Cardiovascular Fitness and Quality of Life in Adolescents With Type 1 or Type 2 Diabetes

Journal for Specialists in Pediatric Nursing

Volumn 15, Issue 4, 2010, Pages 307-316

  Faulkner, Melissa Spezia ^a  

^a UNIVERSITY OF ARIZONA   (United States)

Author keywords

Adolescents; Diabetes; Fitness; Physical activity; Quality of life; Quantitative; Type 1 or type 2

Indexed keywords

ADOLESCENT; ARTICLE; ATTITUDE TO HEALTH; CARDIOVASCULAR DISEASE; CHILD BEHAVIOR; EXERCISE; FEMALE; FITNESS; GLUCOSE BLOOD LEVEL; HEALTH BEHAVIOR; HEALTH PROMOTION; HUMAN; INSULIN DEPENDENT DIABETES MELLITUS; LIFESTYLE; MALE; METHODOLOGY; NON INSULIN DEPENDENT DIABETES MELLITUS; PSYCHOLOGICAL ASPECT; QUALITY OF LIFE; QUESTIONNAIRE; SELF CONCEPT;

ADOLESCENT; ADOLESCENT BEHAVIOR; ATTITUDE TO HEALTH; BLOOD GLUCOSE; CARDIOVASCULAR DISEASES; DIABETES MELLITUS, TYPE 1; DIABETES MELLITUS, TYPE 2; EXERCISE; FEMALE; HEALTH BEHAVIOR; HEALTH PROMOTION; HUMANS; LIFE STYLE; MALE; PHYSICAL FITNESS; QUALITY OF LIFE; QUESTIONNAIRES; SELF EFFICACY;

EID: 77957232216     PISSN: 15390136     EISSN: 17446155     Source Type: Journal    
DOI: 10.1111/j.1744-6155.2010.00254.x     Document Type: Article

References (72)

