Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients

To compare the glycemic and metabolic responses to simulated intermittent games activity and continuous running exercise in type 1 diabetes. Nine patients (seven male, two female; 35 ± 4 years; HbA1c 8.1 ± 0.2%/65 ± 2 mmol/mol) treated on a basal‐bolus regimen completed two main trials, a continuous...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Scandinavian journal of medicine & science in sports 2015-04, Vol.25 (2), p.216-222
Hauptverfasser: Campbell, M. D., West, D. J., Bain, S. C., Kingsley, M. I. C., Foley, P., Kilduff, L., Turner, D., Gray, B., Stephens, J. W., Bracken, R. M.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 222
container_issue 2
container_start_page 216
container_title Scandinavian journal of medicine & science in sports
container_volume 25
creator Campbell, M. D.
West, D. J.
Bain, S. C.
Kingsley, M. I. C.
Foley, P.
Kilduff, L.
Turner, D.
Gray, B.
Stephens, J. W.
Bracken, R. M.
description To compare the glycemic and metabolic responses to simulated intermittent games activity and continuous running exercise in type 1 diabetes. Nine patients (seven male, two female; 35 ± 4 years; HbA1c 8.1 ± 0.2%/65 ± 2 mmol/mol) treated on a basal‐bolus regimen completed two main trials, a continuous treadmill run (CON) or an intermittent running protocol (INT). Patients arrived to the laboratory fasted at ∼ 08:00 h, replicating their usual pre‐exercise meal and administering a 50% reduced dose of rapid‐acting insulin before exercising. Blood glucose (BG), K+, Na++, pH, triglycerides, serum cortisol and NEFA were measured at baseline and for 60 min post‐exercise. Interstitial glucose was measured for a further 23 h under free‐living conditions. Following exercise, BG declined under both conditions but was less under INT (INT −1.1 ± 1.4 vs CON −5.3 ± 0.4 mmol/L, P = 0.037), meaning more patients experienced hypoglycemia (BG ≤ 3.5 mmol/L; CON n = 3 vs INT n = 2) but less hyperglycemia (BG ≥ 10.9 mmol/L; CON n = 0 vs INT n = 6) under CON. Blood lactate was significantly greater, and pH lower, with a temporal delay in K+ under INT (P 
doi_str_mv 10.1111/sms.12192
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1673384541</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1667352105</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5292-e5123800a6b90f2a6553ab358dbd1e3763f16c056e62f15c4a1c36a08ea1c63b3</originalsourceid><addsrcrecordid>eNqN0U1v1DAQBmALgehSOPAHkCUu5ZDWH7GTcKsKLaC2CO0iuFmOM1lcEjvYztK988Nx2bYHJCR8sS0989qjQeg5JYc0r6M4xkPKaMMeoAWVhBSk5vVDtCANEUVF63oPPYnxihBaNaV4jPZYKRpOmVigX0s7zoNO0OG1HiFibZLd2LTFm4iNd8m62c8Rh9k569YYriEYG-E1PsbOb2DIaJx0sNE77HucvgFeD1sDozVYuw6PkHTrh3wLECfvYn7DOryiby7wpJMFl-JT9KjXQ4Rnt_s--nz6dnXyrjj_ePb-5Pi8MII1rABBGa8J0bJtSM-0FILrlou6azsKvJK8p9IQIUGyngpTamq41KSGfJC85fvoYJc7Bf9jhpjUaKOBYdAOcpOKyorzuhQl_Q-arWCUiExf_kWv_BxcbuRGifz1hpZZvdopE3yMAXo1BTvqsFWUqJspqjxF9WeK2b64TZzbEbp7eTe2DI524KcdYPvvJLW8WN5FFrsKGxNc31fo8F3lRiqhvlyeqVO2uvz66QNXNf8NHn215A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1665529914</pqid></control><display><type>article</type><title>Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Campbell, M. D. ; West, D. J. ; Bain, S. C. ; Kingsley, M. I. C. ; Foley, P. ; Kilduff, L. ; Turner, D. ; Gray, B. ; Stephens, J. W. ; Bracken, R. M.</creator><creatorcontrib>Campbell, M. D. ; West, D. J. ; Bain, S. C. ; Kingsley, M. I. C. ; Foley, P. ; Kilduff, L. ; Turner, D. ; Gray, B. ; Stephens, J. W. ; Bracken, R. M.</creatorcontrib><description>To compare the glycemic and metabolic responses to simulated intermittent games activity and continuous running exercise in type 1 diabetes. Nine patients (seven male, two female; 35 ± 4 years; HbA1c 8.1 ± 0.2%/65 ± 2 mmol/mol) treated on a basal‐bolus regimen completed two main trials, a continuous treadmill run (CON) or an intermittent running protocol (INT). Patients arrived to the laboratory fasted at ∼ 08:00 h, replicating their usual pre‐exercise meal and administering a 50% reduced dose of rapid‐acting insulin before exercising. Blood glucose (BG), K+, Na++, pH, triglycerides, serum cortisol and NEFA were measured at baseline and