João Valente-dos-Santos

Nutritional status, biological maturation and cardiorespiratory fitness in Azorean youth aged 11–15 years

BackgroundSex and individual differences in biological maturity status can influence height, weight, and body fat. Thus, the rigorous control of these variables seems necessary for estimating overweight and obesity in adolescents. The aims of this study were to estimate the prevalence of overweight and obesity and over-fatness in Azorean adolescents and to examine the contributions of chronological age, sex, estimated maturity status, and cardiorespiratory fitness (CRF) to the risk of overweight and obesity and over-fatness.MethodsThe sample comprised 1,206 youth aged 11–15 years (626 boys and 580 girls) from the Azores Islands, Portugal. Body mass, stature, and skinfolds (triceps and subscapular) were measured. Body mass index (BMI) was calculated and percent fat was predicted from skinfolds. Age- and sex-specific IOTF cut-off values of the BMI defined nutritional status. Biological maturation was estimated as present height expressed as a percentage of predicted adult (mature) stature. The CRF was analyzed from the 20-m shuttle run test.ResultsThe total prevalence rates of overweight/obesity and over-fatness were of 31% and 27%, respectively. Low CRF (unfit) and being average and advanced in maturity status were positively and significantly associated with overweight/obesity and with risk of being over-fatness in both sexes.ConclusionsHigh prevalence rates of overweight/obesity and over-fatness were identified in Azorean youth, and low CRF and advanced biological maturation were positively associated with overweight/obesity and over-fatness in our sample of adolescents.

Multilevel Approach of a 1-Year Program of Dietary and Exercise Interventions on Bone Mineral Content and Density in Metabolic Syndrome--the RESOLVE Randomized Controlled Trial.

Background Weight loss is a public health concern in obesity-related diseases such as metabolic syndrome (MetS). However, restrictive diets might induce bone loss. The nature of exercise and whether exercise with weight loss programs can protect against potential bone mass deficits remains unclear. Moreover, compliance is essential in intervention programs. Thus, we aimed to investigate the effects that modality and exercise compliance have on bone mineral content (BMC) and density (BMD). Methods We investigated 90 individuals with MetS who were recruited for the 1-year RESOLVE trial. Community-dwelling seniors with MetS were randomly assigned into three different modalities of exercise (intensive resistance, intensive endurance, moderate mixed) combined with a restrictive diet. They were compared to 44 healthy controls who did not undergo the intervention. Results This intensive lifestyle intervention (15–20 hours of training/week + restrictive diet) resulted in weight loss, body composition changes and health improvements. Baseline BMC and BMD for total body, lumbar spine and femoral neck did not differ between MetS groups and between MetS and controls. Despite changes over time, BMC or BMD did not differ between the three modalities of exercise and when compared with the controls. However, independent of exercise modality, compliant participants increased their BMC and BMD compared with their less compliant peers. Decreases in total body lean mass and negative energy balance significantly and independently contributed to decreases in lumbar spine BMC. Conclusion After the one year intervention, differences relating to exercise modalities were not evident. However, compliance with an intensive exercise program resulted in a significantly higher bone mass during energy restriction than non-compliance. Exercise is therefore beneficial to bone in the context of a weight loss program. Trial Registration ClinicalTrials.gov NCT00917917

Independent association of clustered metabolic risk factors with cardiorespiratory fitness in youth aged 11-17 years.

Abstract Background: Although the prevalence of metabolic syndrome (MetS) has increased in youth, the potential independent contribution of cardiorespiratory fitness (CRF) to the clustering of metabolic risk factors has received relatively little attention. Aim: This study evaluated associations between the clustering of metabolic risk factors and CRF in a sample of youth. Subjects and methods: Height, weight, BMI, fasting glucose, insulin, HDL-cholesterol, triglycerides and blood pressures were measured in a cross-sectional sample of 924 youth (402 males, 522 females) of 11–17 years. CRF was assessed using the 20-metre shuttle run test. Physical activity (PA) was measured with a 3-day diary. Outcome variables were statistically normalized and expressed as Z-scores. A MetS risk score was computed as the mean of the Z-scores. Multiple linear regression was used to test associations between CRF and metabolic risk, adjusted for age, sex, BMI, PA and parental education. Results: CRF was inversely associated with MetS after adjustment for potential confounders. After adjusting for BMI, the relationship between CRF and metabolic risk has substantially improved. Conclusion: CRF was independently associated with the clustering of metabolic risk factors in youth of 11–17 years of age.

