Exercise Programs for Children CORRESPONDENCE EDUCATION PROGRAM # 19 How to Complete this Program Thank you for choosing Exercise ETC’s RACE correspondence program for your continuing education needs. To earn your CECs/CEUs you will need to read the following article, “Exercise Programs for Children.” After you have read the article, take the test that appears at the end of the article. Remember to choose the best or most correct answer. How to submit your answer sheets: Following completion of your test (s), e-mail the results to: info@exerciseetc.com 1. On the subject line type "RACE PROGRAM” 2. At the start of your e-mail include your name, e-mail address, your credit card number and expiration date, and the total number of tests you are submitting. 3. Type the name and number of the RACE course and then list your answer for each question 1 - 20. If you are submitting multiple tests, continue listing course title and number and then the answers for that test. Continue until you have listed all the tests you are submitting. 4. Make sure we have your answer sheet by 12 noon EST and you will have your certificate of completion by 9 PM EST. We will correct your test, and assuming that you get at least 70% correct, we will e-mail you your CEC/CEU certificate. Please e-mail us your answer sheets before 12 noon, Eastern time Monday through Friday to receive your certificates back the same day by 9 PM Eastern time. If you have less than 70% correct, you will need to take to test over again in order to qualify for the CECs/CEUs. Good luck!! If you have any questions or comments, please feel free to call us any time at 1-800-244-1344 © 1998, 2002 by Exercise ETC Inc. All rights reserved. 2 Learning Objectives After reading “Exercise Programs for Children,” you should be able to: 1. Justify the need for exercise programs in children and list several societal factors which have contributed to the decline in physical fitness among children. 2. Describe the four basic components of a children’s program in terms of goals, time and appropriate activities. 3. Understand several games and or activities that can be used in a children’s program to warm-up, cool-down or develop fitness. 4. List several suggestions that will improve class management. 5. Identify lifestyle risk factors for children and games and activities that would help to reinforce a healthy lifestyle. 6. Understand the role of parents in regards to lifestyle and offer suggestions for improving the lifestyle of the family. 7. Understand the physiological differences between children’s and adults and their limitations in regards to training and outcomes. 8. Understand basic programming guidelines for children in order to develop safe and effective exercise programs for children. © 1998, 2002 by Exercise ETC Inc. All rights reserved. 3 Exercise Programs For Children The Unfit Generation The goals of a children’s fitness program are to promote the idea that exercise and physical fitness are important to their health and well-being and to instill a lifelong love of physical activity. As children incorporate physical activity in their lifestyle they are more apt to adopt other behaviors that complement their healthy lifestyle. In the last several decades, there has been a decline in physical activity in children with far reaching health consequences: • • • • Surveys have reported that one third of all youths ages 10-18 are inactive. Since 1960, obesity has increased 54% in children aged 6-11, and 39% in children aged 12-17. Forty percent of children aged 5-8 have at least one risk factor for cardiovascular disease. It has been estimated that between 30 and 35% of school aged children are at risk for heart or circulatory disease and premature deaths as adults. Finally, only 32% of children aged 6-17 meet minimum standards for cardiovascular fitness, flexibility, and muscle strength and endurance. Societal Influences on Fitness Fitness Professionals need to be aware that there are a number of societal influences that have contributed to the decline in children’s levels of physical fitness. These influences include the following: • Poor parental role models Poor health habits tend to run in families. Currently, 59% of the adult population does not do enough physical activity to maintain good health; overweight/obesity has reached epidemic proportions. It is important to stress to parents that they have the greatest influence on their children. Involve parents in the programming as often as possible by holding an informal meeting immediately before or after exercise time so they will not have to take extra time from their busy schedules. A newsletter is another easy way to pass out education, suggestions and information to parents. Stress to them the importance of establishing good health habits in the home such as limiting the use of fast foods, encouraging good eating habits, being active on a daily basis, avoiding smoking, avoiding the use of illegal drugs and alcohol abuse. Parents need to limit the amount of time spent watching television. The average child watches television approximately 24 hours per week. There is a direct correlation between time spent viewing TV and activity level. In addition, children are 8 times more likely to eat while watching TV. © 1998, 2002 by Exercise ETC Inc. All rights reserved. 