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Reporting of Adverse Events in Muscle Strengthening Interventions in Youth: A Systematic Review

Diane E. Mack, Daniel Anzovino, Malcolm Sanderson, Raffy Dotan, and Bareket Falk

Ovid HealthStar to identify research studies in peer-reviewed journals for inclusion. The search strategy was restricted to research from peer-reviewed journals with articles published through April 2018. The following key search terms were used: “strength training” OR “resistance training” OR “weight

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Youths Are Less Susceptible to Exercise-Induced Muscle Damage Than Adults: A Systematic Review With Meta-Analysis

John F.T. Fernandes, Lawrence D. Hayes, Amelia F. Dingley, Sylvia Moeskops, Jon L. Oliver, Jorge Arede, Craig Twist, and Laura J. Wilson

; “paediatric” OR “youth” OR “children” OR “adolescent” OR “maturation” AND “muscle damage” OR “exercise-induced muscle damage” OR “exercise-induced muscle injury” OR “contraction-induced injury” OR “muscle soreness” OR “delayed onset muscle soreness” OR “creatine kinase.” When selecting studies for inclusion

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A Pilot Study of Cardiorespiratory Fitness, Adiposity, and Cardiometabolic Health in Youth With Overweight and Obesity

S. Nicole Fearnbach, Neil M. Johannsen, Corby K. Martin, Peter T. Katzmarzyk, Robbie A. Beyl, Daniel S. Hsia, Owen T. Carmichael, and Amanda E. Staiano

and metabolic efficiency from gas exchange measurement. The inclusion of youth with severe obesity is an important contribution to the literature and should provoke further investigation of exercise physiology in this understudied population. In conclusion, the findings of this pilot study suggest

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Physical Activity Levels and Adiposity in Ambulant Children and Adolescents With Cerebral Palsy Compared With Their Typically Developing Peers

Leticia Janzen, Clodagh M. Toomey, Laura K. Brunton, Elizabeth G. Condliffe, Shane Esau, Adam Kirton, Carolyn A. Emery, and Gregor Kuntze

means and SDs, medians and interquartile ranges (Q1 and Q3), data ranges (min and max), and participant numbers. Results Participant Demographics Seventy-eight individuals (CP: n = 40; TD: n = 38) met inclusion criteria (Table  1 ). The greatest proportion of participants were boys (60% with CP and 66

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Assessing Modes and Frequency of Commuting to School in Youngsters: A Systematic Review

Manuel Herrador-Colmenero, Manuel Pérez-García, Jonatan R. Ruiz, and Palma Chillón

The first objective was to review and analyze self-reported measures used for assessing mode and frequency of commuting to and from school in youngsters (4–18.5 years old). The secondary objective was to conduct a qualitative appraisal of the identified studies. We searched five online databases: PubMed, SportDiscus, ProQuest, National Transportation Library, and Web of Knowledge. Four categories of search terms were identified: self-report, active transportation, school-aged children and school. Titles and abstracts were reviewed to determine whether the studies met the inclusion criteria. The quality of the reporting of the measures was assessed using a tailored list. The electronic search strategy produced 5,898 studies. After applying the inclusion criteria, we identified 158 studies. Sixty-three studies (39.8%) specified the question about modes of commuting to school. One hundred seven studies (67.7%) directly questioned the study subjects (i.e., children and/or adolescents). Twenty studies (12.7%) posed a valid and reliable question. The quality assessment of the self-report measures was medium. The self-report measures used in the literature for assessing commuting to school tend to be heterogeneous and make difficult interstudies comparisons. Therefore we put forward the idea of a standard question designed to elicit reliable, comparable information on commuting to school.

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The Relationship between Physical Activity and Cognition in Children: A Meta-Analysis

Benjamin A. Sibley and Jennifer L. Etnier

The purpose of this study was to quantitatively combine and examine the results of studies pertaining to physical activity and cognition in children. Studies meeting the inclusion criteria were coded based on design and descriptive characteristics, subject characteristics, activity characteristics, and cognitive assessment method. Effect sizes (ESs) were calculated for each study and an overall ES and average ESs relative to moderator variables were then calculated. ESs (n = 125) from 44 studies were included in the analysis. The overall ES was 0.32 (SD = 0.27), which was significantly different from zero. Significant moderator variables included publication status, subject age, and type of cognitive assessment. As a result of this statistical review of the literature, it is concluded that there is a significant positive relationship between physical activity and cognitive functioning in children.

