Content: Profile of the Overweight Child: Implications for Exercise Prescription Factors That Limit Physical Activity in Children Responses of the Obese Child to Exercise Implications to Exercise Prescription Summary References Aerobic Exercise Defining Cardiorespiratory Endurance Prescribing Aerobic Exercise to Overweight and Obese Youth Sample Class References Strength (Resistance) Training Muscular Strength and Endurance The Overload Principle Periodization Training Benefits of Strength Training in Youth Developing Strength Training Programs for Youth Adapting Strength Training to Overweight and Obese Children Sample Class References Flexibility Training Benefits of Flexibility Training Modifying Flexibility Exercise for Overweight and Obese Children Flexibility Training in Overweight Children with Bone and Joint Problems Ten-Week Flexibility Training Program Sample Class References Motivating Overweight Children to Increase Physical Activity Determinants to Physical Activity 118 Motivational Theories and Models for Encouraging Positive Behavior Change Motivational Techniques and Strategies to Increase Physical Activity in Overweight Youth Putting Research into Practice: Lesson Plans Tailored to Overweight and Obese Youth Using the Social Cognitive Theory Summary References Putting It All Together Developmentally Appropriate Physical Activity Tailoring Exercise Recommendations to Age, Overweight Level, and Associated Medical Problems Clinical Overview of a Typical Multicomponent Weight Management Program for Overweight Children 20-Week Exercise Curriculum for Group, Family, Clinical, and Home-Based Exercise Instruction Putting Research into Practice: Weekly Exercise Lesson Plans Tailored to Overweight and Obese Youth References Monitoring Progress The Importance of Regular Medical Monitoring and Self-Monitoring Tracking Obesity in Children Performing the Initial Medical Evaluation Ordering and Interpreting Laboratory Blood Work Provide Ongoing Medical Supervision Monitoring Patient Progress Evaluating Long-Term Progress References Measuring Health and Fitness Outcomes Appropriate and Reliable Protocols for Measuring Outcomes Anthropometrics and Body Composition Measurement of Resting Blood Pressure Measurement of Resting Heart Rate Laboratory Blood Work Measures of Physical Activity Level and Fitness Fundamental Movement Skill Competency Detailed Exercise Testing Protocols: Measurement of Fitness Measurement of Resting Metabolism: Resting Energy Expenditure and Respiratory Quotient Tanner Staging References What to Expect Metabolic Health Outcomes after Physical Activity and Exercise Training Biochemical, Anthropometric, Behavioral, and Fitness Outcomes Related to Physical Activity Current U.S. Evidence-Based Recommendations for Physical Activity References Future Trends in Exercise Research in Overweight and Obese Youth Primary Targets for Exercise Research in Overweight and Obese Children Factors That Inhibit Exercise in Overweight and Obese Youth Summary References Index
Abstract: Based on decades of scientific research and clinical experience, Safe and Effective Exercise for Overweight Youth provides a scientifically supported and clinically relevant source of information that clinical health care providers, educators, public health, and fitness professionals may use to promote physical activity in overweight and obese youth of all ages, including those with significant obesity and chronic health conditions, such as hypertension, asthma, and type 2 diabetes. It presents a best practices model for implementing clinical- and recreational-based physical activity interventions. The first five chapters offer an overview of the existing scientific literature supporting individualized, tailored exercise prescriptions for overweight and obese children with and without comorbidities. They also contain exercise instructions, illustrations, and sample lesson plans to improve cardiopulmonary endurance, muscular strength, power and endurance, and muscular flexibility. This information provides the basis for the recommendations provided in the subsequent chapters, which include specific guidelines for prescribing exercise to overweight children along with verbal cues or ''talking points,'' clinical reminders, and handouts to assist health care providers. The text provides a 40-week exercise curriculum with lesson plans, discusses the importance of regular medical and self-monitoring, and offers easy tools and techniques for health care providers to track a child?s progress. Chapters also supply detailed clinical and field protocols to aid in measuring health and fitness outcomes, describe realistic expectations, and present the U.S. recommendations for promoting physical activity and fitness in youth. The final chapter summarizes current studies to support future research on physical activity for the prevention and management of pediatric obesity