Boys-men mean-power-frequency differences in progressive exercise to exhaustion, confounded by variability and adiposity.

BACKGROUND: Only scant research has compared children's mean power frequency (MPF) to adults', with a clear overview still lacking. A significant obstacle has been MPF's high variability, which this study aimed to overcome by elucidating the MPF characteristics distinguishing boys from men in progressive exhaustive exercise. METHODS: Electromyographic (EMG) data of 20 men (23.5 ± 2.5yrs) and 17 boys (10.2 ± 1.0 yrs), who performed progressively exhausting, intermittent isometric knee extensions, were subjected to secondary MPF analysis. Participants' vastus lateralis MPF data series were transformed to third-order polynomial regressions and expressed as percentages of the peak polynomial MPF values (%MPFpeak). The resulting curves were compared at 5-% time-to-exhaustion (TTE) intervals, using repeated-measures ANOVA. Raw MPFpeak values were adiposity corrected to 0% fat and used to convert the %MPFpeak data back to absolute MPF values (Hz) for estimating muscle-level MPF. RESULTS: No overall interaction or group effects could be shown between the %MPFpeak plots, but pairwise comparisons revealed significantly higher men's values at 50-70%TTE and lower at 100%TTE, i.e. boys' shallower MPF rise and decline. The adiposity-corrected boys' and men's composite MPF values peaked at 125.7 ± 2.5 and 166.0 ± 2.4 Hz, respectively (110.7 ± 1.7 and 122.5 ± 2.1 Hz, uncorrected), with a significant group effect (p < 0.05) and pairwise differences at all %TTE points. CONCLUSIONS: The boys were lower than the men in both the observed and, more so, in the adiposity-corrected MPF values that presumably estimate muscle-level MPF. The boys' shallower MPF rise and decline conform to children's claimed type-II motor-unit activation and/or compositional deficits and their related known advantage in muscular endurance.

Functional threshold power and the critical-power controversy.

Scrutinizing functional threshold power via controversial concepts leads to confusion and discreditation of a valuable performance marker. This letter attempts to sort out the controversies.

Reporting of Adverse Events in Muscle Strengthening Interventions in Youth: A Systematic Review.

Clear definition, identification, and reporting of adverse event (AE) monitoring during training interventions are essential for decision making regarding the safety of training and testing in youths. PURPOSE: To document the extent to which AEs, resulting from intervention studies targeting muscle strengthening training (MST) in youth, are reported by researchers. METHODS: Electronic databases (CINAHL, PubMed, SPORTDiscus, and Web of Science) were searched for English peer-reviewed articles published before April 2018. Inclusion criteria were: (1) average age <16 years, (2) use of MST, (3) statement(s) linked to the presence/absence of AEs, and (4) randomized controlled trials or quasi-experimental designs. Risk of reporting bias for AEs followed recommendations by the Cochrane Collaboration group. RESULTS: One hundred and ninety-one full-text articles were screened. One hundred and thirty met all MST criteria, out of which only 44 (33.8%; n = 1278, age = 12.1 [1.1] y) included a statement as to the presence/absence of adverse events. The 86 other studies (66.2%) included no such statement. Of the reporting 44 studies, 18 (40.1%) indicated one or more adverse events. Of the 93 reported adverse events, 55 (59.1%) were linked to training or testing. CONCLUSIONS: Most MST studies in youth do not report presence/absence of adverse events, and when reported, adverse events are not well defined.

A critical review of critical power.

The elegant concept of a hyperbolic relationship between power, velocity, or torque and time to exhaustion has rightfully captivated the imagination and inspired extensive research for over half a century. Theoretically, the relationship's asymptote along the time axis (critical power, velocity, or torque) indicates the exercise intensity that could be maintained for extended durations, or the "heavy-severe exercise boundary". Much more than a critical mass of the extensive accumulated evidence, however, has persistently shown the determined intensity of critical power and its variants as being too high to maintain for extended periods. The extensive scientific research devoted to the topic has almost exclusively centered around its relationships with various endurance parameters and performances, as well as the identification of procedural problems and how to mitigate them. The prevalent underlying premise has been that the observed discrepancies are mainly due to experimental 'noise' and procedural inconsistencies. Consequently, little or no effort has been directed at other perspectives such as trying to elucidate physiological reasons that possibly underly and account for those discrepancies. This review, therefore, will attempt to offer a new such perspective and point out the discrepancies' likely root causes.

