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Eligible criteria were randomised controlled trials of youth aged 6\u201318 years with T1DM, participating in an exercise\u2010based intervention where glycaemic control is measured (i.e. glycated haemoglobin [HbA1c]). Pooled effect sizes (Hedges'g) were calculated using random\u2010effects inverse\u2010variance analyses. Fourteen studies enrolling 509 patients were analysed. Effect size was expressed as Hedges\u2019 g to correct for possible small sample bias. Overall, HbA1c levels in the exercise group (g = \u20130.38 95% confidence interval [CI], \u20130.66 to \u20130.11; mean difference [MD] = \u20130.62%) were reduced compared with the control group. Concurrent training (g = \u20130.63 95%CI, \u20131.05 to \u20130.21), high\u2010intensity exercise (g = \u20130.43 95%CI, \u20130.83 to \u20130.03), interventions \u226524 weeks (g = \u20130.92 95%CI, \u20131.44 to \u20130.40), and sessions \u226560\u00a0minutes (g = \u20130.71 95%CI, \u20131.05 to \u20130.08) showed larger changes (MD = \u20130.66% to 1.30%). In conclusion, our study suggests that programmes longer than 24 weeks with at least 60\u00a0min\/session of high\u2010intensity concurrent exercise may serve as a supportive therapy to metabolic control in youth with T1DM.<\/jats:p><jats:p><jats:bold>Highlights<\/jats:bold><\/jats:p><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Exercise training has a moderate effect on the reduction of glycated haemoglobin (HbA1c) and insulin dose per day in youths with type 1 diabetes.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Exercise training moderately increases cardiorespiratory fitness youths with type 1 diabetes.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Reductions in HbA1c are stronger with high\u2010intensity and concurrent training (i.e. aerobic and strength) interventions, and longer programmes.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p>","DOI":"10.1080\/17461391.2022.2086489","type":"journal-article","created":{"date-parts":[[2022,6,4]],"date-time":"2022-06-04T08:56:39Z","timestamp":1654332999000},"page":"1056-1067","update-policy":"https:\/\/doi.org\/10.1080\/tandf_crossmark_01","source":"Crossref","is-referenced-by-count":38,"title":["Effects of exercise training on glycaemic control in youths with type 1 diabetes: A systematic review and meta\u2010analysis of randomised controlled trials"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1397-7182","authenticated-orcid":false,"given":"Antonio","family":"Garc\u00eda\u2010Hermoso","sequence":"first","affiliation":[{"name":"Navarrabiomed Complejo Hospitalario de Navarra (CHN) Universidad P\u00fablica de Navarra (UPNA), IdiSNA Pamplona 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