None listed
Conditions
Brief summary
Title: The Impact of an interprofessional exercise program on improving glycaemic management in children and adolescents with type 1 diabetes Short Title: T1DM & Exercise Study Sites: Tweed Valley hospital SCU gymnasium, Bilinga NSW 4225 Study Aims/Objectives/Hypothesis: The aim of this research is to answer the following two research questions. 1. Does participation in an interprofessional exercise program reduce the incidence of exercise induced hypoglycaemia and nocturnal hypoglycaemia? 2. Does participation in an interprofessional exercise program, improve the confidence of individuals and families to manage T1DM? Study Design: Pre/post intervention trial Study Outcome Measures: Problem Areas In Diabetes (PAID) (Welch, 1997) Diabetes Distress Scale (DSS) (Fenwick, 2018) Physical Activity Questionnaire for Children and Young People (Kowalski, 2004) Incidence of exercise induced hypo/hyperglycaemia Nocturnal hypoglycaemia. Study Population: children and young people between the age of 12 to 18 with T1DM, who are current clients of our Paediatric and Young Adult Diabetes Outpatient clinics Number of participants: Due to the focus of this study, recruitment will target 12- to 18-year-olds, who attend the Tweed hospital for management of T1DM. We currently see 70 children/young people for T1DM management. On average, over the last two years, 10 children/young people are new to the service each year. We estimate a convenient sample size of approximately 20 to 25 participants from our paediatric and young person’s diabetes service will be eligible to participate. Translation to Clinical Practice: Development of protocol for exercise physiologists to support children and young people with T1DM to maintain physical activity through the life span. Key Ethical and Safety Considerations: Management of hypo/hyperglycaemia, trips/slips and falls and developing their confidence in maintaining lifelong exercise. Working with children and young people and ensuring that consent is informed and appropriate based on age.
Interventions
Children and young adults aged between 12 to 18 with Type 1 diabetes will be recruited from our existing services at The Tweed Hospital, Tweed Community Health, Murwillumbah Community Health, Byron Central Hospital and Byron Community Health.
The exercise intervention will be supervised by qualified exercise physiologists and exercise physiology students. The mode of administration will be determined by the number of recruits, however, is likely to be one to one.
Examples of these exercises ar
Children and young adults aged between 12 to 18 with Type 1 diabetes will be recruited from our existing services at The Tweed Hospital, Tweed Community Health, Murwillumbah Community Health, Byron Central Hospital and Byron Community Health. The exercise intervention will be supervised by qualified exercise physiologists and exercise physiology students. The mode of administration will be determined by the number of recruits, however, is likely to be one to one. Examples of these exercises are as follows: 1. a sequence of motions for circuit exercise program 1: (1) Twist spine, (2) Hand walking, (3) Rolling squat, (4) Cross knee-up, (5) Jumping & walking, (6) Level-up pacer. 2. sequence of motions for circuit exercise program 2: (1) 8 drill, (2) Star drill, (3) Zig-zag hopping, (4) Side step, (5) Ladder exercise, (6) Hurdle exercise. 3. sequence of motions for circuit exercise program 3: (1) Hand walking, (2) Back extension, (3) Heart fit exercise, (4) Cross hopping, (5) Kick & lunge, (6) Jumping lunge. The exercise intervention will be the completion of a circuit-based exercise program which is based upon the work by Han and Colleagues (Han, Lee & Shin 2021) designed for adolescents. As participants will have varying levels of fitness, the specialist exercise physiologists will tailor the program based upon the participant’s initial testing, including a cardiorespiratory fitness assessment. The exercise intervention progression plan is based upon 12 weeks, however for participants whose fitness is higher than the expected starting level they will progress to the next “week” (i.e., higher dose of aerobic exercise). Each participant will utilize heart rate monitors, supplied by SCU, which display their real-time exercise heart rate (colour coded to exercise intensity) on a large TV screen in the exercise training facility to allow for continual adjustments in exercise intensity therefore allowing the participant to maintain their prescribed exercise training zone and to ensure their safety. The level of intensity will be moderate to vigorous and will be assessed use the Borg RPE. The duration of the exercise sessions will be for 45 minutes (10 minutes to complete safety checks, and attendance checklist and then 30 minutes exercise and then 5 minutes to complete safety check at the end of the intervention.
Sponsors
Tweed Community Health
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
12 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
inclusion criteria will include. • Age – 12 to 18 years. • T1DM • prior attendance to our multidisciplinary paediatric clinics. • Participants will need to agree to wear a rtCGMS three months prior to the commencement of the exercise intervention, duration of the study and up to six months post completion so that ongoing data can be collected. • completion of the PAID and DDS questionnaire by child and care giver or young person as appropriate. • All participants will need to agree to share their data with the study investigators so that fine tuning of insulin and review of dietary prescriptions can occur on a continuous basis during the study period.
Exclusion criteria
Aged 2 to 11 years or over 18 years. T2DM
Outcome results
None listed