Pediatric Exercise Medicine: From Physiologic Principles to Healthcare Application examines 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. In turn, readers will recognize the factors that can influence children’s activity behavior, trainability, and performance.
The book contains three chapters related to the normal physiological and perceptual exercise responses of the healthy child. 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.
The book also has these features:
Extensive graphic interpretation of the data—more than 250 illustrations
Helpful reference tables
Six appendixes on normative data, methods, energy-equivalent tables for different activities,scaling for body size, and a glossary of terms.
In Pediatric Exercise Medicine: From Physiologic Principles to Healthcare Application, you’ll find content you can apply in your daily work as a therapist, exercise scientist, physician, or other professional. You’ll also find evidence-based rationale for the need for physical activity as a preventive measure and treatment of disease in children.
Part I: Exercise Physiology of the Healthy Child
Chapter 1. Physiologic and Perceptual Responses to Exercise in the Healthy Child
Size-Dependent and Size-Independent Differences
Metabolic Responses to Exercise in Children
Maximal Aerobic Power
Mechanical Efficiency and Economy Of Movement
O2 Uptake On-Transients
Recovery Following Exercise
Morphologic and Functional “Specialization”
Cardiovascular Response to Exercise
Pulmonary Response to Exercise
Effects of Growth and Maturation on Muscle Strength
Effects of Growth and Maturation on Bone
Perception of Exercise Intensity
Immune Responses to Exercise
Window of Opportunity for Trainability.
Training and the Bone
Physiologic Effect of Detraining
Chapter 2. Habitual Activity and Energy Expenditure in the Healthy Child
Physical Activity and Physical Fitness
Age and Maturational Changes in Physical Activity and Energy Expenditure
Effect of Age on the Amount of Physical Activity and Energy Expenditure
Gender Differences in Physical Activity and Energy Expenditure
Tracking of Habitual Physical Activity
What Is “Sufficient” Physical Activity?
Factors That Affect Physical Activity in Children and Adolescents
Chapter 3. Climate, Body Fluids, and The Exercising Child
Heat Stress and Heat Strain
Heat Production and Heat Exchange
Physiologic and Behavioral Means of Thermoregulation
Geometric and Physiologic Characteristics of Children Relevant to
Effectiveness of Thermoregulation and Heat Tolerance During Exercise
Physical and Physiologic Responses to Cold Climate
Temperature Regulation During Swimming
Implications of Cold Climate for Health
Acclimatization and Acclimation to Exercise in the Heat
Effect of Conditioning on Thermoregulation
Fluid and Electrolyte Balance
Health Hazards in Hot Climates
Guidelines for the Conduct of Athletic Events in the Heat
Guidelines for the Conduct of Athletic Events in the Cold
Part II: Clinical Perspectives of Children and Exercise
Chapter 4. Children and Exercise in a Clinical Context—an Overview
Habitual Activity and Disease
Disease as a Direct and Indirect Cause of Hypoactivity
"Non-Disease" as a Cause of Hypoactivity
Effects of Disease on Physical Fitness
Hypoactivity-Deconditioning-Hypoactivity: The Vicious Circle
Reduced Maximal Aerobic Power
High Metabolic Cost of Exercise
Exercise as a Diagnostic Tool in Pediatrics
Beneficial Effects of Physical Activity to the Child with a Chronic Disease
The Exercise Prescription
The Need for Motivation
Deleterious Effects of Exercise
Chapter 5. Physical Activity and Preventive Health Care in Children and Adolescents
The Exercise-Health Link in Adults
The Pediatric Rationale
Exercise in Children and Risk Factors for Adult Chronic Disease
Risk Factors and Exercise in Youth: Weighing the Evidence
Tracking of Physical Activity
Defining Exercise Promotion Strategies
Part III: Exercise and the Child with a Chronic Disease
Chapter 6. Pulmonary Diseases
Bronchopulmonary Dysplasia (BPD)
Cystic Fibrosis (CF)
Chapter 7. Cardiovascular Diseases
Congenital Heart Disease
Noncongenital Heart Disease
Cardiac Exercise Rehabilitation Programs
Risks of Exercise
Cardiac Non-Disease in Children
Complete Heart Block and Pacemakers
Chapter 8. Endocrine Diseases
Type 1 Diabetes Mellitus
Type 2 Diabetes Mellitus
Growth Hormone Deficiency
Chapter 9. Nutritional Diseases
Chapter 10. Neuromuscular and Musculoskeletal Diseases
Chronic Fatigue Syndrome
Extremely Low Birth weight
Juvenile Idiopathic Arthritis
Chapter 11. Hematologic, Oncologic, and Renal Diseases
Bone Marrow Transplantation
Exercise and Cancer
Chronic Renal Disease
Chapter 12. Emotional and Mental Disorders
Scope of the Problem
An Overview of Exercise and Mental Health in Adults
Studies in Children and Adolescents
Reference for exercise scientists, exercise physiologists, dietitians, pediatricians, physical therapists, psychiatrists, family physicians, and occupational therapists.
The late Oded Bar-Or, MD, was a professor of pediatrics and founder and director of the Children's Exercise and Nutrition Centre at McMaster University in Hamilton, Canada. He had over 35 years of experience conducting research focused on the effects of physical activity and inactivity on the health, well-being, and physical performance of healthy children and those with chronic diseases. He received his MD degree from the Hebrew University in Jerusalem, Israel.
Dr. Bar-Or served as president of the Canadian Association of Sports Sciences, president of the International Council for Physical Fitness Research, and vice president of the American College of Sports Medicine (ACSM). He also chaired the Foundation for Active Healthy Kids.
A widely published author, he earned the ACSM's Citation Award in 1997 and the North American Society for Pediatric Medicine's Honor Award in 1998. In 2000, he received an honorary doctorate from the University of Blaise Pascal in France.
Thomas Rowland, MD, is director of pediatric cardiology at the Baystate Medical Center in Springfield, Massachusetts, where he established an exercise-testing laboratory. He is a pediatric cardiologist with extensive research experience in the exercise physiology of children.
Dr. Rowland is author of Developmental Exercise Physiology (1996) and Pediatric Laboratory Exercise Testing: Clinical Guidelines (1993) and editor of Pediatric Exercise Science. He is a former president of the North American Society for Pediatric Exercise Medicine (NASPEM) and a former member of the board of trustees of the American College of Sports Medicine (ACSM). He is a former president of the New England Chapter of the ACSM and received the Honor Award in 1993.
Dr. Rowland received BS and MD degrees from the University of Michigan in 1965 and 1969.
"This is an excellent and worthy successor to the original published over 20 years ago. It should have broad appeal for many different professionals in an area with few other comprehensive resources available." Michael White, MD, PhD Ochsner Clinic Foundation