4 • Latch key children As greater numbers of women continue to work outside the home, the number of children who are on their own after school has increased. With no one home to supervise what they eat, they often choose foods lacking in nutrition and high in calories. In addition, many lonely children use food for solace. Suggest to parents that they may want to limit the number of snacks they buy; they can also prepare healthy snacks in advance for the child to eat after school. Remember that children tend to eat what’s available. If Mom buys junk food the kids will eat it; if Mom buys healthy snacks and lots of fresh fruit, kids will eat that. • Dysfunctional families Rising divorce rates and the increase in single parent families have placed more demands on the caretaker’s (generally Mom’s) time. More meals are eaten outside of the home, often from fast food restaurants; packaged products have become the main staple of foods consumed at home. Restaurant and packaged foods tend to be higher in fat, sodium, and calories and lower in nutritional value. • Sedentary leisure time activities Technology has created a shift in how American children’s spend their leisure time. Computer games, the Internet and an ever increasing menu of TV programming are constantly pulling children away from more physical pursuits. PHYSIOLOGY OF CHILDREN For the most part, the same basic exercise physiology principles used for adults can be modified and applied to children as well. Fitness Professionals working with children should be aware of the differences in their cardiovascular, respiratory, and musculoskeletal systems in order to develop safe and effective programs. Cardiovascular System Children have a lower maximal and submaximal cardiac output, stroke volume, blood pressure, blood volume and hemoglobin due to their smaller body size and heart volume. A child’s heart is only about 30% of the size of an adult heart; to compensate, children have higher average heart rates. Average resting heart rates in beats per minute are as follows: YEARS 6-10 10-14 14-18 HEART RATE 96 BPM 85 BPM 82 BPM © 1998, 2002 by Exercise ETC Inc. All rights reserved. 5 A child’s phosphagen energy system is similar to that of an adult and they are well suited to intermittent activity with short rest periods. Activities that require short, intense bursts of energy followed by a brief rest, such as games and relay races, are well suited to children. A child’s ability to work in the glycogen system is somewhat compromised due to a lower concentration and utilization of glucose and glycogen. Respiratory System Children have smaller, immature lungs. In children ages 5 to 8 the lungs are only 20% developed; this results in an increased ventilation oxygen cost due to an increased rate of breathing. Children have a lower absolute VO2 Max than adults. They also have an increased submaximal oxygen demand for activities such as walking and running due to the increased oxygen cost of breathing. Because of their immature lungs, improvements to the aerobic system are somewhat limited due to their immature cardiovascular system. Before puberty, boys and girls are equally capable of performing, and often girls outperform boys. This changes after puberty, however. Musculoskeletal System The bones of children are smaller and more fragile. Epiphyses, or growth plates, are active and vulnerable to injury. The growth plates at the distal radius and ulna, and at the femur, tibia and fibula do not close for males until age 18-20 and for females until age 17-19. Gains in muscle strength are possible in children, however strength training is ineffective at producing hypertrophy: until adolescence there is insufficient testosterone and human growth hormone to produce significant muscular growth. EXERCISE CONCERNS Thermoregulation Children are at high risk for heat illness due to their immature cardiovascular system. Their risk is higher because of their greater surface area, increased metabolic cost for certain activities, immature sweat glands, and increased core temperature to initiate sweating. Like adults, children can acclimatize to heat, however, they are slower physiologically and faster subjectively. The American Academy of Pediatrics (AAP) recommends minimizing intensity and duration initially, and increasing intensity gradually over 11-14 days when exercising in the heat. In addition, children should wear light weight absorbent clothing, avoid rubberized sweat suits and drink 100-150 milliliters of liquid every 15 to 30 minutes. Exercise should be deferred in very hot, humid environments. © 1998, 2002 by Exercise ETC Inc. All rights reserved. 