The current evidence suggests that many diet and exercise interventions to prevent obesity in children are not effective in preventing weight gain, but can be effective in promoting a healthy diet and increased physical activity levels.Being very overweight (obese) can cause health, psychological and social problems for children. Children who are obese are more likely to have weight and health problems as adults. Programmes designed to prevent obesity focus on modifying one or more of the factors considered to promote obesity.This review included 22 studies that tested a variety of intervention programmes, which involved increased physical activity and dietary changes, singly or in combination. Participants were under 18 and living in Asia, South America, Europe or North America. There is not enough evidence from trials to prove that any one particular programme can prevent obesity in children, although comprehensive strategies to address dietary and physical activity change, together with psycho-social support and environmental change may help. There was a trend for newer interventions to involve their respective communities and to include evaluations.Future research might usefully assess changes made on behalf of entire populations, such as improvements in the types of foods available at schools and in the availability of safe places to run and play, and should assess health effects and costs over several years.The programmes in this review used different strategies to prevent obesity so direct comparisons were difficult. Also, the duration of the studies ranged from 12 weeks to three years, but most lasted less than a year.

/pdf/interventions-for-preventing-obesity-in-children-4arhbcud58.pdf

Interventions for preventing obesity in children

Soccer is the most popular sport in the world and is performed by men and women, children and adults with different levels of expertise. Soccer performance depends upon a myriad of factors such as technical/biomechanical, tactical, mental and physiological areas. One of the reasons that soccer is so popular worldwide is that players may not need to have an extraordinary capacity within any of these performance areas, but possess a reasonable level within all areas. However, there are trends towards more systematic training and selection influencing the anthropometric profiles of players who compete at the highest level. As with other activities, soccer is not a science, but science may help improve performance. Efforts to improve soccer performance often focus on technique and tactics at the expense of physical fitness. During a 90-minute game, elite-level players run about 10 km at an average intensity close to the anaerobic threshold (80-90% of maximal heart rate). Within this endurance context, numerous explosive bursts of activity are required, including jumping, kicking, tackling, turning, sprinting, changing pace, and sustaining forceful contractions to maintain balance and control of the ball against defensive pressure. The best teams continue to increase their physical capacities, whilst the less well ranked have similar values as reported 30 years ago. Whether this is a result of fewer assessments and training resources, selling the best players, and/or knowledge of how to perform effective exercise training regimens in less well ranked teams, is not known. As there do exist teams from lower divisions with as high aerobic capacity as professional teams, the latter factor probably plays an important role. This article provides an update on the physiology of soccer players and referees, and relevant physiological tests. It also gives examples of effective strength- and endurance-training programmes to improve on-field performance. The cited literature has been accumulated by computer searching of relevant databases and a review of the authors' extensive files. From a total of 9893 papers covering topics discussed in this article, 843 were selected for closer scrutiny, excluding studies where information was redundant, insufficient or the experimental design was inadequate. In this article, 181 were selected and discussed. The information may have important implications for the safety and success of soccer players and hopefully it should be understood and acted upon by coaches and individual soccer players.

http://carlocapelli.it/ftp/didattica/master calcio/bibliografia_essenziale/stolen_et_al_2005.pdf

Physiology of Soccer: An Update

Background The World Health Organization estimates that 19 million deaths worldwide are attributable to physical inactivity Chronic diseases associated with physical inactivity include cancer, diabetes and coronary heart disease Objectives The purpose of this systematic review is to summarize the evidence of the effectiveness of school-based interventions in promoting physical activity and fitness in children and adolescents Search strategy The search strategy included searching several databases In addition, reference lists of included articles and background papers were reviewed for potentially relevant studies, as well as references from relevant Cochrane reviews Primary authors of included studies were contacted as needed for additional information Selection criteria To be included, the intervention had to be relevant to public health practice, implemented, facilitated, or promoted by staff in local public health units, implemented in a school setting and aimed at increasing physical activity, report on outcomes for children and adolescents (aged 6 to 18 years), and use a prospective design with a control group Data collection and analysis Standardized tools were used by two independent reviewers to rate each studyﾒs methodological quality and for data extraction Where discrepancies existed discussion occurred until consensus was reached The results were summarized narratively due to wide variations in the populations, interventions evaluated and outcomes measured Main results 13,841 titles were identified and screened and 482 articles were retrieved Multiple publications on the same project were combined and counted as one project, resulting in 395 distinct project accounts (studies) Of the 395 studies 104 were deemed relevant and of those, four were assessed as having strong methodological quality, 22 were of moderate quality and 78 were considered weak In total 26 studies were included in the review There is good evidence that school-based physical activity interventions have a positive impact on four of the nine outcome measures Specifically positive effects were observed for duration of physical activity, television viewing, VO2 max, and blood cholesterol Generally school-based interventions had no effect on leisure time physical activity rates, systolic and diastolic blood pressure, body mass index, and pulse rate At a minimum, a combination of printed educational materials and changes to the school curriculum that promote physical activity result in positive effects Authors' conclusions Given that there are no harmful effects and that there is some evidence of positive effects on lifestyle behaviours and physical health status measures, ongoing physical activity promotion in schools is recommended at this time

