Pediatric Exercise Physiology

The aim of this study was to evaluate the effects of integrative neuromuscular training (INT) during physical education (PE) class on selected measures of health- and skill-related fitness in children. Forty children from two 2nd grade PE classes were cluster randomized into either an INT group (n = 21) or a control (CON) group (n = 19). INT was performed 2×/wk during the first ~15 min of each PE class and consisted of body weight exercises. INT and CON participants were assessed for health- and skill-related fitness before and after 8 wks of PE with or without INT, respectively. A significant interaction of group by time was observed in INT participants with improvements noted in push-ups, curl-ups, long jump, single leg hop, and 0.5 mile (0.8 km) run performance (p < .05). These data indicate that INT is an effective and time-efficient addition to PE as evidenced by improvements in health- and skill-related fitness measures in children.

The aim of this study was to investigate the body composition and dietary intake of competitive club-level rhythmic gymnasts, who represent the larger cohort of the sport's practitioners. Fifty-five rhythmic gymnasts and 55 nonathlete females (13-19 years of age) were seen individually to collect a dietary recall and to take anthropometric data and bioelectric-impedance analysis. Gymnasts had lower body-mass index and lesser skinfold thickness, although middle arm-muscle circumference was similar in the 2 groups. Gymnasts had lower body-fat measures but normal levels of fat-free mass (FFM) and body-cellular mass. Gymnasts had better dietary habits than the age-matched controls. Low levels of calcium, phosphorous, iron, and zinc and a disparity between reported energy intake and estimated energy requirement were observed in both groups.

This study examined longitudinal changes in the pulmonary oxygen uptake (pVO(2)) kinetic response to heavy-intensity exercise in 14-16 yr old boys. Fourteen healthy boys (age 14.1 +/- 0.2 yr) completed exercise testing on two occasions with a 2-yr interval. Each participant completed a minimum of three 'step' exercise transitions, from unloaded pedalling to a constant work rate corresponding to 40% of the difference between the pVO(2) at the gas exchange threshold and peak pVO(2) (40% Delta). Over the 2-yr period a significant increase in the phase II time constant (25 +/- 5 vs. 30 +/- 5 s; p = .002, omega(2) = 0.34), the relative amplitude of the pVO(2) slow component (9 +/- 5 vs. 13 +/- 4%; p = .036, omega(2) = 0.14) and the pVO(2) gain at end-exercise (11.6 +/- 0.6 vs. 12.4 +/- 0.7 mL x min(-1) x W(-1); p < .001, omega(2) = 0.42) were observed. These data indicate that the control of oxidative phosphorylation in response to heavy-intensity cycling exercise is age-depen...

This study tested the effect of a structured aerobic exercise program on anger expression in healthy overweight children. Overweight sedentary children were randomly assigned to an aerobic exercise program or a no-exercise control condition. All children completed the Pediatric Anger Expression Scale at baseline and posttest. Anger Out and Anger Expression scores were lower for the exercise condition at posttest. Fitness improvements contributed significantly to final models, and points earned for adherence correlated negatively with posttest Anger Out. An aerobic exercise program might be an effective strategy to reduce anger expression, including reduction of aggressive behavior, in overweight children.

226 — McCuilagh, Matzkssmn, Shaw, and Maídonado their hypothesis that children high in perceived physical competence rated skill development as more important than children who were low in perceived physical competence, whereas children high in perceived social ...

Two pilot studies were conducted to examine whether 6th grade students can achieve moderate to vigorous physical activity (MVPA) from 1) activity-based physical education (AB-PE) with 585 participants and 2) a curricular-based (CB-PE) program with 1,544 participants and randomly sampled heart rates during lessons. AB-PE participants spent between 54-66% with a heart rate >140 bpm. CB-PE participants spent between 49-58% with a heart rate >140 bpm. Girls' mean heart rate was 3.7 bpm lower than the boys. PE can be readily modified so that students spend more than 50% of time in MVPA.

The aim was to develop a path-flow analysis model for young swimmers' performance based on biomechanical and energetic parameters, using structural equation modeling. Thirty-eight male young swimmers served as subjects. Performance was assessed by the 200-m freestyle event. For biomechanical assessment the stroke length, the stroke frequency and the swimming velocity were analyzed. Energetics assessment included the critical velocity, the stroke index and the propulsive efficiency. The confirmatory model explained 79% of swimming performance after deleting the stroke index-performance path, which was nonsignificant (SRMR = 0.06). As a conclusion, the model is appropriate to explain performance in young swimmers.