6 Overuse Injuries Factors that contribute to injuries in children include: • • • • • Abrupt increase in frequency, intensity and duration of exercise, strength; Flexibility imbalances; Non-supportive footwear and running surfaces; Misalignment of lower extremities; Immature systems and growth tissue. According to the US Consumer Product Safety Commission, the most often injured sites for children are: • • • The head and face up to age 4; Arms for ages 5-14; Knees and ankles for ages 15 and up. FITNESS TESTING Fitness testing for children should focus on establishing a baseline against which to compare the child’s progress, as opposed to making value judgements about the child’s fitness level: “Your strength is excellent.” “Your cardio capacity is poor.” Fitness testing for your young clients will generally be more subjective than objective. Body Composition Body composition testing should be done with caution as children are extremely body conscious and like to compare their results with others. Labeling a child as “obese” or “over fat”, or even using terms like “chubby” or “baby fat” could lead to low self esteem, social isolation and perhaps, eventually, an eating disorder. Tape Measure Skinfold Method • Measure triceps and calf with a tape measure • Boys: Add measurements; multiply by 0.735; add 1.0 • Girls: Add measurements; multiply by 0.61; add 5.1 • As a general rule, when body fat percentage are in the high twenties/low thirties the child is over fat. Health Related Fitness Tests If you are training a child, the health related fitness tests below are ideal as the child is only competing against him/herself and not some predetermined standard. Use whatever results the child gets as a baseline to chart progress at 60, 90 or 120 day intervals. © 1998, 2002 by Exercise ETC Inc. All rights reserved. 7 1 Mile run/walk test • • Tests aerobic fitness Have the child cover 1 mile on a flat surface in as short a time as possible Sit-and-reach test • • • • Tests the flexibility of low back and hamstrings; Place a yardstick on the floor between the child’s legs, with the numbers increasing as they move away from the child and the heels at the 9 inch mark on yardstick; Have the child reach as far as possible on the yardstick while keeping the knees slightly bent; Record the 4th try as the child’s score. One minute sit-up test • • See how many sit-ups the child can perform in one minute. Alternate method: have child do crunches for one minute. Pull-up or flexed arm hangs • • • If child can’t do at least one pull-up, use flexed arm hang; Palms face away from body; Count how many pull ups the child can do OR time how long the child can hang. Athletic Fitness Tests Sports conditioning for children is currently one of the hot trends in fitness training. The following tests are considered standards that young athletes should strive for in order to develop athletic fitness. Average 50 yard dash times (in secs) Age Girls Boys 10 7.5 7.5 11 7.5 7.2 12 7.2 7.0 13 7.0 6.7 14 7.0 6.4 15 7.0 6.2 © 1998, 2002 by Exercise ETC Inc. All rights reserved. 16 7.1 6.2 17 7.0 6.0 8 Shuttle run • • AGE Girls Boys Vertical jump AGE Girls Boys Equipment: 2 blocks of wood 2” X 2” X 4” each, and a stop watch Procedure: Make 2 parallel lines 30 feet apart and put the blocks of wood behind one of the lines. The child starts behind the line without the blocks, runs to the opposite line, picks up one block and brings it to the opposite line. The procedure is repeated with the second block. The timer is stopped as the child crosses the line with the second block. 10 10.5 10.2 • • 9-11 15 15 11 10.3 9.9 12 10.2 9.8 13 10.0 9.5 14 10.0 9.2 15 10.0 9.1 16 10.2 8.9 17 10.0 8.9 Equipment: Chalk and a wall Procedure: The child stands with one side to the wall (usually the dominant side) with heels together and feet flat on the floor. Child reaches up as high as possible making a mark on the wall with the chalk. The child then jumps as high as possible making another mark on the wall making another mark on the wall with the chalk at the peak of the jump. The score is the distance between the two marks. Allow 4-5 trials and take the best score. 12-14 15 18 15-17 16 24 EXERCISE PROGRAMMING GUIDELINES Children do not respond well to a watered down adult fitness program. Twenty minutes of continuous treadmill walking or stationary biking may prove to be part of a successful exercise program to an adult exerciser, but will most certainly fail for a young child because they lack aerobic endurance and tend to get bored. The two biggest reasons children join an exercise program are to have fun and be with their friends. Why do TV shows, computer games & video games appeal to children? They are exciting, easy to play and watch, offer achievable goals, challenge different ability levels, are frequently updated and consist of elements and characters children are interested in. It’s important for the Fitness Professional to know what’s popular with children. If you have kids of your own you probably already know what kids like to do and what the © 1998, 2002 by Exercise ETC Inc. All rights reserved. 