Skin Blood Flow Responses to Acetylcholine, Local Heating, and to 60% VO2max exercise with and without Nitric Oxide inhibition, in Boys vs. Girls.

PURPOSE: To determine sex-related differences in the skin blood flow (SkBF) response to exercise, local heating, and acetylcholine (ACh) in children, and to assess nitric oxide contribution to the SkBF response. METHODS: Forearm SkBF during local heating (44°C), ACh iontophoresis, and exercise (30-min cycling and 60% of maximum oxygen consumption) was assessed, using laser Doppler fluxmetry, in 12 boys and 12 girls (7-13 y old), with and without nitric oxide synthase inhibition, using Nω-nitro-L-arginine methyl ester iontophoresis. RESULTS: Local-heating-induced and ACh-induced SkBF increase were not different between boys and girls (local heating: 1445% [900%] and 1432% [582%] of baseline, P = .57; ACh: 673% [434%] and 558% [405%] of baseline, respectively, P = .18). Exercise-induced increase in SkBF was greater in boys than girls (528% [290%] and 374% [192%] of baseline, respectively, P = .03). Nω-nitro-L-arginine methyl ester blunted the SkBF response to ACh and during exercise (P < .001), with no difference between sexes. CONCLUSION: SkBF responses to ACh and local heat stimuli were similar in boys and girls, while the increase in SkBF during exercise was greater in boys. The apparent role of nitric oxide was not different between boys and girls. It is suggested that the greater SkBF response in boys during exercise was related to greater relative heat production and dissipation needs at this exercise intensity. The response to body size-related workload should be further examined.

Increase in Volitional Muscle Activation from Childhood to Adulthood: A Systematic Review and Meta-analysis.

INTRODUCTION: Children's maximal muscle strength is consistently lower than adults', even when normalized to body size. Lower volitional muscle activation (VA) in children is often considered one of the main reasons for age-related differences in muscular performance. However, some recent studies have reported similar VA in children and adults, bringing into question whether there is indeed an age-related increase in VA. The purpose of this review was to determine the effect of age on VA during maximal isometric contractions. METHODS: Literature examining VA differences, using twitch interpolation in children (7-14 yr) and adults (16-28 yr), was systematically reviewed. Of the 1915 studies initially identified, 19 data sets were eligible for inclusion in the qualitative analysis and 14 in the quantitative meta-analysis (comprising 207 children and 193 adults). RESULTS: Significantly lower VA in children was reported in 9/19 (47%) studies. A random-effects meta-analysis found a strong effect of age on VA, supporting lower VA in children compared with adults (Hedges' g = 1.55; confidence interval: 0.9-2.13). Moderator analysis included muscle group, sex, children's age, stimulation number (singlet, multiple), type (electric, magnetic), and location (muscle, nerve), of which only muscle group was significant (P < 0.001). A significant Egger's regression test and asymmetrical funnel plot suggest that publication bias may be present. CONCLUSIONS: Overall, these findings suggest that compared with adults, children activate their motor-unit pool less compared with adults. Moreover, that the degree of VA increase with age may be influenced by the muscle examined (upper vs lower extremity). However, more research is needed to elucidate the influence of this possible factor, as the current review contains limited data from upper body muscles. The developmental mechanism responsible for children's lower VA requires further research.

On the reliability and validity of central fatigue determination.

