Efeito do treinamento físico em diabéticos tipo I: revisão sistemática de ensaios clínicos randomizados

Exercise has been recommended for the control of type 1 diabetes mellitus (T1DM), but its effects on glycosylated hemoglobin (HbA1c), insulin dose and lipid pro le are still controversial. This study aims to analyze evidence of exercise in adolescents with T1DM, through a systematic review. e search was carried out in the bases of periodicals PubMed, Biblioteca Virtual de Saude and EBSCOHost. Controlled clinical trials and randomized studies were included that showed results on the effect of exercise on HbA1c, insulin dose and lipid pro le in T1DM adolescents, published in Portuguese or English between the period 2000-2017. Were included five studies with adolescents in the age of 10 to 16. The interventions were with aerobic, combined exercises and pilates during the period of three to six months. The frequency was of one to three times/week with sessions of 45-120 min. Intensities ranged from 40-85% of the Maximum Heart Rate, 80-90% of the Heart Rate of Reservation and 50-100% of 10 Maximum Reps. One study was e effective in HbA1c, two in the insulin dose and four in the lipid pro le. Only one study was effective in improvement of theHbA1c, insulin dose and lipid pro le simultaneously, including aerobic exercises, flexibility, neuromuscular and balance with intensity of 65-85% Maximum Heart Rate and 50-100% of 10 Maximum Reps. e results indicate that there is no consistency in the findings. We conclude that there is insufficient and consistent scientific evidence of the type, frequency, intensity, and duration of exercise programs for adolescents with T1DM.