Youth Resistance Training Research Articles

May the Force Be with Youth: Foundational Strength for Lifelong Development.

Today's youth are weaker than previous generations, and measurable reductions in physical fitness are beginning to emerge. Without targeted initiatives that recognize the foundational importance of resistance training, weaker children and adolescents may be more likely to experience the inevitable consequences of neuromuscular dysfunction and less likely to experience the pleiotropic benefits of exercise and sport. Early exposure to strength-building activities is needed to prepare today's youth for ongoing participation in varied physical activities throughout this developmental phase of life. The novel iceberg of physical development is a metaphoric image that illustrates the sequential and cumulative influence of muscular strength on motor skills and physical abilities. Efforts to enhance the physical capacity of youth should include resistive skills that improve basic movement patterns and enhance motoric competence. A shift in our conceptual thinking about youth resistance training is needed to alter the current trajectory toward physical inactivity and related comorbidities.

Data Informing Governing Body Resistance-Training Guidelines Exhibit Sex Bias: An Audit-Based Review.

The objective of this review was to examine the ratio of female and male participants utilised in data informing consensus statements and position stands in the field of resistance training (RT). In order to achieve this objective, we conducted an 'audit' style review. We accessed three databases: SPORTDiscus, MEDLINE and Google Scholar utilising the following search terms: resistance or strength training AND consensus statements or position statements/stands. Eligibility criteria included consensus statements and position stands for RT in youth, adults and older adults. In this paper we have used the term 'female' to describe biological sex. Gender is a social construct and often describes roles and behaviours that society assigns to men or women. In this paper we have used the term 'women' to describe gender. Reference lists from each guideline were screened with the number of male and female participants extracted from each study. We also extracted data on the gender of the authors of the statements. We located 11 guidelines encompassing a total of 104,251,363 participants. Youth guidelines were comprised of 69% male participants. There were 287 studies that included both sexes, 205 male-only and 92 female-only studies. Adult guidelines were comprised of 70% male participants. There were 104 studies that included both sexes, 240 male-only and 44 female-only studies. Older adult guidelines were comprised of 54% female participants. There were 395 studies that included both sexes, 112 male-only and 83 female-only studies. Women authors comprised 13% of all authors of position stands and consensus statements. These results demonstrate an under-representation of females and women as both participants and as authors. It is imperative to ensure that data informing governing body guidelines and consensus statements are representative of the population they aim to inform. If this is not possible, guidelines should clearly state when their data and recommendations are based primarily upon one sex.

Youth Resistance Training: The Past, the Present, and the Future

Based on anecdotal and preliminary evidence, the perception of youth resistance training (RT) was critical in the past. Accordingly, this opinion editorial aims to summarize information on youth RT by taking past and present research findings into account to deduce future research avenues. In the 1970s, two often reported misconceptions with youth RT were premature epiphyseal closure due to repetitive loading and ineffectiveness of RT in pre-pubertals because of a lack of circulating testosterone. Today, it is well-established that youth RT has manifold health (e.g., body composition, injury prevention) and fitness (muscle strength and power, endurance, speed) benefits. Physiological adaptations responsible for RT-induced strength gains comprise primarily neural factors in the pre-pubertal child and neural as well as morphological factors in adolescents. The number of scientific studies and thus the evidence on positive RT effects has grown exponentially over the past years. An important future task of pediatric strength and conditioning specialists will be the translation and dissemination of research findings into sports practice (schools, sport clubs). Schools could be a suitable setting for the widespread implementation of youth RT. Efforts should be undertaken to equip schools and public gyms with RT material and to include RT contents into school curricula.

Perceptions and approaches of golf coaches towards strength and conditioning activities for youth golfers

Golfers who want to improve their technical proficiency will undoubtedly hire a swing coach who may also influence and give advice on how the golfer can improve outside of technical enhancement (i.e. strength and conditioning, warm-ups, cool-downs etc.). With research examining the effects of strength and conditioning on youth golfers beginning to materialise, it is important to ascertain golf coaches’ perceptions of strength and conditioning, warm-ups and cool-downs and how they are utilised with youth golfers. Fifty Professional Golfers’ Association Professionals and Assistant Professionals completed an online questionnaire on their perceptions of, and approaches to, strength and conditioning, warm-up and cool-down activities for youth golfers. Data indicated that 84% and 80% of coaches perceived strength and conditioning could enhance golf swing performance and reduce the risk of injury, respectively. Although all coaches agreed golfers aged 18 years and under can take part in strength and conditioning activities, there was no consensus on when a golfer should start strength and conditioning activities, with most coaches unaware of the existing guidelines surrounding youth resistance training. Warm-ups are perceived by coaches to be beneficial for youth golfers with > 75% of coaches stating their players completed a warm-up, however, the modes of exercise coaches deemed suitable for a warm-up were varied. Cool-downs were deemed beneficial for aiding recovery post-round, yet over half of coaches selected their players did not habitually complete one. Findings from the questionnaire highlight that although perceptions towards strength and conditioning, warm-ups and cool-downs are positive, educational solutions to disseminate the underlying contemporary guidelines and practical applications to coaches and players are required.