Physical performance fatigue can be ascribed to both peripheral and central components. Central fatigue, however, is an elusive entity, consisting of cognitive/sensory component and presumably also a neuro-physiological component that are difficult to tease apart and assess independently of each other. The most widely accepted method for the assessment of central fatigue is based on the premise that decreasing volitional muscle activation (VA), as determined by the interpolated twitch technique (ITT) in fatiguing muscles, reflects increasing central fatigue. Suffering its own shortcomings, the validity of VA determination under fatigued conditions has never been proven and is only assumed. This review presents evidence that questions ITT's reliability and validity in reflecting VA in the fatiguing muscle and, consequently, VA's validity for central fatigue assessment. Specifically highlighted is the paradox of children and endurance athletes, who share striking endurance characteristics, being claimed as more centrally fatigable than untrained adults. Further research and new directions are needed for confirming and quantifying central fatigue and teasing apart its psychologic and neuromotor components.

Isometric-based EMG threshold in girls and women.

BACKGROUND: The electromyographic threshold (EMGTh) has been suggested to indicate the onset of accelerated higher-threshold (type-II) MU recruitment. Previous research has demonstrated that boys' EMGTh occurs at higher relative exercise intensities than men's in both cycling- and isometric-based testing. Girls‒women EMGTh differences were demonstrated only in cycling, but findings were clouded by low EMGTh-detection rates in women (68%) and particularly in girls (45%) PURPOSE: To examine the EMGTh, in girls and women, using the same males-employed isometric-based test protocol, and compare the females' findings with those previously obtained in the males. METHODS: Seventeen girls and 17 women had their EMGTh determined as well as their one-repetition-maximum isometric knee-extension strength (1RM). Vastus-lateralis sEMG root mean square was recorded and the EMGTh was defined as the exercise intensity (%1RM) at the bi-segmental point of the least sum of squares. RESULTS: EMGTh was detected in 88.2% of girls and 94.1% of women and occurred at higher relative intensities in the girls than in women (56.0 ± 11.1 vs. 47.7 ± 8.0% 1RM). The girls' 1RM (normalized to lean body mass) was only 69.1% that of the women. CONCLUSIONS: Girls' EMGTh values are higher compared with women's, possibly reflecting lower ability to activate higher-threshold (type-II) motor units. The females' EMGTh and detection-rate values were similar to the corresponding values previously observed in males. The females' age-related difference in the recruitment of higher-threshold motor units, as reflected by the EMGTh, appears to be on par with the males.

[STRENGTH TRAINING IN CHILDREN].

INTRODUCTION: The approach to strength training in children still suffers from reliance on misguided notions claiming them as being ineffective and more conducive to injuries than in adults. Not only are those notions wrong, but children's response to strength training is actually rather similar to that in adults, although they don't gain as much muscle mass. Under proper guidance and supervision, the resistance-training-related incidence of injury is not higher in children than in adults. Strength training has other benefits for children, beyond the actual strength improvement. It can help reduce the risk of activity-related injuries, in general, and especially in other sports. In overweight youth, it can also improve the metabolic profile and help in the management of conditions such as diabetes, contribute to the prevention or attenuation of obesity, and may even improve mental health.

Isometric-based test improves EMG-threshold determination in boys vs. men.

BACKGROUND: Children have been hypothesized to utilize higher-threshold (type-II) motor units (MUs) to a lesser extent than adults. Two recent studies, using a cycling-based EMG-threshold (EMGTh) protocol, supported the hypothesis, showing children's EMGTh intensities to be higher than adults'. Conclusions, however, were hampered by children's low EMGTh detection rates. Insufficiently high contractile forces at exhaustion were postulated as the reason for non-detection, predominantly in children. An intermittent isometric contraction test (IICT) protocol facilitates higher contractile forces prior to exhaustion and was shown effective in EMGTh testing of adults. PURPOSE: Determine whether an IICT protocol would enhance EMGTh detection in children, and consequently increase the magnitude of the previously observed child-adult EMGTh differences. METHODS: 18 boys and 21 men completed one-repetition-maximum (1RM) isometric knee-extension test. The IICT protocol followed, commencing at 25%1RM and comprising five isometric contractions per load, incremented by ~ 3%1RM to exhaustion. Vastus lateralis surface EMG was recorded and EMGTh, expressed as %1RM, was defined as the onset of the EMG-response's steeper segment. RESULTS: EMGTh was detected in 88.9% of boys and 95.2% of men, and occurred at higher relative intensities in boys (56.4 ± 9.2%1RM) than in men (46.0 ± 6.8%1RM). This 10.4% difference was 57% greater than the corresponding, previously reported cycling-based age-related difference. CONCLUSIONS: With the boys' detection rate nearly on par with the men's, the IICT protocol appears to overcome much of the intensity limitation of cycling-based protocols and provide a more sensitive EMGTh detection tool, thus extending the previously observed boys‒men difference. This difference adds supports to the notion of children's more limited type-II MU recruitment capacity.