1. ACSM's guidelines for exercise testing and prescription 2000, American College of Sports Medicine, 6th, ed., Philadelphia, Lippincott Williams & Wilkins
2. Exercise is medicine™ physical activity facts. 2010, http://www.acsm.org/physicalactivity, American College of Sports Medicine, Retrieved March 24, 2010, from
3. Standards of medical care in diabetes-2010. Diabetes Care 2010, 33(1):S11-S61. American Diabetes Association, Suppl, doi: 33/Supplement_1/S11 [pii]10.2337/dc10-S011
4. Bajard A, Chabaud S, Perol D, Boissel J P, Nony P. Revisiting the level of evidence in randomized controlled clinical trials: A simulation approach. Contemporary Clinical Trials 2009, 30(5):400-410. doi: S1551-7144(09)00110-4 [pii]10.1016/j.cct.2009.06.005
5. Balducci S, Zanuso S, Fernando F, Fallucca S, Fallucca F, Pugliese G. Physical activity/exercise training in type 2 diabetes. The role of the Italian Diabetes and Exercise Study. Diabetes/Metabolism Research and Reviews 2009, 25(1):S29-S33. Suppl, doi: 10.1002/dmrr.985
6. Barton M. Screening for obesity in children and adolescents: U.S. Preventive Services Task Force recommendation statement. Pediatrics 2010, 125(2):361-367. doi: peds.2009-2037 [pii]10.1542/peds.2009-2037
7. Boule N G, Haddad E, Kenny G P, Wells G A, Sigal R J. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: A meta-analysis of controlled clinical trials. [see comments.]. Journal of the American Medical Association 2001, 286(10):1218-1227.
8. Boule N G, Kenny G P, Haddad E, Wells G A, Sigal R J. Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in Type 2 diabetes mellitus. Diabetologia 2003, 46(8):1071-1081. doi: 10.1007/s00125-003-1160-2
9. DIABETES: Successes and opportunities for population-based prevention and control. 2009, http://www.cdc.gov/nccdphp/publications/aag/ddt.htm, Centers for Disease Control and Prevention, Retrieved from
10. 2000 CDC growth charts: United States. 2000, http://www.cdc.gov/growthcharts/percentile_data_files.htm, Centers for Disease Control and Prevention, National Center for Health Statistics, Retrieved March 18, 2010, from
11. Courneya K S, Mackey J R, Bell G J, Jones L W, Field C J, Fairey A S. Randomized controlled trial of exercise training in postmenopausal breast cancer survivors: Cardiopulmonary and quality of life outcomes. Journal of Clinical Oncology 2003, 21(9):1660-1668. doi: 10.1200/JCO.2003.04.093JCO.2003.04.093 [pii
12. Epidemiology of pediatric and adolescent diabetes 2008, Dabelea DKlingensmith G. Eds, New York, NY, Informa Healthcare USA, Inc
13. Dabelea D, Bell R A, D'Agostino R B, Imperatore G, Johansen J M, Linder B, Waitzfelder B. Incidence of diabetes in youth in the United States. Journal of the American Medical Association 2007, 297(24):2716-2724. doi: 10.1001/jama.297.24.2716
14. The effect of the intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New England Journal of Medicine 1993, 329(14):977-986. DCCT Research Group
15. de Beaufort C E, Swift P G, Skinner C T, Aanstoot H J, Aman J, Cameron F, Vanelli M. Continuing stability of center differences in pediatric diabetes care: Do advances in diabetes treatment improve outcome? Diabetes Care 2007, 30(9):2245-2250. The Hvidoere Study Group on Childhood Diabetes
16. de Wit M, Delemarre-van de Waal H A, Pouwer F, Gemke R J, Snoek F J. Monitoring health related quality of life in adolescents with diabetes: A review of measures. Archives of Disease in Childhood 2007, 92(5):434-439. doi: 92/5/434 [pii]10.1136/adc.2006.102236
17. Delamater A M. Psychological care of children and adolescents with diabetes. Pediatric Diabetes 2009, 10(12):175-184. Suppl, doi: PDI580 [pii]10.1111/j.1399-5448.2009.00580.x
18. Devellis R F. Scale development: Theory and applications 2003, 2nd ed, Thousand Oaks, CA, Sage Publications
19. Eiser C, Morse R. A review of measures of quality of life for children with chronic illness. Archives of Disease in Childhood 2001, 84(3):205-211.
20. Falkner B, Gidding S S, Portman R, Rosner B. Blood pressure variability and classification of prehypertension and hypertension in adolescence. Pediatrics 2008, 122(2):238-242. doi: 122/2/238 [pii]10.1542/peds.2007-2776
21. Faulkner M S. Quality of life for adolescents with type 1 diabetes: Parental and youth perspectives. Pediatric Nursing 2003, 29(5):362-368.
22. Faulkner M S, Chang L I. Family influence on self-care, quality of life, and metabolic control in school-age children and adolescents with type 1 diabetes. Journal of Pediatric Nursing 2007, 22(1):59-68.
23. Faulkner M S, Quinn L, Rimmer J H, Rich B H. Cardiovascular endurance and heart rate variability in adolescents with type 1 or type 2 diabetes. Biological Research for Nursing 2005, 7(1):16-29.
24. Faulkner M S, Michaliszyn S F, Hepworth J T. A personalized approach to exercise promotion in adolescents with type 1 diabetes. Pediatric Diabetes 2010, 11:166-174. doi: 10.1111/j.1399-5448.2009.00550.x
25. Ferrans C E. Quality of life: Conceptual issues. Seminars in Oncology Nursing 1990, 6(4):248-254.
26. Ferrans C E. Development of a conceptual model of quality of life. Scholarly Inquiry for Nursing Practice 1996, 10(3):293-304.
