{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,8]],"date-time":"2026-11-08T20:34:53Z","timestamp":1794170093552,"version":"4.8.0"},"reference-count":71,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND AND OBJECTIVES<\/jats:title>\n                  <jats:p>Current evidence is lacking on physical activity and nutrition-based interventions focusing on the management of type 1 diabetes mellitus (T1DM) and health-related quality of life among children. To assess the effects of physical activity interventions and nutrition-based interventions for children with T1DM.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Data sources include the Cochrane Central Register of Controlled Trials, Medline, clinicaltrials.gov, the World Health Organization International Clinical Trials Registry Platform, CINAHL through January 2022. Study selection includes randomized controlled trials of children aged 18 years and below with T1DM comparing either a physical activity intervention, a nutrition-based intervention, or hybrid physical activity and nutrition-based intervention with placebo or no-treatment control. Data were pooled using a random-effects model. Primary outcomes were hemoglobin A1c (HbA1c), and health-related quality of life.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Eighteen trials were included. Physical activity compared with the no-treatment group showed a lack of effect on HbA1c (mean difference = \u22120.58, 95% confidence interval \u22121.20 to 0.05; P value = .07). Nutrition-based intervention compared with no-treatment control for HbA1c level revealed a lack of effect (mean difference = \u22120.61, 95% confidence interval \u22121.48 to 0.26; P value = .17). Limitations include paucity of studies and low quality of evidence caused by the risk of bias.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Despite the lack of significant evidence, the generally favorable results highlight the potential of such interventions in enhancing glycemic control and health-related quality of life. Additionally, promising results from a single physical activity-nutrition-based hybrid intervention in terms of glycemic control indicate the plausible effectiveness of a mixed intervention.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2022-056540","type":"journal-article","created":{"date-parts":[[2022,8,12]],"date-time":"2022-08-12T03:01:37Z","timestamp":1660273297000},"source":"Crossref","is-referenced-by-count":10,"title":["Physical Activity and Nutrition Interventions for Type 1 Diabetes: A Meta-analysis"],"prefix":"10.1542","volume":"150","author":[{"given":"Shefaly","family":"Shorey","sequence":"first","affiliation":[{"name":"aAlice Lee Center for Nursing Studies"},{"name":"bNational University Health System, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esperanza D.","family":"Ng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn C.","family":"Law","sequence":"additional","affiliation":[{"name":"bNational University Health System, Singapore"},{"name":"cDepartments of Pediatrics"},{"name":"dTranslational Neuroscience Program, Agency for Science, Technology, and Research, Singapore Institute for Clinical Sciences, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.M.","family":"Wong","sequence":"additional","affiliation":[{"name":"ePsychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kah Yin","family":"Loke","sequence":"additional","affiliation":[{"name":"cDepartments of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson W.S.","family":"Tam","sequence":"additional","affiliation":[{"name":"aAlice Lee Center for Nursing Studies"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2022,8,12]]},"reference":[{"key":"2023110816300871000_B1","doi-asserted-by":"crossref","first-page":"S62","DOI":"10.2337\/dc10-S062","article-title":"Diagnosis and classification of diabetes mellitus","volume":"33","author":"American Diabetes Association","year":"2010","journal-title":"Diabetes Care"},{"issue":"8","key":"2023110816300871000_B2","first-page":"579","article-title":"Dietary management in diabetes","volume":"39","author":"Barclay","year":"2010","journal-title":"Aust Fam Physician"},{"issue":"19","key":"2023110816300871000_B3","doi-asserted-by":"crossref","first-page":"2511","DOI":"10.1001\/jama.287.19.2511","article-title":"Predictors of acute complications