C.C. Grant

Cardiovascular and autonomic response induced by a 20-week military training programme in young healthy South African males

Background. Studies investigating the relationship between exercise and haemodynamic regulation conducted in older caucasian and black African populations suggest that lifestyle modification is effective in the management of numerous disease processes. There are few longterm studies in young healthy populations and even less is known about the influence of habitual exercise on autonomic and haemodynamic variables in young black African subjects. Objective. To investigate the benefit of prolonged exercise on cardiovascular and haemodynamic variables in young healthy black African males. Methods. Fifty-five healthy male volunteers between 18 and 22 years of age participated in this prospective 20-week medium- to highintensity exercise intervention study with a self-control design. The Finometer Pro (Finapres Medical Systems, the Netherlands) was used for non-invasive data sampling of a number of cardiovascular and autonomic variables. Results were generated by computer algorithm and were analysed using non-parametric Wilcoxon signed rank tests. Results. Significant (p 0.05). Conclusion. The measured changes suggest a favourable response to exercise and imply that habitual exercise may be an important lifestyle modification for reducing the risk of cardiovascular disease in young black African males.

Physical activity of children from a small rural town, South Africa

Introduction: Physical activity plays an integral role in the normal physical, mental, social and cognitive development of children. One of the main reasons for overweight children in low- and middle-income countries like South Africa is inactivity. This study’s aim was to describe the physical activity measured in boys and girls from section 21, quintile 5 pre-primary and primary schools in a small rural South African town and to compare it with recommended international physical activity levels. Method: Seventy-eight rural children, representing Caucasian and black African children, divided into three age groups, were issued a piezoelectric pedometer for seven complete days. Pedometer data obtained were total steps, aerobic steps, aerobic walking time, calories and distance. Steps per day were compared with international levels. Correlation statistics examined the association between physical activity and adiposity. Results: Boys in the age groups 9–11 and 12–14 years are statistically more active than girls of the same age (p = 0.005 and 0.045 respectively). Although girls’ physical activity levels tend to decrease with age, their aerobic activity levels increase with age. This group of rural children’s physical activity levels are far lower than the recommended international normative levels. No correlation was found between physical activity and adiposity. Conclusion: The pedometer data indicated that gender and age influence the activity of children. This group of rural children’s physical activity is far less than international normative levels. Nine to 11-year-old boys are the most active boys, and girls of 12–14 years old are the most aerobic active girls in this study, therefore the authors concluded that, to increase physical activity, the age group 9–11 may be the ideal age to focus on for gender-specific intervention programmes.

Non-traumatic injury profile of amateur cyclists

Background. Non-traumatic bicycle injuries are common. However, research available on non-traumatic injuries in amateur cyclists is more than a decade old, and most of the research on this topic has been done in Europe and America on professional cyclists in multi-day cycling events. An understanding of the common injuries may lead to appropriate prevention intervention. Objective. To determine the incidence of overuse injuries in amateur cyclists preparing for participation in a 1-day cycle challenge. Methods. A questionnaire was emailed to participants of the 2012 Momentum 94.7 Cycle Challenge, which amateur participants ≥18 years old were invited to complete. Data on demographics, training habits and the participants’ injury profile in the preceding year were collected. Results. Of the 3 300 respondents, 75% were male and 59% were between 30 and 50 years old. Non-traumatic injury, pain or neurological symptoms were reported by 88% of the respondents. The percentages of all respondents who experienced problems in the following anatomical areas were as follows: neck 34%, back 41%, hand/wrist 41%, buttock/perineum 41%, hip 7%, knee 33% and foot/ankle 24%. Knee pain was responsible for the need to stop training for the largest percentage of respondents. Neurological complaints were common in respondents who experienced neck, back, hand/wrist, buttock/perineum and foot/ankle problems. Conclusion. Non-traumatic injuries in amateur cyclists are common, with back, hand/wrist and buttock/perineal symptoms the most frequent problems. Knee problems caused the greatest need to stop training and seek medical help.

Concussion in sport: what is known and what is new?

The aim of this article was to summarise the latest definition of concussion, signs of concussion, as well as important facts on recovery and graduated return to play, for different age groups. New technologies available to the sports physician are listed.

Revisiting the importance of childhood activity

Abstract Formalised exercise programmes for children and adolescents are becoming increasingly important. There has been a drastic increase in documented childhood morbidity and mortality relating to poor nutrition and low activity levels in recent years. Regular physical activity decreases the risk of chronic disease and is also a fundamental component in the management of illnesses. Recommendations for the paediatric population remain insufficient and ill-defined. This article revisits the risks of physical inactivity in childhood and provides the latest recommendations for exercise prescription in the paediatric population. Inactive children have a higher risk of developing chronic diseases, such as obesity, type 2 diabetes, high blood cholesterol and hypertension. Other undesirable consequences include orthopaedic problems, cardiovascular disease and various psychological complications. Both aerobic and resistance training should be incorporated into paediatric exercise programmes. The recommended guidelines for childhood activity are 60 minutes of moderate-intensity exercise every day of the week. This article highlights the importance of formalised paediatric exercise programmes in disease prevention and health promotion. A healthy and happy adolescent population ultimately contributes to an adult population with a low risk of ill health.