Measurement and Interpretation of Maximal Aerobic Power in Children.

The assessment of maximal aerobic power ( V˙O2max ) in both children and adults is an invaluable tool for the evaluation of exercise performance capacity and general physical fitness in clinical, athletic, public health, and research applications. The complexity of means and considerations, as well as varying specific aims of V˙O2max testing, has prevented the formulation of a universally applicable, standard testing protocol, in general, and for children in particular. Numerous tester-controllable factors, such as exercise modality, metabolic measurement system, testing protocol, or data reduction strategies, can affect both the measurement and interpretation of V˙O2max data. Although the general guiding principles are similar, children differ from adults in several aspects. One notable difference is the frequent absence of a discernible V˙O2 plateau in children. Thus, the proper choice of equipment and procedures may be different for children than for adults. It is therefore the aim of this article to highlight the general and pediatric-specific considerations that may affect V˙O2max measurement and interpretation of results.

Effects of Plyometric and Resistance Training on Muscle Strength, Explosiveness, and Neuromuscular Function in Young Adolescent Soccer Players.

McKinlay, BJ, Wallace, P, Dotan, R, Long, D, Tokuno, C, Gabriel, D, and Falk, B. Effects of plyometric and resistance training on muscle strength, explosiveness, and neuromuscular function in young adolescent soccer players. J Strength Cond Res 32(11): 3039-3050, 2018-This study examined the effect of 8 weeks of free-weight resistance training (RT) and plyometric (PLYO) training on maximal strength, explosiveness, and jump performance compared with no added training (CON), in young male soccer players. Forty-one 11- to 13-year-old soccer players were divided into 3 groups (RT, PLYO, and CON). All participants completed isometric and dynamic (240°·s) knee extensions before and after training. Peak torque (pT), peak rate of torque development (pRTD), electromechanical delay (EMD), rate of muscle activation (Q50), m. vastus lateralis thickness (VLT), and jump performance were examined. Peak torque, pRTD, and jump performance significantly improved in both training groups. Training resulted in significant (p ≤ 0.05) increases in isometric pT (23.4 vs. 15.8%) and pRTD (15.0 vs. 17.6%), in RT and PLYO, respectively. During dynamic contractions, training resulted in significant increases in pT (12.4 and 10.8% in RT and PLYO, respectively), but not in pRTD. Jump performance increased in both training groups (RT = 10.0% and PLYO = 16.2%), with only PLYO significantly different from CON. Training resulted in significant increases in VLT (RT = 6.7% and PLYO = 8.1%). There were no significant EMD changes. In conclusion, 8-week free-weight resistance and plyometric training resulted in significant improvements in muscle strength and jump performance. Training resulted in similar muscle hypertrophy in the 2 training modes, with no clear differences in muscle performance. Plyometric training was more effective in improving jump performance, whereas free-weight RT was more advantageous in improving peak torque, where the stretch reflex was not involved.

Children's Aerobic Trainability and Related Questions.

In response to Armstrong's recent Special Topics review of "Top 10 Research Questions Related to Youth Aerobic Fitness," this commentary revisits some of the points raised, particularly in relation to the question of whether a child‒adult trainability difference does indeed exist. Discussed are the validity of much of the existing pediatric maximal oxygen consumption data upon which trainability conclusions are drawn, why differential trainability is likely a fact rather than a doubt, a reasoned novel approach to explaining the phenomenon, and how that explanation can bear upon and answer several of the other raised questions. The commentary is intended to inspire and encourage fresh thinking not only in relation to pediatric aerobic trainability, but more generally, regarding pediatric exercise physiology and performance and how they differ from those of adults.