Modeling developmental changes in the Yo-Yo Intermittent Recovery Test Level 1 in elite pubertal soccer players

PURPOSE To model the development of soccer-specific aerobic performance, assessed by the Yo-Yo Intermittent Recovery Test Level 1 in 162 elite pubertal soccer players, age 11-14 y at baseline. METHODS Longitudinal multilevel modeling analyses comprised predictors related to growth (chronological age, body size [height and weight] and composition [fat mass, fat-free mass]), and motor coordination [3 KÖrperkoordination Test für Kinder subtests: jumping sideways, moving sideways, backward balancing] and estimated biological-maturation groups (earliest [percentile 66]). RESULTS The best-fitting model on soccer-specific aerobic performance could be expressed as -3639.76 + 369.86 × age + 21.38 × age² + 9.12 × height - 29.04 × fat mass + 0.06 × backward balance. Maturity groups had a negligible effect on soccer-specific aerobic performance (-45.32 ± 66.28; P > .05). CONCLUSION The current study showed that the development of aerobic performance in elite youth soccer is related to growth and muscularity and emphasized the importance of motor coordination in the talent-identification and -development process. Note that biological maturation was excluded from the model, which might endorse the homogeneity in estimated biological-maturation status in the current elite pubertal soccer sample.

Allometric scaling of peak oxygen uptake in male roller hockey players under 17 years old

Peak oxygen uptake (V̇O2peak) is routinely expressed in litres per minute and by unit of body mass (mL·kg(-1)·min(-1)) despite the theoretical and statistical limitations of using ratios. Allometric modeling is an effective approach for partitioning body-size effects in a performance variable. The current study examined the relationships among chronological age (CA), skeletal age (SA), total body and appendicular size descriptors, and V̇O2peak in male adolescent roller hockey players. Seventy-three Portuguese, highly trained male athletes (CA, 15.4 ± 0.6 years; SA, 16.4 ± 1.5 years; stature, 169.9 ± 6.9 cm; body mass, 63.7 ± 10.7 kg; thigh volume, 4.8 ± 1.0 L) performed an incremental maximal test on a motorized treadmill. Exponents for body size descriptors were 2.15 for stature (R(2) = 0.30, p < 0.01) and 0.55 for thigh volume (R(2) = 0.46, p < 0.01). The combination of stature or thigh volume and CA or SA, and CA(2) or SA(2), increased the explained variance in V̇O2peak (R(2) ranged from 0.30 to 0.55). The findings of the allometric model combining more than 1 body size descriptor (i.e., stature and thigh volume) in addition to SA and CA(2) were not significant. Results suggest that thigh volume and SA are the main contributors to interindividual variability in aerobic fitness.

Multilevel Development Models of Explosive Leg Power in High-Level Soccer Players.

PURPOSE The aim of the present study was to model developmental changes in explosive power based on the contribution of chronological age, anthropometrical characteristics, motor coordination parameters, and flexibility. METHODS Two different longitudinal, multilevel models were obtained to predict countermovement jump (CMJ) and standing broad jump (SBJ) performance in 356 high-level, youth soccer players, age 11-14 yr at baseline. Biological maturity status was estimated (age at peak height velocity [APHV]), and variation in the development of explosive power was examined based on three maturity groups (APHV; earliest < P33, P33 < average < P66, latest > P66). RESULTS The best-fitting model for the CMJ performance of the latest maturing players could be expressed as: 8.65 + 1.04 × age + 0.17 × age + 0.15 × leg length + 0.12 × fat-free mass + 0.07 × sit-and-reach + 0.01 × moving sideways. The best models for average and earliest maturing players were the same as for the latest maturing players, minus 0.73 and 1.74 cm, respectively. The best-fitting model on the SBJ performance could be expressed as follows: 102.97 + 2.24 × age + 0.55 × leg length + 0.66 × fat-free mass + 0.16 × sit-and-reach + 0.13 jumping sideways. Maturity groups had a negligible effect on SBJ performance. CONCLUSIONS These findings suggest that different jumping protocols (vertical vs long jump) highlight the need for special attention in the evaluation of jump performance. Both protocols emphasized growth, muscularity, flexibility, and motor coordination as longitudinal predictors. The use of the SBJ is recommended in youth soccer identification and selection programs because biological maturity status has no effect on its development through puberty.

