Keith Tolfrey

The effect of a complex training and detraining programme on selected strength and power variables in early pubertal boys

Abstract Complex training, a combination of resistance training and plyometrics is growing in popularity, despite limited support for its efficacy. In pre- and early pubertal children, the study of complex training has been limited, and to our knowledge an examination of its effect on anaerobic performance characteristics of the upper and lower body has not been undertaken. Furthermore, the effect of detraining after complex training requires clarification. The physical characteristics (mean±s) of the 54 male participants in the present study were as follows: age 12.3 ± 0.3 years, height 1.57 ± 0.07 m, body mass 50.3 ± 11.0 kg. Participants were randomly assigned to an experimental (n = 33) or control group (n = 21). The training, which was performed three times a week for 12 weeks, included a combination of dynamic constant external resistance and plyometrics. After training, participants completed 12 weeks of detraining. At baseline, after training and after detraining, peak and mean anaerobic power, dynamic strength and athletic performance were assessed. Twenty-six participants completed the training and none reported any training-related injury. Complex training was associated with small increases (≤5.5%) in peak and mean power during training, followed by decreases of a similar magnitude (≤ −5.9%) during detraining (P < 0.05). No changes or minor, progressive increases (≤1.5%) were evident in the control group (P > 0.05). In the experimental group, dynamic strength was increased by 24.3 – 71.4% (dependent on muscle group; P < 0.01), whereas growth-related changes in the control group varied from 0 to 4.4% (P > 0.05). For 40-m sprint running, basketball chest pass and vertical jump test performance, the experimental group saw a small improvement (≤4.0%) after training followed by a decline (≤ −4.4%) towards baseline during detraining (P < 0.05), whereas the control group experienced no change (P > 0.05). In conclusion, in pre- and early pubertal boys, upper and lower body complex training is a time-effective and safe training modality that confers small improvements in anaerobic power and jumping, throwing and sprinting performance, and marked improvements in dynamic strength. However, after detraining, the benefits of complex training are lost at similar rates to other training modalities.

The effect of aerobic exercise training on the lipid-lipoprotein profile of children and adolescents.

Longitudinal paediatric population studies have provided evidence that the risk factor theory may be extended to children and adolescents. These studies could assist in identifying individuals at increased coronary risk. Numerous studies have focused on the effects of regular exercise on the paediatric lipoprotein profile, a recognised primary risk factor, with equivocal results. Cross-sectional comparisons of dichotomised groups provide the strongest evidence of an exercise effect. ‘Trained’ or ‘active’ children and adolescents demonstrate ‘favourable’ levels of high density lipoprotein-cholesterol (HDL-C), triacylglycerol, total cholesterol (TC)/HDL-C and low density lipoprotein-cholesterol (LDL-C)/HDL-C, whilst TC is generally unaffected. The evidence regarding LDL-C in these studies is equivocal. A possible self-selection bias means that a cause-effect relationship between exercise and the lipoprotein profile cannot be readily established from this design. Correlational studies are difficult to interpret because of differences in participant characteristics, methods employed to assess peak oxygen uptake and habitual physical activity (HPA), and the statistical techniques used to analyse multivariate data. Directly measured cardiorespiratory fitness does not appear to be related to lipoprotein profiles in the children and adolescents studied to date, although there are data to the contrary. The relationship with HPA is more difficult to decipher. The evidence suggests that a ‘favourable’ lipoprotein profile may be related to higher levels of HPA, although differences in assessment methods preclude a definitive answer. While few prospective studies exist, the majority of these longitudinal investigations suggest that imposed regular exercise has little, if any, influence on the lipoprotein levels of children and adolescents. However, most prospective studies have several serious methodological design weaknesses, including low sample size, inadequate exercise training volume and a lack of control individuals. Recent studies have suggested that increases in HDL-C and reductions in LDL-C may be possible with regular exercise. The identification of a dose-response relationship between exercise training and the lipoprotein profile during the paediatric years remains elusive.

