Pediatric exercise medicine : from physiologic principles to health care application / Oded Bar-Or, Thomas W. Rowland.

Format:

Book

Author/Creator:

Bar-Or, Oded.

Contributor:

Rowland, Thomas W.

Language:

English

Subjects (All):

Exercise therapy for children.

Exercise for children.

Exercise.

Adolescent.

Exercise--physiology.

Child.

Exercise Therapy.

Exertion.

Medical Subjects:

Exercise.

Adolescent.

Exercise--physiology.

Child.

Exercise Therapy.

Exertion.

Physical Description:

xviii, 500 pages : illustrations, form ; 29 cm

Place of Publication:

Champaign, IL : Human Kinetics, [2004]

Summary:

Pediatric Exercise Medicine draws from the most current research to examine physical activity as a prerequisite to the good health and physical performance of children. The book also considers the effects of lack of exercise on children and the relevance of exercise to clinical pediatrics for children with chronic diseases. While Pediatric Exercise Medicine emphasizes clinically related issues, it provides comprehensive coverage of the child-exercise-health triad of importance to all professionals serving young people. The text identifies current research in the area of pediatric exercise. It also helps the reader to compare the exercise responses of healthy children to the responses of children with clinical impairments. Readers will recognize the factors that can influence children's trainability and performance. The book contains three chapters covering the normal physiologic and perceptual responses of the healthy child to exercise. The next nine chapters consider the effects of exercise on children with clinical impairments, including asthma, diabetes, cerebral palsy, and obesity.

A special feature is the coverage of children's trainability and the factors that can influence performance. The information, including environmental stressors on children, will be of interest to scholars and students as well as to coaches working in this area. Pediatric Exercise Medicine also features the following: Extensive graphic interpretation of the data-more than 250 illustrations Helpful reference tables Six appendixes on normative data, methods, energy-equivalent tables for various activities, scaling for body size, and a glossary of terms. In Pediatric Exercise Medicine, you'll find content you can apply in your daily work as a physician, therapist, exercise scientist, or other health professional. You'll also find evidence supporting physical activity as a preventive measure against injury and disease in children.

Contents:

Part I Exercise Physiology of the Healthy Child

Chapter 1 Physiologic and Perceptual Responses to Exercise in the Healthy Child 3

Size-Dependent and Size-Independent Differences 4

Metabolic Responses to Exercise in Children 4

Maximal Aerobic Power 5

Mechanical Efficiency and Economy of Movement 7

Anaerobic Exercise 12

O[subscript 2] Uptake On-Transients 18

Recovery Following Exercise 19

Morphologic and Functional "Specialization" 22

Cardiovascular Response to Exercise 23

Pulmonary Response to Exercise 31

Effects of Growth and Maturation on Muscle Strength 35

Effects of Growth and Maturation on Bone 37

Prolonged Exercise 38

Warm-Up Effect 39

Perception of Exercise Intensity 40

Immune Response to Exercise 44

Training 46

Window of Opportunity for Trainability 50

Training and the Bone 58

Physiologic Effect of Detraining 58

Chapter 2 Habitual Activity and Energy Expenditure in the Healthy Child 61

Physical Activity and Physical Fitness 62

Age and Maturational Changes in Physical Activity and Energy Expenditure 62

Gender Differences in Physical Activity and Energy Expenditure 64

Tracking of Habitual Physical Activity 65

Factors That Affect Physical Activity in Children and Adolescents 66

Chapter 3 Climate, Body Fluids, and the Exercising Child 69

Heat Stress and Heat Strain 69

Heat Production and Heat Exchange 70

Physiologic and Behavioral Means of Thermoregulation 71

Geometric and Physiologic Characteristics of Children Relevant to Thermoregulation 71

Sweating Pattern 73

Effectiveness of Thermoregulation and Heat Tolerance During Exercise 77

Physical and Physiologic Responses to Cold Climate 79

Implications of Cold Climate for Health 82

Acclimatization and Acclimation to Exercise in the Heat 82

Effect of Training on Thermoregulation 84

Fluid and Electrolyte Balance 84

Health Hazards in Hot Climates 91

Guidelines for the Conduct of Athletic Events in the Heat 99

Guidelines for the Conduct of Athletic Events in the Cold 101

Part II Clinical Perspectives of Children and Exercise

Chapter 4 Children and Exercise in a Clinical Context-an Overview 105

Habitual Activity and Disease 105

Disease As a Direct and Indirect Cause of Hypoactivity 106

"Non-Disease" As a Cause of Hypoactivity 107

Effects of Disease on Physical Fitness 107

Exercise As a Diagnostic Tool in Pediatrics 110

Beneficial Effects of Physical Activity for the Child With a Chronic Disease 111

The Exercise Prescription 112

The Need for Motivation 114

Deleterious Effects of Exercise 114

Chapter 5 Physical Activity and Preventive Health Care in Children and Adolescents 117

The Exercise-Health Link in Adults 118

The Pediatric Rationale 121

Exercise in Children and Risk Factors for Adult Chronic Disease 122

Risk Factors and Exercise in Youth: Weighing the Evidence 129

Tracking of Physical Activity 131

Defining Exercise Promotion Strategies 132

Part III Exercise and Pediatric Diseases

Chapter 6 Pulmonary Diseases 139

Asthma 139

Bronchopulmonary Dysplasia 161

Cystic Fibrosis 162

Chapter 7 Cardiovascular Diseases 177

Congenital Heart Disease 177

Noncongenital Heart Disease 193

Cardiac Exercise Rehabilitation Programs 198

Risks of Exercise 199

Cardiac Non-Disease in Children 206

Complete Heart Block and Pacemakers 210

Systemic Hypertension 213

Chapter 8 Endocrine Diseases 219

Type 1 Diabetes Mellitus 219

Type 2 Diabetes Mellitus 232

Growth Hormone Deficiency 233

Chapter 9 Nutritional Diseases 237

Anorexia Nervosa 237

Obesity 240

Undernutrition 263

Chapter 10 Neuromuscular and Musculoskeletal Diseases 269

Cerebral Palsy 269

Chronic Fatigue Syndrome 282

Epilepsy 282

Extremely Low Birth Weight 286

Juvenile Idiopathic Arthritis 288

McArdle's Disease 291

Myelomeningocele 292

Muscular Dystrophy 294

Scoliosis 301

Chapter 11 Hematologic, Oncologic, and Renal Diseases 305

Anemia 305

Hemophilia 313

Bone Marrow Transplantation 314

Exercise and Cancer 315

Chronic Renal Disease 317

Chapter 12 Emotional and Mental Disorders 323

An Overview of Exercise and Mental Health in Adults 325

Studies in Children and Adolescents 328

Appendix I Norms 337

Appendix II Procedures for Exercise Testing in Children 343

Appendix III Methods of Determining Physical Activity and Energy Expenditure 367

Appendix IV Energy Expenditure During Various Activities and Sports When Performed by Children and Adolescents 381

Appendix V Scaling for Size Differences 383.

Notes:

Includes bibliographical references (pages 389-482) and index.

ISBN:

0880115971

OCLC:

52639284