Quality of life, school backpack weight, and nonspecific low back pain in children and adolescents

OBJECTIVES To describe the degree of disability, anthropometric variables, quality of life (QoL), and school backpack weight in boys and girls aged 11-17 years. The differences in QoL between those who did or did not report low back pain (LBP) were also analyzed. METHODS Eighty-six girls (13.9 ± 1.9 years of age) and 63 boys (13.7 ± 1.7 years of age) participated. LBP was assessed by questionnaire, and disability using the Roland-Morris Disability Questionnaire. QoL was assessed by the Pediatric Quality of Life Inventory (PedsQL). Multivariate analyses of variance and covariance were used to assess differences between groups. RESULTS Girls reported higher disability than boys (p = 0.01), and lower QoL in the domains of physical (p < 0.001) and emotional functioning (p < 0.01), psychosocial health (p = 0.02) and physical health summary score (p < 0.001), and on the total PedsQL score (p < 0.01). School backpack weight was similar in both genders (p = 0.61) and in participants with and without LBP (p = 0.15). After adjustments, participants with LBP reported lower physical functioning (p < 0.01), influencing lower physical health summary score (p < 0.01). CONCLUSIONS Girls had higher disability and lower QoL than boys in the domains of physical and emotional functioning, psychosocial health, and physical health summary scores, and on the total PedsQL score; however, similar school backpack weight was reported. Participants with LBP revealed lower physical functioning and physical health summary score, yet had similar school backpack weight to those without LBP.

Allometric Multilevel Modelling of Agility and Dribbling Speed by Skeletal Age and Playing Position in Youth Soccer Players

This study evaluates the contributions of age, skeletal maturation, body size and composition, training and playing position to the development of agility and dribbling speed in young male soccer players (10-18 years) followed longitudinally. 83 players [defenders (n=35), midfielders (n=27), forwards (n=21)] were followed annually over 5 years (average: 4.4 observations per player). Skeletal age (SA), stature, body mass, triceps and subscapular skinfolds, agility and dribbling speed were measured annually. Body composition was estimated from the 2 skinfolds. Annual training volume was estimated from weekly participation forms completed by coaches. The multiplicative allometric models with the best statistical fit showed that statural growth of 1 cm predicts 1.334 s and 1.927 s of improvement in agility and dribbling speed, respectively. Significant independent effects of fat-free mass and annual volume training were found for agility and dribbling speed, respectively (P<0.05). Predicted agility (from 12 to 18 years of SA) and dribbling speed (from 13 to 18 years of SA) differed significantly among players by playing positions (midfielders>forwards>defenders). The present results provide developmental models for the interpretation of intra- and inter-individual variability in agility and dribbling speed among youth soccer players across adolescence, and may provide a framework for trainers and coaches to develop and evaluate individualized training protocols.

Ventricular mass in relation to body size, composition, and skeletal age in adolescent athletes.

Objective:To examine the contribution of chronological age (CA), skeletal age (SA), stature, sitting stature, fat-free mass (FFM), and fat mass (FM) to interindividual variability in left ventricular mass (LVM) in male adolescent roller hockey players using allometric models. Design:Cross sectional. Setting:Training and competitive sport during adolescence. Participants:Seventy-three Portuguese male roller hockey players aged 14.5 to 16.5 years. Independent Variables:Stature, sitting stature, body mass, estimated FM and FFM, and SA assessed by the Fels method. Main Outcome Measures:Allometric modeling of LVM assessed in accordance with recommendations of the American Society of Echocardiography. Results:Hockey players (CA: 15.4 ± 0.6 years; SA: 16.4 ± 1.5 years) showed an eccentric remodeling of LV structure within the reference range (ie, 0.24-0.42), a dilated LV chamber, but no LVM increase. Exponents for body size descriptors were 2.69 for stature (R2 = 27%; P < 0.001), 2.49 for sitting stature (R2 = 37%; P < 0.001), 0.76 for FFM (R2 = 31%; P < 0.001), and 0.22 for FM (R2 = 26%; P < 0.001). The combination of size descriptors with CA and SA increased the explained variance in LVM slightly (26%-45%). Conclusions:When stature and FM are used for indexing LVM in a sample of adolescent athletes, biological maturity status should also be considered.

Skeletal Maturation and Aerobic Performance in Young Soccer Players from Professional Academies

The contribution of chronological age, skeletal age (Fels method) and body size to variance in peak velocity derived from the Carminatti Test was examined in 3 competitive age groups of Brazilian male soccer players: 10-11 years (U-12, n=15), 12-13 years (U-14, n=54) and 14-15 years (U-16, n=23). Body size and soccer-specific aerobic fitness were measured. Body composition was predicted from skinfolds. Analysis of variance and covariance (controlling for chronological age) were used to compare soccer players by age group and by skeletal maturity status within of each age group, respectively. Relative skeletal age (skeletal age minus chronological age), body size, estimated fat-free mass and performance on the Carminatti Test increased significantly with age. Carminatti Test performance did not differ among players of contrasting skeletal maturity status in the 3 age groups. Results of multiple linear regressions indicated fat mass (negative) and chronological age (positive) were significant predictors of peak velocity derived from the Carminatti Test, whereas skeletal age was not a significant predictor. In conclusion, the Carminatti Test appears to be a potentially interesting field protocol to assess intermittent endurance running capacity in youth soccer programs since it is independent of biological maturity status.