Thermoregulation in boys and men exercising at the same heat production per unit body mass.

Purpose: Child-adult thermoregulatory comparisons may be biased by differences in metabolic heat production ([Formula: see text]). We compared thermoregulatory responses of boys and men exercising at two intensities prescribed to elicit either a fixed [Formula: see text] per unit body mass (BM) or a fixed absolute [Formula: see text].

Methods: Ten boys (10-12 years) and 10 men (19-25 years) performed 4 × 20-min cycling at a fixed [Formula: see text] per BM (W kg(-1)) at 35 °C and 35 % relative humidity (MENREL).

Effects of postexercise milk consumption on whole body protein balance in youth.

In adults, adding protein to a postexercise beverage increases muscle protein turnover and replenishes amino acid stores. Recent focus has shifted toward the use of bovine-based milk and milk products as potential postexercise beverages; however, little is known about how this research translates to the pediatric population. Twenty-eight (15 girls) pre- to early pubertal (PEP, 7-11 yr) and mid- to late-pubertal (MLP, 14-17 yr) children consumed an oral dose of [(15)N]glycine prior to performing 2 × 20-min cycling bouts at 60% V̇O(2 peak) in a warm environment (34.

Effect of milk consumption on rehydration in youth following exercise in the heat.

Low-fat milk is thought to be an effective postexercise rehydration beverage in adults; however, little is known about milk's rehydration ability in children after exercising in the heat. This study tested the hypothesis that because of its electrolyte and protein content, skim milk (SM) would be more effective than both water (W) and a carbohydrate/electrolyte solution (CES) in replacing body fluid losses in children following exercise in the heat. Thirty-eight (19 females) heat-acclimated pre- to early pubertal (PEP, aged 7-11 years) and mid- to late-pubertal (MLP, aged 14-17 years) children performed 3 sessions in 34.

Design, implementation, and evaluation of a pediatric and adolescent type 2 diabetes management program at a tertiary pediatric center.

Global rates of type 2 diabetes in children and adolescents have increased significantly over the past three decades. Type 2 diabetes is a relatively new disease in this age group, and there is a dearth of information about how to structure treatment programs to manage its comorbidities and complications. In this paper, we describe the design and implementation of a personalized multidisciplinary, family-centered, pediatric and adolescent type 2 diabetes program at a tertiary pediatric center in Hamilton, Ontario, Canada.

Mild to moderate hypohydration reduces boys' high-intensity cycling performance in the heat.

Purpose: To evaluate the effect of 1 and 2 % hypohydration on high-intensity cycling performance of 10- to 12-year-old boys in the heat.

Methods: In a counterbalanced order, nine boys attended three sessions in which they cycled intermittently (6 × 10-min bouts at 40-45 % [Formula: see text]) in a climate chamber. During each session, environmental conditions and water intake were individually adjusted to achieve a target hypohydration level of 0, 1 or 2 %, based on change in body weight (BW).

Influence of pubertal stage on local sweating patterns of girls exercising in the heat.

The influence of puberty on sweating patterns of girls exercising in the heat is not known. Nine- to 17-year-old girls, representing 4 stages of breast development: T1 (n = 21); T2 (n = 22); T3 (n = 25); and T4 (n = 22), cycled for 20 min at 60% in 35 °C. The population density of heat activated sweat glands was higher in T1 vs T3 and T4 and in T2 vs T4.

Body weight changes in child and adolescent athletes during a triathlon competition.

We examined young athletes during a triathlon performed in a hot climate. Complete or partial data were available for 95 athletes competing in the National Triathlon Championship in Costa Rica. Mean ± SD for age and body weight (BW) were 13.

The effect of pain-free treadmill training on fibrinogen, haematocrit, and lipid profile in patients with claudication.

Objective: To assess the effect of pain-free treadmill training on changes of plasma fibrinogen, haematocrit, lipid profile, and walking ability in patients with claudication.

Design: Randomized control trial.

Methods: Sixty-eight patients with peripheral obstructive arterial disease and intermittent claudication (Fontaine stage II) were randomly assigned into the treadmill training (repetitive intervals to onset of claudication pain, three times a week) or a control group (no change in physical activity) over 3 months.

Voluntary fluid intake, hydration status, and aerobic performance of adolescent athletes in the heat.

We determined whether beverage flavoring and composition would stimulate voluntary drink intake, prevent dehydration, and maintain exercise performance in heat-acclimated adolescent males running in the heat. Eight adolescent (age, 13.7 ± 1.

Exercise capacity in pediatric patients with inflammatory bowel disease.