9 latest trends are. If not, consider using sources such as the Disney Channel, Nickelodeon, or take a walk through Toys R Us. In addition, “borrow” someone else’s kids: Take a niece or a nephew or a friend’s child out for an afternoon and see what makes them “tick.” In order to gain their attention and keep their interest, exercise programs for children will need to be camouflaged in the form of games and fun activities. The emphasis should be on having fun, NOT on winning or working hard. Program Structure A child’s program should consist of a warm-up, cardiovascular and strength components, an educational segment and a cool down. Warm up The warm-up should last anywhere from 3 to 5 minutes and consist of just to get the child moving. Some simple warm-up games include: a game or two • Follow the Leader: Designate a leader; you can do this by making a paper star and placing it around a child’s neck, or use a sticker or hat or a baton. Have the leader stand in front and perform a movement which all the children must copy. At your signal the star, the leader chooses another student whose movement is copied. Continue until all students have had a chance to lead. This game can be also played during the fitness component phase of the program. Adding some music always adds a festive air to the activities! • Builders and Bulldozer: Divide the children into two groups designating one group as the builders and the other group as the bulldozers. Scatter small cones throughout the exercise area, some standing and some on their sides. At your signal the builders run around standing the cones up and the bulldozers knock the cones down. After about 30 seconds or so switch roles. • Tail Tag: Each child has a strip of cloth or paper tucked into their waistband to represent a tail. The object of the game is to collect as many tails from others as possible while eluding other children’s attempts to grab theirs. Educational Component • This should be a short lecture lasting no more than several minutes. The purpose is to introduce or teach the children one small concept that deals with fitness or health. Some examples include: © 1998, 2002 by Exercise ETC Inc. All rights reserved. 10 • The dangers of cigarette smoking, learning good eating habits and positive health behaviors. Be sure to use things such as pictures, props, and handouts whenever possible and be careful to present the topic on a level that is appropriate for the age group of your child. You can use this component to create a theme for the whole class. • The food guide pyramid could be the focus of your educational component. You may want to give out blank copies of the food guide to the class and have them draw appropriate foods for each category. During the warm-up, cool-down and fitness component you could incorporate the nutrition theme into some of the games for that day. • Another fun game is to have the child name a food and have the children use their bodies to imitate the food. For instance jello is soft and wavy so they can relax their limbs as they sit, stand, or lie on the floor. Breadsticks are hard and crunchy so they can walk with very tall with stiff arms and legs. • Draw a pyramid on a piece of cardboard with the food group lines drawn but not labeled. Set up a relay race using small cards with one of the major food groups from the pyramid on it and place them at the opposite end of the floor. Each team member will run to the opposite end of the floor, pick up a food group category card, return and place it in its proper place on the pyramid. Cardio & Conditioning Games • To increase cardiovascular endurance have the children place a piece of newspaper against their chest, drop their hands and run around the room trying to keep the newspaper in place; the paper will stay on only as long as they keep running. • A variety of relay races can be used to promote cardiovascular fitness. Some examples include: Hopping on both feet or one foot, walking while balancing something on their head, walking with a ball between their legs. You can also try to place a ball between the backs of two team members and make them keep the ball in place while they walk. Walking an obstacle course, on all fours, or while walking on their hands with a partner holding their feet (wheelbarrow) are all great, good fun. • You could create a strengthening, flexibility or combination circuit by placing pictures of various exercises on the floor around the room and have a child stand at each picture/station. On your signal, after completing the exercise, they go to the next station. © 1998, 2002 by Exercise ETC Inc. All rights reserved. 11 • A good game to strengthen the upper body is “Hand Hockey.” Partners face each other in the up phase of a push-up. Using a bean bag or wad of newspaper as a puck, the object of the game is for one child to push the puck between the other child’s hands while they maintain the up position of the push-up. Cool-down • Use games and activities that incorporate muscle strengthening or stretching. One advantage of ending the program with a stretching activity is that it reinforces the idea that stretching always follows physical activity. • The cool-down should last anywhere between 5 and 10 minutes and is also a good time to review the main points from the educational component. Program Management If you are conducting an exercise program for a group of children, one of