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The identified domains of child physical literacy include knowledge/understanding, behavior, motivation/confidence, and physical competency. Understanding physical literacy is critical to moving forward intervention efforts surrounding physical inactivity.To investigate physical literacy domains by presenting responses to the Play, LifestyleActivity in Youth (PLAY) questionnaire and analyze the relationship between comparable questions in the child and parent sections.Cross-sectional questionnaire study.Suburban youth program, United States.Parent and child responses to the PLAY questionnaire.Questionnaire data were collected for 106 children 6-11 years old and 91 parents. Children (93.3%, 83/91) reported enjoyment in physical education, despite 70% participation in physical education 0-1 day/week. 66.6% (26/91) of children preferred active to passive play and played outside most days/week (5.0 median). Similarly, a high proportion of children (93.3%, 83/91) reported feeling that they physically performed similar to or higher than their peers and took ownership to improve motor competency versus taking a more passive approach. Most children (96.7%, 87/91) reported feeling happy when they were able to play sports/run around, enjoyed gym class (93.3%, 83/91), and reported feeling sad if they cannot play sports/run around during the day (75.6%, 68/91). Parents and children reported rules around screen time and bed time, and reinforced these rules often. Child and parent responses were associated for comparable questions about bedtime and screen-time/media rules, moderate-to-vigorous physical activity per day, sport camp preference, and play equipment use (Fisher's p = .051 screen time, p .001 other questions).PLAY questionnaire internal validity showed agreement between comparable parent and child responses and an association for select comparable questions.

Context Neuromuscular training (NMT) facilitates the acquisition of new movement patterns that reduce the anterior cruciate ligament injury risk. However, the neural mechanisms underlying these changes are unknown. Objective To determine the relationship between brain activation and biomechanical changes after NMT with biofeedback. Design Cohort study. Setting Research laboratory. Patients or Other Participants Twenty female high school soccer athletes, with 10 in an augmented NMT group and 10 in a control (no training) group. Main Outcome Measure(s) Ten participants completed 6 weeks of NMT augmented with real-time biofeedback to reduce knee injury-risk movements, and 10 participants pursued no training. Augmented neuromuscular training (aNMT) was implemented with visual biofeedback that responded in real time to injury-risk biomechanical variables. A drop vertical jump with 3-dimensional motion capture was used to assess injury-risk neuromuscular changes before and after the 6-week intervention. Brain-activation changes were measured using functional magnetic resonance imaging during unilateral knee and multijoint motor tasks. Results After aNMT, sensory (precuneus), visual-spatial (lingual gyrus), and motor-planning (premotor) brain activity increased for knee-specific movement; sensorimotor cortex activity for multijoint movement decreased. The knee-abduction moment during landing also decreased (4.66 ± 5.45 newton meters; P = .02; Hedges g = 0.82) in the aNMT group but did not change in the control group (P > .05). The training-induced increased brain activity with isolated knee movement was associated with decreases in knee-abduction moment (r = 0.67; P = .036) and sensorimotor cortex activity for multijoint movement (r = 0.87; P = .001). No change in brain activity was observed in the control group (P > .05). Conclusions The relationship between neural changes observed across tasks and reduced knee abduction suggests that aNMT facilitated recruitment of sensory integration centers to support reduced injury-risk mechanics and improve sensorimotor neural efficiency for multijoint control. Further research is warranted to determine if this training-related multimodal neuroplasticity enhances neuromuscular control during more complex sport-specific activities.

Background The measurement of physical fitness has a history that dates back nearly 200 years. Recently, there has been an increase in international research and surveillance on physical fitness creating a need for setting international priorities that could help guide future efforts. Objective This study aimed to produce a list of the top 10 international priorities for research and surveillance on physical fitness among children and adolescents. Methods Using a twin-panel Delphi method, two independent panels consisting of 46 international experts were identified (panel 1 = 28, panel 2 = 18). The panel participants were asked to list up to five priorities for research or surveillance (round 1), and then rated the items from their own panel on a 5-point Likert scale of importance (round 2). In round 3, experts were asked to rate the priorities identified by the other panel. Results There was strong between-panel agreement (panel 1: rs = 0.76, p rs = 0.77, p Conclusions The priorities identified in this study provide guidance for future international collaborations and research efforts on the physical fitness of children and adolescents over the next decade and beyond.

Menezes, GB, Alexandre, DR, Pinto, JC, Assis, TV, Faigenbaum, AD, and Mortatti, AL. Effects of integrative neuromuscular training on motor performance in prepubertal soccer players. J Strength Cond Res XX(X): 000-000, 2020-The present study examined the effects of integrative neuromuscular training (INT) on motor performance in prepubertal soccer players. Subjects were randomly assigned to the experimental group (INT; n = 20, age: 8.2 ± 1.2 years; body mass: 28.4 ± 6.4 kg; height: 1.3 ± 0.1 m) or the control group (CON; n = 18, age: 8.5 ± 1.3 years; body mass: 32.8 ± 8.9 kg; height: 1.3 ± 0.1 m). Integrative neuromuscular training program was performed twice per week during the 12-week training intervention. Balance, flexibility, countermovement vertical jump height (CVJH), sprint speed, and change of direction speed (CODS) were assessed in both groups at baseline, sixth week and 12th week. A mixed model repeated measures analysis of variance was used to examine the group changes in performance for each variable. There was a time effect for balance in the INT from pre to 12th weeks (p < 0.001, g = 0.72), and from 6th to 12th weeks (p = 0.005, g = 0.34). An interaction effect for balance was also observed between INT and CON after the 12th week. A time effect in flexibility was observed in INT from baseline to 6th and 12th weeks (p = 0.02; g = 0.45 and p < 0.001; g = 0.71) and from 6 to 12th weeks (p = 0.003; g = 0.24). There was a time effect in CVJH, from baseline to 12th week and from 6th to 12th weeks (p < 0.05; g = 0.34 and g = 0.53, respectively). There was no significant between-group speed performance change. A time effect was found in CODS in INT, but only from baseline to 12th week (p = 0.02; g = 0.31). There were significant improvements in the percent change (Δ%) from baseline to 12 weeks (p < 0.05) for balance, flexibility, and CVJH in INT. These findings indicate that the addition of an INT program to soccer practice can improve selected motor performance skills in prepubertal soccer players.