Breaking Up Prolonged Sitting With Standing or Walking Attenuates the Postprandial Metabolic Response in Postmenopausal Women: A Randomized Acute Study

OBJECTIVE To determine whether breaking up prolonged sitting with short bouts of standing or walking improves postprandial markers of cardiometabolic health in women at high risk of type 2 diabetes. RESEARCH DESIGN AND METHODS Twenty-two overweight/obese, dysglycemic, postmenopausal women (mean ± SD age 66.6 ± 4.7 years) each participated in two of the following treatments: prolonged, unbroken sitting (7.5 h) or prolonged sitting broken up with either standing or walking at a self-perceived light intensity (for 5 min every 30 min). Both allocation and treatment order were randomized. The incremental area under the curves (iAUCs) for glucose, insulin, nonesterified fatty acids (NEFA), and triglycerides were calculated for each treatment condition (mean ± SEM). The following day, all participants underwent the 7.5-h sitting protocol. RESULTS Compared with a prolonged bout of sitting (iAUC 5.3 ± 0.8 mmol/L ⋅ h), both standing (3.5 ± 0.8 mmol/L ⋅ h) and walking (3.8 ± 0.7 mmol/L ⋅ h) significantly reduced the glucose iAUC (both P < 0.05). When compared with prolonged sitting (548.2 ± 71.8 mU/L ⋅ h), insulin was also reduced for both activity conditions (standing, 437.2 ± 73.5 mU/L ⋅ h; walking, 347.9 ± 78.7 mU/L ⋅ h; both P < 0.05). Both standing (−1.0 ± 0.2 mmol/L ⋅ h) and walking (−0.8 ± 0.2 mmol/L ⋅ h) attenuated the suppression of NEFA compared with prolonged sitting (−1.5 ± 0.2 mmol/L ⋅ h) (both P < 0.05). There was no significant effect on triglyceride iAUC. The effects on glucose (standing and walking) and insulin (walking only) persisted into the following day. CONCLUSIONS Breaking up prolonged sitting with 5-min bouts of standing or walking at a self-perceived light intensity reduced postprandial glucose, insulin, and NEFA responses in women at high risk of type 2 diabetes. This simple, behavioral approach could inform future public health interventions aimed at improving the metabolic profile of postmenopausal, dysglycemic women.

BASES Position Statement on Guidelines for Resistance Exercise in Young People

The Health Education Authority (Biddle et al., 1998) has published primary and secondary guidelines for physical activity in young people. The primary guideline recommends an hour of physical activity each day. The secondary guideline recommends that young people engage in exercise that promotes muscular strength, flexibility and bone health twice weekly. Young people can meet the secondary guideline by participating in resistance exercise. The British Association of Exercise and Sport Sciences (BASES) identified the need for a series of evidence-based guidelines for resistance exercise for the range of professionals and volunteers working with British children and youth. There have been previous consensus documents on the topic of resistance exercise and young people (American Academy of Pediatrics, 1990, 2000; Blimkie, 1995). The BASES guidelines aim to encapsulate educational, psycho-sociological and developmental, as well as physiological and medical, perspectives. In 1999, BASES convened a group of experts to consider the scientific literature and expert opinion before producing ‘Guidelines for Resistance Exercise in Young People’. The expert group consisted of orthopaedic clinicians, physical educators, sociologists, exercise physiologists, psychologists and biomechanists. In addition, individuals and groups from local authorities, disability and special needs, the commercial sector and public health were consulted and subsequently reviewed the guidelines. These guidelines provide a summary of this work. The aims of the group were as follows: ‘To provide sound practical advice based on research evidence and expert consensus on safe and effective resistance exercise for young people’.

Exercise training induced alterations in prepubertal children's lipid-lipoprotein profile.

PURPOSE This study examined the effect of exercise training on prepubertal childrens (ET, N = 28) lipid-lipoprotein profile, relative to a maturity matched control group (CON, N = 20). METHODS Training for ET involved stationary cycling for 30 min, 3 times.wk-1 for 12 wk, at 79.3 +/- 1.2% (mean +/- SD) peak heart rate (HR). Controls maintained their usual lifestyle pattern. Plasma concentrations of total triacylglycerol (TG), total cholesterol (TC), and high-density lipoprotein (HDL)-cholesterol (HDL-C) were determined pre- and postintervention. Low-density lipoprotein (LDL)- cholesterol (LDL-C) was subsequently estimated from these concentrations, and the ratios TC/HDL-C and LDL-C/HDL-C were also calculated. There were no pretest differences (P > 0.05) for any of these blood analytes between groups. The following, potentially, confounding variables were also measured: peak VO2, percent body fat (%BF), dietary composition, and habitual physical activity. These variables, with pretest HDL-C, were included as covariates in two-way split plot ANCOVA analyses. Dietary variables were not included as covariates as they were not related to any of the blood analytes. RESULTS There were no differences over time or between groups for TG and TC (P > 0.05). LDL-C decreased in ET (-10.2%) but remained unchanged in CON (0.3%) over the intervention period (P < 0.05). HDL-C increased in ET (9.3%) but decreased in CON (-8.9%) (P < 0.01). A similar, but inverted, pattern of change (P < 0.01) was revealed for both ratios, TC/HDL-C (-11.6% vs 6.3%, ET and CON, respectively), and LDL-C/HDL-C (-17.2% vs 8.0%, ET and CON, respectively). The favorable alterations in the lipid-lipoprotein profile for ET were independent of alterations in peak VO2 (group x time interaction, P < 0.05), %BF (main effect time, P < 0.01), and habitual physical activity (group x time interaction, P < 0.01). CONCLUSIONS In conclusion, the favorable alterations in the lipoprotein profile seen in this study would suggest that it is possible to influence the prepubertal lipoprotein profile independent of alterations in confounding variables such as body composition, cardiorespiratory fitness, and habitual physical activity.

