Our results showed that combined exercise training along with insulin-dependent treatment could help to strengthen the cardiovascular system (HRV) in boys with T1D by improving the function of the parasympathetic branch of the autonomic nervous system.
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Type of Study: Original | Subject: Sport Medicine

References
1. Roep BO, Thomaidou S, van Tienhoven R, Zaldumbide A. Type 1 diabetes mellitus as a disease of the β-cell (do not blame the immune system?). Nat Rev Endocrinol. 2021;17(3):150-61. PMID: 33293704 DOI: 10.1038/s41574-020-00443-4
2. Passanisi S, Salzano G, Aloe M, Bombaci B, Citriniti F, De Berardinis F, et al. Increasing trend of type 1 diabetes incidence in the pediatric population of the Calabria region in 2019–2021. Ital J Pediatr. 2022;48(1):1-8. PMID: 35509062 DOI: 10.1186/s13052-022-01264-z
3. ADAPPC. 12. Retinopathy, neuropathy, and foot care: standards of medical care in diabetes—2022. Diabetes Care. 2022;45(1):185–94. DOI: 10.2337/dc22-S012
4. Vinik AI, Erbas T, Casellini CM. Diabetic cardiac autonomic neuropathy, inflammation and cardiovascular disease. J Diabetes Investig. 2013;4(1):4-18. PMID: 23550085 DOI: 10.1111/jdi.12042
5. Gusev M, Poposka L, Spasevski G, Kostoska M, Koteska B, Simjanoska M, et al. Noninvasive glucose measure-ment using machine learning and neural network methods and correlation with heart rate variability. J Sens. 2020. DOI: 10.1155/2020/9628281
6. Laing SP, Swerdlow AJ, Slater SD, Burden AC, Morris A, Waugh NR, et al. Mortality from heart disease in a cohort of 23,000 patients with insulin-treated diabetes. Diabetologia. 2003;46(6):760-5. PMID: 12774166 DOI: 10.1007/s00125-003-1116-6
7. Oktay AA, Aktürk HK, Paul TK, O’Keefe JH, Ventura HO, Koch CA, et al. Diabetes, cardiomyopathy, and heart failure. Endotext. 2020. PMID: 32776639
8. Miyagi T, Yamazato M, Nakamura T, Tokashiki T, Namihira Y, Kokuba K, et al. Power spectral analysis of heart rate variability is useful as a screening tool for detecting sympathetic and parasympathetic nervous dysfunctions in Parkinson’s disease. BMC Neurol. 2022;22(1):1-9. PMID: 36088296 DOI: 10.1186/s12883-022-02872-2
9. Macartney MJ, Notley SR, Herry CL, Seely AJ, Sigal RJ, Kenny GP. Cardiac autonomic modulation in type 1 diabetes during exercise-heat stress. Acta Diabetol. 2020;57(8):959-63. PMID: 32144491 DOI: 10.1007/s00592-020-01505-9
10. Lee S, Hwang HB, Park S, Kim S, Ha JH, Jang Y, et al. Mental stress assessment using ultra short term HRV analysis based on non-linear method. Biosensors. 2022;12(7):465. PMID: 35884267 DOI: 10.3390/bios12070465
11. DCCT. Hypoglycemia in the diabetes control and complications trial. Diabetes, 1997;46(2):271-86. PMID: 9000705
12. Liu R, Li L, Shao C, Cai H, Wang Z. The impact of diabetes on vascular disease: progress from the pers-pective of epidemics and treatments. J Diabetes Res. 2022;2022:1531289. PMID: 35434140 DOI: 10.1155/2022/1531289
13. Eckstein ML, Aberer F, Dobler FJ, Aziz F, Heise T, Sourij H, et al. Association of HbA1c with VO2max in individuals with Type 1 Diabetes: a systematic review and meta-analysis. Metabolites. 2022;12(11):1017. PMID: 36355100 DOI: 10.3390/metabo12111017
14. Codella R, Terruzzi I, Luzi L. Why should people with type 1 diabetes exercise regularly?. Acta Diabetol. 2017;54(7):615-30. PMID: 28289908 DOI: 10.1007/s00592-017-0978-x
15. Ghalavand A, Saki H, Nazem F, Khademitab N, Behzadi Nezhad H, Behbodi M, et al. The Effect of ganoderma supplementation and selected exercise training on glycemic control in boys with Type 1 Diabetes. JJHS. 2021;20(4):356-65. DOI: 10.32598/JSMJ.20.4.2426
16. Care D. Medical care in diabetes 2020. Diabetes Care. 2020;43:135. DOI: 10.2337/cd20-as01
17. Farinha JB, Krause M, Rodrigues-Krause J, Reischak-Oliveira A. Exercise for type 1 diabetes mellitus management: general considerations and new directions. Med Hypotheses. PMID: 28673573 DOI: 10.1016/j.mehy.2017.05.033
18. Nazem F, Saki H, Jalil M. Validation of francis step protocol by respiratory gases analyses and design native equation to estimate aerobic capacity in Iranian Boys. Iran J Ergon. 2020;8(2):50-60. DOI: ‎ 10.30699/jergon.8.2.50
