SportLogia
Vol. 7, Issue 2, Decembar 2011.
EXERCISE TRAINING IN STUDENTS WITH DIABETES: THE ROLE PE TEACHER AT SCHOOL
Anthi Peppa1, Katerina Asonitou1, and DimitraKoutsouki1
1Department of Physical Education and Sport Science, Laboratory of Adapted Physical
Activity / Developmental and Physical Disorders, University of Athens, Greece
REVIEW PAPER
10.5550/sgia.110702.en.177P
COBISS.BH-ID: 2433304
UDC: 616.379-008.64:796
Summary
FULL TEXT (.pdf) free of charge
Diabetes mellitus is the metabolic disease of disturbed glycemic control and can mainly be divided into two categories: diabetes type 1 (DMT1) which is more common in students and diabetes type 2 (DMT2). Physical exercise has been shown to have various beneficial effects on diabetic patients and therefore it is strongly recommended for diabetic students at school. The work of physical educator in Greek public schools is obstructed by lack of formal educational seminars, required facilities, and information among society as well as phenomena of school phobia and stigmatization. The role of physical educator is encouraging and supporting diabetic students in regularly taking part in school sport activities, monitoring blood glucose levels and recording exercise plan and response to certain activities. Furthermore, from a psychological point of view, physical educator can help diabetic students to develop their special skills, adopt an optimistic attitude, obtaining self-confidence and learn to benefit from physical exercise. Finally, physical educator could be viewed as the coordinator of interactions among doctors, parents, school teachers, non-diabetic students and diabetic students regarding participation of diabetic students in school sport activities and their exercise performance along with achieving a balance on glycaemic levels.
Key words: health – diabetes mellitus; physical activity; physical education; special needs students; teacher responsibility.
References:
Abdel Gawwad, E. S. (2008). Teacher’s Knowledge, Attitudes and Management Practices about Diabetes Care in Riyadh’s Schools. J Egypt Public Health Assoc, 83(3-4), 205–222.
PMid:19302775
Adolfsson, P., Nilsson, S., & Lindblad, B. (2011). Continuous glucose monitoring system (CGMS) during physical exercise in adolescents with type 1 diabetes. Acta Paediatr.
http://dx.doi.org/10.1111/j.1651-2227.2011.02390.x
PMid:21711393
Aktop, A. (2010). Socioeconomic status, physical fitness, self-concept, attitude toward physical education, and academic achievement of children. Percept Mot Skills, 110(2), 531–546.
http://dx.doi.org/10.2466/pms.110.2.531-546
PMid:20499564
Alnasir, F. A., & Skerman, J. H. (2004). Schoolteachers’ knowledge of common health problems in Bahrain. East Mediterr Health J, 10(4-5), 537–546.
PMid:16335644
Aouadi, R., Khalifa, R., Aouidet, A., Ben Mansour, A., Ben Rayana, M., & Mdini, F. (2011). Aerobic training programs and glycemic control in diabetic children in relation to exercise frequency. J Sports Med Phys Fitness, 51(3), 393–400.
PMid:21904277
Athanasakis, K., Ollandezos, M., Angeli, A., Gregoriou, A., Geitona, M., & Kyriopoulos, J. (2010). Estimating the direct cost of Type 2 diabetes in Greece: the effects of blood glucose regulation on patient cost. Diabet Med, 27(6), 679–684.
http://dx.doi.org/10.1111/j.1464-5491.2010.03004.x
PMid:20546287
Bekiari, A., Kokaridas, D., & Sakellariou, K. (2006). Associations of students’ self-reports of their teachers’ verbal aggression, intrinsic motivation, and perceptions of reasons for discipline in Greek physical education classes. Psychol Rep, 98(2), 451–461.
http://dx.doi.org/10.2466/pr0.98.2.451-461
PMid:16796101
Boule, N. G., Haddad, E., Kenny, G. P., Wells, G. A., & Sigal, R. J. (2001). Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA, 286(10), 1218–1227.
http://dx.doi.org/10.1001/jama.286.10.1218
Brands, A. M., Biessels, G. J., de Haan, E. H., Kappelle, L. J., & Kessels, R. P. (2005). The effects of type 1 diabetes on cognitive performance: a meta-analysis. Diabetes Care, 28(3), 726–735.
http://dx.doi.org/10.2337/diacare.28.3.726
PMid:15735218
Carlson, S. A., Fulton, J. E., Lee, S. M., Maynard, L. M., Brown, D. R., & Kohl, H. W. (2008). Physical education and academic achievement in elementary school: data from the early childhood longitudinal study. Am J Public Health, 98(4), 721–727.