in children with type 1 diabetes","volume":"287","author":"Rewers","year":"2002","journal-title":"JAMA"},{"issue":"1","key":"2023110816300871000_B4","doi-asserted-by":"crossref","first-page":"47","DOI":"10.2337\/diaspect.23.1.47","article-title":"Experiences of children and adolescents with type 1 diabetes in school: survey of children, parents, and schools","volume":"23","author":"Schwartz","year":"2010","journal-title":"Diabetes Spectr"},{"issue":"1","key":"2023110816300871000_B5","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1111\/j.1399-5448.2010.00653.x","article-title":"Health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (T1DM): self and parental perceptions","volume":"12","author":"Kalyva","year":"2011","journal-title":"Pediatr Diabetes"},{"key":"2023110816300871000_B6","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.diabres.2016.01.001","article-title":"Health related quality of life and family impact of type 1 diabetes among adolescents in Saudi Arabia","volume":"114","author":"AlBuhairan","year":"2016","journal-title":"Diabetes Res Clin Pract"},{"issue":"1","key":"2023110816300871000_B7","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s12887-017-0788-x","article-title":"Health-related quality of life (HRQOL) and its associated factors in children with type 1 diabetes mellitus (T1DM)","volume":"17","author":"Murillo","year":"2017","journal-title":"BMC Pediatr"},{"issue":"9","key":"2023110816300871000_B8","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.1080\/03007995.2019.1605158","article-title":"Health-related quality of life in type 1 diabetes mellitus pediatric patients and their caregivers in Spain: an observational cross-sectional study","volume":"35","author":"L\u00f3pez-Bastida","year":"2019","journal-title":"Curr Med Res Opin"},{"key":"2023110816300871000_B9","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.2147\/PPA.S69482","article-title":"Integrated insulin pump therapy with continuous glucose monitoring for improved adherence: technology update","volume":"9","author":"Tumminia","year":"2015","journal-title":"Patient Prefer Adherence"},{"key":"2023110816300871000_B10","volume-title":"Identity Development in Adolescence and Adulthood","author":"Kroger","year":"2017"},{"issue":"7","key":"2023110816300871000_B11","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1007\/s11892-016-0751-5","article-title":"Insulin resistance of puberty","volume":"16","author":"Kelsey","year":"2016","journal-title":"Curr Diab Rep"},{"issue":"3","key":"2023110816300871000_B12","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1177\/0145721715579108","article-title":"Normalizing: adolescent experiences living with type 1 diabetes","volume":"41","author":"Babler","year":"2015","journal-title":"Diabetes Educ"},{"key":"2023110816300871000_B13","doi-asserted-by":"crossref","first-page":"1915","DOI":"10.3389\/fpsyg.2019.01915","article-title":"Social influence in adolescent decision-making: a formal framework","volume":"10","author":"Ciranka","year":"2019","journal-title":"Front Psychol"},{"issue":"8","key":"2023110816300871000_B14","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s11892-015-0621-6","article-title":"A review of adolescent adherence in type 1 diabetes and the untapped potential of diabetes providers to improve outcomes","volume":"15","author":"Datye","year":"2015","journal-title":"Curr Diab Rep"},{"issue":"1","key":"2023110816300871000_B15","doi-asserted-by":"crossref","first-page":"23","DOI":"10.2337\/ds15-0041","article-title":"Perceptions of adolescent patients of the \u201clived experience\u201d of type 1 diabetes","volume":"30","author":"King","year":"2017","journal-title":"Diabetes Spectr"},{"key":"2023110816300871000_B16","volume-title":"Effects of Educational and Psychosocial Interventions for Adolescents With Diabetes Mellitus: A Systematic Review","author":"Hampson","year":"2001"},{"issue":"6","key":"2023110816300871000_B17","first-page":"CD012651","article-title":"Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years","volume":"6","author":"Mead","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"2023110816300871000_B18","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1177\/0269215510386254","article-title":"Influence of combined aerobic and resistance training on metabolic control, cardiovascular