Ángel Matute-Llorente

Effect of whole-body vibration therapy on health-related physical fitness in children and adolescents with disabilities: a systematic review.

PURPOSE To summarize the current literature regarding the effects of whole-body vibration (WBV) therapy on the health-related physical fitness of children and adolescents with disabilities. METHODS A literature search using MEDLINE-PubMed, SPORT DISCUS, and EMBASE databases was conducted up to August 2013. A total of 22 articles were included in this review (eight randomized controlled trials, four non-randomized controlled trials, three case reports, and seven reviews). RESULTS Most of the studies showed positive effects of WBV on health-related physical fitness in children and adolescents with disabilities. Overall, 10-20 minutes at least three times per week, for a minimum of 26 weeks, with high frequency (between 15 and 35 Hz) and low amplitude (no more than 4 mm of peak-to-peak displacement) might be an appropriate protocol to achieve improvement in body composition and muscular strength. CONCLUSIONS Because no serious adverse events have been observed, WBV might be defined as a safe treatment to be applied in children and adolescents with disabling conditions. Further research is recommended to explore the minimum dose of exposure to WBV required to elicit an optimal response in children and adolescents for improving health-related physical fitness. These may be translated into a more specific WBV protocol.

Effects of whole body vibration training on body composition in adolescents with Down syndrome

The present study aimed to determine the effect of 20 weeks of whole body vibration (WBV) on the body composition of adolescents with Down syndrome (DS). Thirty adolescent with DS were divided into two groups: control and WBV. Whole body, upper and lower limbs body fat and lean body mass were measured with dual energy X-ray absorptiometry (DXA) before and after 20 weeks of WBV training. Repeated measures of ANOVA adjusting by height, weight and Tanner stage were used to analyze possible group by time interactions on body composition. The adjusted percentages of change in body composition were also compared between control and WBV groups. No group by time interactions were found for any variable, but the WBV group showed a higher reduction in body fat at the upper limbs (p<0.05), and a tendency toward higher percent increase in whole body lean body mass. Overall, a 20-week WBV training is not enough by itself for increasing lean body mass in adolescents with DS, but it might be helpful for improving body composition in this population. Its relationship with health and autonomy enhances the importance of these results.

Decreased levels of physical activity in adolescents with down syndrome are related with low bone mineral density : a cross-sectional study

BackgroundDown syndrome (DS) has been described as one of the main contributors for low bone mineral density (BMD). Physical activity (PA) is a key factor in skeletal health and thus, PA levels might be associated to the risk of developing osteoporosis. Therefore, the aims were (1) to describe PA patterns in adolescents with DS compared to their counterparts and (2) to determine the relationships between PA and the risk of having low bone mass in adolescents with DS.MethodsNineteen adolescents (10 girls) with DS and 14 without disabilities (7 girls) participated in the study. Minutes in different PA intensities were objectively assessed with accelerometers (ActiTrainer). Moreover adolescents with DS were classified into PA tertiles taking into account the amount of total minutes of PA at any intensity, resulting in those performing low, medium or high of PA (lowPA, medPA and highPA). BMD was measured at the whole body, hip and lumbar spine with dual-energy X-ray absorptiometry and the BMD Z-score was calculated for each region taking into account age- and sex-matched reference data. Student’s unpaired t-tests and analysis of covariance were used to compare variables between different conditions (DS vs. control) and PA levels (low, medium and high).ResultsNone of the adolescents with DS achieved the minimum of 60 min of daily moderate to vigorous PA (VPA) intensity recommended by PA guidelines; adolescents with DS group spent less time in sedentary and in VPA and more time in light PA than those without DS (p < 0.05). Adolescents with DS showed lower BMD Z-score values than those without (p < 0.05). Those adolescents with DS allocated in the lowPA tertile showed significant lower BMD Z-score at the hip and a general tendency towards lower BMD Z-score was found at whole body and lumbar spine compared to those in highPA tertile and (p < 0.05).ConclusionsAdolescents with DS in the highPA tertile showed lower risk of developing future osteoporosis by having higher BMD Z-score at the hip. This data provides an idea regarding the importance of accumulated minutes of PA, and not only moderate or vigorous in the bone health in adolescents with DS.

The effects of swimming training on bone tissue in adolescence.

