Muscular development and physical activity as major determinants of femoral bone mass acquisition during growth

[EN] OBJECTIVES: To investigate to what extent bone mass accrual is determined by physical activity and changes in lean, fat, and total body mass during growth. METHODS: Twenty six physically active and 16 age matched control boys were followed up for three years. All subjects were prepubertal at the start of the survey (mean (SEM) age 9.4 (0.3) years). The weekly physical activity of the active boys included compulsory physical education sessions (80-90 minutes a week), three hours a week of extracurricular sports participation, and occasional sports competitions at weekends. The physical activity of the control group was limited to the compulsory physical education curriculum. Bone mineral content (BMC) and areal density (BMD), lean mass, and fat mass were measured by dual energy x ray absorptiometry. RESULTS: The effect of sports participation on femoral bone mass accrual was remarkable. Femoral BMC and BMD increased twice as much in the active group as in the controls over the three year period (p < 0.05). The greatest correlation was found between the increment in femoral bone mass and the increment in lean mass (BMC r = 0.67 and BMD r = 0.69, both p < 0.001). Multiple regression analysis revealed enhancement in lean mass as the best predictor of the increment in femoral bone BMC (R = 0.65) and BMD (R = 0.69). CONCLUSIONS: Long term sports participation during early adolescence results in greater accrual of bone mass. Enhancement of lean mass seems to be the best predictor of this bone mass accumulation. However, for a given muscle mass, a greater level of physical activity is associated with greater bone mass and density in peripubertal boys.

Strength training combined with plyometric jumps in adults: sex differences in fat-bone axis adaptations

[EN] Leptin and osteocalcin play a role in the regulation of the fat-bone axis and may be altered by exercise. To determine whether osteocalcin reduces fat mass in humans fed ad libitum and if there is a sex dimorphism in the serum osteocalcin and leptin responses to strength training, we studied 43 male (age 23.9 2.4 yr, mean +/- SD) and 23 female physical education students (age 23.2 +/- 2.7 yr). Subjects were randomly assigned to two groups: training (TG) and control (CG). TG followed a strength combined with plyometric jumps training program during 9 wk, whereas the CG did not train. Physical fitness, body composition (dual-energy X-ray absorptiometry), and serum concentrations of hormones were determined pre- and posttraining. In the whole group of subjects (pretraining), the serum concentration of osteocalcin was positively correlated (r = 0.29-0.42, P < 0.05) with whole body and regional bone mineral content, lean mass, dynamic strength, and serum-free testosterone concentration (r = 0.32). However, osteocalcin was negatively correlated with leptin concentration (r = -0.37), fat mass (r = -0.31), and the percent body fat (r = -0.44). Both sexes experienced similar relative improvements in performance, lean mass (+4-5%), and whole body (+0.78%) and lumbar spine bone mineral content (+1.2-2%) with training. Serum osteocalcin concentration was increased after training by 45 and 27% in men and women, respectively (P < 0.05). Fat mass was not altered by training. Vastus lateralis type II MHC composition at the start of the training program predicted 25% of the osteocalcin increase after training. Serum leptin concentration was reduced with training in women. In summary, while the relative effects of strength training plus plyometric jumps in performance, muscle hypertrophy, and osteogenesis are similar in men and women, serum leptin concentration is reduced only in women. The osteocalcin response to strength training is, in part, modulated by the muscle phenotype (MHC isoform composition). Despite the increase in osteocalcin, fat mass was not reduced.

