Covidentary 2 tele-exercise program : an innovative instrument to implement physical activity in children and adolescents with type 1 diabetes

Background and Aims: The measures for Sars-Cov-2 (COVID-19) pandemic containment produced a decrease of active life-style in children and adolescents with type 1 diabetes (T1D) and worsened the disease management. Nowadays, telemedicine became fundamental to assist and monitor patients and tele-exercise is an innovative instrument to implement physical activity (PA) practice. We provided an online exercise program with the aim to investigate adherence, enjoyment and health benefits in T1D children. Metabolic control prior and after the program was also considered. Methods: 50 children and adolescent with T1D were recruited for a 1-month training program provided by sport specialists through an online platform. The survey investigated subjective perception of functional capacities, the PA level, time spent in sedentary activities, mean glycemia values and insulin dose. The training was supervised five days a week through an online platform and each session will last 60 minutes. Every session was a combination of aerobic and resistance exercises adapted to the age of participants. Results: We obtained a positive answer to proposal. An increased PA level and a decreased time spent in sedentary activities were recorded. No difficulties during PA program was referred. A limited changes in mean glycemia values and insulin dose was noted. Conclusions: Since, during a period of confinement, the possibility to maintain an active lifestyle in safe condition is essential, our online program will help TD1 children to achieve PA goals. We are also confident that PA implementation will help to better manage diabetes therapy.