for 60 min post‐exercise. Interstitial glucose was measured for a further 23 h under free‐living conditions. Following exercise, BG declined under both conditions but was less under INT (INT −1.1 ± 1.4 vs CON −5.3 ± 0.4 mmol/L, P = 0.037), meaning more patients experienced hypoglycemia (BG ≤ 3.5 mmol/L; CON n = 3 vs INT n = 2) but less hyperglycemia (BG ≥ 10.9 mmol/L; CON n = 0 vs INT n = 6) under CON. Blood lactate was significantly greater, and pH lower, with a temporal delay in K+ under INT (P &lt; 0.05). No conditional differences were observed in other measures during this time, or in interstitial glucose concentrations during the remaining 23 h after exercise. Simulated games activity carries a lower risk of early, but not late‐onset hypoglycemia than continuous running exercise in type 1 diabetes.</description><identifier>ISSN: 0905-7188</identifier><identifier>EISSN: 1600-0838</identifier><identifier>DOI: 10.1111/sms.12192</identifier><identifier>PMID: 24593125</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Adult ; Biomarkers - blood ; Blood Glucose - metabolism ; Diabetes ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - metabolism ; Diabetes Mellitus, Type 1 - therapy ; Exercise ; Exercise Therapy - adverse effects ; Exercise Therapy - methods ; Female ; Games, Recreational ; Glucose ; Humans ; Hyperglycemia - blood ; Hyperglycemia - diagnosis ; Hyperglycemia - etiology ; Hyperglycemia - prevention &amp; control ; Hypoglycemia - blood ; Hypoglycemia - diagnosis ; Hypoglycemia - etiology ; Hypoglycemia - prevention &amp; control ; intermittent running ; Lactic Acid - blood ; Male ; Metabolism ; post-exercise hypoglycemia ; Random Allocation ; Running - physiology ; Simulation ; T1DM</subject><ispartof>Scandinavian journal of medicine &amp; science in sports, 2015-04, Vol.25 (2), p.216-222</ispartof><rights>2014 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2014 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2015 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5292-e5123800a6b90f2a6553ab358dbd1e3763f16c056e62f15c4a1c36a08ea1c63b3</citedby><cites>FETCH-LOGICAL-c5292-e5123800a6b90f2a6553ab358dbd1e3763f16c056e62f15c4a1c36a08ea1c63b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fsms.12192$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fsms.12192$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24593125$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Campbell, M. D.</creatorcontrib><creatorcontrib>West, D. J.</creatorcontrib><creatorcontrib>Bain, S. C.</creatorcontrib><creatorcontrib>Kingsley, M. I. C.</creatorcontrib><creatorcontrib>Foley, P.</creatorcontrib><creatorcontrib>Kilduff, L.</creatorcontrib><creatorcontrib>Turner, D.</creatorcontrib><creatorcontrib>Gray, B.</creatorcontrib><creatorcontrib>Stephens, J. W.</creatorcontrib><creatorcontrib>Bracken, R. M.</creatorcontrib><title>Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients</title><title>Scandinavian journal of medicine &amp; science in sports</title><addtitle>Scand J Med Sci Sports</addtitle><description>To compare the glycemic and metabolic responses to simulated intermittent games activity and continuous running exercise in type 1 diabetes. Nine patients (seven male, two female; 35 ± 4 years; HbA1c 8.1 ± 0.2%/65 ± 2 mmol/mol) treated on a basal‐bolus regimen completed two main trials, a continuous treadmill run (CON) or an intermittent running protocol (INT). Patients arrived to the laboratory fasted at ∼ 08:00 h, replicating their usual pre‐exercise meal and administering a 50% reduced dose of rapid‐acting insulin before exercising. Blood glucose (BG), K+, Na++, pH, triglycerides, serum cortisol and NEFA were measured at baseline and for 60 min post‐exercise. Interstitial glucose was measured for a further 23 h under free‐living conditions. Following exercise, BG declined under both conditions but was less under INT (INT −1.1 ± 1.4 vs CON −5.3 ± 0.4 mmol/L, P = 0.037), meaning more patients experienced hypoglycemia (BG ≤ 3.5 mmol/L; CON n = 3 vs INT n = 2) but less hyperglycemia (BG ≥ 10.9 mmol/L; CON n = 0 vs INT n = 6) under CON. Blood lactate was significantly greater, and pH lower, with a temporal delay in K+ under INT (P &lt; 0.05). No conditional differences were observed in other measures during this time, or in interstitial glucose concentrations during the remaining 23 h after exercise. Simulated games activity carries a lower risk of early, but not late‐onset hypoglycemia than continuous running exercise in type 1 diabetes.