Pediatrics is the specialty of medical science concerned with the physical, mental, and social health of children from birth to young adulthood. Pediatric care encompasses a broad spectrum of health services ranging from preventive health care to the diagnosis and treatment of acute and chronic diseases.
https://clinicalcasereports.conferenceseries.com/call-for-abstracts.php Pediatrics is a discipline that deals with biological, social, and environmental influences on the developing child and with the impact of disease and dysfunction on development. Children differ from adults anatomically, physiologically, immunologically, psychologically, developmentally, and metabolically.

The main aim of this study was to investigate the influence of consuming a 6% carbohydrate-electrolyte (CHO-E) solution on the intermittent, high-intensity endurance performance and capacity of adolescent team games players. Fifteen participants (mean age 12.7 ± 0.8 years) performed two trials separated by 3-7 days. In each trial, they completed 60 min of exercise composed of four 15 min periods of part A of the Loughborough Intermittent Shuttle Test, followed by an intermittent run to exhaustion (part B). In a double-blind, randomised, counterbalanced fashion participants consumed either the 6% CHO-E solution or a non-carbohydrate (CHO) placebo (5 ml.kg-1 BM) during the 5 min pre-trial and after each 15 min period of part A (2 ml.kg-1 BM). Time to fatigue was increased by 24.4% during part B when CHO was ingested (5.1 ± 1.8 vs. 4.1 ± 1.6 min, P < 0.05), with distance covered in part B also significantly greater in the CHO trial (851 ± 365 vs. 694 ± 278 m, P < 0.05). No signif...

The purpose of this study was to examine relationships between aerobic fitness (AF), fatness, and coronary-heart-disease (CHD) risk factors in 12- to 13-year-olds. The data were obtained from 208 schoolchildren (100 boys; 108 girls) ages 12.9 +/- 0.3 years. Measurements included AF, indices of obesity, blood pressure, blood lipids and lipoproteins, fibrinogen, homocysteine, and C-reactive protein. An inverse relationship was found between AF and fatness (p <or= .05). Fatness was related to a greater number of CHD risk factors than fitness was (p <or= .05). Further analysis revealed fatness to be an independent predictor of triglyceride and blood-pressure levels (p <or= .05). Our findings indicate that, for young people, fatness rather than fitness is independently related to CHD risk factors.

FAHEY, THOMAS D., ANTONIO DEL VALLE-ZURIS, GEORGE OEHLSEN, MARTIN TRIEB, AND JOYCE SEYMOUR. Pubertal stage differences in hormonal and hematological responses to maximal exercise in males. J. Appl. PhysioL Respirat. Environ.
Exercise Physiol. 46(4): 823-827, 1979.-Concentrations of serum testosterone (ST), growth hormone (SGH), and insulin (SI) at rest and following maximal exercise were compared in 27 males in different stages of pubertal development. Oxygen consumption and heart rate were measured while subjects performed a continuous-incremental work capacity test to voluntary cessation on a cycle ergometer. Pre- and postexercise blood samples were analyzed for hemoglobin (Hb) and hematocrit
(Hct) by Coulter Counter, and for ST, SGH, and SI by
radioimmunoassay. ST at rest increased with pubertal stage and was related to the increase in body weight and work capacity seen with increasing development during adolescence. There were no differences between pubertal stages in changes in hormone concentrations following exercise or in Hct or Hb before or after exercise. Our results do not support the hypothesis
of a critical pubertal stage that exhibits enhanced response to exercise.

Key words: testosterone; growth hormone; insulin; plasma volume; growth; physical activity

This study analyzes the relationships between leisure time physical activity (LTPA), sedentary behaviors, socioeconomic status, and perceived environmental variables. The sample comprised 815 girls and 746 boys. In girls, non-LTPA participants reported significantly more screen time. Girls with safety concerns were more likely to be in the non-LTPA group (OR = 0.60) and those who agreed with the importance of aesthetics were more likely to be in the active-LTPA group (OR = 1.59). In girls, an increase of 1 hr of TV watching was a significant predictor of non-LTPA (OR = 0.38). LTPA for girls, but not for boys, seems to be influenced by certain modifiable factors of the built environment, as well as by time watching TV.