/pdf/school-based-physical-activity-programs-for-promoting-gw0a82ku2q.pdf

School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6-18.

Faigenbaum, AD, Kraemer, WJ, Blimkie, CJR, Jeffreys, I, Micheli, LJ, Nitka, M, and Rowland, TW. Youth resistance training: Updated position statement paper from the National Strength and Conditioning Association. J Strength Cond Res 23(5): S60-S79, 2009-Current recommendations suggest that school-aged youth should participate daily in 60 minutes or more of moderate to vigorous physical activity that is developmentally appropriate and enjoyable and involves a variety of activities (). Not only is regular physical activity essential for normal growth and development, but also a physically active lifestyle during the pediatric years may help to reduce the risk of developing some chronic diseases later in life (). In addition to aerobic activities such as swimming and bicycling, research increasingly indicates that resistance training can offer unique benefits for children and adolescents when appropriately prescribed and supervised (). The qualified acceptance of youth resistance training by medical, fitness, and sport organizations is becoming universal ().Nowadays, comprehensive school-based programs are specifically designed to enhance health-related components of physical fitness, which include muscular strength (). In addition, the health club and sport conditioning industry is getting more involved in the youth fitness market. In the U.S.A., the number of health club members between the ages of 6 and 17 years continues to increase () and a growing number of private sport conditioning centers now cater to young athletes. Thus, as more children and adolescents resistance train in schools, health clubs, and sport training centers, it is imperative to determine safe, effective, and enjoyable practices by which resistance training can improve the health, fitness, and sports performance of younger populations.The National Strength and Conditioning Association (NSCA) recognizes and supports the premise that many of the benefits associated with adult resistance training programs are attainable by children and adolescents who follow age-specific resistance training guidelines. The NSCA published the first position statement paper on youth resistance training in 1985 () and revised this statement in 1996 (). The purpose of the present report is to update and clarify the 1996 recommendations on 4 major areas of importance. These topics include (a) the potential risks and concerns associated with youth resistance training, (b) the potential health and fitness benefits of youth resistance training, (c) the types and amount of resistance training needed by healthy children and adolescents, and (d) program design considerations for optimizing long-term training adaptations. The NSCA based this position statement paper on a comprehensive analysis of the pertinent scientific evidence regarding the anatomical, physiological, and psychosocial effects of youth resistance training. An expert panel of exercise scientists, physicians, and health/physical education teachers with clinical, practical, and research expertise regarding issues related to pediatric exercise science, sports medicine, and resistance training contributed to this statement. The NSCA Research Committee reviewed this report before the formal endorsement by the NSCA.For the purpose of this article, the term children refers to boys and girls who have not yet developed secondary sex characteristics (approximately up to the age of 11 years in girls and 13 years in boys; Tanner stages 1 and 2 of sexual maturation). This period of development is referred to as preadolescence. The term adolescence refers to a period between childhood and adulthood and includes girls aged 12-18 years and boys aged 14-18 years (Tanner stages 3 and 4 of sexual maturation). The terms youth and young athletes are broadly defined in this report to include both children and adolescents.By definition, the term resistance training refers to a specialized method of conditioning, which involves the progressive use of a wide range of resistive loads and a variety of training modalities designed to enhance health, fitness, and sports performance. Although the term resistance training, strength training, and weight training are sometimes used synonymously, the term resistance training encompasses a broader range of training modalities and a wider variety of training goals. The term weightlifting refers to a competitive sport that involves the performance of the snatch and clean and jerk lifts.This article builds on previous recommendations from the NSCA and should serve as the prevailing statement regarding youth resistance training. It is the current position of the NSCA that:

Youth resistance training: updated position statement paper from the national strength and conditioning association.