19. Borhade MB, Singh S. Diabetes mellitus and exercise. Treasure Island (FL): StatPearls Publishing; 2022.
20. Tsubokawa M, Nishimura M, Tamada Y, Nakaji S. factors associated with reduced heart rate variability in the general Japanese Population: The Iwaki cross-sectional research study. Healthcare. 2022;10(5):793. PMID: 35627930 DOI: 10.3390/healthcare10050793
21. Lespagnol E, Bocock O, Heyman J, Gamelin FX, Berthoin S, Pereira B, et al. In amateur athletes with type 1 diabetes, a 9-day period of cycling at moderate-to-vigorous intensity unexpectedly increased the time spent in hyperglycemia, which was associated with impairment in heart rate variability. Diabetes Care. 2020;43(10):2564-73. PMID: 32732373 DOI: 10.2337/dc19-1928
22. Javorka K, Buchanec J, Javorkova J, Buchancová J. Heart rate variability and physical fitness in children and adolescents with diabetes mellitus type 1. Int J Adolesc Med Health. 2001;13(4):297-310. DOI: 10.1515/IJAMH.2001.13.4.297
23. Wu N, Bredin SS, Guan Y, Dickinson K, Kim DD, Chua Z, et al. Cardiovascular health benefits of exercise training in persons living with type 1 diabetes: a systematic review and meta-analysis. J Clin Med. 2019;8(2):253. PMID: 30781593 DOI: 10.3390/jcm8020253
24. Campaigne BN, Gilliam TB, Spencer ML, Lampman RM, Schork MA. Effects of a physical activity program on metabolic control and cardiovascular fitness in children with insulin-dependent diabetes mellitus. Diabetes Care. 1984;7(1):57-62. PMID: 6705666 DOI: 10.2337/diacare.7.1.57
25. Brazeau AS, Gingras V, Leroux C, Suppère C, Mircescu H, Desjardins K, et al. A pilot program for physical exercise promotion in adults with type 1 diabetes: the PEP-1 program. Appl Physiol Nutr Metab. 2014;39(4):465-71. PMID: 24669988 DOI: 10.1139/apnm-2013-0287
26. Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes care, 2016;39(11):2065-79. PMID: 27926890 DOI: 10.2337/dc16-1728
27. Gusso S, Pinto T, Baldi JC, Derraik JG, Cutfield WS, Hornung T, et al. Exercise training improves but does not normalize left ventricular systolic and diastolic function in adolescents with type 1 diabetes. Diabetes Care. 2017;40(9):1264-72. PMID: 28720592 DOI: 10.2337/dc16-2347
28. Ostman C, Jewiss D, King N, Smart NA. Clinical outcomes to exercise training in type 1 diabetes: a systematic review and meta-analysis. Diabetes Res Clin Pract. 2018;139:380-91. PMID: 29223408 DOI: 10.1016/j.diabres.2017.11.036
29. Matheus AS, Tannus LR, Cobas RA, Palma CC, Negrato CA, Gomes MD. Impact of diabetes on cardiovascular disease: an update. Int J Hypertens. 2013;2013:653789. PMID: 23533715 DOI: 10.1155/2013/653789
30. Kawada T, Shimizu S, Hayama Y, Yamamoto H, Saku K, Shishido T, et al. Derangement of open-loop static and dynamic characteristics of the carotid sinus baroreflex in streptozotocin-induced type 1 diabetic rats. Am J Physiol Regul Integr Comp Physiol. 2018;315(3):553-67. PMID: 29847163 DOI: 10.1152/ajpregu.00092.2018

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