This study investigated the influence of consuming a 2, 6, and 10% carbohydrate-electrolyte (CHO-E) solution on the intermittent endurance capacity and sprint performance of adolescent team games players. Seven participants (five males and two females; mean age 13.3 ± 0.5 years, height 1.71 ± 0.05 m, body mass (BM) 62.0 ± 6.3 kg) performed three trials separated by 3-7 days. In each trial, they completed four 15-min periods of part A of the Loughborough Intermittent Shuttle Test (LIST) followed by an intermittent run to exhaustion (part B). Participants consumed 5 ml kg(-1) BM of the solution during the 5-min pre-exercise period, and a further 2 ml kg(-1) BM every 15 min during part A of the LIST. Intermittent endurance capacity increased by 34% with ingestion of the 6% CHO-E solution compared with the 10% solution (5.5 ± 0.8 vs. 4.1 ± 1.5 min, P < 0.05), equating to a distance of 931 ± 172 versus 706 ± 272 m (P < 0.05). There was no significant difference between the 2% (4.8 ± 1.2 min) and 6% (P = 0.10) or the 2 and 10% solutions (P = 0.09). Carbohydrate concentration did not significantly influence mean 15-m sprint time (P = 0.38). These results suggest that the carbohydrate concentration of an ingested solution influences the intermittent endurance capacity of adolescent team games players with a 6% solution significantly more effective than a 10% solution.

The aim of this study was to evaluate the effects of integrative neuromuscular training (INT) during physical education (PE) class on selected measures of health- and skill-related fitness in children. Forty children from two 2nd grade PE classes were cluster randomized into either an INT group (n = 21) or a control (CON) group (n = 19). INT was performed 2×/wk during the first ~15 min of each PE class and consisted of body weight exercises. INT and CON participants were assessed for health- and skill-related fitness before and after 8 wks of PE with or without INT, respectively. A significant interaction of group by time was observed in INT participants with improvements noted in push-ups, curl-ups, long jump, single leg hop, and 0.5 mile (0.8 km) run performance (p < .05). These data indicate that INT is an effective and time-efficient addition to PE as evidenced by improvements in health- and skill-related fitness measures in children.

This study analyzes the relationships between leisure time physical activity (LTPA), sedentary behaviors, socioeconomic status, and perceived environmental variables. The sample comprised 815 girls and 746 boys. In girls, non-LTPA participants reported significantly more screen time. Girls with safety concerns were more likely to be in the non-LTPA group (OR = 0.60) and those who agreed with the importance of aesthetics were more likely to be in the active-LTPA group (OR = 1.59). In girls, an increase of 1 hr of TV watching was a significant predictor of non-LTPA (OR = 0.38). LTPA for girls, but not for boys, seems to be influenced by certain modifiable factors of the built environment, as well as by time watching TV.

This study analyzes the relationships between leisure time physical activity (LTPA), sedentary behaviors, socioeconomic status, and perceived environmental variables. The sample comprised 815 girls and 746 boys. In girls, non-LTPA participants reported significantly more screen time. Girls with safety concerns were more likely to be in the non-LTPA group (OR = 0.60) and those who agreed with the importance of aesthetics were more likely to be in the active-LTPA group (OR = 1.59). In girls, an increase of 1 hr of TV watching was a significant predictor of non-LTPA (OR = 0.38). LTPA for girls, but not for boys, seems to be influenced by certain modifiable factors of the built environment, as well as by time watching TV.

We assessed commuting patterns in adolescents from 10 European cities and examined associations with physical activity (PA). A total of 3112 adolescents were included. PA was objectively measured with accelerometry. Commuting patterns and overall PA were self-reported using questions from the International Physical Activity Questionnaire modified for adolescents (IPAQ-A). Adolescents reported to spend 30 min (15,60) [expressed as median (25th, 75th percentiles)] walking. In boys, associations between active commuting (walking and biking) and PA levels were observed for moderate, moderate-to-vigorous and overall PA. In girls, these associations were observed for moderate and moderate-to-vigorous PA (walking). Similar results were found with the IPAQ-A. We observed positive associations between overall commuting and PA levels in European adolescents, yet due to the cross-sectional study design we cannot state the direction of these. Future studies should address the causation between ...

A computer search was complemented with an extensive hand search of bibliographies of located studies. All controlled trials, studies of trained versus untrained subjects, and reports of habitual physical activity in relation to lipid profile were analyzed and tabulated. The high-risk ...

