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BMC Pediatrics
Published in: BMC Pediatrics 1/2024

Open Access 01-12-2024 | Type 1 Diabetes | Research

The effect of exercise on sleep habits of children with type 1 diabetic: a randomized clinical trial

Authors: Nastaran Amiri, Kimia Karami, Fatemeh Valizadeh, Yaser Mokhayeri

Published in: BMC Pediatrics | Issue 1/2024

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Abstract

Background

Adequate sleep and exercise are important components of the human lifestyle. Paying attention to these two factors is very important to improve the condition of children with type 1 diabetes. Therefore, this study aimed to investigate the effect of exercise on sleep habits in children with type 1 diabetes.

Material & methods

62 children with type 1 diabetes participated in this clinical trial. They will be divided into the intervention group (31) and the control group (31). Sleep habits were measured using the Children’s Sleep Habits Questionnaire (CSHQ). All children’s parents completed the CSHQ. The intervention for the experimental group consisted of 8 weeks of regular exercise program. The exercise program was prepared as an educational video and provided to parents. Paired sample t-test and ANCOVA test were used with SPSS 23.

Results

62 children with an average age of 9.32 ± 2.02 were studied. Fifty-four and eight% of the children were girls and the rest were boys. The analysis of the variance test showed a significant difference (F = 144.72, P ≤ 0.01) between the average score of the sleep habits of the control group (62.45 ± 5.12) and the experimental group (47.06 ± 4.39).

