Childhood obesity is one of the most serious public health challenges of the 21st century with far-reaching and enduring adverse consequences for health outcomes. Over 42 million children <5 years worldwide are estimated to be overweight (OW) or obese (OB), and if current trends continue, then an estimated 70 million children will be OW or OB by 2025. The purpose of this review was to focus on psychiatric, psychological, and psychosocial consequences of childhood obesity (OBy) to include a broad range of international studies. The aim was to establish what has recently changed in relation to the common psychological consequences associated with childhood OBy. A systematic search was conducted in MEDLINE, Web of Science, and the Cochrane Library for articles presenting information on the identification or prevention of psychiatric morbidity in childhood obesity. Relevant data were extracted and narratively reviewed. Findings established childhood OW/OBy was negatively associated with psychological comorbidities, such as depression, poorer perceived lower scores on health-related quality of life, emotional and behavioral disorders, and self-esteem during childhood. Evidence related to the association between attention-deficit/hyperactivity disorder (ADHD) and OBy remains unconvincing because of various findings from studies. OW children were more likely to experience multiple associated psychosocial problems than their healthy-weight peers, which may be adversely influenced by OBy stigma, teasing, and bullying. OBy stigma, teasing, and bullying are pervasive and can have serious consequences for emotional and physical health and performance. It remains unclear as to whether psychiatric disorders and psychological problems are a cause or a consequence of childhood obesity or whether common factors promote both obesity and psychiatric disturbances in susceptible children and adolescents. A cohesive and strategic approach to tackle this current obesity epidemic is necessary to combat this increasing trend which is compromising the health and well-being of the young generation and seriously impinging on resources and economic costs.
• Trend analyses have shown that obesity prevalence in Australia is increasing and will outrank UK and the USA by 2022. • Every third Australian child/adolescent between 5 and 19 years old is predicted to be classified as overweight or obese by 2025. • Childhood obesity is associated with multiple immediate physical and psychological health co-morbidities as well as co-morbidities in adulthood. These have often been identified and examined individually. What is New: • This paper presents a holistic picture of childhood obesity and the associated multiple co-morbidities in Australia. • The extensive health-related outcomes from childhood obesity and those requiring further research are identified. • The findings of this paper will influence the development of local/regional, state and national strategies to change Australia's future trajectory.
The analysis of variability both within and between performers can reveal important information about how athletes satisfy situational constraints. Transitory changes in the basketball free-throw shot were examined across different stages in skill development. Six female basketball players were selected, representing a range of playing expertise (pretest: 0-90% baskets scored). Each participant was video recorded performing 30 shots. Contrary to predictions, there was not a clear pattern of a reduction in trajectory variability with increasing skill level. However, improvements in skill level were associated with an increasing amount of intertrial movement consistency from the elbow and wrist joints. It is suggested that the angular motions of the elbow and wrist joints were compensated for each other toward the end of each throw to adapt to subtle changes in release parameters of the ball.
This systematic review and meta-analysis demonstrates that injury prevention programs that include NH exercises decrease the risk of hamstring injuries among soccer players. A protocol was registered in the International Prospective Register of Systematic Reviews, PROSPERO (CRD42015019912).
The validity and accuracy of the Biodex dynamometer was investigated under static and dynamic conditions. Static torque and angular position output correlated well with externally derived data (r = 0.998 and r greater than 0.999, respectively). Three subjects performed maximal voluntary knee extensions and flexions at angular velocities from 60 to 450 degrees.s-1. Using linear accelerometry, high speed filming and Biodex software, data were collected for lever arm angular velocity and linear accelerations, and subject generated torque. Analysis of synchronized angular position and velocity changes revealed the dynamometer controlled angular velocity of the lever arm to within 3.5% of the preset value. Small transient velocity overshoots were apparent on reaching the set velocity. High frequency torque artefacts were observed at all test velocities, but most noticeably at the faster speeds, and were associated with lever arm accelerations accompanying directional changes, application of resistive torques by the dynamometer, and limb instability. Isokinematic torques collected from ten subjects (240, 300 and 400 degrees.s-1) identified possible errors associated with reporting knee extension torques at 30 degrees of flexion. As a result of tissue and padding compliance, leg extension angular velocity exceeded lever arm angular velocity over most of the range of motion, while during flexion this compliance meant that knee and lever arm angles were not always identical, particularly at the start of motion. Nevertheless, the Biodex dynamometer was found to be both a valid and an accurate research tool; however, caution must be exercised when interpreting and ascribing torques and angular velocities to the limb producing motion.
The main purpose of this study was to develop a model for calculating forces produced by a swimmer’s hand, with the thumb adducted, accelerating in the direction of flow. The model included coefficients to account for the velocity and acceleration of the hand. These coefficients were designed to calculate forces in the direction opposite the motion (drag) and two components of lift orthogonal to the direction of motion. To determine the coefficients, three-dimensional forces acting on a resin cast of a swimmer’s hand were recorded while accelerating the hand from rest to 0.45 m · s−1 and 0.6 m · −1 in a towing tank. The hand orientation was varied throughout the entire range at 5° increments. Three-dimensional surfaces describing the magnitude of the coefficients as functions of pitch and sweepback angle were produced. It was found that acceleration coefficients as well as velocity coefficients are required for accurate modeling of the forces produced by the hand in swimming. The forces generated by the hand are greatest when pitch angles approach 90° due to the large contribution by the drag component. However, at pitch angles near 45° and sweepback angles near 45° and 135°, lift forces contribute substantially.
In sprint kayaking the role that paddling technique plays in optimizing paddle forces and resultant kayak kinematics is still unclear. The aim of this study was to analyze the magnitude and shape of the paddle force-time curve at different stroke rates, and their implications for kayak performance. Ten elite kayak paddlers (5 males and 5 females) were analyzed while performing 2000-m on-water trials, at 4 different paces (60, 80, and 100 strokes per minute, and race pace). The paddle and kayak were instrumented with strain gauges and accelerometers, respectively. For both sexes, the force-time curves were characterized at training pace by having a bell shape and at race pace by a first small peak, followed by a small decrease in force and then followed by a main plateau. The force profile, represented by the mean force/peak force ratio, became more rectangular with increasing stroke rate (F[3,40] = 7.87, P < .01). To obtain a rectangular shape to maximize performance, kayak paddlers should seek a stronger water phase with a rapid increase in force immediately after blade entry, and a quick exit before the force dropping far below the maximum force. This pattern should be sought when training at race pace and in competition.
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