Alonso-Aubin, DA, Picon-Martinez, M, Rebullido, TR, Faigenbaum, AD, Cortell-Tormo, JM, and Chulvi-Medrano, I. Integrative neuromuscular training enhances physical fitness in 6- to 14-year-old rugby players. J Strength Cond Res 35(8): 2263-2271, 2021-The purpose of this study was to assess the effects of an 8-week integrative neuromuscular training (INT) program on physical fitness measures in young rugby players. A sample of 138 male rugby players (age range, 6-14 years) was divided into 5 age-related groups: group 1 (G1) (n = 20; age, 7.05 ± 0.58), group 2 (G2) (n = 27; age, 8.57 ± 0.49), group 3 (G3) (n = 31; age, 11.02 ± 0.56), group 4 (G4) (n = 33; age, 13.12 ± 0.58, and group 5 (G5) (n = 27; age, 14.85 ± 1.53 and additionally into 2 game position groups: forwards (FOR) (n = 69) and backs (BAC) (n = 69). Physical fitness measures included the Functional Movement Screen (FMS), dominant and nondominant hand-to-eye coordination, sprint capacity, core muscular endurance, and lower- and upper-body power. Integrative neuromuscular training (INT) included progressive strength, coordination, and speed exercises performed twice per week for 20 minutes. Following INT, significant improvements in selected age-related groups (p < 0.01) were found in total FMS score G3 (effect size [ES] = 0.47), G4 (ES = 0.88), and G5 (ES = 0.58); dominant hand-to-eye coordination G1 (ES = 1.48), G2 (ES = 0.71), G3 (ES = 0.55), G4 (ES = 1.47), and G5 (ES = 1.15), nondominant hand-to-eye coordination G2 (ES = 0.74), G4 (ES = 1.34), and G5 (ES = 1.09); lower-body power G2 (ES = 0.44), G4 (ES = 0.39), and G5 (ES = 0.43); core muscular endurance G1 (ES = 0.82), G3 (ES = 0.68), and G4 (ES = 1.04); upper-body power G2 (ES = 0.53); and sprint capacity G4 (ES = 0.69). Significant improvements were also found between player's positions for all tests. These findings indicate that a progressive INT program can enhance functional movement abilities and selected physical fitness measures in young rugby players regardless of game position and age.

ObjectiveThe impact, positive or negative, of youth sport specialisation (YSS) on short-term and long-term performance is not fully understood; however, the desire to maximise performance goals is generally considered the primary reason children and adolescents specialise at a young age. We performed a systematic review of original research to establish the association of YSS and task-focused or career-focused performance outcomes.DesignSystematic review.Data sourcesDatabases searched include PubMed, EMBASE, Cochrane, CINAHL and SPORTDiscus.Eligibility criteriaWe followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify peer-reviewed research articles published in English between 1 January 1990 and 31 December 2018 that reported original findings on the association of YSS and performance outcomes. Studies without an explicit measure of sport specialisation, for example, volume measures without measuring sport specialisation, were excluded.ResultsTwenty-two articles were included in the final review; 15 addressed career performance outcomes and 7 considered task performance outcomes. All identified studies were cross-sectional or retrospective in design. The proportion of elite athletes who specialised early ranged between 7% and 85%, depending on sport and definition of specialisation. Elite athletes often specialised between the ages of 14 and 15 compared with their non-elite or semi-elite peers who typically specialised prior to 13 years. In addition, neuromuscular control, anterior reach asymmetry and physical task outcomes did not differ by specialisation status.ConclusionThe volume and methodological rigour of published research in this field are limited. Our review suggests that YSS is not required to achieve success at elite levels. YSS also does not appear to improve task-related performance (eg, anterior reach, neuromuscular control) outcomes for specialised athletes when compared with non-specialised athletes during childhood and adolescence.

Objective: To investigate primary care physician clinical practice patterns, barriers, and education surrounding pediatric physical activity (PA), and to compare practice patterns by discipline.Study design: Cross-sectional studyMethods: 4500 randomly selected pediatricians, family practice, and sports medicine physicians in the United States were surveyed (11% response rate). Main outcome measures were questionnaire answers on clinical effort, attitudes, and barriers surrounding PA, medical education in exercise science, and awareness of ICD-9 diagnostic codes pertaining to physical inactivity.Results: Approximately 15% of patient interaction time was spent on the evaluation and treatment of physical inactivity for a normal weight child. For an overweight or obese child, clinical time spent on PA almost doubles. Regardless of weight, sports medicine physicians spent significantly more time on the evaluation of physical activity compared to family/internal medicine physicians and pediatricians. Mean percentage of time family/internal medicine physicians spent on PA evaluation and treatment was consistently less than sports medicine physicians, and consistently more than pediatricians. Most physicians strongly agreed that PA assessment and treatment are important for disease prevention; only 28% had ever made the diagnosis of childhood physical inactivity. Limited clinical time was identified as a primary barrier to diagnosing childhood physical inactivity. Eighty-five percent of respondents were unaware of ICD-9 codes for reimbursement of PA evaluation. Eighty-one percent reported a paucity of exercise science education in medical school.Conclusion: While physicians report that PA evaluation is important in practice, behavior patterns surrounding time evaluating PA and treating childhood physical inactivity are discrepant. Pediatricians showed less favorable attitudes and effort surrounding PA compared to other primary care disciplines. The majority of physicians are unaware of physical inactivity diagnostic codes, have never made the diagnosis of childhood physical inactivity, and may not be receiving basic pediatric exercise science training required for evaluating and treating childhood physical inactivity.

Temporal trends of youth muscular fitness (i.e., muscular strength, muscular power and local muscular endurance) indicate that contemporary children and adolescents are weaker and slower than previous generations. Consequently, this generation of millennials appear to be just as vulnerable as older adults to the inevitable consequences of muscle disuse and neuromuscular dysfunction. The modern-day construct of pediatric dynapenia describes an identifiable and treatable condition in youth characterized by low levels of muscular strength and power and consequent physical and psychosocial limitations not caused by neurologic or muscular disease. An interaction of modifiable physical and psychosocial factors can influence the development and progression of pediatric dynapenia. Without structured interventions that target strength deficits and build strength reserves in a supporting environment, the divergence in performance between weaker and stronger children may persist into adolescence because weaker youth may be unable to break through a so-called strength barrier. Regular participation in a well-designed youth resistance training program provides an opportunity for youth to enhance their health and fitness while acquiring the physical skills and behaviors that support an active lifestyle. New insights have highlighted the importance of initiating strength-building interventions early in life to optimize performance gains in other important components of physical fitness. Developmentally appropriate resistance training should be integrated into school- and community-based youth fitness programs and strength-building activities should take a more prominent position in public health physical activity recommendations for children and adolescents.