Effects of the HEARTY exercise randomized controlled trial on eating behaviors in adolescents with obesity.

There are well-recognized benefits of behavioral interventions that include exercise for children and adolescents with obesity. However, such behavioral weight management programs may precipitate unintended consequences. It is unclear if different exercise modalities impact eating behaviors differently in youth with obesity. The purpose of this study was to examine the effects of aerobic, resistance, and combined aerobic and resistance exercise training on eating attitudes and behaviors (uncontrolled eating, restrained eating, emotional eating, external eating and food craving) among adolescents with overweight and obesity. N=304 (70% female) adolescents with overweight and obesity participated in the 6-month Healthy Eating Aerobic and Resistance Training in Youth (HEARTY) randomized controlled trial. All participants were inactive post-pubertal adolescents (15.6±1.4years) with a mean BMI=34.6±4.5kg/m2. The Food Craving Inventory (food cravings), Dutch Eating Behavior Questionnaire (restrained eating, emotional eating, external eating), and the Three-Factor Eating Questionnaire (uncontrolled eating) were used to assess eating attitudes and behaviors. All exercise groups showed within-group decreases in external eating and food cravings. Participants randomized to the Combined training group and were more adherent showed the greatest improvements in eating behaviors and cravings. A 6-month exercise intervention produced improvements in disordered eating behaviors and food cravings, but effects may be gender and modality-specific. Findings highlight the need to tailor exercise intervention to participant characteristics for the promotion of healthier eating and weight management outcomes in youth with obesity.

Safety and Feasibility of 1-Repetition Maximum (1-RM) Testing in Children and Adolescents With Bilateral Spastic Cerebral Palsy.

The purpose of this study was to standardize 1-repetition maximum (1-RM) testing procedures and evaluate the safety and feasibility of these procedures in youth with cerebral palsy (CP). Youth with CP completed 1-RM testing on a leg press. Mean absolute, adjusted, and normalized 1-RM loads were 262.4 ± 161.3 lb, 127.0 ± 80.2 lb, and 1.28 ± 0.51, respectively, and 67% were able to successfully lift the same or heavier load after a single failure. Cessation of testing after 1 failed attempt resulted in a 19.0% underestimation of the 1-RM. 1-RM testing in youth with CP is safe and feasible. Multiple attempts at a failed load should be provided to prevent underestimation in strength. The 1-RM test provides a more accurate strength assessment, which will improve the dosing for resistance training in youth with CP.

Integrating Strength and Conditioning Into a High School Physical Education Curriculum: A Case Example

The goal of physical education (PE) is to assist students in the development of physical activity habits that will last a lifetime. To achieve this, PE teachers must shift beyond only teaching sports and games during instructional periods. Strength and conditioning programming is one alternative available to PE teachers. This article provides an overview of the benefits of strength and conditioning for youth and an example of one high school implementing strength and conditioning as part of its PE program while following the guidelines laid out in the two position statements on youth resistance training.

The Promise of Youth Resistance Training

SummaryGlobal health reports indicate that a vast majority of children and adolescents are not accumulating the recommended amount of moderate to vigorous physical activity (MVPA) daily. This decline in MVPA has coincided with troubling temporal trends in muscular fitness in modern day youth. Since a prerequisite level of muscular strength is needed to move proficiently, developmentally appropriate interventions that target neuromuscular deficits are needed to prepare girls and boys for ongoing participation in active play, exercise and sport activities. Instead of focusing exclusively on aerobic activities, the promotion of youth physical activity should recognize the shared importance of strength, skill and aerobic activities for all youth regardless of body size or physical prowess. In addition to enhancing muscular fitness and improving motor skill performance, regular participation in resistance training has been found to have a favorable influence on musculoskeletal strength, cardiometabolic function, body composition, and mental health in children and adolescents. A new mindset that recognizes the critical importance of strength-building activities early in life is needed before this generation of girls and boys becomes resistant to exercise interventions later in life.