Conclusion

Sleep habits in the experimental group improved after 8 weeks of exercise training using educational videos. Exercise as a non-pharmacological treatment is an effective way to manage diabetes and improve sleep quality in diabetic children.
Literature
1.
Barnard K, Thomas S, Royle P, Noyes K, Waugh N. Fear of hypoglycaemia in parents of young children with type 1 diabetes: a systematic review. BMC Pediatr. 2010;10(1):50.PubMedPubMedCentralCrossRef
2.
Corbin KD, Driscoll KA, Pratley RE, Smith SR, Maahs DM, Mayer-Davis EJ, Diabetes ACT, Network O. Obesity in type 1 diabetes: pathophysiology, clinical impact, and mechanisms. Endocr Rev. 2018;39(5):629–63.PubMedCrossRef
3.
Ogrotis I, Koufakis T, Kotsa K. Changes in the Global Epidemiology of Type 1 diabetes in an Evolving Landscape of Environmental factors: causes, challenges, and opportunities. Medicina. 2023;59(4):668.PubMedPubMedCentralCrossRef
4.
Gregory GA, Robinson TIG, Linklater SE, Wang F, Colagiuri S, de Beaufort C, Donaghue KC, Magliano DJ, Maniam J, Orchard TJ, et al. Global incidence, prevalence, and mortality of type 1 diabetes in 2021 with projection to 2040: a modelling study. Lancet Diabetes Endocrinol. 2022;10(10):741–60.PubMedCrossRef
5.
Huang Y-S, Paiva T, Hsu J-F, Kuo M-C, Guilleminault C. Sleep and breathing in premature infants at 6 months post-natal age. BMC Pediatr. 2014;14(1):303.PubMedPubMedCentralCrossRef
6.
Khalil M, Power N, Graham E, Deschênes SS, Schmitz N. The association between sleep and diabetes outcomes–A systematic review. Diabetes Res Clin Pract. 2020;161:108035.PubMedCrossRef
7.
Adler A, Gavan MY, Tauman R, Phillip M, Shalitin S. Do children, adolescents, and young adults with type 1 diabetes have increased prevalence of sleep disorders? Pediatr Diabetes. 2017;18(6):450–8.PubMedCrossRef
8.
hoseini A. Survey of the effect of non pharmacological intervention to improve of sleep in pediatric, that suffering of chronic illness. Iran J Nurs Res. 2012;7(27):60–72.
9.
Banno M, Harada Y, Taniguchi M, Tobita R, Tsujimoto H, Tsujimoto Y, Kataoka Y, Noda A. Exercise can improve sleep quality: a systematic review and meta-analysis. PeerJ. 2018;6:e5172.PubMedPubMedCentralCrossRef
10.
11.
Zahalka SJ, Abushamat LA, Scalzo RL, Reusch JE. The role of exercise in diabetes. Endotext [Internet] 2023.
12.
Nadella S, Indyk JA, Kamboj MK. Management of diabetes mellitus in children and adolescents: engaging in physical activity. Translational Pediatr. 2017;6(3):215.CrossRef
13.
Farinha JB, Krause M, Rodrigues-Krause J, Reischak-Oliveira A. Exercise for type 1 diabetes mellitus management: General considerations and new directions. Med Hypotheses. 2017;104:147–53.PubMedCrossRef
14.
Aljawarneh YM, Wardell DW, Wood GL, Rozmus CL. A systematic review of Physical Activity and Exercise on physiological and biochemical outcomes in children and adolescents with type 1 diabetes. J Nurs Scholarsh. 2019;51(3):337–45.PubMedCrossRef
15.
16.
Landry BW, Driscoll SW. Physical activity in children and adolescents. PM R: J Injury Function Rehabilitation. 2012;4(11):826–32.CrossRef
17.
Wan Yunus F, Tan XZ, Romli MH. Investigating the feasibility of Exergame on sleep and emotion among University students. Games Health J. 2020;9(6):415–24.PubMedCrossRef
18.
Davis CL, Pollock NK, Waller JL, Allison JD, Dennis BA, Bassali R, Meléndez A, Boyle CA, Gower BA. Exercise dose and diabetes risk in overweight and obese children: a randomized controlled trial. JAMA. 2012;308(11):1103–12.PubMedPubMedCentralCrossRef
19.
Tsalikian E, Mauras N, Beck RW, Tamborlane WV, Janz KF, Chase HP, Wysocki T, Weinzimer SA, Buckingham BA, Kollman C. Impact of exercise on overnight glycemic control in children with type 1 diabetes mellitus. J Pediatr. 2005;147(4):528–34.PubMedCrossRef
20.
Ebrahimi M, Guilan-Nejad TN, Pordanjani AF. Effect of yoga and aerobics exercise on sleep quality in women with type 2 diabetes: a randomized controlled trial. Sleep Sci. 2017;10(02):68–72.PubMedPubMedCentralCrossRef
21.
Alarcón-Gómez J, Chulvi-Medrano I, Martin-Rivera F, Calatayud J. Effect of high-intensity interval training on quality of life, sleep quality, exercise motivation and enjoyment in sedentary people with type 1 diabetes mellitus. Int J Environ Res Public Health. 2021;18(23):12612.PubMedPubMedCentralCrossRef
22.
Sharma D, Kaur J, Rani M, Bansal A, Malik M, Kulandaivelan S. Efficacy of Pilates based mat exercise on quality of life, quality of sleep and satisfaction with life in type 2 diabetes mellitus. Romanian J Diabetes Nutr Metabolic Dis. 2018;25(2):149–56.CrossRef
23.
Sargolzaei MS, Kohestani D. Sleep quality in diabetic patients in Iran: a review. Payesh (Health Monitor) J. 2020;19(4):391–404.
24.
Fitzpatrick R, Davison G, Wilson JJ, McMahon G, McClean C. Exercise, type 1 diabetes mellitus and blood glucose: the implications of exercise timing. Front Endocrinol. 2022;13:1021800.CrossRef
25.
Jacobs PG, Reddy R. Exercise, Sleep, and type 1 diabetes. Neurological modulation of Sleep. edn.: Elsevier; 2020. pp. 145–57.
26.