Regulating intensity using perceived exertion in spinal cord-injured participants

PURPOSE To examine the validity of perception-based intensity regulation during handcycling exercise. METHODS Eight spinal cord-injured (T11 incomplete to T4 complete) participants completed an incremental exercise test followed by a (.)VO2peak test using a sports hand bike. Subsequently, two 20-min exercise tests were completed at an individualized power output (PO) at moderate and vigorous intensities (50% and 70% of (.)VO2peak, respectively). On a separate occasion, participants were instructed to produce and maintain a workload equivalent to the average RPE for the 20-min imposed condition in a counterbalanced order. The (.)VO2 and blood lactate concentration [BLa(-)] were measured every 10 min, and HR and PO were measured at 1-min intervals. RESULTS There were no differences in average (.)VO2, percent V O2peak, HR, PO, and [BLa(-)] between the imposed PO conditions and RPE-regulated trials of either exercise intensity. Although PO increased slightly during the moderate-intensity RPE-regulated trial (P < 0.04), it remained relatively constant in the vigorous RPE-regulated trial. However, there was a tendency for PO to be slightly higher (P = 0.07) in the vigorous RPE-regulated trial. CONCLUSIONS These data suggest that RPE is effective in controlling moderate and vigorous intensities throughout a 20-min handcycling exercise session for SCI participants.

Do 9- to 12 yr-old children meet existing physical activity recommendations for health?

PURPOSE The purpose of this study was to investigate whether a sample of 9- to 12-yr-old children fulfilled existing U.S. and UK physical activity recommendations for health. METHODS Habitual physical activity levels of 79 pre- and early pubertal children were assessed using continuous heart rate monitoring over a period of 4 d. Mean, daily, cumulative physical activity levels spent above heart rate thresholds were compared with U.S. and UK recommended values. RESULTS In this study, when cumulative amounts of physical activity were considered, at intensities greater than 120 beats x min(-1) and 75% above resting heart rate, pre- and early pubertal British children appear to engage in sufficient physical activity to meet U.S. and UK minimum daily recommendations. CONCLUSIONS Interpretations of childrens physical activity levels depend on thresholds set for intensity of physical activity and whether cumulative or continuous bouts of activity are included in the analysis.

The effectiveness of hand cooling at reducing exercise-induced hyperthermia and improving distance-race performance in wheelchair and able-bodied athletes

The purpose of this study was to examine the effectiveness of reducing core temperature in postexercise hyperthermic subjects and to assess if hand cooling (HC) improves subsequent timed distance performance. Following a detailed measurement check on the use of insulated auditory canal temperature (T(ac)), eight wheelchair (WA) athletes and seven male able-bodied (AB) athletes performed two testing sessions, comprising a 60-min exercise protocol and 10-min recovery period, followed by a performance trial (1 km and 3 km for WA and AB, respectively) at 30.8 degrees C (SD 0.2) and 60.6% (SD 0.2) relative humidity. In a counterbalanced order, HC and a no-cooling condition was administered during the 10-min recovery period before the performance trial. Nonsignificant condition x time interactions for both WA (F(15,75) = 1.5, P = 0.14) and AB (F(15,90) = 1.2, P = 0.32) confirmed that the exercise-induced changes (Delta) in T(ac) were similar before each intervention. However, the exercise-induced increase was evidently greater in AB compared with WA (2.0 vs. 1.3 degrees C change, respectively). HC produced DeltaT(ac) of -0.4 degrees C (SD 0.4) and -1.2 degrees C (SD 0.2) in comparison (WA and AB, respectively), and simple-effects analyses suggested that the reductions in T(ac) were noteworthy after 4 min of HC. HC had an impact on improving AB performances by -4.0 s (SD 11.5) (P < 0.05) and WA by -20.5 s (SD 24.2) (P > 0.05). In conclusion, extraction of heat through the hands was effective in lowering T(ac) in both groups and improving 3-km performance in the AB athletes and trends toward positive gains for the 1-km performance times of the WA group.