fitness and quality of life in adolescents with type 1 diabetes: a randomized controlled trial","volume":"25","author":"D\u2019hooge","year":"2011","journal-title":"Clin Rehabil"},{"issue":"3","key":"2023110816300871000_B19","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1111\/pedi.12060","article-title":"A systematic review of physical activity and sedentary behavior intervention studies in youth with type 1 diabetes: study characteristics, intervention design, and efficacy","volume":"15","author":"MacMillan","year":"2014","journal-title":"Pediatr Diabetes"},{"issue":"3","key":"2023110816300871000_B20","doi-asserted-by":"crossref","first-page":"215","DOI":"10.21037\/tp.2017.05.01","article-title":"Management of diabetes mellitus in children and adolescents: engaging in physical activity","volume":"6","author":"Nadella","year":"2017","journal-title":"Transl Pediatr"},{"issue":"1","key":"2023110816300871000_B21","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/1758-5996-2-47","article-title":"Is exercise a therapeutic tool for improvement of cardiovascular risk factors in adolescents with type 1 diabetes mellitus? a randomised controlled trial","volume":"2","author":"Salem","year":"2010","journal-title":"Diabetol Metab Syndr"},{"issue":"6","key":"2023110816300871000_B22","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1016\/j.jpeds.2014.01.027","article-title":"Longitudinal associations between sex, diabetes self-care, and health-related quality of life among youth with type 1 or type 2 diabetes mellitus","volume":"164","author":"Naughton","year":"2014","journal-title":"J Pediatr"},{"issue":"1","key":"2023110816300871000_B23","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/1758-5996-2-47","article-title":"Is exercise a therapeutic tool for improvement of cardiovascular risk factors in adolescents with type 1 diabetes mellitus? a randomised controlled trial","volume":"2","author":"Salem","year":"2010","journal-title":"Diabetol Metab Syndr"},{"key":"2023110816300871000_B24","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1111\/pedi.12755","article-title":"ISPAD clinical practice consensus guidelines 2018: exercise in children and adolescents with diabetes","volume":"19","author":"Adolfsson","year":"2018","journal-title":"Pediatr Diabetes"},{"key":"2023110816300871000_B25","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1111\/j.1399-5448.2009.00567.x","article-title":"Exercise in children and adolescents with diabetes","volume":"10","author":"Robertson","year":"2009","journal-title":"Pediatr Diabetes"},{"key":"2023110816300871000_B26","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-61013-9","volume-title":"Diabetes and Exercise: From Pathophysiology to Clinical Implementation","author":"Reusch","year":"2018","edition":"2nd ed."},{"key":"2023110816300871000_B27","doi-asserted-by":"crossref","first-page":"29","DOI":"10.2147\/DMSO.S44352","article-title":"Psychosocial interventions for the diabetic patient","volume":"8","author":"Harvey","year":"2015","journal-title":"Diabetes Metab Syndr Obes"},{"issue":"10","key":"2023110816300871000_B28","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1007\/s11892-014-0531-z","article-title":"Motivational interviewing to promote adherence behaviors in pediatric type 1 diabetes","volume":"14","author":"Powell","year":"2014","journal-title":"Curr Diab Rep"},{"issue":"1","key":"2023110816300871000_B29","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s12887-018-1036-8","article-title":"A physical activity intervention for children with type 1 diabetes- steps to active kids with diabetes (STAK-D): a feasibility study","volume":"18","author":"Quirk","year":"2018","journal-title":"BMC Pediatr"},{"issue":"7","key":"2023110816300871000_B30","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1037\/a0040359","article-title":"Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families","volume":"71","author":"Hilliard","year":"2016","journal-title":"Am Psychol"},{"issue":"1","key":"2023110816300871000_B31","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s12902-018-0331-6","article-title":"Impact of technology-based interventions for children and young people with type 1 diabetes on key diabetes self-management behaviours and prerequisites: a systematic review","volume":"19","author":"Knox","year":"2019","journal-title":"BMC