title: Physical activity and overweight in children and adolescents using intensified insulin treatment.
abstract: OBJECTIVE
  To describe physical activity and inactivity and parameters associated with overweight in a population-based study of children and adolescents on intensive insulin treatment.
  
  
  METHODS
  Physical activity and inactivity were evaluated in 723 type 1 diabetic subjects, 240 children aged 6-10 yr and 483 adolescents aged 11-19 yr, using a questionnaire that can estimate total amount of time spent on inactivity and light, moderate and vigorous activity.
  
  
  RESULTS
  Overall, 54% of the participants do not fulfil the international recommendations of 60 min of moderate-to-vigorous activity per day. Girls are less active than boys in childhood (70 vs. 88 min/d, p = 0.01) and in adolescence (47 vs. 57 min/d, p = 0.02). Furthermore, this study shows that those who are more active are also those who seldom skip meals (p < 0.001). Forty-three percent of the participants watch TV for more than 2 h a day, and TV viewing was found to be related to overweight in children and adolescents with type 1 diabetes [OR: 2.5 (1.40-4.54), p = 0.002]. No statistical differences in physical activity were noted between the different intensified insulin regimens. Patients wearing insulin pumps were not less active.
  
  
  CONCLUSIONS
  To increase physical activity to recommended level and limit TV viewing should be an important issue in education of all children and adolescents with type 1 diabetes, independent of insulin regimen.
authors: Department of Nutrition, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway. ninaco@medisin.uio.no
authors: Nina C
authors: NC
authors: Øverby
authors: Hanna D
authors: HD
authors: Margeirsdottir
authors: Cathrine
authors: C
authors: Brunborg
authors: Sigmund A
authors: SA
authors: Anderssen
authors: Lene F
authors: LF
authors: Andersen
authors: Knut
authors: K
authors: Dahl-Jørgensen
mesh_terms: D000293:Adolescent; D002648:Child; D015897:Comorbidity; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy / Q000453:epidemiology*; D015444:Exercise; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D007328:Insulin / Q000008:administration & dosage*; D008297:Male; D009664:Norway / Q000453:epidemiology; D050177:Overweight / Q000453:epidemiology*; D013690:Television; D055815:Young Adult
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin