Aerobic exercise capacity and pulmonary function in athletes with and without type 1 diabetes

William R Komatsu, Turibio L Barros Neto, Antonio R Chacra, Sergio A Dib, William R Komatsu, Turibio L Barros Neto, Antonio R Chacra, Sergio A Dib

Abstract

Objective: To compare the aerobic exercise capacity and pulmonary function between athletes with and without type 1 diabetes.

Research design and methods: Fifty-one adult age-matched individuals were assessed in random order to the maximum volume of O(2) consumption (Vo(2 peak max)) (ml/kg/min), anaerobic threshold (ml/kg/min), peak pulmonary ventilation (Ve), heart rate (beats per min), time to exhaustion (min), forced vital capacity (FEV) (%), forced expiratory volume in the first second (FEV1) (%), total lung capacity (TLC) (%), and lung diffusion capacity for carbon monoxide (DL(CO)) (%). Individuals were 27 with type 1 diabetes: 15 athletes (ADM) and 12 nonathletes (NADM); and 24 healthy individuals: 12 ADM and 12 NADM. Duration of diabetes was 14.6 ± 6.2 and 15.2 ± 6.7 years in ADM and NADM, respectively.

Results: Vo(2 peak) (max) was higher in ADM than in NADM (P < 0.001). The anaerobic threshold was lower in subjects with type 1 diabetes than in control subjects (P < 0.001). FEV1 was lower in ADM than in other groups (NADM, athletes control, and nonathletes control, P < 0.001).

Conclusions: Aerobic capacity in subjects with type 1 diabetes with programmed exercise is similar to the capacity of normal athletes despite lower anaerobic threshold and FEV1.

References

    1. Goldman MD: Lung dysfunction in diabetes. Diabetes Care 2003;26:1915–1918
    1. Lange P, Parner J, Schnohr P, Jensen G: Copenhagen City Heart Study: longitudinal analysis of ventilatory capacity in diabetic and nondiabetic adults. Eur Respir J 2002;20:1406–1412
    1. Ramirez LC, Dal Nogare A, Hsia C, Arauz C, Butt I, Strowig SM, Schnurr-Breen L, Raskin P: Relationship between diabetes control and pulmonary function in insulin-dependent diabetes mellitus. Am J Med 1991;91:371–376
    1. Niranjan V, McBrayer DG, Ramirez LC, Raskin P, Hsia CC: Glycemic control and cardiopulmonary function in patients with insulin-dependent diabetes mellitus. Am J Med 1997;103:504–513
    1. Davis WA, Knuiman M, Kendall P, Grange V, Davis TM: Fremantle Diabetes Study Glycemic exposure is associated with reduced pulmonary function in type 2 diabetes: the Fremantle Diabetes Study. Diabetes Care 2004;27:752–757
    1. Komatsu WR, Gabbay MA, Castro ML, Saraiva GL, Chacra AR, de Barros Neto TL, Dib SA: Aerobic exercise capacity in normal adolescents and those with type 1 diabetes mellitus. Pediatr Diabetes 2005;6:145–149
    1. Baran D, Dorchy H: [Physical fitness in diabetic adolescents (author's translation)]. Bull Eur Physiopathol Respir 1982;18:51–58[in French]
    1. American Diabetes Association Diagnosis and classification of diabetes mellitus (Position Statement). Diabetes Care 2010;33(Suppl. 1):S62–S69
    1. Wasserman K, Hansen JE, Sue D, Whipp BJ, Casaburi R: Principles of Exercise Testing and Interpretation: Including Pathophysiology and Clinical Applications. 3rd ed Philadelphia, PA, Lippincott Williams & Wilkins, 1999
    1. American Thoracic Society Single-breath carbon monoxide diffusing capacity (transfer factor): recommendations for a standard technique–1995 update. Am J Respir Crit Care Med 1995;152:2185–2198
    1. Sokolov E, Demidov Iu I, Dudaev VA: Physical work ability in patients with type 1 diabetes. Klin Med (Mosk) 2008;86:54–57[in Russian]
    1. Baraldi E, Monciotti C, Filippone M, Santuz P, Magagnin G, Zanconato S, Zacchello F: Gas exchange during exercise in diabetic children. Pediatr Pulmonol 1992;13:155–160
    1. Benbassat CA, Stern E, Kramer M, Lebzelter J, Blum I, Fink G: Pulmonary function in patients with diabetes mellitus. Am J Med Sci 2001;322:127–132
    1. Schuyler MR, Niewoehner DE, Inkley SR, Kohn R: Abnormal lung elasticity in juvenile diabetes mellitus. Am Rev Respir Dis 1976;113:37–41

Source: PubMed

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