http://dx.doi.org/10.2105/AJPH.2007.117176
PMid:18309127 PMCid:2377002
Chipkin, S. R., Klugh, S. A., & Chasan-Taber, L. (2001). Exercise and diabetes. Cardiol Clin, 19(3), 489–505.
http://dx.doi.org/10.1016/S0733-8651(05)70231-9
Christodoulos, A. D., Douda, H. T., Polykratis, M., & Tokmakidis, S. P. (2006). Attitudes towards exercise and physical activity behaviours in Greek schoolchildren after a year long health education intervention. Br J Sports Med, 40(4), 367–371.
http://dx.doi.org/10.1136/bjsm.2005.024521
PMid:16556796 PMCid:2586165
Coe, D. P., Pivarnik, J. M., Womack, C. J., Reeves, M. J., & Malina, R. M. (2006). Effect of physical education and activity levels on academic achievement in children. Med Sci Sports Exerc, 38(8), 1515-1519.
http://dx.doi.org/10.1249/01.mss.0000227537.13175.1b
Daniels, S. R., Arnett, D. K., Eckel, R. H., Gidding, S. S., Hayman, & L. L., Kumanyika, S. (2005). Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation, 111(15), 1999–2012.
http://dx.doi.org/10.1161/01.CIR.0000161369.71722.10
PMid:15837955
De Feo, P., Di Loreto, C., Ranchelli, A., Fatone, C., Gambelunghe, & G., Lucidi, P. (2006). Exercise and diabetes. Acta Biomed, 77 Suppl 1, 14–17.
Deary, I. J., Crawford, J. R., Hepburn, D. A., Langan, S. J., Blackmore, L. M., & Frier, B. M. (1993). Severe hypoglycemia and intelligence in adult patients with insulin-treated diabetes. Diabetes, 42(2), 341–344.
http://dx.doi.org/10.2337/diabetes.42.2.341
PMid:8425671
Digelidis, N., & Papaioannou, A. (1999). Age-group differences in intrinsic motivation, goal orientations and perceptions of athletic competence, physical appearance and motivational climate in Greek physical education. Scand J Med Sci Sports, 9(6), 375–380.
http://dx.doi.org/10.1111/j.1600-0838.1999.tb00259.x
Fairclough, S., & Stratton, G. (2005). “Physical education makes you fit and healthy”: Physical education’s contribution to young people’s physical activity levels. Health Educ Res, 20(1), 14–23.
http://dx.doi.org/10.1093/her/cyg101
PMid:15253994
Faro, B. (1995). Students with diabetes: implications of the Diabetes Control and Complications Trial for the school setting. J Sch Nurs, 11(1), 16–21.
PMid:7767043
Franz, M. J. (1987). Exercise and the management of diabetes mellitus. J Am Diet Assoc, 87(7), 872-880.
PMid:3598035
Gagliardi, M., Neighbors, M., Spears, C., Byrd, S., & Snarr, J. (1994). Emergencies in the school setting: are public school teachers adequately trained to respond? Prehosp Disaster Med, 9(4), 222–225.
PMid:10155531
Gallivan, J., & Greenberg, R. (2003). “Helping the student with diabetes succeed”; A new resource for effective diabetes management in school. School Nurse News, 20(4), 44–45.
Gershell, L. (2005). Type 2 diabetes market. Nat Rev Drug Discov, 4(5), 367–368. doi: 10.1038/nrd1723.
http://dx.doi.org/10.1038/nrd1723
PMid:15902771
Giannini, C., de Giorgis, T., Mohn, A., & Chiarelli, F. (2007). Role of physical exercise in children and adolescents with diabetes mellitus. J Pediatr Endocrinol Metab, 20(2), 173–184.
http://dx.doi.org/10.1515/JPEM.2007.20.2.173
PMid:17396433
Gold, A. E., Deary, I. J., & Frier, B. M. (1997). Hypoglycaemia and non-cognitive aspects of psychological function in insulin-dependent (type 1) diabetes mellitus (IDDM). Diabet Med, 14(2), 111–118.
http://dx.doi.org/10.1002/(SICI)1096-9136(199702)14:2<111::AID-DIA309>3.0.CO;2-S
http://dx.doi.org/10.1002/(SICI)1096-9136(199702)14:2<111::AID-DIA309>3.3.CO;2-J
Goodrich, S. W., & McDermott, R. J. (1989). Changing roles and challenges for teachers of students with diabetes. J Sch Health, 59(8), 341–345.
http://dx.doi.org/10.1111/j.1746-1561.1989.tb04741.x
PMid:2811313
Hasanein, P., & Shahidi, S. (2011). Effects of Hypericum perforatum extract on diabetes-induced learning and memory impairment in rats. Phytother Res, 25(4), 544–549.
http://dx.doi.org/10.1002/ptr.3298
PMid:20836158
Haywood, K. M. (1991). The role of physical education in the development of active lifestyles. Res Q Exerc Sport, 62(2), 151–156.
