Deleterious effects of obesity on physical fitness in pre-pubertal children.

The prevalence of obesity in children has increased dramatically during the past decades in Europe and understanding physical fitness and its components in children is critical to design and implement effective interventions. The objective of the present study was to analyse the association between physical fitness (aerobic, speed, agility, power, flexibility and balance) and body mass index (BMI) in pre-pubertal children. A total of 2411 healthy schoolchildren (7-11 years) participated in this study. Anthropometric characteristics and body composition were assessed by skinfold thickness. Physical fitness was measured by nine physical fitness tests: endurance running, 20 m running speed, agility, handgrip strength, standing long jump and squat jump, sit and reach, medicine ball forward throw and static balance. No relevant differences were observed between boys and girls regarding anthropometric characteristics, body composition and physical fitness. However, overweight and obese children showed significantly lower physical fitness levels in endurance running, speed and agility (mean: +18.8, +5.5 and +14.5% of time to complete tasks, respectively), lower limb power normalised to body mass (-23.3%) and balance tests (number of falls: +165.5%) than their normal weight counterparts. On the other hand, obesity did not affect handgrip, throwing and flexibility. In conclusion, increased BMI was associated with lower performance capabilities limiting proper motor skill development, which directly affects the ability of children to take on sports skills. Actions undertaken to promote children's wellness and fitness should be prioritised and introduced early in life with the aim of enhancing physical fitness as well as preventing overweight and obesity.

Whole-body glucose oxidation rate during prolonged exercise in type 1 diabetic patients under usual life conditions.

OBJECTIVE: Fuel oxidation during exercise was studied in type 1 insulin-dependent (T1DM) patients mainly under quite constant insulin and glycemia; these protocols, however, likely do not reflect patients' usual metabolic conditions. The glucose oxidation rate (GLUox) in T1DM patients under usual life conditions was thus investigated during prolonged exercise (3-h) and its behavior was described mathematically. MATERIALS/METHODS: Whole-body GLUox was determined in eight T1DM patients (4/8 M; aged 35-59 years) and eight well-matched healthy subjects. Venous blood was drawn prior to and every 30 min until the end of exercise; glycemia, insulin, cortisol, and growth hormone concentrations were determined. Oxygen consumption, carbon dioxide production, and ventilation were measured at rest and thereafter every 30 min of the exercise. To prevent hypoglycemia, patients were given fruit fudge (93% sucrose) prior to / during exercise. RESULTS: Insulin concentration and glycemia were significantly higher in patients across the entire exercise period (group effect, p<0.001 for both). GLUox decreased significantly with increasing exercise duration (time effect, p<0.001), but no significant difference was detected between the two groups (group effect, p=NS). GLUox, expressed as the percentage of the starting value, was described by an exponential function showing a time constant of 90 min (n=96; mean corrected R(2)=0.666). CONCLUSIONS: GLUox in T1DM patients was not significantly different from the rate observed in the control subjects. The function describing the time course of GLUox may be useful to correct an estimated GLUox for the duration of exercise and help T1DM patients avoiding exercise-induced glycemic imbalances.

Energy cost and metabolic power in elite soccer: a new match analysis approach.

PURPOSE: Video match analysis is used for the assessment of physical performances of professional soccer players, particularly for the identification of "high intensities" considered as "high running speeds." However, accelerations are also essential elements setting metabolic loads, even when speed is low. We propose a more detailed assessment of soccer players' metabolic demands by video match analysis with the aim of also taking into account accelerations. METHODS: A recent study showed that accelerated running on a flat terrain is equivalent to running uphill at constant speed, the incline being dictated by the acceleration. Because the energy cost of running uphill is known, this makes it possible to estimate the instantaneous energy cost of accelerated running, the corresponding instantaneous metabolic power, and the overall energy expenditure, provided that the speed (and acceleration) is known. Furthermore, the introduction of individual parameters makes it possible to customize performance profiles, especially as it concerns energy expenditure derived from anaerobic sources. Data from 399 "Serie-A" players (mean +/- SD; age = 27 +/- 4 yr, mass = 75.8 +/- 5.0 kg, stature = 1.80 +/- 0.06 m) were collected during the 2007-2008 season. RESULTS: Mean match distance was 10,950 +/- 1044 m, and average energy expenditure was 61.12 +/- 6.57 kJ x kg(-1). Total distance covered at high power (>20 W x kg(-1)) amounted to 26% and corresponding energy expenditure to approximately 42% of the total. "High intensities" expressed as high-power output are two to three times larger than those based only on running speed. CONCLUSIONS: The present approach for the assessment of top-level soccer players match performance through video analysis allowed us to assess instantaneous metabolic power, thus redefining the concept of "high intensity" on the basis of actual metabolic power rather than on speed alone.