Much of the evidence examining temporal trends in fitness among youth has found a decrease in measures of muscular strength and muscular power over recent decades. The aim of this study was to examine trends in lower body muscular power in Spanish boys over 47 years. In 1969 140 boys (10–11 years; body mass index = 19.24, SD = 2.91 kg/m2) and in 2016, 113 boys (10–11 years; body mass index = 19.20, SD = 3.15 kg/m2) were recruited. Lower body power was assessed using the vertical jump (VJ) and standing long jump (SLJ) tests. Significant differences and a large effect size were shown between groups in the SLJ (p = 0.001; d = 0.94) and the VJ (p = 0.001; d = 0.66). SLJ data in 1969 were higher (1.52 m, SD = 0.19) when compared to the 2016 data (1.34 m, SD = 0.18). The VJ performance of the 1969 sample was also higher (25.95 cm; SD = 6.58) than the 2016 sample (21.56 cm; SD = 4.72). SLJ and VJ performance of the 2016 group decreased 11.8% and 16.9%, respectively. There were no significant differences between groups in body mass index. The results indicate a secular decline in lower body muscular power in 10–11-year-old Spanish boys with no significant changes in body mass index over the 47-year study period.

Ratamess, NA, Kang, J, Kuper, JD, O'Grady, EA, Ellis, NL, Vought, IT, Culleton, E, Bush, JA, and Faigenbaum, AD. Acute cardiorespiratory and metabolic effects of a sandbag resistance exercise protocol. J Strength Cond Res 32(6): 1491-1502, 2018-The purpose of this study was to examine the acute cardiorespiratory and metabolic effects of a sandbag (SB) resistance exercise protocol and compare the responses to time-matched treadmill running protocols. Eight healthy, resistance-trained men (21.1 ± 1.0 years; 86.1 ± 7.8 kg) completed 4 protocols of equal duration in random sequence: (a) SB, (b) treadmill running at 60% of V[Combining Dot Above]O2 reserve (60V[Combining Dot Above]O2R), (c) treadmill running at 80% of V[Combining Dot Above]O2 reserve (80V[Combining Dot Above]O2R), and (d) a control protocol. The SB protocol was 16 minutes in duration and consisted of 3 circuits of 8 multiple-joint exercises (with 11-, 20-, or 48-kg SBs) performed for as many repetitions as possible for 20 seconds followed by a 10-second rest interval before beginning the next exercise. Two minutes of rest was allowed between circuits. Breath-by-breath oxygen consumption (V[Combining Dot Above]O2) and heart rate (HR) were recorded throughout each protocol and for 30 minutes postexercise (PE) and blood lactate was determined before and immediately after each protocol. Blood lactate was significantly higher after SB compared with 60V[Combining Dot Above]O2R and 80V[Combining Dot Above]O2R. Mean and peak HR in SB was significantly higher than 60V[Combining Dot Above]O2R but not different from 80V[Combining Dot Above]O2R. Mean V[Combining Dot Above]O2 and energy expenditure (EE) in SB was significantly lower than 60V[Combining Dot Above]O2R and 80V[Combining Dot Above]O2R during each protocol but significantly higher after SB compared with 60V[Combining Dot Above]O2R and 80V[Combining Dot Above]O2R PE. Compared with 60V[Combining Dot Above]O2R and 80V[Combining Dot Above]O2R, respiratory exchange ratio was significantly higher during SB and through 5 minutes PE, but was significantly lower at 25-30 minutes PE after SB. Sandbag, as performed in this study, provides a superior metabolic stimulus to treadmill running during the PE period; however, the SB results demonstrate inferior EE compared with running at 60V[Combining Dot Above]O2R and 80V[Combining Dot Above]O2R.

Physical inactivity has been identified by the World Health Organization (WHO) as the fourth leading risk factor for global mortality. Increased physical activity in youth may improve cardiovascular and metabolic disease risk profiles; augment bone mineral density; reduce symptoms of depression; enh

The good news is that a growing body of evidence recognizes resistance training as foundational to long-term physical development. Original research and reviews published in 2017 conclude that early exposure to developmentally appropriate resistance training can improve markers of health, increase muscular fitness, enhance physical literacy, and reduce the risk of injury in young athletes. Although the papers discussed in the commentary add to our understanding of the pleiotropic benefits of youth resistance training, they also raise concerns. As measures of muscular strength and power have been found to track from childhood to adulthood, the bad news is that youth with low levels of muscular fitness tend to become weak adults who are at increased risk for functional limitations and adverse health outcomes. Furthermore, global participation in youth resistance training is falling far short of public health recommendations, and these ugly trends will likely impact the health and well-being of future generations. A change in current attitudes and common practices is urgently needed to educate parents, practitioners, and clinicians about the potential benefits of resistance training for all children and adolescents, not only young athletes.

This article describes a developmentally appropriate strength-building intervention for elementary-age children that is designed around fundamental integrative training (FIT) with an emphasis on cr...

