WHAT'S KNOWN ON THIS SUBJECT: Levels of daily physical activity in children are decreasing worldwide. This implies risk factors for cardiovascular and metabolic diseases.WHAT THIS STUDY ADDS: Strength training makes children not only stronger but significantly increases their daily spontaneous physical activity outside the training intervention. abstract BACKGROUND: In developed societies levels of daily physical activity (PA) among school-age children are decreasing. This implies risk factors for cardiovascular and metabolic diseases. Specific strategies to improve levels of PA are needed. In prepubertal boys there is evidence that strength training increases spontaneous PA outside of training.
METHODS:A total of 102 schoolchildren (age 10-14 years) in Switzerland were randomly assigned to physical education classes or to participate twice weekly at a guided strength training program for 19 weeks. Spontaneous PA energy expenditure (PAEE; 3axial accelerometry for 7 days), leg and arm strength, and body composition (dual energy radiograph absorptiometry) were measured at baseline, after 19 weeks of training intervention, and after 3 months of washout.RESULTS: There were no significant differences between the groups at baseline. In the intervention group, PAEE increased by 10% from baseline to end of training in boys (P = .02), but not in girls. Leg and arm strength were increased owing to training intervention in both boys and girls. All other variables were unchanged. Baseline PAEE was significantly negatively correlated with changes of PAEE.
CONCLUSIONS:Targeted strength training significantly increases daily spontaneous PA behavior in boys. The less active children showed the greatest increase in spontaneous PAEE. Girls showed a similar increase in strength, but not in spontaneous PAEE. This may be explained by their earlier pubertal development. Strength training may be a promising strategy in schools to counteract decreasing levels of PA. Pediatrics 2013;132:1105-1111 AUTHORS: Udo Meinhardt, MD, Fabienne Witassek, MSc, Renato Petrò, BSs, Chris Fritz, BSs, and Urs Eiholzer, MD PEZZ Center for Pediatric Endocrinology Zurich, Zurich, Switzerland KEY WORDS spontaneous physical activity, children, puberty, strength training ABBREVIATIONS BA-bone age FM-fat mass LBM-lean body mass PA-physical activity PAEE-physical activity energy expenditure PE-physical education PWS-Prader-Willi syndrome SDS-standard deviation score Dr Meinhardt conceptualized and designed the study, designed the data collection instruments, carried out the initial data analyses, and revised the manuscript; Ms Witassek conceptualized and designed the study, analyzed output data, and revised the manuscript; Mr Petrò conceptualized and designed the study, coordinated and supervised data collection, and revised the manuscript; Mrs Fritz conceptualized and designed the study, analyzed data, and revised the manuscript; Dr Eiholzer conceptualized and designed the study, analyzed and interpreted data, and revised the manuscript; and all authors approv...