Saidi O, Davenne D, Lehorgne C, Duché P. Effects of timing of moderate exercise in the evening on sleep and subsequent dietary intake in lean, young, healthy adults: randomized crossover study. Eur J Appl Physiol. 2020;120:1551–62.PubMedCrossRef
27.
Tse CYA, Lee HP, Chan KSK, Edgar VB, Wilkinson-Smith A, Lai WHE. Examining the impact of physical activity on sleep quality and executive functions in children with autism spectrum disorder: a randomized controlled trial. Autism: Int J Res Pract. 2019;23(7):1699–710.CrossRef
28.
Azarniveh MS, Tavakoli Khormizi SA. Effect of physical activity on quality of sleep in female students. J Gorgan Univ Med Sci. 2016;18(2):108–14.
29.
Adib Saber F, Shojaei MS, Daneshfar A, Hossein Khanzadeh AA. The Effect of Kata Techniques Training on Sleep habits in boys with Autism Spectrum Disorder. Q J Child Mental Health. 2021;7(4):112–28.CrossRef
30.
Saeed NB, Melhem MB, Al-Ababneh H. The impact of some types of physical activity on the level of releasing serotonin hormone (a comparative study). Educational Psychol Sci Ser. 2023;2(1):119–34.
31.
Sharifi M, Hamedinia M, Hosseini-Kakhak S. The effect of an exhaustive aerobic, anaerobic and resistance exercise on serotonin, beta-endorphin and BDnf in students. Phys Educ Students 2018(5):272–7.
32.
Melancon MO, Lorrain D, Dionne IJ. Exercise and sleep in aging: emphasis on serotonin. Pathol Biol. 2014;62(5):276–83.PubMedCrossRef
33.
Monti JM, Jantos H. The roles of dopamine and serotonin, and of their receptors, in regulating sleep and waking. Prog Brain Res. 2008;172:625–46.PubMedCrossRef
34.
Nixon GM, Thompson JM, Han DY, Becroft DM, Clark PM, Robinson E, Waldie KE, Wild CJ, Black PN, Mitchell EA. Falling asleep: the determinants of sleep latency. Arch Dis Child. 2009;94(9):686–9.PubMedCrossRef
35.
Kredlow MA, Capozzoli MC, Hearon BA, Calkins AW, Otto MW. The effects of physical activity on sleep: a meta-analytic review. J Behav Med. 2015;38:427–49.PubMedCrossRef
36.
Mendelson M, Borowik A, Michallet AS, Perrin C, Monneret D, Faure P, Levy P, Pépin JL, Wuyam B, Flore P. Sleep quality, sleep duration and physical activity in obese adolescents: effects of exercise training. Pediatr Obes. 2016;11(1):26–32.PubMedCrossRef
37.
Kjeldsen JS, Rosenkilde M, Nielsen SW, Reichkendler M, Auerbach P, Ploug T, Stallknecht B, Sjodin AM, Chaput J-P. Effect of different doses of exercise on sleep duration, sleep efficiency and sleep quality in sedentary, overweight men. 2012.
38.
Owens J, Group ASW, Adolescence Co, Au R, Carskadon M, Millman R, Wolfson A, Braverman PK, Adelman WP, Breuner CC. Insufficient sleep in adolescents and young adults: an update on causes and consequences. Pediatrics. 2014;134(3):e921–32.PubMedCrossRef
39.
Toyoura M, Miike T, Tajima S, Matsuzawa S, Konishi Y. Inadequate sleep as a contributor to impaired glucose tolerance: a cross-sectional study in children, adolescents, and young adults with circadian rhythm sleep‐wake disorder. Pediatr Diabetes. 2020;21(4):557–64.PubMedCrossRef
40.
Ji X, Wang Y, Saylor J. Sleep and type 1 diabetes mellitus management among children, adolescents, and emerging young adults: a systematic review. J Pediatr Nurs. 2021;61:245–53.PubMedCrossRef
41.
Zhang Z, Chen W. A systematic review of the relationship between physical activity and happiness. J Happiness Stud. 2019;20(4):1305–22.CrossRef
42.
Passos GS, Poyares D, Santana MG, Garbuio SA, Tufik S, Mello MT. Effect of acute physical exercise on patients with chronic primary insomnia. J Clin Sleep Med. 2010;6(3):270–5.PubMedPubMedCentralCrossRef
43.
Ji C, Yang J, Lin L, Chen S. Physical Exercise ameliorates anxiety, Depression and Sleep Quality in College students: experimental evidence from Exercise intensity and frequency. Behav Sci (Basel Switzerland) 2022, 12(3).
44.
Vollert C, Zagaar M, Hovatta I, Taneja M, Vu A, Dao A, Levine A, Alkadhi K, Salim S. Exercise prevents sleep deprivation-associated anxiety-like behavior in rats: potential role of oxidative stress mechanisms. Behav Brain Res. 2011;224(2):233–40.PubMedCrossRef
45.
46.
Williams SM, Farmer VL, Taylor BJ, Taylor RW. Do more active children sleep more? A repeated cross-sectional analysis using accelerometry. PLoS ONE. 2014;9(4):e93117.PubMedPubMedCentralCrossRef
47.
48.
Maski K, Owens JA. Insomnia, parasomnias, and narcolepsy in children: clinical features, diagnosis, and management. Lancet Neurol. 2016;15(11):1170–81.PubMedCrossRef
49.
Awad KM, Malhotra A, Barnet JH, Quan SF, Peppard PE. Exercise is associated with a reduced incidence of sleep-disordered breathing. Am J Med. 2012;125(5):485–90.PubMedPubMedCentralCrossRef
50.
Peng J, Yuan Y, Zhao Y, Ren H. Effects of Exercise on patients with obstructive sleep apnea: a systematic review and Meta-analysis. Int J Environ Res Public Health 2022, 19(17).
Metadata
Title
The effect of exercise on sleep habits of children with type 1 diabetic: a randomized clinical trial
Authors
Nastaran Amiri
Kimia Karami
Fatemeh Valizadeh
Yaser Mokhayeri
Publication date
01-12-2024
Publisher
BioMed Central
Keyword
Type 1 Diabetes
Published in
BMC Pediatrics / Issue 1/2024
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-024-04760-9

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