Physical activity and overweight in children and adolescents using intensified insulin treatment

  1. Nina C Øverby1,*,
  2. Hanna D Margeirsdottir2,
  3. Cathrine Brunborg3,
  4. Sigmund A Anderssen4,
  5. Lene F Andersen1,
  6. Knut Dahl-Jørgensen2,5,
  7. Norwegian Study Group for Childhood Diabetes1

Article first published online: 20 AUG 2008

DOI: 10.1111/j.1399-5448.2008.00454.x

Issue

Pediatric Diabetes

Pediatric Diabetes

Volume 10, Issue 2, pages 135–141, March 2009

Additional Information

How to Cite

Øverby, N. C., Margeirsdottir, H. D., Brunborg, C., Anderssen, S. A., Andersen, L. F., Dahl-Jørgensen, K. and Norwegian Study Group for Childhood Diabetes (2009), Physical activity and overweight in children and adolescents using intensified insulin treatment. Pediatric Diabetes, 10: 135–141. doi: 10.1111/j.1399-5448.2008.00454.x

Author Information

  1. 1

    Department of Nutrition, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway

  2. 2

    Department of Pediatrics, Ullevaal University Hospital, Oslo, Norway

  3. 3

    Center for Clinical Research, Ullevaal University Hospital, Oslo, Norway

  4. 4

    Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway

  5. 5

    Faculty of Medicine, University of Oslo, Oslo, Norway

*Nina Cecilie Øverby Department of Nutrition Institute of Basic Medical Sciences Faculty of Medicine University of Oslo P.O. 1046 Blindern 0316 Oslo Norway. Tel: +47 22851354; fax: +47 22851531; e-mail: ninaco@medisin.uio.no

Publication History

  1. Issue published online: 23 FEB 2009
  2. Article first published online: 20 AUG 2008
  3. Submitted 14 December 2007. Accepted for publication 21 July 2008

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Keywords:

  • childhood diabetes;
  • overweight;
  • physical activity

Aim:  To describe physical activity and inactivity and parameters associated with overweight in a population-based study of children and adolescents on intensive insulin treatment.

Methods:  Physical activity and inactivity were evaluated in 723 type 1 diabetic subjects, 240 children aged 6–10 yr and 483 adolescents aged 11–19 yr, using a questionnaire that can estimate total amount of time spent on inactivity and light, moderate and vigorous activity.

Results:  Overall, 54% of the participants do not fulfil the international recommendations of 60 min of moderate-to-vigorous activity per day. Girls are less active than boys in childhood (70 vs. 88 min/d, p = 0.01) and in adolescence (47 vs. 57 min/d, p = 0.02). Furthermore, this study shows that those who are more active are also those who seldom skip meals (p < 0.001). Forty-three percent of the participants watch TV for more than 2 h a day, and TV viewing was found to be related to overweight in children and adolescents with type 1 diabetes [OR: 2.5 (1.40–4.54), p = 0.002]. No statistical differences in physical activity were noted between the different intensified insulin regimens. Patients wearing insulin pumps were not less active.

Conclusion:  To increase physical activity to recommended level and limit TV viewing should be an important issue in education of all children and adolescents with type 1 diabetes, independent of insulin regimen.

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