La dinapenia pediátrica es una condición seria que ha visto incrementada su prevalencia entre los niños de hoy en día. Este fenómeno está caracterizado por bajos niveles de fuerza y potencia que no son consecuencia de una enfermedad y que generan limitaciones funcionales en el rendimiento de las habilidades motrices, así como alteraciones cardiometabólicas. Para evitar esta condición e incrementar la salud y el bienestar de los niños y adolescentes es necesario incluir, dentro de la práctica regular de actividad física, un programa de entrenamiento de fuerza. Se ha comprobado que el entrenamiento de fuerza tiene un papel fundamental a la hora de prevenir y controlar la dinapenia pediátrica. No obstante, requiere de una combinación específica entre investigadores, médicos y entrenadores de forma que permita diseñar e implementar de forma segura programas de entrenamiento de fuerza progresivos y adecuados a las necesidades y habilidades de los niños. Esta revisión recoge las principales aportaciones respecto al entrenamiento de fuerza pediátrico y proporciona datos basados en la evidencia para prevenir y controlar la dinapenia pediátrica en los niños. La participación regular en programas de entrenamiento de fuerza contribuirá a prevenir la dinapenia pediátrica en las primeras etapas de la vida. Por tanto, los niños tendrán más posibilidad de ganar confianza y de adquirir las competencias necesarias para aumentar sus posibilidades físicas y de esta forma podrán cumplir en mayor y mejor medida la cantidad de ejercicio diario recomendado. La intervención se hace especialmente necesaria para mejorar los niveles de fuerza y potencia en los niños ya que, de no ser así, se dificultará en gran medida la posibilidad de prevenir una cascada de consecuencias adversas para la salud en etapas posteriores.Abstract. Pediatric dynapenia is a serious condition with a growing prevalence within youth nowadays. This phenomenon is characterized by low levels of strength and power not provoked by any disease, which produce functional limitations in motor skill performance and consequent cardio-metabolic abnormalities. In order to improve this condition and enhance the health and well-being of children and adolescents, regular participation in physical activities including resistance training is needed. The unique role of resistance training in preventing and managing pediatric dynapenia implies a joint effort from researchers, clinicians and practitioners in order to design, implement and safely progress developmentally appropriate resistance exercise programs consistent with each child’s needs and abilities. This review synthesizes the latest information on youth resistance training and provides evidence-based rationale for preventing and managing pediatric dynapenia in youth. Regular participation in resistance exercise programs in early ages prevent pediatric dynapenia. Consequently, youth will be more likely to gain confidence and competence on their physical abilities and accumulate the recommended amount of daily exercise. Interventions in schools and communities are needed to increase muscular strength and power in youth, with the aim to prevent inevitable cascade of adverse health consequences later in individuals’ life.

The aim of this study is to examine the prevalence and correlates of adolescents' resistance training (RT) skill competence. Participants were 548 adolescents (14.1 ± 0.5 years) from 16 schools in New South Wales, Australia. RT skills were assessed using the Resistance Training Skills Battery. Demographics, BMI, muscular fitness, perceived strength, RT self-efficacy, and motivation for RT were also assessed. The proportion demonstrating "competence" and "near competence" in each of the six RT skills were calculated and sex differences explored. Associations between the combined RT skill score and potential correlates were examined using multi-level linear mixed models. Overall, the prevalence of competence was low (range = 3.3% to 27.9%). Females outperformed males on the squat, lunge and overhead press, whereas males performed better on the push-up (p .05). Significant associations were seen for a number of correlates, which largely differed by sex. Muscular fitness was moderately and positively associated with RT skills among both males (β = 0.34, 95%CIs = 0.23 to 0.46) and females (β = 0.36, 95%CIs = 0.23 to 0.48). Our findings support a link between RT skills and muscular fitness. Other associations were statistically significant but small in magnitude, and should therefore be interpreted cautiously.

Research evidence continues to define the unique health- and performance-related benefits of resistance exercise for children and adolescents. While the effectiveness of resistance exercise in increasing muscle strength and motor skill performance has been demonstrated repeatedly, current scientific evidence indicates that the right “dose” of resistance exercise can enhance physical performance in young athletes and reduce the risk of developing cardiometabolic disease. The papers discussed in this commentary add to our understanding of the potential benefits of youth resistance exercise by defining dose-response relationships for key training variables, exploring sex-specific adaptations to this type of training, and examining the relationship between muscular strength early in life and cardiometabolic risk later in life. Noteworthy is the identification of unique, sex-specific thresholds for normalized strength to detect high risk cardiometabolic phenotypes in youth. New insights indicate that stronger boys and girls will be better prepared for sport and for life.

Alonso-Aubin, DA, Chulvi-Medrano, I, Cortell-Tormo, JM, Picón-Martínez, M, Rial-Rebullido, T, and Faigenbaum, AD. Squat and bench press force-velocity profiling in male and female adolescent rugby players. J Strength Cond Res 35(2S): S44-S50, 2021-Power development is critical for enhancing rugby performance because there is a close relationship between power and sport-specific skills. The aim of this study was to examine the force-velocity profiling generated by adolescent rugby players in the squat and bench press exercises and to compare sex-related differences. Subjects were 46 men (age: 14.48 ± 1.31 years; body height: 1.65 ± 0.09 m; and body mass: 58.07 ± 13.01 kg) and 41 women (age: 14.93 ± 2.76 years; body height: 1.63 ± 0.12 m; and body mass: 59.23 ± 12.66 kg) who were recruited from a national amateur rugby league team. Maximal strength, power, and velocity were assessed on the squat and bench press exercises using a Smith Machine and a linear power transducer with intensities ranging from 40 to 80% 1 repetition maximum (1RM) on the squat and 50-80% 1RM on the bench press. 1 repetition maximum squat and bench press performance were 104.26 ± 30.83 and 46.97 ± 13.59 kg, respectively, for men and 115.17 ± 41.42 and 45.85 ± 16.71 kg, respectively, for women. The maximum squat power results for men and women were 521.91 ± 298.75 and 591.26 ± 352.69 W, respectively, and the maximum bench press power results for men and women were 190.26 ± 150.54 and 326.16 ± 195.57 W, respectively. Significant sex-related differences (p0.001) were found on the squat exercise for maximum (40%), mean (40-50%), and time to maximum velocities (40-80%) as well as time to maximum power (80%). On the bench press exercise, significant sex-related differences (p0.001) were found for power and time to maximum velocity (40%-60%-70%-80%). These results may aid in the design of strength and conditioning programs for adolescent rugby players by targeting training prescriptions toward enhancing strength or velocity.

