PEDIATRICS Vol. 78 No. 6 December 1986, pp. 1027-1033
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Pittsburgh Insulin-Dependent Diabetes Mellitus Morbidity and Mortality Study: Physical Activity and Diabetic Complications

R. E. LaPorte PhD1, J. S. Dorman PhD1, N. Tajima PhD1, K. J. Cruickshanks BA1, T. J. Orchard MMBCh MMedSci1, D. E. Cavender PhD1, D. J. Becker MMBCh MMedSci, FCP1, and A. L. Drash MD1

1 From the University of Pittsburgh, Graduate School of Public Health, and Children's Hospital of Pittsburgh, Pittsburgh

The long-term health consequences of chronic physical activity for patients with type I diabetes are unknown. In the current study, the association of physical activity to diabetic complications was assessed in 696 type I diabetic individuals diagnosed between 1950 and 1964. Participation in team sports in high school or college was not associated with a decreased prevalence of severe retinopathy or blindness later in life. There was, however, a suggestion of a negative association between physical activity and both cardiovascular disease and overall mortality, ie, individuals who participated in team sports were somewhat less likely to report macrovascular disease at follow-up or to have died than nonparticipants. The relationship between physical activity and diabetic complications only appeared in male subjects. The results suggest that activity early in life by patients with type I diabetes does not appear to be associated with an adverse health effect and may, in fact, be beneficial.

Key Words: diabetes mellitus type I • exercise • insulin dependency

Submitted on November 5, 1985
Accepted on February 25, 1986




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