your most challenging tasks in conducting a children’s program is keeping the program under control. Children tend to get hyperactive when they’re excited, and boredom leads to all kinds of trouble. The following are suggestions for keeping your children under control: • • • • • Get the children moving as quickly as possible. One way to do this is to establish a routine that the child will go through the minute they enter the exercise area. In a class environment, design games and activities that require all children to participate at the same time. Allowing some children to stand around while others are moving can have disastrous results. During relay races and elimination games, have a planned activity that is to be performed while they are waiting for their turn or they are “out”. When performing strength activities, focus on the time of each set rather than the number of repetitions so each child will start and end at the same time. If you are using equipment or props, make sure you have enough for each child to avoid having some children standing around waiting for their turn. Keep groups small in number. It is much easier to control 4 groups of 5 than one group of 20. To avoid frustration, make sure you demonstrate all exercises, movements and activities as the children practice with you. Have an established signal for starting and stopping. This can be verbal such as red light for stopping and green light for starting or auditory such as a whistle or a hand clap. © 1998, 2002 by Exercise ETC Inc. All rights reserved. 12 • To quickly organize the class into groups, try passing out stickers of different animals, superheroes, sports teams or ribbons of different colors. Then when you want to form a group, simply announce all the bears line up here, the tigers here etc. This system can be used for getting out and putting away equipment also. • Keep the length of the class appropriate for the age group. Most Fitness Professionals are geared to a 1 hour class format, however this may be too long for younger children. For ages 3 to 8 a total class time of 30 to 45 minutes is ideal. CHILDREN’S HEALTH PROGRAMMING GOALS Health goals for children are similar to those for adults in that they should be aimed at promoting good health and preventing conditions such as diabetes and cardiovascular disease. Therefore, programming should be aimed at eliminating, or minimizing, the following risk factors: Inactivity: Fitness levels of children are directly linked to cardiovascular risk. Hypertension: The follow guidelines will vary based on developmental age and body weight. HYPERTENSION VALUES FOR CHILDREN < AGE 6 110/75 AGES 6-10 120/80 AGES 11-14 125/85 AGES 15-18 135/90 (Joint National Committee on Detection, Evaluation, and treatment of High Blood Pressure) Cholesterol: The American Health Foundation recommends cholesterol testing for all children between the ages of 2 and 6. The American Academy of Pediatrics recommends testing between the ages of 2 to 6 only with a family history. Guidelines for children include the following: Moderate High Age Risk Risk Total Cholesterol Boys 5-18 183-202 > 203 Girls 5-18 192-216 > 217 © 1998, 2002 by Exercise ETC Inc. All rights reserved. 13 TC/HDL Ratio Ages 5-14 Ages 15-19 BOYS GIRLS BOYS GIRLS Recommended < 2.9 < 3.1 < 3.7 < 2.9 Moderate Risk 2.9-3.3 3.1-3.4 3.7-5.1 2.9-3.6 High Risk 3.4-3.5 3.5-3.7 5.2-6.1 3.7-4.2 Very High Risk > 3.5 > 3.7 > 6.1 > 4.2 (National Cholesterol Education Program, Lab Note, April l990, p. 3) Obesity: According to a USA Today poll, 19% of boys and 18% of girls 9 to 11 years old said they have been on a diet; 13% of boys and 27% of girls age 12-13 say they have been on a diet. Controlling body fat while promoting a healthy self-image should be a goal of any children’s fitness program. Smoking: More than 3,000 teenagers become smokers every day: Forty one percent of girls ages 16 to 17 smokes. The US Surgeon General has predicted that 5 million of today’s children’s will die prematurely of smoking related disease as adults. There are a number of games and activities that can be used to reinforce a healthy lifestyle: • The Risk Factor Game can be used to introduce the risk factors to your young client(s). During the educational component, discuss various risk factors and assign a physical movement that would imitate the physical response in the body of that risk factor. As the class walks in a big circle around the room, you call out a risk factor and they respond with the movement previously assigned. For example: Smoking -- class will cough as they continue walking; high blood pressure -- have class jump up and down; stress -- students run/walk in a frantic manner; obesity -- students walk very slowly; and high cholesterol -- students walk in a crouched position to demonstrate a narrowed space. • Cigarette Chain Tag is a game that can be played to reinforce the dangers of smoking and its impact on the cardiovascular system. Have several class members be “it” (they represent smokers) and they form a chain. The chain chases and tags other class members who then are added to the chain. As the chain becomes longer, the slower it becomes and the more difficult it is to tag the remaining members of the class. • Another simple activity that can be very effective at teaching and establishing good health habits involves having the group line up across at one end of the room. You will ask a variety of questions © 1998, 2002 by Exercise ETC Inc. All rights reserved. 