Comparing the validity and output of the GT1M and GT3X accelerometer in 5- to 9-year-old children

The purpose of this study was to compare the validity and output of the biaxial ActiGraph GT1M and the triaxial GT3X (ActiGraph, LLC, Pensacola, FL, USA)accelerometer in 5- to 9-year-old children. Thirty-two children wore the two monitors while their energy expenditure was measured with indirect calorimetry. They performed four locomotor and four play activities in an exercise laboratory and were further measured during 12 minutes of a sports lesson. Validity evidence in relation to indirect calorimetry was examined with linear regression equations applied to the laboratory data. During the sports lessons predicted energy expenditure according to the regression equations was compared to measured energy expenditure with the Wilcoxon-signed rank test and the Spearman correlation. To compare the output, agreement between counts of the two monitors during the laboratory activities was assessed with Bland-Altman plots. The evidence of validity was similar for both monitors. Agreement between the output of the two monitors was good for vertical counts (mean bias = −14 ± 22 counts) but not for horizontal counts (−17 ± 32 counts). The current results indicate that the two accelerometer models are able to estimate energy expenditure of a range of physical activities equally well in young children. However, they show output differences for movement in the horizontal direction.

Sexual Health Education from the Perspective of School Staff: Implications for Adoption and Implementation of Effective Programs in Middle School

Introduction: US teens are having sex early; however, the vast majority of schools do not implement evidence-based sexual health education (SHE) programs that could delay sexual behavior and/or reduce risky behavior. This study examines middle school staff’s knowledge, attitudes, barriers, self-efficacy, and perceived support (psychosocial factors known to influence SHE program adoption and implementation). Methods: Professional school staff from 33 southeast Texas middle schools completed an internet or paper-based survey. Prevalence estimates for psychosocial variables were computed for the total sample. Chi-square and t-test analyses examined variation by demographic factors. Results: Almost 70% of participants were female, 37% white, 42% black, 16% Hispanic; 20% administrators, 15% nurses/counselors, 31% non-physical education/non-health teachers, 28% physical education/health teachers; mean age = 42.78 years (SD = 10.9). Over 90% favored middle school SHE, and over 75% reported awareness of available SHE curricula or policies. More than 60% expressed confidence for discussing SHE. Staff perceived varying levels of administrator (28%-56%) support for SHE and varying levels of support for comprehensive sex education from outside stakeholders (e.g., parents, community leaders) (42%-85%). Overall, results were more favorable for physical education/health teachers, nurses/counselors, and administrators (when compared to non-physical education/non-health teachers) and individuals with experience teaching SHE. Few significant differences were observed by other demographic factors. Conclusions: Overall, study results were extremely positive, which may reflect a high level of readiness among school staff for adopting and implementing effective middle school SHE programs. Study results highlight the importance of several key action items for schools.

Design and evaluation of the parent education component of a comprehensive violence prevention project in middle schools

Low parental monitoring is related to youth risk behaviors such as delinquency and aggression. The purpose of this dissertation was to describe the development and evaluation of a parent education intervention to increase parental monitoring in Hispanic parents of middle school children.^ The first study described the process of intervention mapping as used to develop Padres Trabajando por la Paz, a newsletter intervention for parents. Using theory, empirical literature, and information from the target population, performance objectives and determinants for monitoring were defined. Learning objectives were specified and a staged social-cognitive approach was used to develop methods and strategies delivered through newsletters.^ The second study examined the outcomes of a randomized trial of the newsletter intervention. Outcome measures consisted of a general measure of monitoring, parent and child reports of monitoring behaviors targeted by the intervention, and psychosocial determinants of monitoring (self-efficacy, norms, outcome expectancies, knowledge, and beliefs). Seventy-seven parents completed the randomized trial, half of which received four newsletters over an eight-week period. Results revealed a significant interaction effect for baseline and treatment for parent's reports of norms for monitoring (p =.009). Parents in the experimental condition who scored low at baseline reported increased norms for monitoring at follow-up. A significant interaction effect for child reports of parental monitoring behaviors (p =.04) reflected an small increase across baseline levels in the experimental condition and decreases for the control condition at higher baseline scores. Both groups of parents reported increased levels of monitoring at follow-up. No other outcome measures varied significantly by condition.^ The third study examined the relationship between the psychosocial determinants of parental monitoring and parental monitoring behaviors in the study population. Weak evidence for a relationship between outcome expectancies and parental monitoring behaviors suggests further research in the area utilizing stronger empirical models such as longitudinal design and structural equation modeling.^ The low-cost, minimal newsletter intervention showed promise for changing norms among Hispanic parents for parental monitoring. In light of the importance of parental monitoring as a protective factor for youth health risk behaviors, more research needs to be done to develop and evaluate interventions to increase parental monitoring. ^

Dynamic Activity-Related Incentives for Physical Activity.

