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Gisela Kobberling, Louis W. Jankowski and Luc Leger

The oxygen consumption (VO2) of 30 (10 females, 20 males) legally blind adolescents and their sighted controls were compared for treadmill walking (3 mph, 4.8 km/h) and running (6 mph, 9.6 km/h). The VO2 of the visually impaired subjects averaged 24.4% and 10.8% higher than those of their same-sex age-matched controls, and 42.8% and 11.2% higher than the American College of Sports Medicine (ACSM) norms for walking (p<.01) and running (p<.05), respectively. The normal association between aerobic capacity and locomotor energy costs was evident among the sighted controls (r= .44, p<.05) but insignificant (r=.35, p>.05) for the visually impaired subjects. The energy costs of both walking and running were highest among the totally blind subjects, and decreased toward normal as a function of residual vision among the legally blind subjects. The energy costs of walking and running for blind adolescents are higher than both those of sighted controls and the ACSM norm values.

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Grant R. Tomkinson, Justin J. Lang, Joel Blanchard, Luc A. Léger and Mark S. Tremblay

Cardiorespiratory fitness (CRF) is a good summative measure of the body’s ability to perform continuous, rhythmic, dynamic, large-muscle group physical activity, and exercise. In children, CRF is meaningfully associated with health, independent of physical activity levels, and it is an important determinant of sports and athletic performance. Although gas-analyzed peak oxygen uptake is the criterion physiological measure of children’s CRF, it is not practical for population-based testing. Field testing offers a simple, cheap, practical alternative to gas analysis. The 20-m shuttle run test (20mSRT)—a progressive aerobic exercise test involving continuous running between 2 lines 20 m apart in time to audio signals—is probably the most widely used field test of CRF. This review aims to clarify the international utility of the 20mSRT by synthesizing the evidence describing measurement variability, validity, reliability, feasibility, and the interpretation of results, as well as to provide future directions for international surveillance. The authors show that the 20mSRT is an acceptable, feasible, and scalable measure of CRF and functional/exercise capacity, and that it has moderate criterion validity and high to very high reliability. The assessment is pragmatic, easily interpreted, and results are transferable to meaningful and understandable situations. The authors recommend that CRF, assessed by the 20mSRT, be considered as an international population health surveillance measure to provide additional insight into pediatric population health.