Acta clinica Croatica, Vol. 62. No. 2, 2023.
Original scientific paper
https://doi.org/10.20471/acc.2023.62.02.11
The Impact of Total Physical Activity on Microvascular Complications in Type 1 Diabetes Mellitus Patients
Katarina Turčinović
; Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
Vjekoslav Cigrovski
orcid.org/0000-0003-4519-4235
; Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
Ines Bilić-Ćurćić
orcid.org/0000-0002-8861-5987
; Department of Pharmacology, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Endocrinology and Metabolism Disorders, Osijek University Hospital Center, Osijek, Croatia
Anna Mrzljak
; Department of Gastroenterology and Hepatology, Zagreb University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Lucija Kuna
; Department of Pharmacology and Biochemistry, Faculty of Dental Medicine and Health in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Sanja Klobučar
orcid.org/0000-0002-0287-4735
; Department of Endocrinology, Diabetes and Metabolism, Rijeka University Hospital Center, Rijeka, Croatia
Maja Cigrovski Berković
orcid.org/0000-0003-0750-9785
; Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
*
* Corresponding author.
Abstract
The incidence of diabetes is increasing worldwide, emphasizing an emerging need for
blood glucose control optimization to prevent the development of chronic complications and improve
the quality of life. This retrospective cohort study aimed to investigate the effects of total physical activity
on microvascular diabetic complication development in patients with type 1 diabetes mellitus (T1DM).
The study included 71 T1DM patients, average age 41 years and HbA1c 7.78%. Most patients (82.1%)
reported having hypoglycemia, while the minority of patients developed microvascular complications,
mostly nonproliferative retinopathy (17.7%). All subjects included in the study were moderately or vigorously
physically active. No association was observed between total physical activity and regulation of
glycemia, hypoglycemic incidents, or development of microvascular complications. Until sufficient data
from prospective studies become available, our data support the findings of no negative effect of higher
intensity physical activity on the development of microvascular complications in T1DM patients.
Keywords
Diabetes mellitus type 1; Microvascular complications; Nonproliferative retinopathy; Proliferative retinopathy; Nephropathy; Albuminuria
Hrčak ID:
308703
URI
Publication date:
1.8.2023.
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