The effect of concurrent exercise training (Resistance and Interval Running) and mindful self-compassion therapy on heart rate Variability in type 1 diabetes.

内容摘要

Diabetes in adolescents is usually associated with cardiovascular Autonomic Nervous System (ANS) disorders. The aim of this study was to investigate the effect of exercise and Mindful Self-Compassion Therapy (MSCT) on heart rate variability (HRV), aerobic capacity (VO2peak), and glycemic index of adolescent boys with type 1 diabetes (T1D). A total of 60 adolescent boys (Age: 12-18&#x2009;years, Body Mass Index: 19.75&#x2009;&#xb1;&#x2009;2.26&#x2009;kg/m2) were enrolled in this semi-experimental research. The participants were allocated into four groups: Control Diabetes (CD, n&#x2009;=&#x2009;15), Exercise Diabetes (ED, n&#x2009;=&#x2009;15), MSCT Diabetes (MD, n&#x2009;=&#x2009;15), and Exercise&#x2004;+&#x2004;MSC Diabetes (EMD, n&#x2009;=&#x2009;15). The ED group received 3 sessions per week of combined resistance and interval (running) and training, the MD group received 8 sessions of 60&#x2009;min of MSCT, and the EMD group received exercise training&#x2004;+&#x2004;MSCT during a 12-week intervention period. A two-way multivariate analysis of covariance (MANCOVA) was used with pre-test values as covariate variables to evaluate changes in a range of HRV variables following the interventions. The ED and EMD groups showed increases in High Frequency (HF), Root Mean Square of Successive RR Interval Differences (RMSSD), Standard Deviation of NN Intervals (SDNN), Very-Low-Frequency (VLF), Low-Frequency (LF), and VO2peak. There was a decrease in resting Heart Rate (HR), LF/HF, and HbA1c levels. The MD group had a substantial increase in HF and RMSSD and a significant decrease in HR and LF/HF (p&#x2009;<&#x2009;0.05). The results support the application of combined interval/resistance exercise training and stress control method (MSCT) as an effective non-invasive intervention for enhancing the psychophysiological parameters of HRV in adolescent boys with T1D compared to exercise or MSCT alone. The Combined Effect of Exercise Training and Mindful Self-Compassion Therapy in the Management of Heart Rate Variability in Type 1 Diabetes Type 1 Diabetes is commonly associated with damage to the nerves that control the heart and blood vessels which could lead to an increased risk of heart complications. While exercise training and self-compassion have shown positive results in managing type 2 diabetes, further research is needed to explore the benefits of combined interventions in people affected by Type 1 diabetes. The study investigated the combined effect of exercise (running and strength training) and Mindful Self-Compassion Therapy on variations in time between consecutive heartbeats, heart and respiratory health, and blood sugar control in 60 young males aged between 12 and 18&#x2009;years with diabetes type 1. The results showed that application of concurrent exercise (combined aerobic/resistance training) and mindful self-compassion therapy may provide an effective safe intervention for improving the heart beat variations and mindfulness in young males with type 1 diabetes compared to exercise or mindful self-compassion therapy alone.