Physical fitness spurts in childhood: A study in boys

Salivary cardiac-enriched FHL2-interacting protein is associated with higher diastolic-to-systolic-blood pressure ratio, sedentary time and center of pressure displacement in healthy 7-9 years old school-children

Introduction

Cardiac-enriched FHL2-interacting protein (CEFIP) is a recently identified protein, first found in the z-disc of striated muscles, and related to cardiovascular diseases. Our objectives are: 1) to quantify CEFIP in saliva in healthy 7-9 years old school-children; and 2) to assess the associations of salivary CEFIP concentration and blood pressure, physical (in)activity and physical fitness in these children.

Methods

A total of 72 children (7.6 ± 0.3 years) were included in the study, recruited in primary schools in Girona (Spain). A sandwich enzyme-linked immunosorbent assay was used (abx506878; Abbexa, United Kingdom) to quantify CEFIP in saliva. Anthropometric evaluation was performed [body mass, height and body mass index (BMI)]. Systolic and diastolic blood pressure were measured by means of an electronic oscillometer and the diastolic-to-systolic blood pressure ratio (D/S BP ratio) was calculated. Physical (in)activity [sedentary time and time spent in physical activity (PA)] were assessed by means of a triaxial Actigraph GT3X accelerometer (Actigraph, Pensacola, FL, USA) that children were instructed to wear for 24h during 7 conssecutive days. Finally, physical fitness (speed and agility, explosive power of legs, handgrip strength, flexibility and balance) were assessed through validated and standardized testing batteries.

Results

CEFIP was easily detected and measured in all saliva samples (mean concentration: 0.6 ± 0.2 pg/ml). Salivary CEFIP was positively associated with D/S BP ratio (r=0.305, p=0.010) and sedentary time (r=0.317, p=0.012), but negatively associated with PA in 7-9 years old school-children (r=-0.350, p=0.002). Furthermore, salivary CEFIP was related to lower level of balance i.e., higher center of pressure (CoP) displacement in these children (r=0.411, p<0.001). The associations of salivary CEFIP with D/S BP ratio (Beta=0.349, p=0.004), sedentary time (Beta=0.354, p=0.009) and CoP displacement (Beta=0.401, p=0.001), were maintained significant after adjustment for potential confounding variables such as age, gender and BMI in linear regression analyses.

Conclusion

CEFIP can be easily assessed in saliva as a promising biomarker associated with cardiovascular health in 7-9 years old school-children. Interestingly, higher salivary CEFIP concentration was related to higher D/S BP ratio, more sedentary time and higher CoP displacement i.e., lower level of balance in these children.

Development and trainability of agility in youth: A systematic scoping review

Background

Agility is acknowledged as a crucial factor of performance in various open skill sports in both adult and youth athletes. However, despite its significance for sports performance the development and the trainability of agility are under-researched within the pediatric literature. A systematic scoping review was considered most appropriate to provide researchers and practitioners with an overview of the current body of literature approaching agility in youth.

Objectives

The objectives of this scoping review were to map the extent, range, and nature of existing evidence regarding trainability and "natural" development of agility and to summarize corresponding study results.

Methods

The scoping review protocol was pre-registered at Open Science Framework. Systematic searches were conducted using the databases PubMed, Scopus, ProQuest, Web of Science, SURF, and SPONET to identify sources covering agility in youth. Among other inclusion criteria, only references applying unplanned agility concepts were included.

Results

Ultimately, 41 reports were included comprising 23 observational studies, 14 experimental studies, and 4 references of secondary research. A total of 3,087 subjects were assessed in the included studies. Subject groups were predominantly male, above 10 years of age, and soccer athletes. Outcomes of observational studies indicate an effect of age and maturation on agility performance resulting in a non-linear "natural" development of agility. Furthermore, relationships between contributing perceptual-cognitive factors and agility performance tend to increase with progressing age, whereas relationships between physical factors and agility performance diminish. Evidence of training studies suggests that agility is trainable in youth, albeit with various underlying mechanisms.

Conclusions

This systematic scoping review is the first mapping of the body of literature about agility in youth. It outlines the current evidence base, reveals research gaps, and points out future directions to support researchers and practitioners in this field. Although, increasing research activity in this field is discernible, agility research in youth is still in its infancy. Considering the significance of agility for sports performance, future research is postulated to design evidence-based strategies for long-term agility development in young athletes.