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Purpose: Today’s children are increasingly inactive, with >50% not meeting the recommended 60 minutes of daily physical activity (PA). Recent reports suggest scores in reading and mathematics have also declined. Virtual reality (VR) is a technology that can be used to simulate real-world scenarios, like classroom learning. This study investigated whether a single dose of walking benefits learning in a VR classroom (measured via quiz performance). Method: Forty-seven children (15 females, 9.64 [0.12] y) completed 2, randomized and counterbalanced 20-minute interventions on separate days: acute PA (walking) and seated rest (control), followed by a stationary educational lesson in a distracting VR classroom. Children then completed a quiz on the lesson. Results: Children had higher quiz performance following PA (z-score = 0.16 [0.13]) compared with following rest (z-score = −0.18 (0.14); F _1,45 = 6.17, P = .017), indicating that PA enhanced learning. Children with average intelligence quotient had quiz performance that was higher after PA (z-score = 0.04 [0.20]) compared with after rest (z-score = −0.60 [0.19]), t(22) = 3.34, P = .003. Higher intelligence quotient children did not demonstrate differences in quiz performance after PA compared with after rest. Conclusions: Learning in a VR classroom may be improved following acute PA, particularly for children with average intelligence quotient. These findings support public health guidelines promoting PA across the day.

Purpose: Clinicians evaluating pediatric patients with unexplained dyspnea on exertion (DOE) often obtain exercise testing with a treadmill-based exercise-induced bronchospasm (EIB) protocol measuring only changes in spirometry. We modified the EIB protocol to collect metabolic and lung volume endpoints as obtained in a cardiopulmonary exercise test (CPET). We tested the hypothesis that measuring metabolic data with the EIB protocol (EIB-CPET) would yield greater diagnostic information than the EIB protocol. Methods: Exercise test diagnosis for healthy children with DOE referred to the pulmonary exercise lab from January 2011 through July 2023 were retrospectively compared between those performing either the EIB or EIB-CPET protocols. Results: One hundred and twenty-seven patients with unexplained DOE were analyzed. Of the 72 patients tested on the EIB protocol, 49% had stridor and 5% with EIB. Of the 55 patients tested on the EIB-CPET protocol, 42% had stridor, 42% with normal physiologic limitation, 22% with dysfunctional breathing, 5% with deconditioning, 2% with EIB, and 2% with exercise-induced hypoxemia. Patients performing the EIB-CPET protocol had a significantly higher rate of any diagnosis compared with EIB (P = .0002). Conclusions: There is a greater diagnostic yield in children with unexplained DOE performing the EIB-CPET protocol compared with patients performing the EIB protocol.

Purpose: The purpose of this study was to examine comparability between 2 editions of the Test of Gross Motor Development (TGMD-second and TGMD-third edition) on (1) how children’s motor skills were categorized as average or below average, and (2) how children are screened for being at-risk for motor delay or with delayed motor skills. Methods: Participants were 226 children (M _age = 53.4 mo, 125 boys). All children completed full TGMD-2 and TGMD-3. Children were classified as average or above (>25th percentile) or below average (≤25th percentile) and, when applicable, as developmental delay (≤5th percentile) or at-risk for developmental delay (6–25th percentile). We compared children’s classifications across TGMD editions using percent agreement and chi-squared tests. Results: The TGMD-2 and TGMD-3 had moderate agreement when categorizing children as below average (72.2% for total skills, 76.0% for locomotor skills, and 73% for ball skills). The TGMD-3 was significantly more likely to categorize children’s motor skill performance as average or above (all P < .01). Conclusion: TGMD-2 and TGMD-3 similarly screen children who demonstrate below average skills (≤25th percentile), but not for specific skill level classifications, including above average, at-risk for delays, and delayed.

