Topic 16 (Children and Pregnant Women)

Question 1

Parental Responsibilities
- setting good ________, offering praise/interest/encouragement, getting involved, encouraging activity at ____ (no more than _ hrs/day of sedentary activity)

Answer 1

examples, home, 2hrs/day

Question 2

Activity changes with age
- Ages 6-9: should be _________ exercise (faster bursts of high intensity exercise, use of energy stored in muscles, i.e. glycogen), learning basic motor skills
- Ages 10-14 (_____ advanced before boys): individual and group activities, organized sports
- Ages 15-18: mature structure and function, physical activity becomes more structured

Answer 2

anaerobic
girls

Question 3

Children Exercise Testing
- field tests, clinical testing (in some cases)
- Absolute/total values (i.e. VO2max) will be _____, relatively their values are higher
- Increase in VO2max with training is ____ than in children compared to adults
- Exercise plan should be dependent on developmental level: > 6 yrs/old - greater than or equal to __ min of moderate or vigorous intensity daily (with emphasis on ____ loading/impact exercises); < 6 yrs/old - emphasize active play

Answer 3

lower
less
60 min, bone

Question 4

Children Resistance Training
- Focus on _________, proper supervision careful progression
- Intense weightlifting is not recommended before age __: risk of stunting growth (i.e. force of contraction risks ________ in the growth plate and continued growth of the bone)
- Focused on improving neuromuscular, not aiming for ___________
- Intensity: avoid 1 RM lifts before ________, weight should allow for greater than or equal to 8 reps per set. Increase ____ before load in this population
- Frequency: greater than or equal to _ x wk
- Considerations: higher incidence of ________, ensure appropriate competitive level, equipment size (not too big), start with ___ intensity and progress gradually

Answer 4

technique
15, fracture
hypertrophy
puberty
reps
3 x wk
injuries, low

Question 5

Children Thermoregulation
- _________ risk of hypothermia (body temp too ___)
- higher body surface area to weight ratio (esp. in swimmers)
- Increased risk of hyperthermia (body temp too ____)
- less sweat, higher heat per kg of body weight, generally drink less _____ (i.e. water)

Answer 5

increased, low
high
fluid

Question 6

Pregnant Women Exercise
- no data indicating the _________ should be limited
- If women exercises prior to pregnancy: base exercise plan on ________ and comfort, greater than or equal to 20-30 min of exercise most or all days of week (strength and aerobic training)
- If women is pregnant then begins exercise: may need _____ duration and/or intensity, begin during ______ trimester (c. months 4-6)
Potential Benefits
- cardiovascular and muscular fitness
- easier recovery from labor
- shorter active phase of labor & decreased pain
- Decreased ______ gain, back pain. _______ return to pre-pregnancy weight, strength and flexibility
- fewer obstetric interventions (ex. C section
- improved digestion & reduced constipation

Answer 6

intensity
symptoms
lower
second
weight, quicker

Question 7

ACOG Recommendations Pregnant Women
- regular exercise (most or all days of the week) greater than or equal to 20-30 mins rather than _____________ exercise.
- Women should avoid exercise in the ______ position after the first trimester; avoid prolonged standing
- ____ oxygen available: modify intensity based on symptoms; do not use __ to set intensity, use RPE 13-14 (somewhat hard) out of 20.
- Do not exercise when fatigued or to exhaustion
- morphologic changes = relative contraindication: loss of balance, especially during the _____ trimester
- Avoid potential for abdominal trauma; aim for additional ___ kcal/day; avoid heat (esp. during 1st trimester); changes of pregnancy persist 4-6 weeks post-partum (pre-pregnancy exercise resumed gradually)

Answer 7

intermittent
supine
HR
third
300 kcal/day

Question 8

True or False: it would be developmentally appropriate to have a 6 year-old run a mile for fitness.

Answer 8

False