Endocr Disord"},{"issue":"10","key":"2023110816300871000_B32","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1111\/dme.12531","article-title":"Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis","volume":"31","author":"Quirk","year":"2014","journal-title":"Diabet Med"},{"key":"2023110816300871000_B33","doi-asserted-by":"crossref","first-page":"S61","DOI":"10.2337\/dc08-S061","article-title":"Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association","volume":"31","author":"Bantle","year":"2008","journal-title":"Diabetes Care"},{"key":"2023110816300871000_B34","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1111\/pedi.12175","article-title":"ISPAD clinical practice consensus guidelines 2014. nutritional management in children and adolescents with diabetes","volume":"15","author":"Smart","year":"2014","journal-title":"Pediatr Diabetes"},{"issue":"1","key":"2023110816300871000_B35","doi-asserted-by":"crossref","first-page":"109","DOI":"10.3390\/nu10010109","article-title":"Carbohydrate counting in children and adolescents with type 1 diabetes","volume":"10","author":"Tascini","year":"2018","journal-title":"Nutrients"},{"issue":"5","key":"2023110816300871000_B36","doi-asserted-by":"crossref","first-page":"649","DOI":"10.4103\/ijem.IJEM_539_17","article-title":"Medical nutrition therapy in type 1 diabetes mellitus","volume":"21","author":"Rani","year":"2017","journal-title":"Indian J Endocrinol Metab"},{"key":"2023110816300871000_B37","doi-asserted-by":"crossref","first-page":"67","DOI":"10.2147\/PRBM.S192571","article-title":"Self-efficacy-focused education in persons with diabetes: a systematic review and meta-analysis","volume":"12","author":"Jiang","year":"2019","journal-title":"Psychol Res Behav Manag"},{"issue":"4","key":"2023110816300871000_B38","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1111\/j.1399-5448.2008.00495.x","article-title":"Associations between physical activity, sedentary behavior, and glycemic control in a large cohort of adolescents with type 1 diabetes: the Hvidoere Study Group on Childhood Diabetes","volume":"10","author":"\u00c5man","year":"2009","journal-title":"Pediatr Diabetes"},{"issue":"1","key":"2023110816300871000_B39","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.diabres.2014.01.029","article-title":"Increase in physical activity is associated with lower HbA1c levels in children and adolescents with type 1 diabetes: results from a cross-sectional study based on the Swedish pediatric diabetes quality registry (SWEDIABKIDS)","volume":"105","author":"Beraki","year":"2014","journal-title":"Diabetes Res Clin Pract"},{"issue":"8","key":"2023110816300871000_B40","doi-asserted-by":"crossref","first-page":"2261","DOI":"10.2337\/diacare.26.8.2261","article-title":"Low-glycemic index diets in the management of diabetes: a meta-analysis of randomized controlled trials","volume":"26","author":"Brand-Miller","year":"2003","journal-title":"Diabetes Care"},{"issue":"6","key":"2023110816300871000_B41","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1017\/S0007114510001534","article-title":"The use of low-glycaemic index diets in diabetes control","volume":"104","author":"Thomas","year":"2010","journal-title":"Br J Nutr"},{"issue":"3","key":"2023110816300871000_B42","doi-asserted-by":"crossref","first-page":"e0194987","DOI":"10.1371\/journal.pone.0194987","article-title":"Low-carbohydrate diets for type 1 diabetes mellitus: a systematic review","volume":"13","author":"Turton","year":"2018","journal-title":"PLoS One"},{"issue":"7","key":"2023110816300871000_B43","doi-asserted-by":"crossref","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"6","author":"Moher","year":"2009","journal-title":"PLoS Med"},{"key":"2023110816300871000_B44","unstructured":"Cochrane\n          . How CENTRAL is created. Available at: www.cochranelibrary.com\/central\/central-creation. Accessed July 6, 2020"},{"key":"2023110816300871000_B45","unstructured":"Cochrane\n          . Methods for child health reviews. Available at: https:\/\/childhealth.cochrane.org\/methods-child-health- reviews. Accessed January 26, 2022"},{"key":"2023110816300871000_B46","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1002\/9781119536604.ch8","article-title":"Chapter 8: assessing risk of bias in a randomized