PMid:1925038
Hellems, M. A., & Clarke, W. L. (2007). Safe at school: a Virginia experience. Diabetes Care, 30(6), 1396–1398.
http://dx.doi.org/10.2337/dc07-0121
PMid:17351272
Henderson, G. (2005). Standards of care for students with type 1 diabetes: Ensuring safety, health and inclusion in school. Paediatr Child Health, 10(1), 25–27.
von Herrath, M., Sanda, S., & Herold, K. (2007). Type 1 diabetes as a relapsing-remitting disease? Nat Rev Immunol, 7(12), 988–994.
http://dx.doi.org/10.1038/nri2192
PMid:17982429
Kadohiro, J. K. (2009). What it means to be an adolescent with diabetes. School Nurse News, 26(3), 25–29.
Kalyva, E., Malakonaki, E., Eiser, C., & Mamoulakis, D. (2011). Health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (T1DM): self and parental perceptions. Pediatr Diabetes, 12(1), 34-40.
http://dx.doi.org/10.1111/j.1399-5448.2010.00653.x
PMid:20546163
Kanioglou, A. (2008). Achievement in physical education and self-concept of Greek students in grades 5 and 6. Percept Mot Skills, 107(1), 65–69.
http://dx.doi.org/10.2466/pms.107.1.65-69
PMid:18986033
http://dx.doi.org/10.2466/PMS.107.5.65-69
PMid:18986033
Kaufman, F. R. (2002). Type 2 diabetes mellitus in children and youth: a new epidemic. J Pediatr Endocrinol Metab, 15 Suppl 2, 737–744.
http://dx.doi.org/10.1515/JPEM.2002.15.S2.737
PMid:12092688
Kollipara, S., & Warren-Boulton, E. (2004). Diabetes and physical activity in school. School Nurse News, 21(3), 12–16.
Koutedakis, Y., & Bouziotas, C. (2003). National physical education curriculum: motor and cardiovascular health related fitness in Greek adolescents. Br J Sports Med, 37(4), 311–314.
http://dx.doi.org/10.1136/bjsm.37.4.311
PMid:12893715 PMCid:1724688
Le Heuzey, M. F. (2008). School phobia or school refusal?. Rev Prat, 58(7), 741–744.
PMid:18546645
Lionis, C., & Papathanasiou, A. (2008). Primary care diabetes in Greece. Prim Care Diabetes, 2(2), 97–99.
http://dx.doi.org/10.1016/j.pcd.2008.03.003
PMid:18684431
Ma, R. C., & Chan, J. C. (2009). Diabetes: incidence of childhood type 1 diabetes: a worrying trend. Nat Rev Endocrinol, 5(10), 529–530.
http://dx.doi.org/10.1038/nrendo.2009.180
PMid:19763122
Maiorana, A., O’Driscoll, G., Cheetham, C., Dembo, L., Stanton, K., & Goodman, C. (2001). The effect of combined aerobic and resistance exercise training on vascular function in type 2 diabetes. J Am Coll Cardiol, 38(3), 860–866.
http://dx.doi.org/10.1016/S0735-1097(01)01439-5
Marschilok, C. (2008). Diabetes care in school: prepare for the unexpected. School Nurse News, 25(5), 39–40.
McCarthy, A. M., Lindgren, S., Mengeling, M. A., Tsalikian, E., & Engvall, J. C. (2002). Effects of diabetes on learning in children. Pediatrics, 109(1), E9.
http://dx.doi.org/10.1542/peds.109.1.e9
PMid:11773577
Nakamura, M., Kanematsu, Y., Yokota, M., Takeda, J., Nakamura, N., & Maru, M. (1997). Social support of chronically-ill children and healthy children. Nihon Kango Kagakkaishi, 17(1), 40–47.
PMid:9274372
Nichols, P. J., & Norris, S. L. (2002). A systematic literature review of the effectiveness of diabetes education of school personnel. Diabetes Educ, 28(3), 405–414.
http://dx.doi.org/10.1177/014572170202800310
PMid:12068649
Nimsgern, A., & Camponeschi, J. (2005). Implementing a new diabetes resource for Wisconsin schools and families. Prev Chronic Dis, 2 Spec no, A11.