Objective: To examine exercise capacity in youth with Crohn's disease (CD) and ulcerative colitis (UC).

Study Design: Eleven males and eight females with CD and six males and four females with UC participated. Patients performed standard exercise tests to assess peak power (PP) and mean power (MP) and peak aerobic mechanical power (W(peak)) and peak oxygen uptake (VO(2peak)).

Voluntary drinking and hydration in trained, heat-acclimatized girls exercising in a hot and humid climate.

This study examined the effects of beverage composition on the voluntary drinking pattern, body fluid balance and body temperature responses of heat-acclimatized trained girls exercising intermittently in outdoor conditions (WBGT = 30.9 +/- 0.2 degrees C).

Voluntary drinking and hydration in non-acclimatized girls exercising in the heat.

The intent of this study was to assess the influence of drink flavor and composition on voluntary drinking and hydration status in girls exercising intermittently in the heat (35 +/- 1 degrees C, 45-50% relative humidity). Twelve physically active, nonacclimatized girls (9-12 years) performed three 3 h identical sessions, each consisting of four 20 min cycling bouts at 50% (VO(2max)), separated by 25 min of rest. One of the three beverages (chilled to 8-10 degrees C) was assigned to each session: unflavored water (W), grape-flavored water (FW) and grape-flavored water plus 6% carbohydrate and 18 mmol l(-1) NaCl (CNa).

Responses of children with cerebral palsy to treadmill walking exercise in the heat.

Purpose: When metabolic rate during arm-cranking in the heat is equated between children and adolescents with cerebral palsy (CP) and matched controls (CON), there are no relevant intergroup differences in heat strain. The metabolic rate, however, is known to be higher in CP during treadmill walking. The purpose of this study was to determine if during treadmill walking in the heat, the higher oxygen uptake (VO2), and thus greater metabolic heat production in those with CP would result in greater heat strain compared with able-bodied, matched CON.

Anaerobic muscle performance of children after long-term recovery from Guillain-Barré syndrome.

The aim of this study was to evaluate anaerobic muscle performance in children after long-term recovery from Guillain-Barré syndrome (GBS). Participants were recruited from all children and adolescents with GBS admitted to The Hospital for Sick Children, University of Toronto, Canada, between 1988 and 1995. We assessed 17 children (nine males, eight females; mean age at GBS diagnosis 7 years 11 months, SD 4 years 2 months; mean age at testing 14 years 1 month) more than two years after acute GBS.

Facial cooling enhances exercise-induced bronchoconstriction in asthmatic children.

Purpose: Exercising in cold air enhances bronchial responsiveness (BR) as compared with exercising in warm air. This may be due to intrathoracic cooling or to increased vagal activity caused by facial cooling. The purpose of this study was to compare the effects on BR of cold air inhalation and of facial exposure to cold air, as well as the combined effect of both.

Responses of children with cerebral palsy to arm-crank exercise in the heat.

Purpose: In response to passive heating, adults with hemispheric brain infarction demonstrate lower skin temperatures (Tsk) and higher sweating rates (SR) on the affected side. It is unknown whether children with similar conditions demonstrate a similar response and whether this response is advantageous to defending body temperature during exercise in the heat. The purpose of this study was to determine whether children with spastic cerebral palsy (CP) demonstrate less thermal strain than healthy peers during short (10 min each) bouts of arm cranking, a mode of exercise where metabolic rate can be matched between the two groups.

Temperature regulation during rest and exercise in the cold in premenarcheal and menarcheal girls.

Temperature regulation during exercise in the cold was examined in 13 adolescent female individuals, aged 13-18 yr. Six girls with established menstrual cycles comprised the eumenorrheic menarcheal (EM) group, and seven nonmenstruating girls comprised the premenarcheal (PM) group. During the first visit, maximal oxygen consumption (Vo(2 max)), height, weight, and percent body fat were measured.

Self-efficacy and perceived exertion of girls during exercise.

Background: An important national goal in Healthy People 2010 is to reduce the high prevalence of sedentary lifestyles and resultant overweight and obesity among girls.

Objectives: The purpose of the present study was threefold: (a) to determine if pre-exercise self-efficacy predicted girls' perceptions of exertion during exercise, (b) to determine if these perceptions, in turn, influenced postexercise self-efficacy, and (c) to assess if exercise self-efficacy increased following completion of an exercise task.

Methods: A sample of 103 girls, 8 to 17 years of age, pedaled 20 minutes on a cycle ergometer at 60% of their predetermined peak VO2 in a climatic chamber (90 degrees F, 50% relative humidity).