Eccentric Resistance Training in Youth: A Survey of Perceptions and Current Practices by Strength and Conditioning Coaches.

Background: Eccentric resistance training (ERT) in youth is advocated for aiding performance and injury risk. However, research investigating the applied practices of ERT in youth is in its infancy. In this study, we surveyed the perceptions and practices of practitioners utilizing ERT in youth to provide an understanding of its current application in practice. Methods: Sixty-four strength and conditioning coaches completed an online survey reporting their current use of ERT in youth using both open and closed questions. Results: Coaches deemed the inclusion of ERT important in youth with its inclusion based upon factors such as maturation status, training age and strength levels. Coaches also displayed an awareness of the physiological responses to eccentric exercise in youth compared to adults. ERT was primarily used for injury prevention, with the majority of coaches using body-weight and tempo exercises. Furthermore, utilizing eccentric hamstrings exercises was reported as highly important. The frequency of ERT tended to increase in older age groups and coaches mainly prescribed self-selected rest intervals. Finally, the need for further research into the training guidelines of ERT in youth was highlighted, in which coaches require more information on how maturation influences training adaptations and the fatigue–recovery responses. Conclusion: Coaches emphasized the importance of including ERT for both performance and injury prevention factors in youth although further research is required to generate practical guidelines for coaches in order to support its inclusion within practice.

Resistance Training for Children and Adolescents

Resistance training is becoming more important as an integral part of comprehensive sport training regimens, school physical education classes, and after-school fitness programs. The increasing number of youth who are involved in sport activities, coupled with the health problems of inactivity and being overweight, have resulted in increased interest in resistance training. Secular declines in measures of muscular fitness in modern-day youth highlight the need for participation in youth resistance training for nonathletes as well as athletes. Parents often ask pediatricians to offer advice regarding the safety, benefits, and implementation of an effective resistance-training program. This report is a revision of the 2008 American Academy of Pediatrics policy statement and reviews current information and research on the benefits and risks of resistance training for children and adolescents.

Eccentric Resistance Training in Youth: Perspectives for Long-Term Athletic Development.

The purpose of this narrative review is to discuss the role of eccentric resistance training in youth and how this training modality can be utilized within long-term physical development. Current literature on responses to eccentric exercise in youth has demonstrated that potential concerns, such as fatigue and muscle damage, compared to adults are not supported. Considering the importance of resistance training for youth athletes and the benefits of eccentric training in enhancing strength, power, speed, and resistance to injury, its inclusion throughout youth may be warranted. In this review we provide a brief overview of the physiological responses to exercise in youth with specific reference to the different responses to eccentric resistance training between children, adolescents, and adults. Thereafter, we discuss the importance of ensuring that force absorption qualities are trained throughout youth and how these may be influenced by growth and maturation. In particular, we propose practical methods on how eccentric resistance training methods can be implemented in youth via the inclusion of efficient landing mechanics, eccentric hamstrings strengthening and flywheel inertia training. This article proposes that the use of eccentric resistance training in youth should be considered a necessity to help develop both physical qualities that underpin sporting performance, as well as reducing injury risk. However, as with any other training modality implemented within youth, careful consideration should be given in accordance with an individual’s maturity status, training history and technical competency as well as being underpinned by current long-term physical development guidelines.

Resistance Exercise for the Prevention and Treatment of Pediatric Dynapenia

Temporal trends of youth muscular fitness (i.e., muscular strength, muscular power and local muscular endurance) indicate that contemporary children and adolescents are weaker and slower than previous generations. Consequently, this generation of millennials appear to be just as vulnerable as older adults to the inevitable consequences of muscle disuse and neuromuscular dysfunction. The modern-day construct of pediatric dynapenia describes an identifiable and treatable condition in youth characterized by low levels of muscular strength and power and consequent physical and psychosocial limitations not caused by neurologic or muscular disease. An interaction of modifiable physical and psychosocial factors can influence the development and progression of pediatric dynapenia. Without structured interventions that target strength deficits and build strength reserves in a supporting environment, the divergence in performance between weaker and stronger children may persist into adolescence because weaker youth may be unable to break through a so-called strength barrier. Regular participation in a well-designed youth resistance training program provides an opportunity for youth to enhance their health and fitness while acquiring the physical skills and behaviors that support an active lifestyle. New insights have highlighted the importance of initiating strength-building interventions early in life to optimize performance gains in other important components of physical fitness. Developmentally appropriate resistance training should be integrated into school- and community-based youth fitness programs and strength-building activities should take a more prominent position in public health physical activity recommendations for children and adolescents.

