DİYABETLİ ÇOCUK VE EGZERSİZ

Diyabet, ülkemizde görülme sıklığı giderek artan, ciddi organ kayıplarına yol açan ve yaşamkalitesini olumsuz yönde etkileyebilen kronik bir hastalıktır. Diyabetli bireylerin yaşamkalitelerinin arttırılması, beslenme, egzersiz, tıbbı tedavi ve eğitimden oluşan dört temel faktörlemümkün olmaktadır. Yeterli ve dengeli beslenme ile birlikte fiziksel aktivitenin diyabetin ortayaçıkmasının engellenmesinde, geciktirilmesinde ve komplikasyonların en az düzeydeoluşmasında önemli rolü olduğu bilinmektedir. Diyabet hastalığını öğrenmek, onu kontrol altınaalmanın ilk adımıdır. Diyabetli çocuklar düzenli fiziksel aktivite düşünmelidir.Daha önce yapılan araştırmalarda, egzersizin diyabetli çocuklarda bazı fizyolojik tepkilersağladığı ve insülinin ve diyetin kan glikoz seviyesini sınırladığı belirtilmektedir. Diyabeti olantüm çocuklar egzersiz ve spora bireysel glisemik yanıtları öğrenmelidirler. Glikoz artış –azalışlarını kontrol etmek için uygun insülin dozu ve diyet kullanmaları önerilmektedir.Fiziksel egzersizlerde birkaç kısıtlama ile eşit zeminde diyabetli gençler ile aktif gençlerinrekabet etmeleri sosyal bir ortamın kazanılmasını sağlar. Bu derleme, diyabetli çocuklardakifiziksel aktivitenin ve egzersizin yararları tartışmaktadır

Anahtar Kelimeler:

diyabet, fiziksel aktivite, spor, egzersiz

Diabetic Children and Exercise

Diabetes increasing prevalence in our country, which leads to serious organ loss and that mayaffect the life quality adversely is chronic disease. Enhancing the quality of life of people withdiabetes, consisting of nutrition, exercise, medical treatment and education it is possible to fourmain factor.Adequate and balanced diet combined with physical activity, diabetes revealed theinhibition of the minimum level of delay and complications in are known to play an importantrole in the formation. Learn the diabetes is the first step to get it under control. Children withdiabetes should consider regular physical activity. In studies performed previously are indicated,the exercise provides some physiological responses and insulin and blood glucose levels limitiesin children with diabetes. All children with diabetes must learn to exercise and sports glycemicresponse. To control glucose increase or decrease, appropriate dose of insulin and diet arerecommended. With few limitations in physical exercises to compete on an equal footing withactive young people in youth with diabetes enables the acquisition of a social environment. Thisreview discusses the benefits of exercise and physical activity in children with diabetes

Keywords:

