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Published online October 24, 2007
Diabetes Care 31:230-232, 2008
DOI: 10.2337/dc07-1238
© 2008 by the American Diabetes Association
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Clinical Care/Education/Nutrition/Psychosocial Research
Original Research

Physical Activity and Diabetes Complications in Patients With Type 1 Diabetes

The Finnish Diabetic Nephropathy (FinnDiane) Study

Johan Wadén, MD1,2, Carol Forsblom, DMSC1,2, Lena M. Thorn, MD1,2, Markku Saraheimo, MD1,2, Milla Rosengård-Bärlund, MD1,2, Outi Heikkilä, MD1,2, Timo A. Lakka, MD, DMSC3,4, Heikki Tikkanen, MD, DMSC1,5, Per-Henrik Groop, MD, DMSC1,2 on behalf of the FinnDiane Study Group

1 Folkhälsan Institute of Genetics, Folkhälsan Research Center, Helsinki, Finland
2 Division of Nephrology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland
3 Department of Physiology, Institute of Biomedicine, University of Kuopio, Kuopio, Finland
4 Kuopio Research Institute of Exercise Medicine, Kuopio, Finland
5 Unit for Sports and Exercise Medicine, Institute of Clinical Medicine, University of Helsinki, Helsinki, Finland

Address correspondence and reprint requests to Per-Henrik Groop, Biomedicum Helsinki, POB 63, 00014 University of Helsinki, Helsinki, Finland. E-mail: per-henrik.groop@helsinki.fi

Abbreviations: CVD, cardiovascular disease • FinnDiane, Finnish Diabetic Nephropathy • LTPA, leisure-time physical activity

The first 20% of the full text of this article appears below.


    INTRODUCTION
 
Physical activity exerts numerous beneficial health effects, and the evidence favoring a physically active lifestyle in the treatment of chronic diseases is substantial (1). For patients with diabetes, physical activity is considered important (2). In theory, regular physical activity may prevent diabetes complications through beneficial effects on glycemic control, insulin sensitivity, blood pressure, lipid profile, and endothelial function. However, physical activity could also cause adverse effects or patients may not be able to exercise due to complications. Little, however, is known about the relationship between physical activity and diabetes complications (3). Therefore, we investigated the associations between physical activity and microvascular and macrovascular diabetic complications in a large cohort of patients with type 1 diabetes from the Finnish Diabetic Nephropathy (FinnDiane) Study.


    RESEARCH DESIGN AND METHODS—
 
The FinnDiane Study and the assessment of self-reported leisure-time physical activity (LTPA) by a questionnaire have previously been described (4). This is a cross-sectional analysis of 1,945 patients with data on LTPA. Renal status was based on at least three urine collections. Renal function was evaluated by the Cockcroft-Gault . . . [Full Text of this Article]


    RESULTS—
 

    CONCLUSIONS—
 

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