</description><subject>Adult</subject><subject>Biomarkers - blood</subject><subject>Blood Glucose - metabolism</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diabetes Mellitus, Type 1 - metabolism</subject><subject>Diabetes Mellitus, Type 1 - therapy</subject><subject>Exercise</subject><subject>Exercise Therapy - adverse effects</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Games, Recreational</subject><subject>Glucose</subject><subject>Humans</subject><subject>Hyperglycemia - blood</subject><subject>Hyperglycemia - diagnosis</subject><subject>Hyperglycemia - etiology</subject><subject>Hyperglycemia - prevention &amp; control</subject><subject>Hypoglycemia - blood</subject><subject>Hypoglycemia - diagnosis</subject><subject>Hypoglycemia - etiology</subject><subject>Hypoglycemia - prevention &amp; control</subject><subject>intermittent running</subject><subject>Lactic Acid - blood</subject><subject>Male</subject><subject>Metabolism</subject><subject>post-exercise hypoglycemia</subject><subject>Random Allocation</subject><subject>Running - physiology</subject><subject>Simulation</subject><subject>T1DM</subject><issn>0905-7188</issn><issn>1600-0838</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0U1v1DAQBmALgehSOPAHkCUu5ZDWH7GTcKsKLaC2CO0iuFmOM1lcEjvYztK988Nx2bYHJCR8sS0989qjQeg5JYc0r6M4xkPKaMMeoAWVhBSk5vVDtCANEUVF63oPPYnxihBaNaV4jPZYKRpOmVigX0s7zoNO0OG1HiFibZLd2LTFm4iNd8m62c8Rh9k569YYriEYG-E1PsbOb2DIaJx0sNE77HucvgFeD1sDozVYuw6PkHTrh3wLECfvYn7DOryiby7wpJMFl-JT9KjXQ4Rnt_s--nz6dnXyrjj_ePb-5Pi8MII1rABBGa8J0bJtSM-0FILrlou6azsKvJK8p9IQIUGyngpTamq41KSGfJC85fvoYJc7Bf9jhpjUaKOBYdAOcpOKyorzuhQl_Q-arWCUiExf_kWv_BxcbuRGifz1hpZZvdopE3yMAXo1BTvqsFWUqJspqjxF9WeK2b64TZzbEbp7eTe2DI524KcdYPvvJLW8WN5FFrsKGxNc31fo8F3lRiqhvlyeqVO2uvz66QNXNf8NHn215A</recordid><startdate>201504</startdate><enddate>201504</enddate><creator>Campbell, M. D.</creator><creator>West, D. J.</creator><creator>Bain, S. C.</creator><creator>Kingsley, M. I. C.</creator><creator>Foley, P.</creator><creator>Kilduff, L.</creator><creator>Turner, D.</creator><creator>Gray, B.</creator><creator>Stephens, J. W.</creator><creator>Bracken, R. M.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201504</creationdate><title>Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients</title><author>Campbell, M. D. ; West, D. J. ; Bain, S. C. ; Kingsley, M. I. C. ; Foley, P. ; Kilduff, L. ; Turner, D. ; Gray, B. ; Stephens, J. W. ; Bracken, R. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5292-e5123800a6b90f2a6553ab358dbd1e3763f16c056e62f15c4a1c36a08ea1c63b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Biomarkers - blood</topic><topic>Blood Glucose - metabolism</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Diabetes Mellitus, Type 1 - metabolism</topic><topic>Diabetes Mellitus, Type 1 - therapy</topic><topic>Exercise</topic><topic>Exercise Therapy - adverse effects</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Games, Recreational</topic><topic>Glucose</topic><topic>Humans</topic><topic>Hyperglycemia - blood</topic><topic>Hyperglycemia - diagnosis</topic><topic>Hyperglycemia - etiology</topic><topic>Hyperglycemia - prevention &amp; control</topic><topic>Hypoglycemia - blood</topic><topic>Hypoglycemia - diagnosis</topic><topic>Hypoglycemia - etiology</topic><topic>Hypoglycemia - prevention &amp; control</topic><topic>intermittent running</topic><topic>Lactic Acid - blood</topic><topic>Male</topic><topic>Metabolism</topic><topic>post-exercise hypoglycemia</topic><topic>Random Allocation</topic><topic>Running - physiology</topic><topic>Simulation</topic><topic>T1DM</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Campbell, M. D.</creatorcontrib><creatorcontrib>West, D. J.</creatorcontrib><creatorcontrib>Bain, S. C.</creatorcontrib><creatorcontrib>Kingsley, M. I. C.