Nunes, ACCA, Cattuzzo, MT, Faigenbaum, AD, and Mortatti, AL. Effects of integrative neuromuscular training and detraining on countermovement jump performance in youth volleyball players. J Strength Cond Res 35(8): 2242-2247, 2021-The purpose of this study was to analyze the effect of integrative neuromuscular training (INT) on countermovement vertical jump height (CVJH) performance in youth volleyball players before and after a detraining period. Thirty-two novice volleyball players were cluster randomized into 2 groups: intervention group-INT (age: 13.1 ± 0.4 years; body mass: 55.3 ± 12.1 kg; and height: 161.1 ± 6.4 cm) and control group-CON (age: 12.8 ± 0.7 years; body mass: 51.8 ± 13.6 kg; and height: 160.1 ± 10.7 cm). The subjects were evaluated for somatic maturation (years from peak height velocity) and for CVJH performance at 4 time points during the 20-week study period: baseline, 6 weeks of INT, 12 weeks of INT, and 8 weeks after INT (detraining). The analysis used repeated-measures analysis of variance and Bonferroni post hoc test to identify possible differences in the CVJH delta in both groups. Spearman correlation was performed to verify the association between the values of the vertical jump tests and maturational levels found. The INT showed a significant improvement in the CVJH from baseline to 12 weeks and maintained training-induced gains after detraining period (p > 0.001). Significant increase in CVJH was found in the percentage of change (Δ%) from baseline to 6 weeks (p < 0.005), 12 weeks (p < 0.001), and detraining (p < 0.001) in INT compared with the CON. The results of this study indicate that INT was able to improve CVJH performance in novice youth volleyball players and these gains were sustained during the detraining period. These findings indicate that regular participation in supervised INT can enhance jumping performance in young volleyball players, and that this type of neuromuscular program may be particularly beneficial for youth with limited fundamental motor skill performance.

Background Cancer-related fatigue (CRF) is a common symptom during and after cancer treatment that negatively affects the patient's quality of life. Exercise is one of the most effective non-pharmacological treatments for CRF. Multimodal exercise therapy programs that include hypopressive exercises, relaxation and myofascial release may be beneficial for CRF. The aim of this pilot study was to evaluate the feasibility and efficacy of a multimodal program on CRF and lower limb functional strength in postmenopausal women diagnosed with cancer. Methods 7 postmenopausal women (age = 55.28 years; BMI = 26.05 kg/m2) who had a cancer diagnosis participated in a supervised and progressive 55-min class once per week for 12-weeks. CRF was measured using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Cancer Related Fatigue 12 and lower limb strength was assessed with the sit and stand test. Results No adverse events were reported during the training period and all participants completed the exercise protocol. There was a significant increase (p = 0.01) in lower limb functional strength (pre: 19.60 (SD = 2.19) vs post: 24.60(SD = 2.19)) with an effect size of d = 2.28 and a decrease in CRF (p = 0.245) (pre: 29.36 ± 24.42; post: 17.85 ± 14.23) with a trivial effect size (d Conclusions These preliminary findings indicate that a supervised once per week multimodal program that includes hypopressive exercises for postmenopausal cancer survivors increased lower limb functional strength without exacerbating their CRF. These findings support further randomized trials of hypopressive training programs on patients with cancer.

This commentary highlights 23 noteworthy publications from 2018, selected by leading scientists in pediatric exercise science. These publications have been deemed as significant or exciting in the field as they (a) reveal a new mechanism, (b) highlight a new measurement tool, (c) discuss a new concept or interpretation/application of an existing concept, or (d) describe a new therapeutic approach or clinical tool in youth. In some cases, findings in adults are highlighted, as they may have important implications in youth. The selected publications span the field of pediatric exercise science, specifically focusing on: aerobic exercise and training; neuromuscular physiology, exercise, and training; endocrinology and exercise; resistance training; physical activity and bone strength; growth, maturation, and exercise; physical activity and cognition; childhood obesity, physical activity, and exercise; pulmonary physiology or diseases, exercise, and training; immunology and exercise; cardiovascular physiology and disease; and physical activity, inactivity, and health.

This investigation examined the interactive effect of body-weight (BW) exercises and vibration on cardiometabolic responses. Fourteen subjects performed a BW exercise protocol with (BW+V) and without (BW‒V) vibration in a randomized order. The BW exercise protocol consisted of three circuits of eight calisthenics-based exercises including prisoner squat, push-up, isometric squat, reverse dip, lunge, flutter kicks, isometric lunge, and T push-up. Vibratory frequency and amplitude were set at 40 Hz and 4 mm, respectively. Oxygen uptake (VO2), heart rate (HR), expired ventilation (VE), and blood lactate [La] were determined during the protocol and 30-minute recovery. The mean VO2 reached 48% and 50% of VO2max and the mean HR reached 80% and 83% of HRmax in BW‒V and BW+V, respectively. During the protocol, while the mean VE was greater (p=.031) in BW+V than BW‒V, no differences were seen for VO2 and HR between the two conditions. During recovery, while mean VO2 was greater (p=.002) in BW+V than BW-V, no differences were seen for VE and HR between the two conditions. [La] values were significantly elevated but remained similar between the two conditions. Exercise-specific VO2 was higher during the prisoner squat (p=.003) and isometric squat (p=.042) in BW+V than BW‒V, while no differences in VO2 were observed for all other exercises. Performing three circuits of eight BW exercises in a rapid-and-intense manner produced a sufficient increase in cardiometabolic responses. Metabolic potentiation associated with combining vibration with BW exercises seemed to be influenced by how the exercises were carried out on a vibration plate.

This review aimed to synthesize the most up-to-date evidence regarding the prevalence of urinary incontinence (UI) among adolescent female athletes. We conducted a systematic review of studies regarding UI in female athletes less than 19 years of age. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRIMSA). The electronic databases of PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, and Web of Science (WOS) were searched between October and November 2020. After blinded peer evaluation, a total of 215 studies were identified and nine were included. Risk of bias was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. This review identified a prevalence of UI in adolescent female athletes between 18% to 80% with an average of 48.58%. The most prevalent sports were trampolining followed by rope skipping. The prevalence of UI among adolescent female athletes practicing impact sports was significantly prevalent. There is a need for further research, education, and targeted interventions for adolescent female athletes with UI.