The aim was to analyze bone mineral content (BMC) and density (BMD) in regular swimming trained adolescents and the interaction that weigh‐bearing sports may have on these values. Bone mass was evaluated by dual energy x‐ray absorptiometry (DXA) and quantitative ultrasound (QUS) in 77 swimmers (34 females/43 males) and 52 normoactive controls (CG; 23 females/29 males) from 11 to 18 years. Swimmers who had performed or were performing other sports (OSP; 11 females/20 males) were compared with pure swimmers (PSW; 23 females/23 males). Both groups were compared with CG. Bone values were compared using analyses of covariance adjusting for height, calcium intake, subtotal lean (whole body lean minus head), and pubertal status. Male PSW showed lower BMD and BMC at several sites than male CG. However, for male OSP, only lumbar spine BMC was lower in OSP than male CG. Male PSW showed lower BMD and BMC when compared with male OSP. Female PSW showed higher arm BMD and lower leg BMC than female CG, while female OSP only presented lower leg BMC than female CG. Contrary to males, female‐PSW presented higher BMD and BMC than female OSP. No differences in QUS values were found between swimmers and CG. To summarize, although more information is needed for females, it seems that for males, swimming is associated with lower BMC and BMD.

DO CALCIUM AND VITAMIN D INTAKE INFLUENCE THE EFFECT OF CYCLING ON BONE MASS THROUGH ADOLESCENCE

INTRODUCTION Cycling has been associated with decreased bone mass during adolescence. Calcium (Ca) and vitamin D (VitD) intake are associated to bone mass and may be important confounders when studying bone mass. AIM To clarify the effect that Ca and VitD may have on bone mass in adolescent cyclists. METHODS Bone mineral content (BMC) and density (BMD) of 39 male adolescents (20 cyclists) were measured. Ca and VitD intake were also registered. Different ANCOVA analyses were performed in order to evaluate the influence of Ca and VitD on BMC and BMD. RESULTS Cyclists showed lower values of BMC and BMD than controls at several sites and when adjusting by Ca, Wards triangle BMD appeared also to be lower in cyclists than controls. CONCLUSION Nutritional aspects might partially explain differences regarding bone mass in adolescent cyclists and should be taken into account in bone mass analysis as important confounders.

Physical activity and cardiorespiratory fitness in adolescents with Down syndrome

AIMS To determine if adolescents with and without Down syndrome (DS) accomplish the physical activity (PA) guidelines and to evaluate relationships between PA and cardiorespiratory variables. METHODS 42 adolescents (27 with DS) participated in this study. PA was measured using accelerometers. Walking-graded treadmill protocol with a breath-by-breath gas analyzer was employed to assess cardiorespiratory fitness. RESULTS Adolescents with DS spent less time in sedentary PA, moderate PA (MPA), vigorous PA (VPA) and moderate to vigorous PA (MVPA) than those without DS. VO2peak was correlated with total minutes spent in light PA, MPA, VPA and MVPA in the control group (from r = 0.55 to r = 0.61, p < 0.05) and with MPA and MVPA in the DS group (from r = 0.38 to r = 0.41, p < 0.05). CONCLUSION Nor DS neither control groups achieved at least 60 minutes of MPA daily. Engaging more time in MPA was associated with greater cardiorespiratory fitness in adolescents with DS.

The nutritional status in adolescent Spanish cyclists

INTRODUCTION Adolescence is an important period of nutritional vulnerability due to the increased dietary requirements. OBJECTIVE To describe the nutritional status of adolescent cyclist and a group of normoactive controls. METHODS The HELENA Dietary Assessment Tool was used to evaluate the nutritional intake of 20 adolescent cyclists and 17 controls. Total energy intake, resting energy expenditure (REE), total energy expenditure (TEE), macronutrients and several micronutrients were registered and compared with dietary guidelines. RESULTS REE was lower and TEE higher in cyclists than in controls (both P < 0.01). Significant differences were observed in phosphorus and vitamin B1 being higher in cyclists (P < 0.05). Most participants, both cyclist and controls, did not reach the diet requirements for macronutrients, vitamins and minerals. CONCLUSION Nutritional status of adolescent cyclists and controls seems not to fulfil the requirements in quantity and quality. Possible implications for actual and future health especially in athlete adolescents need further research.

