Correlation of cardiorespiratory fitness with risk factors for cardiovascular disease in children with type 1 diabetes mellitus

J Diabetes Complications. 2012 Sep-Oct;26(5):419-23. doi: 10.1016/j.jdiacomp.2012.05.011. Epub 2012 Jun 18.

Abstract

The objective of this study was to correlate CRF with cardiovascular risk factors in T1DM children.

Methods: Fifty children and adolescents aged between 9 and 17 years with no diabetes complications and a mean diabetes duration of 4.6 years were selected. Antropometric, sexual maturation and blood pressure data were evaluated. CRF level was assessed with a 20-m shuttle run test. Laboratory tests were performed to verify fasting lipids and glycated hemoglobin. Statistical analyses were made with Pearson partial correlation, t test, and one-way ANOVA, with p≤0.05.

Results: After adjustment for body adiposity and sexual maturity, inverse correlations among CRF and TC, TG, TC/HDL-C, TG/HDL-C, non-HDL-C, and SBP were statistically significant. Variables differing by sex included weight Z score, BMI Z score, skinfold thickness, percentage of body fat, and DBP. Boys had higher CRF compared to girls. CRF and TC differed significantly by sexual maturation status.

Conclusion: An inverse and significant relationship between CRF and most lipid profile's components and SBP in poor controlled T1DM children and adolescents was found, independently of body adiposity.

MeSH terms

  • Adolescent
  • Adolescent Development
  • Brazil / epidemiology
  • Cardiovascular Diseases / complications
  • Cardiovascular Diseases / epidemiology*
  • Cardiovascular System / physiopathology*
  • Child
  • Child Development
  • Diabetes Mellitus, Type 1 / blood
  • Diabetes Mellitus, Type 1 / complications
  • Diabetes Mellitus, Type 1 / physiopathology*
  • Diabetic Cardiomyopathies / epidemiology*
  • Female
  • Glycated Hemoglobin / analysis
  • Humans
  • Hypercholesterolemia / complications
  • Hypertension / complications
  • Lipids / blood
  • Male
  • Physical Fitness*
  • Respiratory System / physiopathology*
  • Risk Factors
  • Sex Characteristics

Substances

  • Glycated Hemoglobin A
  • Lipids
  • hemoglobin A1c protein, human