27. Ferrans C E, Zerwic J J, Wilbur J E, Larson J L. Conceptual model of health-related quality of life. Journal of Nursing Scholarship 2005, 37(4):336-342.
28. Friedewald W T, Levy R I, Fredrickson D S. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clinical Chemistry 1972, 18(6):499-502.
29. Giannakopoulos G, Dimitrakaki C, Pedeli X, Kolaitis G, Rotsika V, Ravens-Sieberer U, Tountas Y. Adolescents' wellbeing and functioning: Relationships with parents' subjective general physical and mental health. Health and Quality of Life Outcomes 2009, 7:100. doi: 1477-7525-7-100 [pii]10.1186/1477-7525-7-100
30. Grey M, Boland E A, Yu C, Sullivan-Bolyai S, Tamborlane W V. Personal and family factors associated with quality of life in adolescents with diabetes [see comments]. Diabetes Care 1998, 21(6):909-914.
31. Guttmann-Bauman I, Flaherty B P, Strugger M, McEvoy R C. Metabolic control and quality-of-life self-assessment in adolescents with IDDM [see comments]. Diabetes Care 1998, 21(6):915-918.
32. Hager A, Hess J. Comparison of health related quality of life with cardiopulmonary exercise testing in adolescents and adults with congenital heart disease. Heart (British Cardiac Society) 2005, 91(4):517-520.
33. Hanberger L, Ludvigsson J, Nordfeldt S. Health-related quality of life in intensively treated young patients with type 1 diabetes. Pediatric Diabetes 2009, 10(6):374-381. doi: PDI496 [pii]10.1111/j.1399-5448.2008.00496.x
34. Harter S. Manual for the self-perception profile for adolescents 1988, Denver, CO, University of Denver
35. Hassan K, Loar R, Anderson B J, Heptulla R A. The role of socioeconomic status, depression, quality of life, and glycemic control in type 1 diabetes mellitus. Journal of Pediatrics 2006, 149(4):526-531. doi: S0022-3476(06)00480-X [pii]10.1016/j.jpeds.2006.05.039
36. Hesketh K D, Wake M A, Cameron F J. Health-related quality of life and metabolic control in children with type 1 diabetes: A prospective cohort study. Diabetes Care 2004, 27(2):415-420.
37. Heyman E, Toutain C, Delamarche P, Berthon P, Briard D, Youssef H, Gratas-Delamarche A. Exercise training and cardiovascular risk factors in type 1 diabetic adolescent girls. Pediatric Exercise Science 2007, 19(4):408-419.
38. Hoey H, Aanstoot H J, Chiarelli F, Daneman D, Danne T, Dorchy H, Aman J. Good metabolic control is associated with better quality of life in 2,101 adolescents with type 1 diabetes. Diabetes Care 2001, 24(11):1923-1928.
39. Ingerski L M, Laffel L, Drotar D, Repaske D, Hood K K. Correlates of glycemic control and quality of life outcomes in adolescents with type 1 diabetes. Pediatric Diabetes 2010, Epub ahead of print]. doi: PDI645 [pii]10.1111/j.1399-5448.2010.00645.x
40. Ingersoll G M, Marrero D G. A modified quality-of-life measure for youths: Psychometric properties. Diabetes Educator 1991, 17(2):114-118.
41. Jacobson A, Barofsky I, Cleary P, Rand L. Reliability and validity of a diabetes quality-of-life measure for the diabetes control and complications trial (DCCT). Diabetes Care 1988, 11(9):725-732. The DCCT Research Group
42. Jarvisalo M J, Raitakari M, Toikka J O, Putto-Laurila A, Rontu R, Laine S, Raitakari O T. Endothelial dysfunction and increased arterial intima-media thickness in children with type 1 diabetes. Circulation 2004, 109(14):1750-1755.
43. Landt K W, Campaigne B N, James F W, Sperling M A. Effects of exercise training on insulin sensitivity in adolescents with type I diabetes. Diabetes Care 1985, 8(5):461-465.
44. Liese A D, D'Agostino R B, Hamman R F, Kilgo P D, Lawrence J M, Liu L L, Williams D E. The burden of diabetes mellitus among U.S. youth: Prevalence estimates from the SEARCH for Diabetes in Youth Study. Pediatrics 2006, 118(4):1510-1518.
45. Lindholm E, Brevinge H, Bergh C H, Korner U, Lundholm K. Relationships between self-reported health related quality of life and measures of standardized exercise capacity and metabolic efficiency in a middle-aged and aged healthy population. Quality of Life Research 2003, 12(5):575-582.
46. Little R R, Rohlfing C L, Wiedmeyer H, Myers G L, Sacks D B, Goldstein D E. The national glycohemoglobin standardization program: A five-year progress report. Clinical Chemistry 2001, 47:1985-1992.
47. Maahs D M, Wadwa R P, Bishop F, Daniels S R, Rewers M, Klingensmith G J. Dyslipidemia in youth with diabetes: To treat or not to treat? Journal of Pediatrics 2008, 153(4):458-465.
48. Margeirsdottir H D, Larsen J R, Brunborg C, Overby N C, Dahl-Jorgensen K. High prevalence of cardiovascular risk factors in children and adolescents with type 1 diabetes: A population-based study. Diabetologia 2008, 51(4):554-561.
49. Marrero D G, Fremion A S, Golden M P. Improving compliance with exercise in adolescents with insulin-dependent diabetes mellitus: Results of a self-motivated home exercise program. Pediatrics 1988, 81(4):519-525.
50. McArdle W D, Katch F I, Katch V L. Exercise physiology: Energy, nutrition, and human performance 2001, Philadelphia, Lippincott Williams & Wilkins
