4.3.0.0 Ex­er­cise and Chil­dren

All chil­dren, in­clud­ing chil­dren with di­a­betes or predi­a­betes, should be en­cour­aged to en­gage in reg­u­lar phys­i­cal ac­tiv­i­ty. Chil­dren should en­gage in at least 60 min of mod­er­ate-‍to-vig­or­ous aer­o­bic ac­tiv­i­ty every day with mus­cle-‍ and bone-‍strength­en­ing ac­tiv­i­ties at least 3 days per week (143). In gen­er­al, youth with type 1 di­a­betes benefit from being phys­i­cally ac­tive, and an ac­tive lifestyle should be rec­om­mend­ed to all (144). Youth with type 1 di­a­betes who en­gage in more phys­i­cal ac­tiv­i­ty may have bet­ter health-‍re­lat­ed qual­i­ty of life (145).