Ratamess, NA, Kang, J, Porfido, TM, Ismaili, CP, Selamie, SN, Williams, BD, Kuper, JD, Bush, JA, and Faigenbaum, AD. Acute resistance exercise performance is negatively impacted by prior aerobic endurance exercise. J Strength Cond Res 30(10): 2667-2681, 2016-The purpose of the present study was to examine acute resistance exercise (RE) performance after 4 different aerobic endurance (AE) protocols. Eleven healthy, resistance-trained men (21.0 ± 1.2 years) performed a control RE protocol and 4 RE protocols 10 minutes after different AE protocols in random sequence. The RE protocol consisted of 5 exercises (high pull, squat, bench press, deadlift, and push press) performed for 3 sets of 6-10 repetitions with 70-80% of one repetition-maximum (1RM) with 3-minute rest intervals in between sets. The AE protocols consisted of treadmill running at velocities corresponding to: (a) 60% of their V[Combining Dot Above]O2 reserve (V[Combining Dot Above]O2R) for 45 minutes (P1); (b) 75% of their V[Combining Dot Above]O2R for 20 minutes (P2); (c) 90-100% of V[Combining Dot Above]O2R in 3-minute intervals (1:1 ratio) for 5 sets (P3); and (d) 75% of V[Combining Dot Above]O2R (4.5 mph) uphill (6-9% grade) for 20 minutes (P4). Completed repetitions, average power and velocity, heart rate (HR), and ratings of perceived exertion (RPE) were assessed each set. Protocols P1-P4 resulted in 9.1-18.6% fewer total repetitions performed compared with the control RE protocol with the squat experiencing the greatest reduction. Average power and velocity were significantly reduced for the high pull, squat, and bench press after most AE protocols. Ratings of perceived exertion values for the high pull and squat were significantly higher in P1-P4 compared with control. Heart rate was significantly higher during RE after P1-P4 compared with control by 4.3-5.5%. These results indicate acute RE performance is significantly compromised in healthy men after AE exercise of different type, intensity, and duration with largest reductions observed after high-intensity interval exercise.

The aim of this study was to assess metabolic, cardiorespiratory, and neuromuscular fitness parameters in children with spastic cerebral palsy (CP) and to compare these findings with typically developing children. 40 children with CP (21 males, 19 females; mean age, 11.0±3.3 yr; range, 6.5–17.1 yr; Gross Motor Function Classification System levels 1 or 2) and 40 healthy, age- and sex-matched children completed a test battery that consisted of 8 tests and 28 measures that assessed cardio-respiratory fitness, energy expenditure, anaerobic endurance, muscle strength, agility, stability and flexibility. Children with CP had significantly lower performance (P

Faigenbaum, AD, Kang, J, Ratamess, NA, Farrell, A, Golda, S, Stranieri, A, Coe, J, and Bush, JA. Acute cardiometabolic responses to a novel training rope protocol in children. J Strength Cond Res 32(5): 1197-1206, 2018-The purpose of this study was to quantify the acute cardiometabolic responses to a novel training rope (TR) protocol in children. Fifteen boys (10.6 ± 1.4 years) were tested for peak oxygen uptake (V[Combining Dot Above]O2) on a treadmill and subsequently (2-7 days later) performed a progressive 10-minute protocol of 5 TR exercises (EX): EX1: standing side-to-side waves, EX2: seated alternating waves, EX3: standing alternating waves, EX4: jumping jacks, and EX5: double-arm slams. Participants performed 2 sets of each TR exercise for 30 seconds per set with a 30-second rest interval between sets and exercises. A 12.8-m TR (4.1 kg) was used for all trials, and a metronome was used to standardize cadence. Peak values for V[Combining Dot Above]O2 and HR during the treadmill test were 47.4 ± 8.8 ml·kg·min and 195.1 ± 6.6 b·min, respectively. During the TR protocol, mean V[Combining Dot Above]O2 and HR significantly increased (p ≤ 0.05) from set 1 of EX1 (10.3 ± 2.6 ml·kg·min and 103.2 ± 11.6 b·min, respectively) to set 2 of EX5 (30.0 ± 3.9 ml·kg·min and 168.6 ± 11.8 b·min, respectively). Percentage of peak V[Combining Dot Above]O2 and peak HR values attained during the TR protocol ranged from 21.5 to 64.8% and from 52.9 to 86.4%, respectively. These descriptive data indicate that TR exercise can pose a moderate to vigorous cardiometabolic stimulus in children and with proper supervision and instruction may serve as a worthwhile complement to youth fitness programs.

Context: There is increased growth in sports participation across the globe. Sports specialization patterns, which include year-round training, participation on multiple teams of the same sport, and focused participation in a single sport at a young age, are at high levels. The need for this type of early specialized training in young athletes is currently under debate. Evidence Acquisition: Nonsystematic review. Study Design: Clinical review. Level of Evidence: Level 4. Conclusion: Sports specialization is defined as year-round training (greater than 8 months per year), choosing a single main sport, and/or quitting all other sports to focus on 1 sport. Specialized training in young athletes has risks of injury and burnout, while the degree of specialization is positively correlated with increased serious overuse injury risk. Risk factors for injury in young athletes who specialize in a single sport include year-round single-sport training, participation in more competition, decreased age-appropriate play, and involvement in individual sports that require the early development of technical skills. Adults involved in instruction of youth sports may also put young athletes at risk for injury by encouraging increased intensity in organized practices and competition rather than self-directed unstructured free play. Strength-of-Recommendation Taxonomy (SORT): C.

The motto of the Olympic Games is Citius, Altius, Fortius which is Latin for 'Faster, Higher, Stronger'. It is a clarion call to all competitors, including the youngest, to engage in training strategies that prepare athletes to be the best in the world. Existing research indicates that various forms of resistance training can elicit performance improvements in young athletes. Stronger young athletes will be better prepared to learn complex movements, master sport tactics, and sustain the demands of training and competition. An integrative training programme grounded in resistance training and motor skill development can optimise a young athlete's potential to maximise their athletic and sporting performance, while reducing the risk of a sports-related injury. Resistance training may be especially important for modern-day young athletes who are more likely to specialise in one sport at an early age at the expense of enhancing general physical fitness and learning diversified sport skills. Structured interventions that include qualified instruction; targeted movement practice; and strength and conditioning activities that are developmentally appropriate, progressive and technique driven are needed to attain a level of athleticism that is consistent with the Olympic motto.