diabetes, physical activity, sport, exercise,

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Günöz H, Öcal G, Yordam N, Kurtoğlu S. Pediatrik Endokrinoloji. 1. basım. Pediatric Endokrinoloji ve Oksoloji Derneği Yayınları. Aralık 2003. Ankara,8-35.
Rowland TW, Pediatric Exercise Medicine From Physiologic Principles to Healt Care Application, 1. baskı, ABD: Sheridan Books, 2004:219-236.
American Diabetes Association. Physical activity/exercise and diabetes. Diabetes Care 2004;27(suppl 1):58-62.
Silverstein J, Klingensmith G, Copeland K. Care of children and adolescents with Type 1 diabetes a statement of the American Diabetes Association. Diabetes Care 2005;28:186- 212.
Galassetti P,Tate D,Neill R, Morrey S,Wasserman D, Davis S. Effect of antecedent hypoglycemia on counterregulatory responses to subsequent euglycemic exercise in Type 1 diabetes. Diabetes 2003;52:1761-9.
Sandoval D, Aftab Guy D, Richardson A, Ertl A, Davis S. Effects of low and moderate antecedent exercise on counterregulatory responses to subsequent hypoglycemia in Type 1 diabetes. Diabetes 2004;53:1798-806.
Berger M, Assal JP, Jorgens V. Physical exercise in the diabetic. The importance of understanding endocrine and metabolic responses. Diabete Metab 1980;6:59-69.
Roberts L, Jones TW, Fournier PA. Exercise training and glycemic control in adolescents with poorly controlled type 1 diabetes mellitus. J Pediatr Endocrinol Metab 2002;15:621–7.
Herbst A, Bachran R, Kapellen T, Holl RW. Effects of regular physical activity on control of glycemia in pediatric patients with type 1 diabetes mellitus. Arch Pediatr Adolesc Med 2006;160:573–7.
Nordfelt S, Ludvinsson J. Fear and other disturbances of severe hypoglycaemia in children and adolescents with type 1 diabetes mellitus. J Pediatr Endocrinol Metab 2005:18;83–91.
Temple MY, Bar-Or O, Riddell MC. The reliability and repeatability of the blood glucose response to prolonged exercise in adolescent boys with IDDM. Diabetes Care 1995:18;326–32.
Stettler C, Jenni S, Allemann S, Steiner R, Hoppeler H, Trepp R, et al. Exercise capacity in subjects with type 1 diabetes mellitus in eu- and hyperglycaemia. Diabetes Metab Res Rev 2006;22:300–6.
Riddell M, Perkins B. Exercise and glucose metabolism in persons with diabetes mellitus: perspectives on the role for continuous glucose monitoring. J Diabetes Sci Technol 2009;3:914–923.
Riddell MC, Bar-Or O. Children and Adolescents. Ruderman N, Devlin JT, Schneids SH, eds. Handbook of Exercise in Diabetes: American Diabetes Association, 2002;547–566.
Tsalikian E, Mauras N, Beck RW, Tamborlena WV, Janz KF, Chase HP. Impact of exercise on overnight glycemic control in children with type 1 diabetes mellitus. J Pediatr 2005;147:528–34.
Bernardini AL, Vanelli M, Chiari G, Iovane B, Gelmetti C, Vitale R. Adherence to physical activity in young people with type 1 diabetes. Acta Biomed Ateneo Parmense 2004;75:153– 7.
Admon G, Weinstein Y, Falk B, Weintrob N, Benzaquen H,Ofan R. Exercisewith and without an insulin pump among children and adolescents with type 1 diabetes mellitus. Pediatrics 2005;116:348–55.
Perkins B, Riddell M. Type 1 Diabetes and Exercise: Using the Insulin Pump to Maximum Advantage. Can J Diab 2006;30:72–80.
Riddell M, Iscoe K. Physical activity, sport, and pediatric diabetes. Pediatr Diabetes 2006;7:60–70.
American Diabetes Association. Physical activity/exercise an diabetes mellitus. Diabetes Care 2003;26:73-77.
Sigal RJ, Kenny GP,Wassermann DH, Castaneda S, Ceppa C, White RD. Physical activity/exercise and type 2 diabetes: a consensus statement from the American Diabetes Association. Diabetes Care 2006;29:1433–8.
Boule NG,Haddad E,Kenny GP,Wells GA, Sigal RJ. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA 2001;286:1218–27.
Pinhas-Hamiel O, Standiford D, Hamiel D, Dolan LM, Cohen R, Zeitler PS. The type 2 family: a setting for development and treatment of adolescent type 2 diabetes mellitus. Arch Pediatr Adolesc Med 1999;153: 1063–7.
Shaibi GQ, Cruz ML, Ball GD, Weigensberg MJ, Salem GJ, Crespo NC. Effects of resistance training on insulin sensitivity in overweight Latino adolescent males. Med Sci Sports Exerc 2006;38: 1208–15.
Linstrom J, Louheranta A,Mannelin M,Rastas M, Salminen V, Erikkson J. The Finnish Diabetes Prevention Study (DPS): Lifestyle intervention and 3-year results on diet and physical activity. Diabetes Care 2003;26: 3230–6.
Boule NG,Haddad E,Kenny GP,Well S GA, Sigal RJ. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA 2001;286:1218–27.
Zammitt NN, Frier BM. Hypoglycemia in type 2 diabetes: pathophysiology, frequency, and effects of different treatment modalities. Diabetes Care 2005;28:2948–61.