Scandinavian Journal of Medicine and Science in Sports · 2018 · 39 citations · 47 references
Life SciencesPediatricsPhysiologyExercise PhysiologyExercise TestingPhysical ActivityBody CompositionChildhood ObesityMuscle PhysiologyMuscle Strength AssessmentNeuromuscular Function AssessmentNeuromuscular PhysiologyIsokinetic Muscle Strength TestingMotor Unit ActivationMuscle CompositionMuscle Ultrasound Echo IntensityMuscle-specific CompositionOverweight In ChildhoodPediatric Muscle Strength AssessmentTissue Composition Analysis
Neuromuscular function in young overweight/obese (OF) children is not well described. AIM: This study examined isometric and isokinetic leg extensor strength, muscle size (mCSA) and tissue composition as measured via echo intensity (mEI), and motor unit (MU) firing rates in normal weight (NW) and OF children aged 7-10 years. METHODS: ) children volunteered to perform this study. Percentage body fat (%BF) was measured, and mCSA, mEI, and subcutaneous fat (sFAT) of the vastus lateralis (VL) was assessed. MU mean firing rates (MFRs) in relation to recruitment threshold (RT) of the VL were assessed during submaximal isometric contractions. Maximal isokinetic contractions were performed at 1.05 and 4.20 rad/s. The 95% confidence intervals (CI) from the statistical tests are presented. RESULTS: The OF children had greater %BF (95% CI = -15.1 to -7.2), mCSA (95% CI = -4.1 to -1.2), mEI (95% CI = -22.3 to -5.9), and sFAT (95% CI = -0.5 to -0.1), greater rate of strength loss with increasing isokinetic velocities (95% CI = 0.4 to 5.4), and a smaller range of MFRs (95% CI = 0.007 to 7.136) at the steady torque than the NW children. CONCLUSIONS: The OF children had poorer muscle tissue composition, greater velocity-related impairments in muscle strength, and a smaller range of MFRs at the targeted torque that may suggest altered MU recruitment strategies. Interventions in OF children should include exercises and recruit higher-threshold MUs, such as high-intensity resistance exercises.
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