The present studies adopted the theoretical framework of activity- and purpose-related incentives (Rheinberg, 2008) to explain the maintenance of physical activity. We hypothesized that activity-related incentives (e.g., “fun”) increase more than purpose-related incentives (e.g., “health”) between the initiation and maintenance phase of physical activity. Additionally, change in activity-related incentives was hypothesized to be a better predictor of maintenance of physical activity than change in purpose-related incentives. Two correlative field studies with rehabilitation patients (Study 1) and Nordic Walkers (Study 2) were conducted to test the hypotheses. Participants’ incentives of physical activity were measured at the beginning of exercising and two weeks (Study 1; T2) and three months (Study 2; T2) later. At T2, participants were asked for their current physical activity. Both studies showed a greater change of activity-related incentives than purpose-related incentives. Furthermore, change in activity-related incentives was more predictive of the maintenance of physical activity than change in purpose-related incentives. The results showed the important role of activity-related incentives in maintenance of physical activity. The theoretical contribution to physical activity maintenance research and practical implications for health promotion programs were discussed.

Cognitively engaging chronic physical activity, but not aerobic exercise, affects executive functions in primary school children: A group-randomized controlled trial

Although the positive effects of different kinds of physical activity (PA) on cognitive functioning have already been demonstrated in a variety of studies, the role of cognitive engagement in promoting children’s executive functions is still unclear. The aim of the present study was therefore to investigate the effects of two qualitatively different chronic PA interventions on executive functions in primary school children. 181 children aged between 10 and 12 years were assigned to either a 6-week physical education program with a high level of physical exertion and high cognitive engagement (team games), a physical education program with high physical exertion but low cognitive engagement (aerobic exercise), or to a physical education program with both low physical exertion and low cognitive engagement (control condition). Executive functions (updating, inhibition, shifting) and aerobic fitness (multistage 20-meter shuttle run test) were measured before and after the respective condition. Results revealed that both interventions (team games and aerobic exercise) have a positive impact on children’s aerobic fitness (4-5 % increase in estimated VO2max). Importantly, an improvement in shifting performance was found only in the team games and not in the aerobic exercise or control condition. Thus, the inclusion of cognitive engagement in PA seems to be the most promising type of chronic intervention to enhance executive functions in children, providing further evidence for the importance of the qualitative aspects of PA.

The effects of ethnicity and ethnic composition of schools on physical activity and nutrition behaviors of 8th and 11th graders in Texas

With rates of obesity and overweight continuing to increase in the US, the attention of public health researchers has focused on nutrition and physical activity behaviors. However, attempts to explain the disparate rates of obesity and overweight between whites and Hispanics have often proven inadequate. Indeed, the nebulous term ‘ethnicity’ provides little important detail in addressing potential biological, behavioral, and environmental factors that may affect rates of obesity and overweight. In response to this, the present research seeks to test the explanatory powers of ethnicity by situating the nutrition and physical activity behaviors of whites and Hispanic into their broader social contexts. It is hypothesized that a student's gender and grade level, as well as the socioeconomic status and ethnic composition of their school, will have more predictive power for these behaviors than will self-reported ethnicity. ^ Analyses revealed that while ethnicity did not seem to impact nutrition behaviors among the wealthier schools and those with fewer Hispanics, ethnicity was relevant in explaining these behaviors in the poorest tertile of schools and those with the highest number of Hispanics. With respect to physical activity behaviors, the results were mixed. The variables representing regular physical activity, participation in extracurricular physical activities, and performance of strengthening and toning exercises were more likely to be determined by SES and ethnic composition than ethnicity, especially among 8th grade males. However, school sports team and physical education participation continued to vary by ethnicity, even after controlling for SES and ethnic composition of schools. In conclusion then, it is important to understand the intersecting demographic and social variables that define and surround the individual in order to understand nutrition and physical activity behaviors and thus overweight and obesity.^