</creatorcontrib><creatorcontrib>Foley, P.</creatorcontrib><creatorcontrib>Kilduff, L.</creatorcontrib><creatorcontrib>Turner, D.</creatorcontrib><creatorcontrib>Gray, B.</creatorcontrib><creatorcontrib>Stephens, J. W.</creatorcontrib><creatorcontrib>Bracken, R. M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of medicine &amp; science in sports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Campbell, M. D.</au><au>West, D. J.</au><au>Bain, S. C.</au><au>Kingsley, M. I. C.</au><au>Foley, P.</au><au>Kilduff, L.</au><au>Turner, D.</au><au>Gray, B.</au><au>Stephens, J. W.</au><au>Bracken, R. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients</atitle><jtitle>Scandinavian journal of medicine &amp; science in sports</jtitle><addtitle>Scand J Med Sci Sports</addtitle><date>2015-04</date><risdate>2015</risdate><volume>25</volume><issue>2</issue><spage>216</spage><epage>222</epage><pages>216-222</pages><issn>0905-7188</issn><eissn>1600-0838</eissn><abstract>To compare the glycemic and metabolic responses to simulated intermittent games activity and continuous running exercise in type 1 diabetes. Nine patients (seven male, two female; 35 ± 4 years; HbA1c 8.1 ± 0.2%/65 ± 2 mmol/mol) treated on a basal‐bolus regimen completed two main trials, a continuous treadmill run (CON) or an intermittent running protocol (INT). Patients arrived to the laboratory fasted at ∼ 08:00 h, replicating their usual pre‐exercise meal and administering a 50% reduced dose of rapid‐acting insulin before exercising. Blood glucose (BG), K+, Na++, pH, triglycerides, serum cortisol and NEFA were measured at baseline and for 60 min post‐exercise. Interstitial glucose was measured for a further 23 h under free‐living conditions. Following exercise, BG declined under both conditions but was less under INT (INT −1.1 ± 1.4 vs CON −5.3 ± 0.4 mmol/L, P = 0.037), meaning more patients experienced hypoglycemia (BG ≤ 3.5 mmol/L; CON n = 3 vs INT n = 2) but less hyperglycemia (BG ≥ 10.9 mmol/L; CON n = 0 vs INT n = 6) under CON. Blood lactate was significantly greater, and pH lower, with a temporal delay in K+ under INT (P &lt; 0.05). No conditional differences were observed in other measures during this time, or in interstitial glucose concentrations during the remaining 23 h after exercise. Simulated games activity carries a lower risk of early, but not late‐onset hypoglycemia than continuous running exercise in type 1 diabetes.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>24593125</pmid><doi>10.1111/sms.12192</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0905-7188
ispartof Scandinavian journal of medicine & science in sports, 2015-04, Vol.25 (2), p.216-222
issn 0905-7188
1600-0838
language eng
recordid cdi_proquest_miscellaneous_1673384541
source MEDLINE; Access via Wiley Online Library
subjects Adult
Biomarkers - blood
Blood Glucose - metabolism
Diabetes
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - metabolism
Diabetes Mellitus, Type 1 - therapy
Exercise
Exercise Therapy - adverse effects
Exercise Therapy - methods
Female
Games, Recreational
Glucose
Humans
Hyperglycemia - blood
Hyperglycemia - diagnosis
Hyperglycemia - etiology
Hyperglycemia - prevention & control
Hypoglycemia - blood
Hypoglycemia - diagnosis
Hypoglycemia - etiology
Hypoglycemia - prevention & control
intermittent running
Lactic Acid - blood
Male
Metabolism
post-exercise hypoglycemia
Random Allocation
Running - physiology
Simulation
T1DM
title Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T16%3A52%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Simulated%20games%20activity%20vs%20continuous%20running%20exercise:%20A%20novel%20comparison%20of%20the%20glycemic%20and%20metabolic%20responses%20in%20T1DM%20patients&rft.jtitle=Scandinavian%20journal%20of%20medicine%20&%20science%20in%20sports&rft.au=Campbell,%20M.%20D.&rft.date=2015-04&rft.volume=25&rft.issue=2&rft.spage=216&rft.epage=222&rft.pages=216-222&rft.issn=0905-7188&rft.eissn=1600-0838&rft_id=info:doi/10.1111/sms.12192&rft_dat=%3Cproquest_cross%3E1667352105%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1665529914&rft_id=info:pmid/24593125&rfr_iscdi=true