Plyometric exercise and bone health in children and adolescents: a systematic review

BackgroundMany jumping interventions have been performed in children and adolescents in order to improve bone-related variables and thus, ensure a healthy bone development during these periods and later in life. This systematic review aims to summarize and update present knowledge regarding the effects that jumping interventions may have on bone mass, structure and metabolism in order to ascertain the efficacy and durability (duration of the effects caused by the intervention) of the interventions.Data sourcesIdentification of studies was performed by searching in the database MEDLINE/PubMed and SportDiscus. Additional studies were identified by contacting clinical experts and searching bibliographies and abstracts. Search terms included “bone and bones”, “jump*”, “weight-bearing”, “resistance training” and “school intervention”. The search was conducted up to October 2014. Only studies that had performed a specific jumping intervention in under 18-year olds and had measured bone mass were included. Independent extraction of articles was done by 2 authors using predefined data fields.ResultsA total of 26 studies were included in this review. Twenty-four studies found positive results as subjects included in the intervention groups showed higher bone mineral density, bone mineral content and bone structure improvements than controls. Only two studies found no effects on bone mass after a 10-week and 9-month intervention. Moreover, those studies that evaluated the durability of the effects found that some of the increases in the intervention groups were maintained after several years.ConclusionsJumping interventions during childhood and adolescence improve bone mineral content, density and structural properties without side effects. These type of interventions should be therefore implemented when possible in order to increase bone mass in early stages of life, which may have a direct preventive effect on bone diseases like osteoporosis later in life.

Body Composition in Spanish Soccer Referees

The aim of this study was to examine body fat of elite Spanish soccer referees and assistant referees by division, role and age group. Participants were 243 males (age 32.4 ± 5.3 years, weight 72.3 ± 6.2 kg, height 179.1 ± 5.9 cm and body mass index 22.5 ± 1.4) who belonged to the Referees Technical Committee of the Royal Spanish Soccer Federation. A portable bioelectrical impedance analyser TANITA BC 418-MA was used to estimate the percentage of body fat (%BF). In the first analysis, they were classified by division and role: 158 elite Spanish league referees (n = 20 first-division referees; n = 22 second-division referees and n = 116 second-B-division referees) and 85 elite Spanish league assistant referees (n = 40 first-division assistant referees and n = 45 second-division assistant referees). In the second analysis, they were divided into three age groups as previously described by Castagna: young (Y, 27–32 years, n = 144), average (A, 33–38 years, n = 66) and senior (S, 39–45 years, n = 33). Analysing by division and role, the first-division referees were the oldest and the second-B-division referees were the youngest. First- and second-B-division referees had lower total %BF than first- and second-division assistant referees (9.6% and 9.8% vs 12.8% and 12.0%, p < 0.05). Comparing by age group, Y group had lower %BF than A and S groups (10.2% vs 11.4% and 12%, p < 0.05), but no differences were found between A and S groups. These results showed that first- and second-B-division referees presented more healthy values of %BF than first- and second-division assistants. By age group, Y group had the lowest %BF.

Bone structure of adolescent swimmers; a peripheral quantitative computed tomography (pQCT) study

OBJECTIVES The aims of the present study were: (1) to characterize vBMD, bone structure and strength with peripheral quantitative computerized tomography (pQCT) in adolescent swimmers and compare it to normo-active controls (CG); and (2) to evaluate the possible interaction that weight-bearing sports might have on swimmers bone. DESIGN Cross-sectional. METHODS The non-dominant radius and tibia of 79 (32 females) swimmers and 49 (22 females) CG (both 11-18 years old) were evaluated at proximal and distal sites with a pQCT scanner. Values of total, trabecular and cortical volumetric bone mineral density (vBMD) were obtained from each scan. Cortical thickness, endosteal and periosteal circumferences were also measured and bone strength indexes were calculated. Analyses of covariance were used to compare variables between groups adjusting for age, tanner stage and bone length. Three different analyses were performed according to present and past sport participation in addition to swimming in order to determine differences among swimmers who had performed or were performing other sports (OTHER-SP) (10 females/17 males) and swimmers who had not performed other sports (NO-OTHER-SP) (22 females/22 males). Both of these groups were compared to each other and to a CG (22 females/27 males). RESULTS No differences were found between swimmers and CG for bone strength indexes, structure or vBMD (independently of the compared sample). CONCLUSIONS These results indicate that swimmers present similar bone strength and structure than CG who did not present high physical activity levels.