ROC Generated Thresholds for Field-Assessed Aerobic Fitness Related to Body Size and Cardiometabolic Risk in Schoolchildren

Objectives 1. to investigate whether 20 m multi-stage shuttle run performance (20mSRT), an indirect measure of aerobic fitness, could discriminate between healthy and overweight status in 9–10.9 yr old schoolchildren using Receiver Operating Characteristic (ROC) analysis; 2. Investigate if cardiometabolic risk differed by aerobic fitness group by applying the ROC cut point to a second, cross-sectional cohort. Design Analysis of cross-sectional data. Participants 16,619 9–10.9 year old participants from SportsLinx project and 300 11–13.9 year old participants from the Welsh Schools Health and Fitness Study. Outcome Measures SportsLinx; 20mSRT, body mass index (BMI), waist circumference, subscapular and superilliac skinfold thicknesses. Welsh Schools Health and Fitness Study; 20mSRT performance, waist circumference, and clustered cardiometabolic risk. Analyses Three ROC curve analyses were completed, each using 20mSRT performance with ROC curve 1 related to BMI, curve 2 was related to waist circumference and 3 was related to skinfolds (estimated % body fat). These were repeated for both girls and boys. The mean of the three aerobic fitness thresholds was retained for analysis. The thresholds were subsequently applied to clustered cardiometabolic risk data from the Welsh Schools study to assess whether risk differed by aerobic fitness group. Results The diagnostic accuracy of the ROC generated thresholds was higher than would be expected by chance (all models AUC >0.7). The mean thresholds were 33 and 25 shuttles for boys and girls respectively. Participants classified as ‘fit’ had significantly lower cardiometabolic risk scores in comparison to those classed as unfit (p<0.001). Conclusion The use of the ROC generated cut points by health professionals, teachers and coaches may provide the opportunity to apply population level ‘risk identification and stratification’ processes and plan for “at-risk” children to be referred onto intervention services.

Selected predictor variables and the lipid- lipoprotein profile of prepubertal girls and boys

PURPOSE It is still unclear how habitual physical activity (HPA), peak VO2, percent body fat (%BF), and dietary composition are related to the lipid-lipoprotein profile in children. The purpose of this study was to identify independent contributions from these selected predictor variables to prepubertal childrens lipid-lipoprotein profile. METHODS Peak VO2, HPA from continuous heart rate monitoring, %BF, 7-d dietary analysis, total cholesterol (TC), total triacylglycerol (TG), high density lipoprotein (HDL) cholesterol (HDL-C), low density lipoprotein (LDL) cholesterol (LDL-C), TC/HDL-C, and LDL-C/HDL-C were determined in 33 prepubertal girls and 38 prepubertal boys (mean +/- SD age, 10.6 +/- 0.7 yr). RESULTS Bivariate correlation analyses revealed that peak VO2, %BF, and HPA were related to the lipid-lipoprotein profile in girls (P < 0.05). For the boys, HPA was only related to TC/HDL-C (P < 0.05) and LDL-C/HDL-C (P < 0.05), whereas daily energy intake (kJ x d(-1)) was associated with TC and LDL-C (P < 0.05). Multiple linear regression analyses indicated that peak VO2, %BF and HPA were the main predictor variables for the girls. Peak VO2 accounted for 22.7%, 24.8%, 22.5%, and 24.2% of the unique variance (sr(i)2) in TG, HDL-C, LDL-C/HDL-C, and TC/HDL-C, respectively. For TC and LDL-C in girls, sr(i)2 were 18.0% and 22.6%, respectively, from HPA. In contrast, only daily energy intake had a significant unique contribution to the variance of TC (15.4%) and LDL-C (22.0%) for the boys. SUMMARY The main findings from this study were that the predictor variables are lipid-lipoprotein specific and depend on gender. These results would support the growing evidence that it is important to nurture an active lifestyle in children from an early age and that an awareness of fitness and body fatness is required.