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Int J Sports Med 2019; 40(02): 110-115
DOI: 10.1055/a-0805-1326
Training & Testing
© Georg Thieme Verlag KG Stuttgart · New York

Assessment of Exercise Capacity in Children with Type 1 Diabetes in the Cooper Running Test

Arkadiusz Michalak
1   Department of Pediatrics, Diabetology, Endocrinology and Nephrology, Medical University of Lodz, Lodz, Poland
,
Andrzej Gawrecki
2   Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
,
Szymon Gałczyński
3   The Academic Laboratory of Movement and Human Physical Performance “DynamoLab”, Lodz, Poland
,
Jędrzej Nowaczyk
4   Department of Pediatrics and Endocrinology, Warszawski Uniwersytet Medyczny, Warszawa, Poland
,
Beata Mianowska
1   Department of Pediatrics, Diabetology, Endocrinology and Nephrology, Medical University of Lodz, Lodz, Poland
,
Dorota Zozulinska-Ziolkiewicz
2   Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
,
Agnieszka Szadkowska
1   Department of Pediatrics, Diabetology, Endocrinology and Nephrology, Medical University of Lodz, Lodz, Poland
› Author Affiliations
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Publication History



accepted 13 November 2018

Publication Date:
17 December 2018 (online)

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Abstract

Regular physical activity increases lifespan for those with type 1 diabetes. However, disease-related barriers may deter children from exercise and affect their fitness. This study examined the safety of the Cooper test concerning diabetes-related acute complications in children with type 1 diabetes and their fitness. Blood glucose was recorded before and 0, 30, 60 min after the test. The covered distances were transformed to z-scores based on the national charts. Body mass index, body fat percentage and glycated hemoglobin were measured. The run was completed by 80 individuals (45% boys, age 13.6±2.1 years; diabetes duration 6.3±3.5 years). During the follow-up 11 children reached glucose alert values (3–3.9 mmol/L), 3 presented clinically significant hypoglycemia (<3 mmol/L), none experienced severe hypoglycemia. The covered distance was 1914±298 m, not significantly different from the reference population (z-score −0.12±0.71 vs 0, p=0.12). The study participants were more overweight than general pediatric population in terms of body mass index (z-score 0.48±0.94 vs 0, p<0.001) and body fat percentage (z-score: 0.37±0.85 vs 0, p<0.001). In conclusion, the Cooper test can be safely used in children with diabetes to assess their physical capacity. Youth with type 1 diabetes present fitness similar to healthy children but exhibit increased body mass index and adiposity.

Key words

type 1 diabetes - children - Cooper test - physical capacity - percentile charts
 

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