Research Summary
Analyzed using Evidence Intelligence™

Exercise Improves Health in Children with Type 1 Diabetes

Last updated August 15, 2026

Key finding

Fasting blood glucose concentrations showed a significant decrease among both the groups, with a reduction of 30 and 35 mg/dL in the LTPA and HBRT groups, respectively, after 8 weeks.

This study evaluated the effects of home-based resistance training and leisure-time physical activity on children with Type 1 diabetes, finding significant reductions in fasting plasma glucose levels.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the effects of home-based resistance training and leisure-time physical activity on children with Type 1 diabetes, finding significant reductions in fasting plasma glucose levels.

Clinical relevance

These findings are clinically significant as they suggest that structured physical activity can help manage blood glucose levels in children with Type 1 diabetes. This could lead to better long-term health outcomes and reduce the risk of diabetes-related complications.

Keep in mind

The study's sample size and demographics may limit generalizability. Effectiveness of interventions was not clearly established for all outcomes. Potential confounding variables were not fully controlled.

Published in

Journal Reference

Publication details and source links for this paper.

Maryam N, Vazgen M, Silva H. Effects of Home-Based Resistance Training and Leisure-Time Physical Activity on Children with Type 1 Diabetes. Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences. 2025;30:58. doi:10.4103/jrms.jrms_582_24

Main Effects

Fasting plasma glucose decreased by 30 mg/dL in the LTPA group and 35 mg/dL in the HBRT group (p = 0.027).

Maximum oxygen consumption increased significantly (P ≤ 0.05).

Serum glucagon-like peptide-1 levels significantly increased in both groups.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Exercise therapy, Resistance training and Fasting Plasma Glucose (FPG), GLP-1, HbA1c, and 2 more.

Primary intervention

Exercise therapy

Primary outcomes

  • Fasting Plasma Glucose (FPG)
  • GLP-1
  • HbA1c

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

10
Evidence pairs
10
Relationships
4
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

4

Related topics

10

Evidence pairs

956

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 10 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Diabetic Neuropathy

matched_intervention_and_outcome

Related evidence

Evidence topic

Insulin Resistance

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Fasting Plasma Glucose (FPG)

Exercise therapy → Fasting Plasma Glucose (FPG)

Exercise therapy → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

GLP-1

Exercise therapy → GLP-1

Exercise therapy → GLP-1

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Exercise therapy → HbA1c

Exercise therapy → HbA1c

Evidence Intelligence™
EvidenceScore™
83
Strong
ImpactScore™
75
Positive
ConsistencyScore™
75
consistent
Supporting studies: Based on 8 studies
Add to Evidence Tracker

MicroRNA-192

Exercise therapy → MicroRNA-192

Exercise therapy → MicroRNA-192

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

VO2 max

Exercise therapy → VO2 max

Exercise therapy → VO2 max

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

Resistance training → Fasting Plasma Glucose (FPG)

Resistance training → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

GLP-1

Resistance training → GLP-1

Resistance training → GLP-1

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Resistance training → HbA1c

Resistance training → HbA1c

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
83
Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

MicroRNA-192

Resistance training → MicroRNA-192

Resistance training → MicroRNA-192

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

VO2 max

Resistance training → VO2 max

Resistance training → VO2 max

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Fasting plasma glucose levels decreased significantly by 30 mg/dL in LTPA and 35 mg/dL in HBRT.
  • Maximum oxygen consumption showed a significant increase.
  • GLP-1 serum levels increased significantly in both intervention groups.
who this applies

Who this applies to

  • Children diagnosed with Type 1 diabetes.
  • Participants engaging in regular physical activity.
keep in mind

Keep in Mind

  • Results may not apply to all age groups or diabetes types.
  • The study did not assess long-term effects beyond 8 weeks.
  • Further research is needed to explore the mechanisms behind these changes.
between the lines

Between the Lines

  • The study's sample size and demographics may limit generalizability.
  • Effectiveness of interventions was not clearly established for all outcomes.
  • Potential confounding variables were not fully controlled.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Exercise therapy and HbA1c, Resistance training and HbA1c.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Exercise therapy improve HbA1c?

Strong Evidence

Exercise therapy may improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 82.9 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Resistance training improve HbA1c?

Strong Evidence

Resistance training may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Resistance training improve fasting plasma glucose (fpg)?

Moderate Evidence

Resistance training appears to improve Fasting Plasma Glucose (FPG).

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Exercise therapy improve vo2 max?

Moderate Evidence

Exercise therapy appears to improve VO2 max.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    VO2 max

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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