51. McCrindle B W. Assessment and management of hypertension in children and adolescents. Nature Reviews. Cardiology 2010, 7(3):155-163. doi: nrcardio.2009.231 [pii]10.1038/nrcardio.2009.231
52. McMahon S K, Airey F L, Marangou D A, McElwee K J, Carne C L, Clarey A J, Jones T W. Insulin pump therapy in children and adolescents: Improvements in key parameters of diabetes management including quality of life. Diabetic Medicine 2005, 22(1):92-96.
53. Mednick L, Cogen F R, Stresand R. Satisfaction and quality of life in children with type 1 diabetes and their parents following transition to insulin pump therapy. Children's Health Care 2004, 33(3):169-183.
54. Naughton M J, Ruggiero A M, Lawrence J M, Imperatore G, Klingensmith G J, Waitzfelder B, Loots B. Health-related quality of life of children and adolescents with type 1 or type 2 diabetes mellitus: SEARCH for Diabetes in Youth Study. Archives of Pediatric & Adolescent Medicine 2008, 162(7):649-657. doi: 162/7/649 [pii]10.1001/archpedi.162.7.649
55. Paridon S M, Alpert B S, Boas S R, Cabrera M E, Caldarera L L, Daniels S R, Yetman A T. Clinical stress testing in the pediatric age group: A statement from the American Heart Association Council on Cardiovascular Disease in the Young, Committee on Atherosclerosis, Hypertension, and Obesity in Youth. Circulation 2006, 113(15):1905-1920. doi: CIRCULATIONAHA.106.174375 [pii]10.1161/CIRCULATIONAHA.106.174375
56. Patino A M, Sanchez J, Eidson M, Delamater A M. Health beliefs and regimen adherence in minority adolescents with type 1 diabetes. Journal of Pediatric Psychology 2005, 30(6):503-512. doi: jsi075 [pii]10.1093/jpepsy/jsi075
57. Rachmiel M, Buccino J, Daneman D. Exercise and type 1 diabetes mellitus in youth: Review and recommendations. Pediatric Endocrinology Reviews 2007, 5(2):656-665.
58. Ravens-Sieberer U, Bullinger M. Assessing health-related quality of life in chronically ill children with the German KINDL: First psychometric and content analytical results. Quality of Life Research 1998, 7(5):399-407.
59. Rejeski W J, Lang W, Neiberg R H, Van Dorsten B, Foster G D, Maciejewski M L, Williamson D F. Correlates of health-related quality of life in overweight and obese adults with type 2 diabetes. Obesity (Silver Spring) 2006, 14(5):870-883. doi:14/5/870[pii]10.1038/oby.2006.101
60. Rodriguez B L, Fujimoto W Y, Mayer-Davis E J, Imperatore G, Williams D E, Bell R A, Linder B. Prevalence of cardiovascular disease risk factors in U.S. children and adolescents with diabetes: The SEARCH for diabetes in youth study. Diabetes Care 2006, 29(8):1891-1896.
61. Sallis J F, Haskell W L, Wood P D, Fortmann S P, Rogers T, Blair S N, Paffenbarger R S. Physical activity assessment methodology in the Five-City Project. American Journal of Epidemiology 1985, 121(1):91-106.
62. Sallis J F, Buono M J, Roby J J, Micale F G, Nelson J A. Seven-day recall and other physical activity self-reports in children and adolescents. Medicine & Science in Sports & Exercise 1993, 25(1):99-108.
63. Takken T, Elst E, Spermon N, Helders P J, Prakken A B, van der Net J. The physiological and physical determinants of functional ability measures in children with juvenile dermatomyositis. Rheumatology (Oxford) 2003, 42(4):591-595.
64. Physical activity guidelines for Americans. 2008, http://www.health.gov/paguidelines, U. S. Department of Health and Human Services, Retrieved from
65. Valenzuela J M, Patino A M, McCullough J, Ring C, Sanchez J, Eidson M, Delamater A M. Insulin pump therapy and health-related quality of life in children and adolescents with type 1 diabetes. Journal of Pediatric Psychology 2006, 31(6):650-660.
66. Varni J W, Burwinkle T M, Seid M, Skarr D. The PedsQL 4.0 as a pediatric population health measure: Feasibility, reliability, and validity. Ambulatory Pediatrics 2003, 3(6):329-341. doi: 03-035R [pii
67. Wagner V M, Muller-Godeffroy E, von Sengbusch S, Hager S, Thyen U. Age, metabolic control and type of insulin regime influences health-related quality of life in children and adolescents with type 1 diabetes mellitus. European Journal of Pediatrics 2005, 164(8):491-496.
68. Wake M, Hesketh K, Cameron F. The Child Health Questionnaire in children with diabetes: Cross-sectional survey of parent and adolescent-reported functional health status. Diabetic Medicine 2000, 17(10):700-707.
69. Wallander J L, Schmitt M, Koot H M. Quality of life measurement in children and adolescents: Issues, instruments, and applications. Journal of Clinical Psychology 2001, 57(4):571-585.
70. Wilson I B, Cleary P D. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. Journal of the American Medical Association 1995, 273(1):59-65.
71. Zanuso S, Balducci S, Jimenez A. Physical activity, a key factor to quality of life in type 2 diabetic patients. Diabetes/Metabolism Research Reviews 2009, 25(1):S24-S28. Suppl, doi: 10.1002/dmrr.984
72. Zois C E, Tokmakidis S P, Volaklis K A, Kotsa K, Touvra A M, Douda E, Yovos I G. Lipoprotein profile, glycemic control and physical fitness after strength and aerobic training in post-menopausal women with type 2 diabetes. European Journal of Applied Physiology 2009, 106(6):901-907. doi: 10.1007/s00421-009-1078-6