14 pertaining to good health habits and reward each positive answer with a step forward. The first person to reach the other side is the winner. Some examples include: “Did you eat breakfast this morning?” “Did you brush and floss your teeth?” Other examples include questions pertaining to the number of hours of sleep they received last night, number of fruits and vegetables eaten yesterday, how much time they spent watching television, how much time they spend in physical activity, and how many times they ate fast food last week. Aerobic Endurance Goals of this component include preventing obesity and reducing risk factors. The ACSM guidelines for adults in terms of frequency, intensity and duration are appropriate for older children. (Frequency: 3-5 days per week; Intensity: 60-90% MHR; Duration: 15-60 minutes) For younger children, the focus should be on keeping them active rather than improving VO2 Max. Activities that require moving the whole body such as walking, swimming, and biking are best to maximize total energy expenditure. If you have ever observed children at play, you have noticed that their play tends to be anaerobic: periods of highly intense activity followed by periods of low intensity rest. The child’s exercise program should follow this model. Muscular Strength & Endurance The American Academy of Pediatrics recommends that strength training programs for children should be conducted by trained adults. These programs should consist of high repetitions and low resistance to emphasize muscle balance, flexibility and proper technique. Muscles that tend to be weak in children include the triceps, hamstrings, abdominals, rhomboids/trapezius, hip abductors, and the tibialis anterior. Children should avoid weightlifting, power lifting and bodybuilding until they reach full maturity: too strenuous strength training can damage epiphysel plates Flexibility Flexibility exercises should be held to the point of tension for 15 seconds or longer, and be performed 3 to 7 days per week. Even though children will often gravitate naturally toward ballistic stretching, the focus should be on slow, controlled static stretching. Conclusion Training children can be very rewarding and very frustrating. The most important consideration is that the program should be fun and structured without being rigid. It helps if the Fitness Professional is a bit of a kid themselves! The ability to laugh, to be spontaneous and have fun while instilling good habits and reaching good goals is a rare talent. The ability to teach children to enjoy physical activity and make a healthy lifestyle a life-long goal is a rare gift. © 1998, 2002 by Exercise ETC Inc. All rights reserved. 15 Bibliography Adams, W. (1991). Physical Education, Exercise and Sports Sciences. Philadelphia, PA: Lea & Febiger. American College of Sports Medicine. (2000). ACSM’s Guidelines for Exercise Testing and Prescription. Philadelphia: Williams and Wilkins. American College of Sports Medicine. (2001). ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription. Philadelphia: Williams and Wilkins. American College of Sports Medicine. (1997). ACSM’s Exercise Management for Persons with Chronic Diseases and Disabilities. Champaign, IL: Human Kinetics. American Council on Exercise. (1999). Clinical Exercise Specialist Manual. San Diego, CA: American Council on Exercise Publisher. American Council on Exercise. American Council on Exercise. (1996). Personal Trainer Manual. San Diego: Bross, Cindy. (1993). Fit to Try! An Activities Guide for Health-Related Fitness. Durham, NC: Great Activities Publishing Company. Bross, Cindy. (1997). Children’s on the move. IDEA TODAY. 15 (10), 83. Cooper, K. (1991). Children’s Fitness. New York, NY: Bantam Books. Durrett, A. (2001). All in the family. IDEA Health & Fitness Source. 19 (9), 24. Faigenbaum, A., Kraemer, W. et al. (1996) Youth resistance training: position statement paper and literature review. Strength and Conditioning Journal. 18 (6), 63. Hunter, G., Bamman, M. and Hester, D. (2000). Obesity-prone children can benefit from high intensity exercise. Strength and Conditioning Journal. 22 (1), 51. Kraemer, W. and Fleck, W. (1993). Strength Training for Young Athletes. Champaign, IL: Human Kinetics. LeMura, L.M., and Mazielas, M. T. (2002). Factors that alter body fat, body mass, and fat-free mass. Pediatric obesity. Medicine & Science in Sports & Exercise. 34 (3), 487. McArdle, W. et al. Performance. 4th Ed. (1996). Exercise Physiology-Energy, Nutrition, and Human Philadelphia, PA: Lea & Febiger. © 1998, 2002 by Exercise ETC Inc. All rights reserved. 