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Measuring Physical Activity in Children with Pedometers: Reliability, Reactivity, and Replacement of Missing Data

David A. Rowe, Matthew T. Mahar, Thomas D. Raedeke, and Joanna Lore

The study was undertaken to evaluate (a) the reliability of pedometer data and reactivity of children to wearing a pedometer, (b) the effectiveness of a missing data replacement procedure, and (c) the validity of the Leisure Time Exercise Questionnaire (LTEQ). Six days of pedometer data were collected from 299 middle-school children, followed by administration of the LTEQ. Six days of pedometer data were found to be adequately reliable for research into habitual physical activity (R xx = .79) and no reactivity occurred. Inclusion of weekday and weekend scores is recommended where possible. The individual-centered data-replacement procedure did not adversely affect reliability, so this data-replacement method offers great promise to physical activity researchers who wish to maintain statistical power in their studies. The LTEQ does not appear to measure physical activity similarly to pedometers (r = .05), and researchers should use the LTEQ with caution in children until further research explains this discrepancy.

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Monitoring of Physical Activity in Young Children: How Much Is Enough?

Victoria Penpraze, John J. Reilly, Christina M. MacLean, Colette Montgomery, Louise A. Kelly, James Y. Paton, Thomas Aitchison, and Stan Grant

There is limited evidence on how much and on which days accelerometry monitoring should be performed to obtain a representative measurement of physical activity (PA) in young children. We measured 76 children (40 M and 36 F, mean age 5.6 years ([SD ± 0.4]) on 7 days using Actigraph accelerometers. Mean daily PA was expressed in counts per min (cpm). Reliability increased as the number of days and hours of monitoring increased, but only to 10 hr per day. At 7 days of monitoring for 10 hr per day, reliability was 80% (95% CI [70%, 86%]). The number of days was more important to reliability than the number of hours. The inclusion or exclusion of weekend days made relatively little difference. A monitoring period of 7 days for 10 hr per day produced the highest reliability. Surprisingly short monitoring periods may provide adequate reliability in young children.

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Acute Exercise and Postprandial Lipemia in Young People

Keith Tolfrey, Alice Emily Thackray, and Laura Ann Barrett

Exaggerated postprandial triacylglycerol concentrations (TAG) independently predict future cardiovascular events. Acute exercise and diet interventions attenuate postprandial TAG in adults. This paper aims to examine the exercise postprandial lipemia studies published to date in young people. Nine studies satisfied the inclusion criteria adopted for this summary. The majority of studies are in boys (22% girls) and have shown a single ~60-min session of moderate-intensity exercise, performed 12-18 hours before a standardized meal, reduces postprandial TAG. Manipulations of exercise duration and intensity suggest an exercise energy expenditure dose-dependent response is not supported directly in healthy young people. Studies investigating alternative exercise bouts have reported lower postprandial TAG after simulated intermittent games activity, high-intensity interval running and cumulative 10-min blocks over several hours, which may appeal to the spontaneous physical activity habits of young people. Although extension of these initial findings is warranted, exercise may be an effective strategy to promote regular benefits in TAG metabolism in children and adolescents; this may contribute to an improved cardiovascular disease risk profile early in life.

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The Effect of Physical Training in Children With Asthma on Pulmonary Function, Aerobic Capacity and Health-Related Quality of Life: A Systematic Review of Randomized Control Trials

Alison Crosbie

Objective

Asthma is a leading cause of chronic illness in children, impacting heavily on their daily life and participation in physical activity. The purpose of this systematic review was to investigate the evidence for the use of physical therapy to improve pulmonary function and aerobic capacity in children with asthma. Furthermore, the review aims to update previous literature on the effect of exercise on health related quality of life.

Methods

A search was conducted for randomized control trials (RCTs) using the electronic databases Medline, Embase, SPORTDiscus, AMED, CINAHL, and The Cochrane Central Register of Controlled Trials. Studies were included if the participants were asthmatic children aged 6–18 years participating in any mode of physical exercise. Studies were reviewed for study quality, participant details, exercise intervention details, and intervention outcomes.

Results

A total of 16 studies and 516 subjects met inclusion criteria for review. Severity of asthma ranged from mild to severe. No improvement in pulmonary function was observed. Physical training led to an increase in aerobic capacity as measured by VO2max (mL/kg/min).

Conclusions

Findings suggest that physical training does not improve pulmonary function in children with asthma, but does increase aerobic capacity. The small number of studies investigating quality of life suggests that physical training does improve health related quality of life; however further well designed randomized control trials are needed to verify these findings.