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Skeletal Loading: Lean and Bone Mass Development in Young Elite Male Gymnasts, Swimmers, and Nonathletes Aged 6–24 Years

Lisa Gannon and Karen Hind

Background: Exercise optimizes peak bone mass accrual, particularly if the loading is high magnitude and distributed in abnormal directions. Little is known about the influence of early intense training in sport during peak bone mass accrual, especially in boys. Methods: Ninety-eight males aged 6–24 years (gymnasts, swimmers, and controls) completed the bone-specific physical activity questionnaire and a 7-day exercise diary. Dual-energy X-ray absorptiometry determined bone mineral properties of the total body (less head) and lumbar spine (LS, L1–L4) and total lean mass. Subgroup analyses were conducted for juniors (prepubescent), adolescents (11–16 y), and seniors (17–24 y). Results: Lean mass was positively associated with total body less head and LS bone outcomes in all 3 age groups (R 2 = .632–.770, P < .05), and bone-specific physical activity questionnaire scores were associated with LS bone mineral density in adolescents and seniors (R 2 = .440 and .591, P < .05). Senior gymnasts had significantly higher LS bone mineral density (in grams per square centimeter) and Z-scores than swimmers (P = .004) and controls (P = .012). Conclusions: Elite gymnastics is associated with superior peak bone mass accrual in young males. The benefits appear more pronounced during young adulthood compared with prepuberty, potentially reflecting an extended time course for bone adaptation.

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Physical Activity and Motor Skill Development During Early Childhood: Investigating the Role of Parent Support

Maeghan E. James, Kelly P. Arbour-Nicitopoulos, Matthew Kwan, Sara King-Dowling, and John Cairney

RLT , Lane S , Brown G , Leung C , Kwok SWH , Chan SWC . Systematic review of the impact of unstructured play interventions to improve young children’s physical, social, and emotional wellbeing . Nurs Health Sci [Internet]. 2020 [cited 2021 Apr 29]; 22 ( 2 ): 184 – 196 . Available

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Change of Direction Speed in Youth Male Soccer Players: The Predictive Value of Anthropometrics and Biological Maturity

Yassine Negra, Senda Sammoud, Alan M. Nevill, and Helmi Chaabene

This study aimed to develop the optimal allometric body size/shape and a biological maturity model that predicted the change of direction (CoD) mean speed performance in youth male soccer players. One-hundred and fifteen youth soccer players (age: 12.4 [1.3] y) participated in this study. The 505 test was used to assess CoD mean speed performance. Anthropometric measurements comprised body height (cm), sitting height (cm), body mass (kg), fat mass (kg), lower limb length (cm), thigh length (cm), leg length (cm), foot length (cm), thigh girth (cm), and calf girth (cm). The maturity status was determined based on the maturity offset method. To identify size/shape and maturity characteristics associated with CoD speed performance, we computed a multiplicative allometric log-linear regression model, which was refined using backward elimination. The multiplicative allometric model exploring the association between 505 CoD mean speed performance and the different anthropometric characteristics in youth soccer players estimated that fat mass (P < .001), sitting height (P = .02), and maturity offset (P = .004) are the key predictors. More specifically, youths who are more mature and have a lower fat mass and a shorter trunk length, are likely to achieve a better CoD mean speed performance. These findings highlight the relevance of considering anthropometric and maturity characteristics in youth soccer players to support talent identification.

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Youth Athletes’ Self-Esteem: The Impact of Integrated Psychological Skills Training

Quentin Merlin, Philippe Vacher, Guillaume Martinent, and Michel Nicolas

way, only the person’s belief about their skills and worth will matter. Although SE exhibits some stability over decades, it changes significantly and consistently from childhood to old age ( 33 ). In general, SE predicts a person’s success and well-being in important life domains ( 34 , 35

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Parental Travel Behaviors and Children’s Independent Mobility: A MultiSite Study

Victoria Hecker, Sebastien Blanchette, Guy Faulkner, Negin A. Riazi, Mark S. Tremblay, François Trudeau, and Richard Larouche