16 National Strength and Conditioning Association. (2000). Essentials of Strength Training and Conditioning. Champaign, Ill: Human Kinetics. Petersmarck, K. (1999). What are federal leaders saying about childhood obesity? Healthy Weight Journal. May-June. Pillarella, Debi. (1995). Conquering chaos in child’s classes. IDEA TODAY. 13 (8), 50. Reimers, K. (1996). On youth and nutritional supplements. Strength and Conditioning Journal. 18 (6), 26. Rowland T. W. (1985). Aerobic responses to endurance training in prepubescent children: Critical analysis. Medicine & Science in Sports and Exercise. 17, 493. Taylor, W.C. et al. (1999). Childhood and adolescent physical activity patterns and adult physical activity. Medicine & Science in Sports & Exercise. 31 (1), 118. Westcott W.L., Tolken, J. and Wessner, B. (1995). School-based conditioning programs for physically unfit children. Strength and Conditioning Journal.. 17 (5), 9. Westcott, W.L. (1998). Youth Strength Training. IDEA Health & Fitness Source. 16 (8), 33. © 1998, 2002 by Exercise ETC Inc. All rights reserved. 17 CEC/CEU Test for “Exercise Programs for Children” 1. The two biggest reasons children’s join an exercise program are: A. To get fit and have fun B. To have fun and be with their friends C. To get fit and be with their friends D. To get fit and lose weight 2. Which is/are true in regards to activities such as walking and running for children? A. Compared to adults there is a higher oxygen cost B. Compared to adults there is a lower oxygen cost C. Compared to adults they have the same oxygen cost D. B and C 3. 4. Which of the following does not contribute to the increased risk of heat illness in children? A. Immature cardiovascular system B. Immature sweat glands C. Initiate sweating at a lower core temperature D. Increased surface area Which of the following activities would be most appropriate to include in an exercise program for young children? A. Twenty minutes of continuous bench stepping B. Twenty minutes of low impact aerobics to music C. Twenty minutes of walking/running around a track D. Twenty minutes of games and activities that promote fitness 5. Which of the following is/are true in regards to the duration of a children’s class? A. Generally it should be longer than a typical adult class B. Generally it should be shorter than a typical adult class C. Generally it should be the same length as an adult class D. A and C 6. Which of the following is/are true in regards to children and resting heart rates? A. They are higher than adults B. They are lower than adults C. They are the same as adults D. They are more irregular than adults 7. Blood pressures in children tend to be: A. Higher compared to adults B. Lower compared to adults C. Dependent on developmental age and body weight D. A and C 8. The most often injured body part for children ages 5 to 14 is: A. The head and face B. The knees C. The arms D. The ankles 9. Which of the energy systems are children best physiologically equipped to work in? A. The aerobic system B. The glycogen system C. The phosphagen system D. A and B © 1998, 2002 by Exercise ETC Inc. All rights reserved. 18 10. Which of the following statements is/are true? I. Children get greater increases in VO2 with conditioning than adults II. Children are capable of gaining strength with a resistance program III. Children hypertrophy in response to strength training IV. Children have greater aerobic endurance than adults A. B. C. D. I, II, III, IV I, II, IV II and III II only 11. Tests for athletic fitness include the following except: A. Pull up or flexed arm hang B. 50 yard dash C. Shuttle run D. Vertical jump 12. Administering the sit-and-reach test to a child, you would have them place their heels at the ______ mark on the yardstick A. B. C. D. 15 inch 12 inch 10 inch 9 inch 13. Percent body fat can be determined in children by taking skinfold measurements at the: A. Tricep and calf for boys only B. Tricep and thigh for girls only C. Tricep and calf for both boys and girls D. Tricep and thigh for both boys and girls 15. The US Surgeon General has predicted that _______________ of today’s children will die prematurely of smoking related disease: A. B. C. D. 1 million 2 million 4 million 5 million 16. Which of the following do NOT influence unhealthy lifestyle and eating behaviors? A. B. C. D. Dysfunctional families Latch key children Sedentary lifestyle School-based fitness programs 17. Growth plates for boys do not close until: A. B. C. D. Age 18 - 20 Age 20 – 25 Age 12 - 15 Age 15 – 18 18. In children ages 5 to 8 the lungs are: A. B. C. D. Fully developed 80% developed 20 % developed 50 % developed 19. Children’s watch TV an average of ____ each week: A. 12 hours B. 18 hours C. 15 hours D. 24 hours 20. Strength training programs for children should include the following except: A. Supervision by trained adults B. Weightlifting and power lifting exercises C. High repetitions and low weight D. An emphasis on muscle balance 14. Appropriate racing distances for children ages 5 to 10 would include the following: A.A half marathon B. A 2 mile fun run C. A 10K race D.None of the above © 1998, 2002 by Exercise ETC Inc. All rights reserved. 19 © 1998, 2002 by Exercise ETC Inc. 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