The heart challenge: The effect of regular aerobic exercise on body fat distribution in third and fourth grade school children: A randomized clinical trial

The pattern of body fat distribution known as "centralized", and characterized by a predominance of subcutaneous fat on the trunk and a "pot belly", has been associated with an increased risk of chronic disease. These patterns of fat distribution, as well as the lifestyle habit variables associated with adult fatness and chronic morbidity clearly begin to develop during childhood, indicating the need for intervention and primary prevention of obesity, particularly the centralized form, during childhood or adolescence. The purpose of this study was to determine whether regular aerobic exercise could beneficially alter the distribution of body fat in 8 and 9 year old children. One hundred and eighty-eight participants were randomized into either a regular aerobic exercise treatment group or a standard physical education program control group. A variety of aerobic activities was used for intervention 5 days per week during physical education class for a period of 12 weeks. Fat distribution was measured by a number of the most commonly used indices, including ratios of body circumferences and skinfolds and indices derived from a principal components analysis. Change over time in average pulse rate was used to determine if intervention actually occurred. Approximately 10% of the students were remeasured, allowing the calculation of intra- and interexaminer measurement reliability estimates for all indices.^ This study group was comparable to the U.S. population, though the study children were slightly larger for certain measures. No effect of the exercise intervention was found. The most likely explanation for this was inadequacy of the intervention, as indicated by the lack of any change in average pulse rate with treatment. The results of the measurement reliability analysis are reported and indicate that body circumference ratios are more precise than skinfold ratios, particularly when multiple observers are used. Reliability estimates for the principal component indices were also high.^ It remains unclear whether the distribution of body fat can be altered with exercise. It is likely that this issue will remain undecided until one highly reliable, valid, and sensitive measure of fat distribution can be found. ^

Aprender a enseñar juegos motores con otros : De saber jugar a intervenir como profesor de Educación Física

Durante la formación inicial, los estudiantes del profesorado de Educación Física construyen conocimientos teóricos y prácticos alrededor de prácticas corporales ya conocidas y vivenciadas. Aprenden sobre lo aprendido. Redefinen conocimientos prácticos en un nivel mayor de complejidad y abstracción asignándoles valor educativo que fundamentará su intervención profesional. Cuando le enseñan a proponer 'juegos no juegos' (actividades o deportes que presenta como juegos aunque no todos pueden jugar) el estudiante de Educación Física dispone de elementos teóricos que fundamentan el uso del juego como un recurso pedagógico (ya sea, como contenido de otros ejes, o como estrategia metodológica para la enseñanza de deportes o habilidades motoras). Sin embargo, cuando le enseñan a proponer juegos populares para divertirse, encuentra dificultad para planificar y justificar su futura intervención. Los resultados finales de una investigación cualitativa, presentada como tesis de maestría, muestran que en Educación Física se enseñan múltiples formas de juego motor con otros pero un solo modo de jugarlos: el no lúdico. Se enseña a subordinar el modo de jugar a la forma de los juegos propuestos por el profesor. Se enseña a moverse en el marco de lo permitido por las reglas del juego, a poner el cuerpo al servicio del juego

El juego en las clases de Educación Física. ¿El propósito es promover o producir una manera de jugar?

Los actuales Diseños Curriculares para el Nivel Inicial y la Educación Primaria (Primer Ciclo) del Gobierno de la Provincia de Buenos Aires 2008, han mostrado en el área de Educación Física un gran interés por reivindicar y exigir la enseñanza del juego. En su lectura se puede apreciar que al profesor del área se le requiere que 'enriquezca', 'amplie', 'complejice', 'multiplique', y principalmente 'promueva' las experiencias de juego, por lo que posicionaría al profesor como 'mediador' quien 'dispondría' los recursos para el 'normal desarrollo' de ese jugar que porta cada niño/a.