Purpose: Children who are allowed greater independent mobility (IM) are more physically active. This study investigated associations between parents’ current travel mode to work, their own IM and school travel mode as a child, and their child’s IM. Methods: Children in grades 4 to 6 (n = 1699) were recruited from urban, suburban, and rural schools in Vancouver, Ottawa, and Trois-Rivières. Parents reported their current travel mode to work, IM, and school travel mode as a child. Children self-reported their IM using Hillman’s 6 mobility licenses. Multiple imputation was performed to replace missing data. Gender-stratified generalized linear mixed models were adjusted for child age, parent gender, urbanization, and socioeconomic status. Results: The older a parent was allowed to travel alone as a child, the less IM their child had (boys: β = −0.09, 95% confidence interval [CI], −0.13 to −0.04; girls: β = −0.09, 95% CI, −0.13 to −0.06). Girls whose parents biked to work (β = 0.45, 95% CI, 0.06–0.83) or lived in Trois-Rivières versus other sites (β = 0.82, 95% CI, −0.43 to 1.21) had higher IM. IM increased with each year of age (boys: β = 0.46, CI, 0.34–0.58; girls: β = 0.38, 95% CI, 0.28–0.48). Conclusion: Parents who experienced IM later may be more restrictive of their child’s IM. This may help explain the intergenerational decline in children’s IM.

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Effects of an 8-Week Corrective Dance Exercises Intervention on Thoracic Hyperkyphosis, Scapular Position, Respiratory Function, and Happiness in Girls Aged 10–12 Years

Donya Kouchi, Mansour Sahebozamani, Abdolhamid Daneshjoo, Sugalya Amatachaya, Mohammad Alimoradi, and Mojtaba Iranmanesh

to prolonged periods of improper sitting and standing postures ( 14 ). THK could introduce changes in physical appearance ( 30 ), disturbances in respiratory function ( 36 ), and psychological issues ( 20 ). Physical health and fitness throughout life are crucial for overall well-being. Without

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Driving Down Daily Step Counts: The Impact of Being Driven to School on Physical Activity and Sedentary Behavior

Georgina Trapp, Billie Giles-Corti, Hayley Christian, Anna Timperio, Gavin McCormack, Max Bulsara, and Karen Villanueva

This study investigated whether being driven to school was associated with lower weekday and weekend step counts, less active out-of-school leisure pursuits, and more sedentary behavior. Boys aged 10–13 years (n = 384) and girls aged 9–13 years (n = 500) attending 25 Australian primary schools wore a pedometer and completed a travel diary for one week. Parents and children completed surveys capturing leisure activity, screen time, and sociodemographics. Commute distance was objectively measured. Car travel was the most frequent mode of school transportation (boys: 51%, girls: 58%). After adjustment (sociodemographics, commute distance, and school clustering) children who were driven recorded fewer weekday steps than those who walked (girls: −1,393 steps p < .001, boys: −1,569 steps, p = .009) and participated in fewer active leisure activities (girls only: p = .043). There were no differences in weekend steps or screen time. Being driven to and from school is associated with less weekday pedometer-determined physical activity in 9- to 13-year-old elementary-school children. Encouraging children, especially girls, to walk to and from school (even for part of the way for those living further distances) could protect the health and well-being of those children who are insufficiently active.

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Children With Cardiac Disease and Heat Exposure: Catastrophic Converging Consequences?

Luc Souilla, Pascal Amedro, and Shawnda A. Morrison

The detrimental impact of extreme heat exposure on the health and well-being of children is widely acknowledged. The direct and indirect effects of climate change have led to an increased risk of certain cardiovascular events which may be particularly harmful to children who are born with, or develop, heart disease. Purpose: To highlight the worrying paucity of investigative research aimed at differentiating how higher ambient temperatures further tax an already compromised cardiovascular system in children. Methods: This commentary describes basic thermoregulatory concepts relevant to the healthy pediatric population and summarizes common heart diseases observed in this population. Results: We describe how heat stress and exercise are important factors clinicians should more readily consider when treating children with heart disease. Countermeasures to physical inactivity are suggested for children, parents, clinicians, and policymakers to consider. Conclusions: As sudden, excessive heat exposures continue to impact our rapidly warming world, vulnerable populations like children with underlying heart conditions are at greater heat health risk, especially when coupled with the negative physical activity and fitness trends observed worldwide.

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Editor’s Notes

Craig A. Williams

see a few other changes including a revamped aims and objectives of the journal, especially as we are keen to capture developing topic areas in clinical exercise medicine, the youth sports athlete, and health, and well-being. Concurrently, we are working on redeveloping the content of paper

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Oxford Textbook of Children’s Sport and Exercise Medicine, Fourth Edition

Keith Tolfrey

and exercise medicine. I am certain this aim has been achieved, beyond any doubt. For all educational and clinical establishments with a focus on child and/or adolescent health, well-being, exercise, sport, medicine, or physical (in)activity, they must have one or several copies of this textbook in