The main aim of this study was to investigate the influence of consuming a 6% carbohydrate-electrolyte (CHO-E) solution on the intermittent, high-intensity endurance performance and capacity of adolescent team games players. Fifteen participants (mean age 12.7 ± 0.8 years) performed two trials separated by 3-7 days. In each trial, they completed 60 min of exercise composed of four 15 min periods of part A of the Loughborough Intermittent Shuttle Test, followed by an intermittent run to exhaustion (part B). In a double-blind, randomised, counterbalanced fashion participants consumed either the 6% CHO-E solution or a non-carbohydrate (CHO) placebo (5 ml.kg-1 BM) during the 5 min pre-trial and after each 15 min period of part A (2 ml.kg-1 BM). Time to fatigue was increased by 24.4% during part B when CHO was ingested (5.1 ± 1.8 vs. 4.1 ± 1.6 min, P < 0.05), with distance covered in part B also significantly greater in the CHO trial (851 ± 365 vs. 694 ± 278 m, P < 0.05). No significant between-trials differences were observed for mean 15 m sprint time (P = 0.35), peak sprint time (P = 0.77), or heart rate (P = 0.08) during part A. These results demonstrate, for the first time, that ingestion of a CHO-E solution significantly improves the intermittent, high-intensity endurance running capacity of adolescent team games players during an exercise protocol designed to simulate the physiological demands of team games.

There is a growing body of research on the influence of ingesting carbohydrate-electrolyte (CHO-E) solutions immediately prior to and during prolonged intermittent, high-intensity exercise (team games exercise) designed to replicate field-based team games. This review presents the current body of knowledge in this area, and identifies avenues of further research. Almost all early work supported the ingestion of CHO-E solutions during prolonged intermittent exercise, but was subject to methodological limitations. A key concern was the use of exercise protocols characterised by prolonged periods at the same exercise intensity, the lack of maximal or high-intensity work components, and long periods of seated recovery, that failed to replicate the activity pattern or physiological demand of team games exercise. The advent of protocols specifically designed to replicate the demands of field-based team games enabled a more externally valid assessment of the influence of carbohydrate (CHO) ingestion during this form of exercise. Once again, the research overwhelmingly supports CHO ingestion immediately prior to and during team games exercise for improving time to exhaustion during intermittent running. While the external validity of exhaustive exercise at fixed prescribed intensities as an assessment of exercise capacity during team games may appear questionable, these assessments should perhaps not be viewed as exhaustive exercise tests per se but as indicators of the ability to maintain high-intensity exercise, which is a recognised marker of performance and fatigue during field-based team games. Possible mechanisms of enhancement include sparing of muscle glycogen, glycogen resynthesis during low-intensity exercise periods, and attenuated effort perception during exercise. Most research fails to show improvements in sprint performance during team games exercise with CHO ingestion, perhaps due to the lack of influence of CHO on sprint performance when endogenous muscle glycogen concentration remains above a critical threshold of ~200 mmol/kg dry weight. Despite the increasing number of publications in this area, few studies have attempted to drive the research base forwards by investigating potential modulators of CHO efficacy during team games exercise, preventing the formulation of optimal CHO intake guidelines. Potential modulators may be different to those during prolonged steady-state exercise due to the constantly changing exercise intensity and frequency, duration and intensity of rest intervals, the potential for team games exercise to slow the rate of gastric emptying, and restricted access to CHO-E solutions during many team games. This review has highlighted fluid volume, CHO concentration, CHO composition and solution osmolality; glycaemic index of pre-exercise meals; fluid and CHO ingestion patterns; fluid temperature; CHO mouthwashes; CHO supplementation in different ambient temperatures; and investigation of all of these areas in different subject populations as important avenues for future research to enable a more comprehensive understanding of CHO ingestion during team games exercise.

This study investigated the influence of consuming a 2, 6, and 10% carbohydrate-electrolyte (CHO-E) solution on the intermittent endurance capacity and sprint performance of adolescent team games players. Seven participants (five males and two females; mean age 13.3 ± 0.5 years, height 1.71 ± 0.05 m, body mass (BM) 62.0 ± 6.3 kg) performed three trials separated by 3 to 7 days. In each trial, they completed four 15 min periods of part A of the Loughborough Intermittent Shuttle Test (LIST) followed by an intermittent run to exhaustion (part B). Participants consumed 5 ml.kg-1 BM of the solution during the 5 min pre-exercise period, and a further 2 ml.kg-1 BM every 15 min during part A of the LIST. Intermittent endurance capacity increased by 34% with ingestion of the 6% CHO-E solution compared with the 10% solution (5.5 ± 0.8 vs. 4.1 ± 1.5 min, P < 0.05), equating to a distance of 931 ± 172 vs. 706 ± 272 m (P < 0.05). There was no significant difference between the 2% (4.8 ± 1.2 min) and 6% (P = 0.10) or the 2% and 10% solutions (P = 0.09). Carbohydrate concentration did not significantly influence mean 15 m sprint time (P = 0.38). These results suggest that the carbohydrate concentration of an ingested solution influences the intermittent endurance capacity of adolescent team games players with a 6% solution significantly more effective than a 10% solution.