Numerous studies have shown performance benefits including whole-body vibration (WBV) as a training modality or an acute exercise protocol when used as a component of the resistance training program. Some studies have indicated that performing dynamic exercises as compared with static position exercises while exposed to WBV might be beneficial; however, evidence is lacking. Thus, the purpose of this study was to determine if an acute bout of dynamic versus static squats performed during WBV results in increase in quadriceps force production by means of dynamic isokinetic knee extension and flexion exercise. Nonresistance-trained healthy young men and women (N = 21) of 18-25 years participated in 4 protocols with 2-week rest in-between. Protocol 1 consisted of 5 sets of 10 dynamic squats without vibration; Protocol 2: 5 sets of 30-second static squats without vibration; Protocol 3: 5 sets of 10 dynamic squats with 30-Hz WBV for a total of 2.5 minutes; and Protocol 4: 5 sets of 30-second static squats with 30-Hz WBV for a total of 2.5 minutes. Prestrength tests (1 set of 4 repetitions at 100° · s(-1) for the knee extension exercise) was performed within 5 minutes of starting each protocol, and poststrength testing was performed within 1 minute of completing each protocol. Strength outcomes were analyzed by repeated measures analysis of variance with a significance level set at p ≤ 0.05. A significant decrease in strength was observed after dynamic and static squats without WBV (p = 0.002); an increase in strength after dynamic squats with WBV (p = 0.003); and a decrease in strength after static squats with WBV (p = 0.003). The inclusion of WBV to dynamic resistance exercise can be an added modality to increase strength. Whole-body vibration can have varied effects in altering muscle strength in untrained individuals according to the type of resistance training performed. As a dynamic squat with WBV seems to immediately potentiate neuromuscular functioning, the combination of dynamic exercises and WBV could be used as a potential warm-up procedure before resistance exercise.

The first installment of this two-part commentary reviewed existing models of long-term athletic development. However, irrespective of the model that is adopted by practitioners, existing structures within competitive youth sports in addition to the prevalence of physical inactivity in a growing number of modern-day youth may serve as potential barriers to the success of any developmental pathway. The second part of this commentary will initially highlight common issues that are likely to impede the success of long-term athletic development programs and then propose solutions that will address the negative impact of such issues.

SYNOPSIS: Primary anterior cruciate ligament (ACL) injury prevention programs effectively reduce ACL injury risk in the short term. Despite these programs, ACL injury incidence-is still high, making it imperative to continue to improve current prevention strategies. A potential limitation of current ACL injury prevention training may be a deficit in the transfer of conscious, optimal movement strategies rehearsed during training sessions to automatic movements required for athletic activities and unanticipated events on the field. Instructional strategies with an internal focus of attention have traditionally been utilized, but may not be optimal for the acquisition of the control of complex motor skills required for sports. Conversely, external-focus instructional strategies may enhance skill acquisition more efficiently and increase the transfer of-improved motor Skills to sports activities. The current article will present insights gained from the motor-learning domain that may enhance neuromuscular training programs via improved skill development and increased retention and transfer to sports activities, which may reduce ACL injury incidence in the long term.

Current recommendations for physical activity in children overlook the critical importance of motor skill acquisition early in life. Instead, they focus on the quantitative aspects of physical activity (eg, accumulate 60 min of daily moderate to vigorous physical activity) and selected health-related components of physical fitness (eg, aerobic fitness, muscular strength, muscular endurance, flexibility and body composition). This focus on exercise quantity in youth may limit considerations of qualitative aspects of programme design which include (1) skill development, (2) socialisation and (3) enjoyment of exercise. The timing of brain development and associated neuroplasticity for motor skill learning makes the preadolescence period a critical time to develop and reinforce fundamental movement skills in boys and girls. Children who do not participate regularly in structured motor skill-enriched activities during physical education classes or diverse youth sports programmes may never reach their genetic potential for motor skill control which underlies sustainable physical fitness later in life. The goals of this review are twofold: (1) challenge current dogma that is currently focused on the quantitative rather than qualitative aspects of physical activity recommendations for youth and (2) synthesise the latest evidence regarding the brain and motor control that will provide the foundation for integrative exercise programming that provide a framework sustainable activity for life.

Objectives The study aim was to assess rater agreement of the Resistance Training Skills Battery (RTSB) for adolescents. The RTSB provides an assessment of resistance training skill competency and includes six exercises. The RTSB can be used to assess performance and progress in adolescent resistance training programmes and to provide associated feedback to participants. Individual skill scores are based on the number of performance criteria successfully demonstrated and an overall resistance training skill quotient (RTSQ) is created by summing the six skill scores. Design/methods The eight raters had varying experience in movement skill assessment and resistance training and completed a 2–3 h training session in how to assess resistance training performance using the RTSB. The raters then completed an assessment on six skills for 12 adolescents (mean age = 15.1 years, SD = 1.0, six male and six female) in a randomised order. Results Agreement between seven of the eight raters was high (20 of the 21 pairwise correlations were greater than 0.7 and 13 of the 21 were greater than 0.8). Correlations between the eighth rater and each of the other seven raters were generally lower (0.45–0.78). Most variation in the assigned RTSB scores (67%) was between cases, a relatively small amount of the variation (10%) was between raters and the remainder (23%) was between periods within raters. The between-raters coefficient of variation was approximately 5%. Conclusions The RTSB can be used reliably by those with experience in movement skill assessment and resistance training to assess the resistance skill of adolescents.

Exercise routines in which intensity fluctuates, such as Spinning and Treading, are gaining in popularity in fitness industry. However, literature on how this dynamic protocol may affect the exercise metabolism is lacking. The present investigation was undertaken to examine the effect of intensity fluctuation and its magnitude on oxygen uptake and substrate utilization during exercise and recovery. Fifteen men and 15 women were randomly assigned into 1 of the 3 groups consisting of 10 participants of equal gender. Each group performed one of the three 30-minute exercise protocols that yielded the same total power output: (a) cycling at a constant power output of 75 W (P1), (b) cycling with power output alternating between 50 and 100 W every 5 minutes (P2), and (c) cycling with power output alternating between 25 and 125 W every 5 minutes (P3). Each exercise session was followed by a 25-minute recovery. Oxygen uptake (VO2), carbon dioxide production (VCO2), and respiratory exchanged ratio were measured at rest and during exercise and recovery. Rates of carbohydrate (COX) and fat oxidation (FOX) were calculated based on VO2 and VCO2 using the stoichiometric equations. VO2 in ml·kg-1·min-1 did not differ across the 3 protocols during exercise, but was higher (p ≤ 0.05) in P2 (4.92 ± 0.51) or P3 (4.94 ± 0.24) than P1 (4.17 ± 0.19) during recovery. COX in mg·kg-1·min-1 was higher (p ≤ 0.05) in P3 (17.68 ± 1.30) than in P1 (12.22 ± 1.55) or P2 (12.06 ± 1.47) during exercise and higher in P3 (4.17 ± 0.45) than in P1 (2.60 ± 0.36) during recovery. FOX in mg·kg-1·min-1 was lower (p ≤ 0.05) in P3 (2.61 ± 0.47) than in P1 (4.30 ± 0.60) or P2 (4.22 ± 0.47) during exercise but remained similar across the 3 protocols during recovery. These data indicate that intensity fluctuation of sufficient magnitude can alter exercise metabolism independent of the total power output or overall intensity. The 2 variable intensity protocols used in the study (i.e., P2 and P3) are equally effective in augmenting postexercise V[Combining Dot Above]O2, but the protocol with a greater magnitude of fluctuation also elicits greater COX coupled with reduced FOX during exercise.

