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Physical Activity Decreasing Risk of Comorbidities?

Exercise inversely correlated with HbA1c, diabetic ketoacidosis, BMI, and dyslipidemia in type 1 patients….

Barbara Bohn and colleagues from the University of Ulm in Germany looked at a cohort study with 18,028 adults with type 1 diabetes. Participants were classified according to their physical activity.

The results of the study showed that physical activity was inversely correlated with HbA1c, diabetic ketoacidosis, BMI and dyslipidemia (all P<.0001), as well as hypertension (P=.0150). Physical activity was inversely associated with retinopathy and microalbuminuria (both P<.0001). No difference was seen between the physical activity groups in terms of severe hypoglycemia (assistance required) (P=.8989); there was an inverse correlation for physical activity with severe hypoglycemia with coma (P<.0001).
Overall, the researchers concluded, “Being physically active is associated with reduced cardiovascular risk and better glycemic control without an increase in adverse effects. Therefore, physical activity should be promoted in patients with type 1 diabetes.”

Practice Pearls:

  • Physical activity is beneficial in avoiding comorbidities in patients with type 1 diabetes.
  • In the study, results showed that physical activity was inversely correlated with HbA1c, diabetic ketoacidosis, BMI, and dyslipidemia.
  • Being physically active reduces cardiovascular risk and improves glycemic control without increasing the chance of adverse effects.

Bohn, Barbara. “Physical Activity May Decrease Risk for Comorbidities in Type 1 Diabetes.” Diabetes Care. 2015;doi:10.2337/dc15-0030., 12 June 2015.