| Title: |
Cardiorespiratory Fitness and Physical Activity in Pediatric Diabetes ; A Systemic Review and Meta-Analysis |
| Authors: |
Steiman De Visser, Hannah; Fast, Isaak; Brunton, Nicole; Arevalo, Edward; Askin, Nicole; Rabbani, Rasheda; Abou-Setta, Ahmed M.; McGavock, Jonathan |
| Source: |
JAMA Network Open ; volume 7, issue 2, page e240235 ; ISSN 2574-3805 |
| Publisher Information: |
American Medical Association (AMA) |
| Publication Year: |
2024 |
| Description: |
Importance It is unclear whether cardiorespiratory fitness (CRF) and physical activity are lower among youths with type 1 diabetes (T1D) and type 2 diabetes (T2D) compared with youths without diabetes. Objective To describe the magnitude, precision, and constancy of the differences in CRF and physical activity among youths with and without diabetes. Data Sources MEDLINE, Embase, CINAHL, and SPORTDiscus were searched from January 1, 2000, to May 1, 2022, for eligible studies. Study Selection Observational studies with measures of CRF and physical activity in children and adolescents aged 18 years or younger with T1D or T2D and a control group were included. Data Extraction and Synthesis Data extraction was completed by 2 independent reviewers. A random-effects meta-analysis model was used to estimate differences in main outcomes. The pooled effect estimate was measured as standardized mean differences (SMDs) with 95% CIs. The Preferred Reporting Items for Systematic Review and Meta-Analyses guideline was followed. Main Outcomes and Measures The main outcomes were objectively measured CRF obtained from a graded maximal exercise test and subjective or objective measures of physical activity. Subgroup analyses were performed for weight status and measurement type for outcome measures. Results Of 7857 unique citations retrieved, 9 studies (755 participants) with measures of CRF and 9 studies (1233 participants) with measures of physical activity for youths with T2D were included; for youths with T1D, 23 studies with measures of CRF (2082 participants) and 36 studies with measures of PA (12 196 participants) were included. Random-effects models revealed that directly measured CRF was lower in youths with T2D (SMD, −1.06; 95% CI, −1.57 to −0.56; I 2 = 84%; 9 studies; 755 participants) and in youths with T1D (SMD, −0.39; 95% CI, −0.70 to −0.09; I 2 = 89%; 22 studies; 2082 participants) compared with controls. Random-effects models revealed that daily physical activity was marginally lower in youths with T1D (SMD, −0.29; ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1001/jamanetworkopen.2024.0235 |
| Availability: |
https://doi.org/10.1001/jamanetworkopen.2024.0235; https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2815443/steiman_de_visser_2024_oi_240023_1708103821.18951.pdf |
| Accession Number: |
edsbas.8CF02703 |
| Database: |
BASE |