Ohki, Y., Kishi, M., Orimo, H., & Ohkawa, T. (2004). The factors affecting glycemic control in Japanese adolescents with type 2 diabetes mellitus. J Nihon Med Sch, 71(3), 156–159.
http://dx.doi.org/10.1272/jnms.71.156
Olympia, R. P., Wan, E., & Avner, J. R. (2005). The preparedness of schools to respond to emergencies in children: a national survey of school nurses. Pediatrics, 116(6), e738–745.
http://dx.doi.org/10.1542/peds.2005-1474
PMid:16322130
Owens-Gary, M. D., Shea, L., & Lewis, S. (2010). Helping students cope with diabetes: the role of the school nurse. School Nurse News, 27(4), 29–30.
Papadaki, A., Linardakis, M., Codrington, C., & Kafatos, A. (2008). Nutritional intake of children and adolescents with insulin-dependent diabetes mellitus in crete, Greece. A case-control study. Ann Nutr Metab, 52(4), 308–314.
http://dx.doi.org/10.1159/000151484
PMid:18714148
Parent, K. B., Wodrich, D. L., & Hasan, K. S. (2009). Type 1 diabetes mellitus and school: a comparison of patients and healthy siblings. Pediatr Diabetes, 10(8), 554–562.
http://dx.doi.org/10.1111/j.1399-5448.2009.00532.x
PMid:19496963
Pathogenesis and management of human diabetes mellitus. Workshop at the 23rd Annual Meeting of the European Society for Clinical Investigation. 1989, Athens, Greece. (1992). Horm Metab Res Suppl, 26, 1–151.
Peterson, K., Silverstein, J., Kaufman, F., & Warren-Boulton, E. (2007). Management of type 2 diabetes in youth: an update. Am Fam Physician, 76(5), 658–664.
PMid:17894133
Rheault, W., & Shafernich-Coulson, E. (1988). Relationship between academic achievement and clinical performance in a physical therapy education program. Phys Ther, 68(3), 378–380.
PMid:3279441
Robertson, K., Adolfsson, P., Scheiner, G., Hanas, R., & Riddell, M. C. (2009). Exercise in children and adolescents with diabetes. Pediatr Diabetes, 10 Suppl 12, 154–168.
http://dx.doi.org/10.1111/j.1399-5448.2009.00567.x
PMid:19754626
Ryan, C. M., & Williams, T. M. (1993). Effects of insulin-dependent diabetes on learning and memory efficiency in adults. J Clin Exp Neuropsychol, 15(5), 685–700.
http://dx.doi.org/10.1080/01688639308402589
PMid:8276929
Sachon, C., Grimaldi, A., Digy, J. P., Pillon, B., Dubois, B., & Thervet, F. (1992). Cognitive function, insulin-dependent diabetes and hypoglycaemia. J Intern Med, 231(5), 471–475.
http://dx.doi.org/10.1111/j.1365-2796.1992.tb00962.x
PMid:1602284
Sallis, J. F., McKenzie, T. L., Kolody, B., Lewis, M., Marshall, S., & Rosengard, P. (1999). Effects of health-related physical education on academic achievement: project SPARK. Res Q Exerc Sport, 70(2), 127–134.
PMid:10380244
Silverman, S., Devillier, R., & Ramirez, T. (1991). The validity of academic learning time-physical education (ALT-PE) as a process measure of achievement. Res Q Exerc Sport, 62(3), 319–325.
PMid:1925060
Students with chronic illnesses: guidance for families, schools, and students. (2003). J Sch Health, 73(4), 131–132.
Tahirovic, H., & Toromanovic, A. (2006). How much can school staff help children with diabetes type 1 in school?. Med Arh, 60(4), 222–224.
PMid:16761513
Tahirovic, H., & Toromanovic, A. (2007). How far are physical education teachers from elementary school prepared to help pupils with diabetes while they are at school? Minerva Pediatr, 59(6), 767–773.
PMid:17978786
Telford, R. D., Cunningham, R. B., Fitzgerald, R., Olive, L. S., Prosser, L., & Jiang, X. (2011). Physical Education, Obesity, and Academic Achievement: A 2-Year Longitudinal Investigation of Australian Elementary School Children. Am J Public Health.
Wagner, J., Heapy, A., James, A., & Abbott, G. (2006). Brief report: glycemic control, quality of life, and school experiences among students with diabetes. J Pediatr Psychol, 31(8), 764–769.
http://dx.doi.org/10.1093/jpepsy/jsj082
PMid:16162839
Wagner, J., & James, A. (2006). A pilot study of school counselor’s preparedness to serve students with diabetes: relationship to self-reported diabetes training. J Sch Health, 76(7), 387–392.
http://dx.doi.org/10.1111/j.1746-1561.2006.00130.x
PMid:16918873
Wallberg-Henriksson, H., Rincon, J., & Zierath, J. R. (1998). Exercise in the management of non-insulin-dependent diabetes mellitus. Sports Med, 25(1), 25–3
http://dx.doi.org/10.2165/00007256-199825010-00003
PMid:9458525