There is a growing need for physical education teachers to integrate different types of fitness activities into their lessons in order to provide opportunities for all students to learn and practice a variety of movement skills that will enhance their physical fitness and support free-time physical activity. An increased focus on age-appropriate interventions that enhance muscle strength and motor skills is particularly important for overweight youth who may not have developed competence and confidence in their physical abilities to engage in aerobic games and sport activities. FUNdamental Integrative Training, or FIT, incorporates a variety of strength and conditioning exercises into a well-designed lesson that enhances the health- and skill-related components of physical fitness. Youth who participate in FIT will be more likely to participate in games, activities, and sports as an ongoing lifestyle choice. This article provides a fresh approach for incorporating FIT into elementary-school physical educa...

The purpose of this study was to determine the level of knowledge that current and preservice high school (HS) physical educators and sport coaches possess regarding the principles and methods involved in youth resistance training (RT) and to determine if that knowledge was acceptable based on a predetermined criterion (passing score). A panel of 10 experts in RT or sport pedagogy used a Delphi technique to create a 90-question assessment (examination) that was administered to 287 HS physical educators and sport coaches and 140 university physical education teacher education (PETE) students. An analysis of the results revealed that neither group demonstrated the minimal knowledge necessary to design, implement, and supervise RT programs based on a passing score of 75%: HS physical educators/coaches, mean = 59.30, SD = 14.30, 95% confidence interval (CI) = 57.64-60.96], t(286) = -18.61, p = 0.000; university PETE students, mean = 56.61, SD = 16.59, 95% CI = 53.84-59.38, t(139) = -13.12, p = 0.000. The pass rate for physical educators and sport coaches was 14.3% and for university PETE students it was 20.7%. The results of this study indicate that both current and preservice physical educators and sport coaches need additional education and training specific to the design and implementation of RT programs for HS students. Given that school districts typically require their educators attend in-service training programs, it may be advisable to develop an in-service program that allows both current and preservice HS physical educators and sport coaches to earn an RT certification that specifically addresses the unique physical and psychosocial needs of school-aged youth.

Physical fitness during childhood and adolescence has been identified as an important determinant of current and future health status. While research has traditionally focused on the association between cardio-respiratory fitness and health outcomes, the association between muscular fitness (MF) and health status has recently received increased attention. The aim of this systematic review and meta-analysis was to evaluate the potential physiological and psychological benefits associated with MF among children and adolescents. A systematic search of six electronic databases (PubMed, SPORTDiscus, Scopus, EMBASE, PsycINFO and OVID MEDLINE) was performed on the 20th May, 2013. Cross-sectional, longitudinal and experimental studies that quantitatively examined the association between MF and potential health benefits among children and adolescents were included. The search yielded 110 eligible studies, encompassing six health outcomes (i.e., adiposity, bone health, cardiovascular disease [CVD] and metabolic risk factors, musculoskeletal pain, psychological health and cognitive ability). The percentage of studies reporting statistically significant associations between MF and the outcome of interest was used to determine the strength of the evidence for an association and additional coding was conducted to account for risk of bias. Meta-analyses were also performed to determine the pooled effect size if there were at least three studies providing standardised coefficients. Strong evidence was found for an inverse association between MF and total and central adiposity, and CVD and metabolic risk factors. The pooled effect size for the relationship between MF and adiposity was r = −0.25 (95 % CI −0.41 to −0.08). Strong evidence was also found for a positive association between MF and bone health and self-esteem. The pooled effect size for the relationship between MF and perceived sports competence was r = 0.39 (95 % CI 0.34–0.45). The evidence for an association between MF and musculoskeletal pain and cognitive ability was inconsistent/uncertain. Where evidence of an association was found, the associations were generally low to moderate. The findings of this review highlight the importance of developing MF in youth for a number of health-related benefits.

Integrative neuromuscular training (INT) has emerged as an effective strategy for improving health- and skill-related components of physical fitness, yet few studies have explored the cardiometabolic demands of this type of training in children. The aim of this study was to examine the acute cardiometabolic responses to a multi-modal INT protocol and to compare these responses to a bout of moderate-intensity treadmill (TM) walking in children. Participants (n = 14, age 10.7 &plusmn, 1.1 years) were tested for peak oxygen uptake (VO2) and peak heart rate (HR) on a maximal TM test and subsequently participated in two experimental conditions on nonconsecutive days: a 12-min INT protocol of six different exercises performed twice for 30 s with a 30 s rest interval between sets and exercises and a 12-min TM protocol of walking at 50% VO2peak. Throughout the INT protocol mean VO2 and HR increased significantly from 14.9 &plusmn, 3.6 mL∙kg&minus, 1∙min&minus, 1 (28.2% VO2 peak) to 34.0 &plusmn, 6.4 mL∙kg&minus, 1 (64.3% VO2 peak) and from 121.1 &plusmn, 9.0 bpm (61.0% HR peak) to 183.5 &plusmn, 7.9 bpm (92.4% HR peak), respectively. While mean VO2 for the entire protocol did not differ between INT and TM, mean VO2 and HR during selected INT exercises and mean HR for the entire INT protocol were significantly higher than TM (all Ps &le, 0.05). These findings suggest that INT can pose a moderate to vigorous cardiometabolic stimulus in children and selected INT exercises can be equal to or more metabolically challenging than TM walking.