Sarcopenia

During growth and maturation, the study of very brief high-intensity exercise has not received the same attention from researchers as, for instance, aerobic function. In anaerobic tasks or sports events such as sprint cycling, jumping or running, the children's performance is distinctly lower than that of adults. This partly reflects children's lesser ability to generate mechanical energy from chemical energy sources during short-term intensive activity. For many years, various attempts have been made to quantify the anaerobic energy yield in maximal-intensity exercise, but many assumptions have had to be made with respect to mechanical efficiency, lactate turnover, dilution space for lactate, and so on. During childhood and adolescence, direct measurements of the rate or capacity of anaerobic pathways for energy turnover presents several ethical and methodological difficulties. Thus, rather than measure energy supply, paediatric exercise scientists have concentrated on measuring short-term muscle power (STMP) by means of standardised tests. Previously, investigators have used various protocols such as short-term cycling power tests, vertical jump tests or running tests. Cycling ergometer tests are the most common. There is, however, no ideal test, and so it is important to acknowledge the limitations of each test. Progress has been made in assessing instantaneous cycling STMP from a single exercise bout. Several investigators have reported STMP increases with age and have suggested that late pubertal period may accentuate anaerobic glycolysis. Mass-related STMP was shown to increase dramatically during childhood and adolescence, whereas the corresponding increase in peak blood lactate was considerably lower. The latter results support the hypothesis that the difference observed between children and adolescents during STMP testing is more related to neuromuscular factors, hormonal factors and improved motor coordination, rather than being an indicator of reduced lactate-producing glycolysis mechanism. Evidence suggesting a causal link between the ability to generate lactate during exercise and sexual maturation is weak. Despite the majority of research being focused on short-term power output, the study of anaerobic function warrants more investigation. Spectacular progress is being made at the moment in the development of molecular biology tools that can be used in, for example, the genetic dissection of human performance phenotypes. Noninvasive power tools like magnetic resonance imaging and magnetic resonance spectroscopy are presently used to determine possible differences in phosphorus compounds between fast and slow fibre types. Undoubtedly these tools will lead to more information in the near future regarding STMP capabilities of the growing child.

Short-term muscle power during growth and maturation

BACKGROUND In adult population, stretch-shortening cycle exercise (plyometric exercise) is often used to improve leg muscle power and vertical jump performance. In children, limited information regarding this type of exercise is available. The purpose of this study was to examine the effectiveness of plyometric training and maintenance training on physical performances in prepubescent soccer players. METHODS Twenty boys aged 12-13 years was divided in two groups (10 in each): jump group (JG) and control group (CG). JG trained 3 days/week during 10 weeks, and performed various plyometric exercises including jumping, hurdling and skipping. The subsequent reduced training period lasted 8 weeks. However, all subjects continued their soccer training. Maximal cycling power (Pmax) was calculated using a force-velocity cycling test. Jumping power was assessed by using the following tests: countermovement jump (CMJ), squat jump (SJ), drop jump (DJ), multiple 5 bounds (MB5) and repeated rebound jump for 15 seconds (RRJ15). Running velocities included: 20, 30 and 40 m (V20, V30, V40 m). Body fat percentage (BF percent) and lean leg volume were estimated by anthropometry. RESULTS Before training, except for BF percent, all baseline anthropometric characteristics were similar between JG and CG. After the training programme, Pmax (p<0.01), CMJ (p<0.01), SJ (p<0.05), MB5 (p<0.01), RRJ15 (p<0.01) and V20 m (p<0.05), performances increased in the JG. During this period no significant performance increase was obtained in the CG. After the 8-week of reduced training, except Pmax (p<0.05) for CG, any increase was observed in both groups. CONCLUSIONS These results demonstrate that short-term plyometric training programmes increase athletic performances in prepubescent boys. These improvements were maintained after a period of reduced training.

Effects of plyometric training followed by a reduced training programme on physical performance in prepubescent soccer players.