trial","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions","author":"Higgins","year":"2019"},{"key":"2023110816300871000_B47","doi-asserted-by":"crossref","DOI":"10.1002\/9781119536604","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions","author":"Higgins","year":"2019"},{"issue":"1","key":"2023110816300871000_B48","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/1471-2288-14-135","article-title":"Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range","volume":"14","author":"Wan","year":"2014","journal-title":"BMC Med Res Methodol"},{"key":"2023110816300871000_B49","doi-asserted-by":"crossref","DOI":"10.1002\/9781119558378","volume-title":"Introduction to Meta-Analysis","author":"Borenstein","year":"2021"},{"issue":"1","key":"2023110816300871000_B50","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/jrsm.1230","article-title":"Basics of meta-analysis: I2 is not an absolute measure of heterogeneity","volume":"8","author":"Borenstein","year":"2017","journal-title":"Res Synth Methods"},{"issue":"1","key":"2023110816300871000_B51","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1111\/j.1467-985X.2008.00552.x","article-title":"A re-evaluation of random-effects meta-analysis","volume":"172","author":"Higgins","year":"2009","journal-title":"J R Stat Soc Ser A Stat Soc"},{"key":"2023110816300871000_B52","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1002\/9781119536604.ch10","article-title":"Chapter 10: analysing data and undertaking meta-analyses","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions","author":"Deeks","year":"2019"},{"issue":"11","key":"2023110816300871000_B53","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1002\/sim.1186","article-title":"Quantifying heterogeneity in a meta-analysis","volume":"21","author":"Higgins","year":"2002","journal-title":"Stat Med"},{"issue":"7414","key":"2023110816300871000_B54","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1136\/bmj.327.7414.557","article-title":"Measuring inconsistency in meta-analyses","volume":"327","author":"Higgins","year":"2003","journal-title":"BMJ"},{"issue":"3","key":"2023110816300871000_B55","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1111\/pedi.12615","article-title":"Feasibility and pilot study of an intervention to support active lifestyles in youth with type 1 diabetes: the ActivPals study","volume":"19","author":"Mitchell","year":"2018","journal-title":"Pediatr Diabetes"},{"issue":"4","key":"2023110816300871000_B56","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1111\/pedi.13203","article-title":"Effects of 12\u2009weeks of recreational football (soccer) with caloric control on glycemia and cardiovascular health of adolescent boys with type 1 diabetes","volume":"22","author":"Mohammed","year":"2021","journal-title":"Pediatr Diabetes"},{"issue":"5","key":"2023110816300871000_B57","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1515\/jpem-2019-0526","article-title":"The effect of concurrent resistance-aerobic training on serum cortisol level, anxiety, and quality of life in pediatric type 1 diabetes","volume":"33","author":"Nazari","year":"2020","journal-title":"J Pediatr Endocrinol Metab"},{"issue":"3","key":"2023110816300871000_B58","doi-asserted-by":"crossref","first-page":"237","DOI":"10.3233\/IES-140544","article-title":"Effect of low to moderate intensity walking and cycling on glycaemic and metabolic control in type 1 diabetes mellitus adolescent boys: a randomized controlled trial","volume":"22","author":"Tomar","year":"2014","journal-title":"Isokinetics and exercise science"},{"issue":"1","key":"2023110816300871000_B59","doi-asserted-by":"crossref","first-page":"57","DOI":"10.2337\/diacare.7.1.57","article-title":"Effects of a physical activity program on metabolic control and cardiovascular fitness in children with insulin-dependent diabetes mellitus","volume":"7","author":"Campaigne","year":"1984","journal-title":"Diabetes Care"},{"issue":"11","key":"2023110816300871000_B60","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.1016\/j.jand.2012.06.001","article-title":"Randomized nutrition education intervention to improve carbohydrate counting in adolescents with type 1 diabetes study: is more intensive education needed?","volume":"112","author":"Spiegel","year":"2012","journal-title":"J Acad Nutr