Aprender a enseñar juegos motores con otros : De saber jugar a intervenir como profesor de Educación Física

Durante la formación inicial, los estudiantes del profesorado de Educación Física construyen conocimientos teóricos y prácticos alrededor de prácticas corporales ya conocidas y vivenciadas. Aprenden sobre lo aprendido. Redefinen conocimientos prácticos en un nivel mayor de complejidad y abstracción asignándoles valor educativo que fundamentará su intervención profesional. Cuando le enseñan a proponer 'juegos no juegos' (actividades o deportes que presenta como juegos aunque no todos pueden jugar) el estudiante de Educación Física dispone de elementos teóricos que fundamentan el uso del juego como un recurso pedagógico (ya sea, como contenido de otros ejes, o como estrategia metodológica para la enseñanza de deportes o habilidades motoras). Sin embargo, cuando le enseñan a proponer juegos populares para divertirse, encuentra dificultad para planificar y justificar su futura intervención. Los resultados finales de una investigación cualitativa, presentada como tesis de maestría, muestran que en Educación Física se enseñan múltiples formas de juego motor con otros pero un solo modo de jugarlos: el no lúdico. Se enseña a subordinar el modo de jugar a la forma de los juegos propuestos por el profesor. Se enseña a moverse en el marco de lo permitido por las reglas del juego, a poner el cuerpo al servicio del juego

El juego en las clases de Educación Física. ¿El propósito es promover o producir una manera de jugar?

Los actuales Diseños Curriculares para el Nivel Inicial y la Educación Primaria (Primer Ciclo) del Gobierno de la Provincia de Buenos Aires 2008, han mostrado en el área de Educación Física un gran interés por reivindicar y exigir la enseñanza del juego. En su lectura se puede apreciar que al profesor del área se le requiere que 'enriquezca', 'amplie', 'complejice', 'multiplique', y principalmente 'promueva' las experiencias de juego, por lo que posicionaría al profesor como 'mediador' quien 'dispondría' los recursos para el 'normal desarrollo' de ese jugar que porta cada niño/a.

Aprender a enseñar juegos motores con otros : De saber jugar a intervenir como profesor de Educación Física

Durante la formación inicial, los estudiantes del profesorado de Educación Física construyen conocimientos teóricos y prácticos alrededor de prácticas corporales ya conocidas y vivenciadas. Aprenden sobre lo aprendido. Redefinen conocimientos prácticos en un nivel mayor de complejidad y abstracción asignándoles valor educativo que fundamentará su intervención profesional. Cuando le enseñan a proponer 'juegos no juegos' (actividades o deportes que presenta como juegos aunque no todos pueden jugar) el estudiante de Educación Física dispone de elementos teóricos que fundamentan el uso del juego como un recurso pedagógico (ya sea, como contenido de otros ejes, o como estrategia metodológica para la enseñanza de deportes o habilidades motoras). Sin embargo, cuando le enseñan a proponer juegos populares para divertirse, encuentra dificultad para planificar y justificar su futura intervención. Los resultados finales de una investigación cualitativa, presentada como tesis de maestría, muestran que en Educación Física se enseñan múltiples formas de juego motor con otros pero un solo modo de jugarlos: el no lúdico. Se enseña a subordinar el modo de jugar a la forma de los juegos propuestos por el profesor. Se enseña a moverse en el marco de lo permitido por las reglas del juego, a poner el cuerpo al servicio del juego

El juego en las clases de Educación Física. ¿El propósito es promover o producir una manera de jugar?

Los actuales Diseños Curriculares para el Nivel Inicial y la Educación Primaria (Primer Ciclo) del Gobierno de la Provincia de Buenos Aires 2008, han mostrado en el área de Educación Física un gran interés por reivindicar y exigir la enseñanza del juego. En su lectura se puede apreciar que al profesor del área se le requiere que 'enriquezca', 'amplie', 'complejice', 'multiplique', y principalmente 'promueva' las experiencias de juego, por lo que posicionaría al profesor como 'mediador' quien 'dispondría' los recursos para el 'normal desarrollo' de ese jugar que porta cada niño/a.