Purpose: The popularity of fencing and intense sports competition has burdened adolescents with excessive training, harming their immature bodies. Traditional training methods fail to provide timely movement corrections and personalized plans, leading to ineffective exercises. This paper aims to use artificial intelligence technology to reduce ineffective exercises and alleviate the training burden. Methods: We propose an action recognition algorithm based on the characteristics of adolescent athletes. This algorithm uses multimodal input data to comprehensively extract action information. Each modality is processed by the same network structure, utilizing attention mechanisms and adaptive graph structures. A multibranch feature fusion method is used to determine the final action category. Results: We gathered the fencing footwork data set 2.0. Our model achieved 93.3% accuracy, with the highest precision at 95.8% and the highest F1-Score at 94.5% across all categories. It effectively recognized actions of adolescents with different heights and speeds, outperforming traditional methods. Conclusion: Our artificial intelligence-based training solution improves training efficiency and reduces the training burden on adolescents.

Purpose: The aim of this study was to investigate the effect of agility ladder training combined with plyometric or multidirection speed drills, on performance in young female volleyball players. Methods: Seventy-six young female volleyball players were randomly distributed into 3 maturity-matched groups: (1) the agility ladder + plyometric drills group, (2) the agility ladder + multidirection speed drills group, and (3) the control group. Both experimental groups followed a 6-week training program, twice weekly, in addition to the regular volleyball training sessions, while the control group participated only in the regular volleyball training sessions. Assessments pretraining and posttraining included countermovement jump, 20-m sprint, and agility T test.  Results: Both experimental groups improved T-test performance (P < .005) but only agility ladder + multidirection speed drills group outperformed the control group (P < .05). Conclusions: Agility ladder training programs combined with either plyometric or speed drills can improve change of direction performance in young female volleyball players but only the combination of agility ladder with multidirection speed drills is more effective than volleyball training per se. The small effectiveness of these protocols may be attributed to the short training period, or to the fact that training elements were combined in a single session. This hypothesis remains to be further investigated.

The Danish Christmas Seal Homes offer a 10-week residential stay for socially vulnerable children. We aimed to examine the effects on body composition and cardiometabolic fitness variables of the standard program (SG) and whether substituting physical activity sessions with sessions from a football-based health education program is beneficial for the participants (“11 for Health”; SG+). Three hundred and nine children participated in SG (12.4 [1.6] y) and 305 in SG+ (12.4 [1.4] y). Fat percentage was lowered by 6% for females (from 37% to 31%) and 8% for males (from 36% to 28%), with no between-group differences. We observed improvements in systolic and diastolic blood pressure (3 and 5 mm Hg, respectively), resting heart rate (10 beats/min), aerobic fitness, jump performance, and relative muscle mass with no between-group differences. Furthermore, there were between-group differences in insulin levels for females (1.7 pmol/L; 95% CI, 0.3 to 3.0) and postural balance for males (1.0 s; 95% CI, 0.0 to 2.0), both in favor of SG+, and covered distance in the Andersen test for females (26 m; 95% CI, 3 to 49) in favor of SG. In conclusion, a 10-week stay at the Danish Christmas Seal Home resulted in clinically relevant improvement in fat percentage and cardiometabolic fitness in socially vulnerable children, regardless of the program type.

Purpose: To investigate the associations between physical activity (PA) intensities, sedentary behavior (SB), and blood pressure (BP) in adolescents, according to sex. Method: This cross-sectional study involved 95 male and female adolescents aged 15–18 years. Accelerometry was used to measure time spent in light-intensity PA (LPA), moderate to vigorous PA (MVPA), and vigorous PA, and SB. The BP was determined using an automated sphygmomanometer. Statistical analyses included multiple linear regression and command margins. Results: Significant associations were found between systolic BP (SBP) and time spent in LPA (B = −0.08; 95% CI, −0.15 to −0.01) and SB (B = 0.071; 95% CI, 0.004–0.138), albeit only in boys. Furthermore, an interaction was observed between time spent in SB and MVPA for SBP in boys (B = −0.002; 95% CI, −0.004 to −0.0008). The main interaction effect of increasing SBP was a combination of <75 minutes per day of MVPA and up to 600 minutes per day of SB. Conclusions: Increased time in LPA and reduced time spent in SB during the day are associated with lower SBP in male adolescents. Additionally, the relation between SB and SBP was attenuated by MVPA. These findings provide crucial insights for PA recommendations to promote cardiovascular health in adolescents.