Pediatric Exercise Medicine: From Physiologic Principles to Health Care Application / Edition 1

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Pediatric Exercise Medicine: From Physiologic Principles to Healthcare Application draws from the most current research activity in the area to examine 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: From Physiologic Principles to Healthcare Application 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.

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Editorial Reviews

Doody's Review Service
Reviewer: Michael G White, MD (Ochsner Clinic Foundation)
Description: This is a follow-up of Pediatric Sports Medicine for the Practitioner published in 1983. It is a very timely, if somewhat overdue, update reviewing and presenting the implications of the huge body of literature generated since the first publication. This book takes a broad approach to exercise physiology in both healthy normal children and those with specific, disease related concerns.
Purpose: The main objective of this second edition is, therefore, to further bridge the gap between the exercise scientist and the health practitioner. "This is a very worthy goal since very little information regarding this subject is included in the standard pediatric medical literature and most pediatric residency programs devote very little attention to this very important aspect of child development. This book is a comprehensive and readable resource to address this deficiency of most pediatric education."
Audience: The book is clearly directed at those with healthcare training including physicians, physical therapists, exercise physiologists, and other allied healthcare providers interested in advising parents regarding appropriate expectations for training or rehabilitating children. The review on the cover suggests that coaches might also benefit from this book, although most would probably find the reading tedious and overly technical with little straightforward practical advice.
Features: This book takes a broad approach to exercise in children starting with the basic evaluation and testing techniques as applied to specific age groups. This information is then applied to an evaluation of age-appropriate expectations. The implications of these expectations are then reviewed in light of specific disease processes. Finally, an extensive appendix of age-related norms is provided for reference.
Assessment: 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.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780880115971
  • Publisher: Human Kinetics Publishers
  • Publication date: 7/1/2004
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 520
  • Product dimensions: 8.50 (w) x 11.00 (h) x 1.18 (d)

Meet the Author

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.

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Table of Contents

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

-Anaerobic Exercise

-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

-Prolonged Exercise

-Warm-Up Effect

-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

-Sweating Pattern

-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

-Systemic Hypertension
Chapter 8. Endocrine Diseases

-Type 1 Diabetes Mellitus

-Type 2 Diabetes Mellitus

-Growth Hormone Deficiency
Chapter 9. Nutritional Diseases

-Anorexia Nervosa


Chapter 10. Neuromuscular and Musculoskeletal Diseases

-Cerebral Palsy

-Chronic Fatigue Syndrome


-Extremely Low Birth weight

-Juvenile Idiopathic Arthritis

-McArdle's Disease


-Muscular Dystrophy

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


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