MARTIN, R. J. F., E. DORE, J. TWISK, E. VAN PRAAGH, C. A. HAUTIER, and M. BEDU. Longitudinal Changes of Maximal Short-Term Peak Power in Girls and Boys during Growth. Med. Sci. Sports Exerc., Vol. 36, No. 3, pp. 498 –503, 2004. Purpose: The aims of this study are twofold: first, to analyze the influence of age, body mass, and lean leg volume (LLV) on short-term leg peak power (Pmax) of young females and males during growth using multilevel regression analysis and, second, to compare the regression results of boys and girls. Methods: The individuals were 100 girls and 109 boys aged 7.5–17.5 yr old. Pmax, LLV, and mass were determined on two occasions using the cycling force-velocity test. The optimal force (Fopt) and pedaling frequency (Vopt) corresponded to the force and pedaling frequency at Pmax. Results: It was observed that the increase of Pmax doesn’t depend on gender until the age of 14. From that age, Pmax values are significantly lower in girls than in boys. In girls, LLV is the main predictor of Pmax variance (68%; P 0.001), whereas in boys it is age (57%; P 0.001). Results of ANCOVA were that for the same leg length (LL), Vopt is significantly (P 0.001) higher in boys than in girls. It also indicated that for the same LLV, there are no significant ( P 0.05) gender differences of Fopt. Conclusion: These results illustrated that during the growth period, the increase of Pmax is significantly higher in boys than in girls. Qualitative muscular factors (Type II fiber, glycolytic ability, motor coordination, and motor unit activation) may account for the significantly higher Pmax production in boys than in girls. Precisely, the gender differences might be explained by neuromuscular determinants of contraction velocity. In conclusion, children should develop their neuromuscular determinants of contraction velocity rather than their lean leg volume. Key Words: QUALITATIVE MUSCULAR FACTORS, FOPT, VOPT, MULTILEVEL REGRESSION ANALYSIS, CYCLING

Longitudinal Changes of Maximal Short-Term Peak Power in Girls and Boys during Growth

The aim of the present study was to investigate the effects of age and recovery duration on the time course of cycling peak power and blood lactate concentration ([La]) during repeated bouts of short-term high-intensity exercise. Eleven prepubescent boys (9.6 +/- 0.7 yr), nine pubescent boys (15.0 +/- 0.7 yr) and ten men (20.4 +/- 0.8 yr) performed ten consecutive 10 s cycling sprints separated by either 30 s (R30), 1 min (R1), or 5 min (R5) passive recovery intervals against a friction load corresponding to 50 % of their optimal force (50 % Ffopt). Peak power produced at 50 % Ffopt (PP50) was calculated at each sprint including the flywheel inertia of the bicycle. Arterialized capillary blood samples were collected at rest and during the sprint exercises to measure the time course of [La]. In the prepubescent boys, whatever recovery intervals, PP50 remained unchanged during the ten 10 s sprint exercises. In the pubescent boys, PP50 decreased significantly by 18.5 % (p < 0.001) with R30 and by 15.3 % (p < 0.01) with R1 from the first to the tenth sprint but remained unchanged with R5. In the men, PP50 decreased respectively by 28.5 % (p < 0.001) and 11.3 % (p < 0.01) with R30 and R1 and slightly diminished with R5. For each recovery interval, the increase in blood [La] over the ten sprints was significantly lower in the prepubescent boys compared with the pubescent boys and the men. To conclude, the prepubescent boys sustained their PP50 during the ten 10 s sprint exercises with only 30 s recovery intervals. In contrast, the pubescent boys and the men needed 5 min recovery intervals. It was suggested that the faster recovery of PP50 in the prepubescent boys was due to their lower muscle glycolytic activity and their higher muscle oxidative capacity allowing a faster resynthesis in phosphocreatine.

Effects of age and recovery duration on peak power output during repeated cycling sprints.

Few studies have investigated the impact of school-based physical activity interventions on anthropometric characteristics concomitantly with aerobic and anaerobic capacities in young children. The present study aimed to assess the effect of a 6-month physical activity program on body composition and physical fitness among primary schoolchildren. Four hundred fifty-seven children aged 6 to 10 years were randomly assigned to the intervention group (229 children) or observational group (228 children). Participants’ height and weight were assessed, and obesity was determined using French reference curves for BMI. The sum of the four skinfolds and fat-free mass were determined. Ground tests were used to assess aerobic (20-m shuttle run test) and anaerobic (cycling peak power) fitness before and after a 6-month physical activity intervention. The anthropometric modifications obtained over the 6 months cannot be attributed to the intervention as the ANOVA revealed no group effect (intervention vs. group). However, anaerobic and aerobic fitness were significantly improved, thanks to the program in both lean and obese children. A 6-month school-based physical activity intervention in 6- to 10-year-old children did not yield positive anthropometric improvements, but appears effective in terms of aerobic and anaerobic physical fitness. Two physical activity sessions per week in addition to standard physical education classes in primary schoolchildren bring effective results for the prevention of childhood obesity.

Eric Doré

Papers

Short-term muscle power during growth and maturation

Effects of plyometric training followed by a reduced training programme on physical performance in prepubescent soccer players.

Longitudinal Changes of Maximal Short-Term Peak Power in Girls and Boys during Growth

Effects of age and recovery duration on peak power output during repeated cycling sprints.

Effect of a 6-month school-based physical activity program on body composition and physical fitness in lean and obese schoolchildren