Diet"},{"issue":"1","key":"2023110816300871000_B61","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1089\/jmf.2012.0108","article-title":"Metabolic effects of honey in type 1 diabetes mellitus: a randomized crossover pilot study","volume":"16","author":"Abdulrhman","year":"2013","journal-title":"J Med Food"},{"issue":"10","key":"2023110816300871000_B62","doi-asserted-by":"crossref","first-page":"2172","DOI":"10.1249\/MSS.0000000000002356","article-title":"Effect of strength training on glycemic control and adiponectin in diabetic children","volume":"52","author":"Petschnig","year":"2020","journal-title":"Med Sci Sports Exerc"},{"issue":"4","key":"2023110816300871000_B63","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/BF00571952","article-title":"Effect of the introduction of dietary sucrose on metabolic control in children and adolescents with type I diabetes","volume":"31","author":"Schwingshandl","year":"1994","journal-title":"Acta Diabetol"},{"issue":"2","key":"2023110816300871000_B64","doi-asserted-by":"crossref","first-page":"74","DOI":"10.4274\/jcrpe.1191","article-title":"Effects of carbohydrate counting method on metabolic control in children with type 1 diabetes mellitus","volume":"6","author":"G\u00f6k\u015fen","year":"2014","journal-title":"J Clin Res Pediatr Endocrinol"},{"issue":"4","key":"2023110816300871000_B65","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/j.jdiacomp.2012.04.006","article-title":"The effects of pilates on metabolic control and physical performance in adolescents with type 1 diabetes mellitus","volume":"26","author":"Tunar","year":"2012","journal-title":"J Diabetes Complications"},{"issue":"5","key":"2023110816300871000_B66","doi-asserted-by":"crossref","first-page":"813","DOI":"10.2337\/dc08-1974","article-title":"Pedometers and text messaging to increase physical activity: randomized controlled trial of adolescents with type 1 diabetes","volume":"32","author":"Newton","year":"2009","journal-title":"Diabetes Care"},{"issue":"4","key":"2023110816300871000_B67","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1123\/pes.19.4.408","article-title":"Exercise training and cardiovascular risk factors in type 1 diabetic adolescent girls","volume":"19","author":"Heyman","year":"2007","journal-title":"Pediatr Exerc Sci"},{"issue":"1","key":"2023110816300871000_B68","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1111\/j.1651-2227.1987.tb10418.x","article-title":"Beneficial effects of palatable guar and guar plus fructose diets in diabetic children","volume":"76","author":"Paganus","year":"1987","journal-title":"Acta Paediatr Scand"},{"issue":"1","key":"2023110816300871000_B69","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1186\/s12889-019-6697-1","article-title":"SKIP (supporting kids with diabetes In physical activity): feasibility of a randomised controlled trial of a digital intervention for 9-12 year olds with type 1 diabetes mellitus","volume":"19","author":"Knox","year":"2019","journal-title":"BMC Public Health"},{"issue":"10","key":"2023110816300871000_B70","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1037\/hea0000653","article-title":"Physical activity and health-related quality of life in children and adolescents: a systematic review and meta-analysis","volume":"37","author":"Marker","year":"2018","journal-title":"Health Psychol"},{"key":"2023110816300871000_B71","first-page":"1","article-title":"The influence of online physical activity interventions on children and young people\u2019s engagement with physical activity: a systematic review","author":"Goodyear","year":"2021","journal-title":"Phys Educ Sport Pedagogy"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2022-056540\/1561419\/peds_2022056540.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2022-056540\/1561419\/peds_2022056540.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T16:33:57Z","timestamp":1699461237000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/150\/3\/e2022056540\/188758\/Physical-Activity-and-Nutrition-Interventions-for"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,12]]},"references-count":71,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,8,12]]},"published-print":{"date-parts":[[2022,9,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2022-056540","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,12]]},"article-number":"e2022056540"}}