What Is the Role of Resistance Exercise in Improving the Cardiometabolic Health of Adolescents with Obesity?

Traditionally, individuals with obesity have been encouraged to participate in aerobic exercise for long-term weight management and improved obesity-related health outcomes. Recently, resistance exercise has become a popular mode of exercise among youth with obesity. However, to date, the literature is mixed as to whether resistance exercise training alone improves body weight, fat free mass, body composition, cardiovascular risk factors, or atherogenic lipoprotein profiles. The limited research in this area suggests potential sex differences in response to resistance training in youth. The literature is more consistent in demonstrating improvements in muscular fitness and insulin resistance independent of caloric restriction and weight loss. Although major health organizations recommend combining aerobic and resistance training, little research has examined the effects of their combination versus their individual effects, thus it is unclear whether their combination is associated with benefits that extend beyond those of either exercise modality alone. The purpose of this review is to examine the effects of resistance exercise on body composition and the health risk factors associated with cardiovascular disease and type 2 diabetes in youth with obesity.

Resistance Training and Insulin Sensitivity in Youth: A Meta-analysis.

Objectives: Past research has explored pooled effects of aerobic exercise modalities on cardiometabolic health markers in children and adolescents. However, much less is known regarding the pooled effect of resistance training interventions on metabolic health. The purpose of this study was to examine the pooled effect of resistance training interventions on insulin sensitivity in children and adolescents. Methods: We performed a comprehensive Internet search. We extracted studies based on having a measure of insulin sensitivity as an outcome, employing a controlled experimental or quasi-experimental research design, and reporting of the effect estimate's variability. We employed random effects meta-analyses using the Hartung-Knapp-Sidak-Jonkman method. Results: We found no statistically significant pooled effects (Hedges'g = 0.33; 95%CI: -0.34, 1.00, p = .288). There was evidence for publication bias using Egger regression (b0 = 4.62; 95%CI: 0.12, 9.01, p = .046). Conclusions: The results indicate that resistance-training interventions do not have a statistically significant positive effect on insulin sensitivity in youth. Resistance training is a complement to aerobic exercise, but the current literature suggests that there is little evidence to support that this exercise modality alone can improve insulin sensitivity in youth.

A Meta-Analysis of Resistance Training in Female Youth: Its Effect on Muscular Strength, and Shortcomings in the Literature.

Resistance training is an effective way to enhance strength in female youth but, to date, no researcher has meta-analysed its effect on muscular strength in that population. This meta-analysis characterised female youths' adaptability to resistance training (RT). A second objective was to highlight the limitations of the body of literature with a view to informing future research. Google Scholar, PubMed, Web of Science. Resistance training interventions in healthy females with a mean age between 8 and 18years. Programmes of between 4 and 16weeks' duration that included a control group. The inverse-variance random effects model for meta-analyses was used because it allocates a proportionate weight to trials based on the size of their individual standard errors and facilitates analysis whilst accounting for heterogeneity across studies. Effect sizes, calculated from a measure of muscular strength, are represented by the standardised mean difference and are presented alongside 95% confidence intervals. The magnitude of the main effect was 'small' (0.54, 95% confidence interval: 0.23-0.85). Effect sizes were larger in older (> 15years; ES = 0.72 [0.23-1.21] vs. 0.38 [- 0.02-0.79]), taller (> 163cm; ES = 0.67 [0.20-1.13] vs. 0.55 [0.08-1.02]) and heavier (< 54kg; ES = 0.67 [0.30-1.03] vs. 0.53 [- 0.00-1.06]) participants. Resistance training is effective in female youth. These findings can be used to inform the prescription of RT in female youth.

Youth Resistance Training: The Good, the Bad, and the Ugly-The Year That Was 2017.

The good news is that a growing body of evidence recognizes resistance training as foundational to long-term physical development. Original research and reviews published in 2017 conclude that early exposure to developmentally appropriate resistance training can improve markers of health, increase muscular fitness, enhance physical literacy, and reduce the risk of injury in young athletes. Although the papers discussed in the commentary add to our understanding of the pleiotropic benefits of youth resistance training, they also raise concerns. As measures of muscular strength and power have been found to track from childhood to adulthood, the bad news is that youth with low levels of muscular fitness tend to become weak adults who are at increased risk for functional limitations and adverse health outcomes. Furthermore, global participation in youth resistance training is falling far short of public health recommendations, and these ugly trends will likely impact the health and well-being of future generations. A change in current attitudes and common practices is urgently needed to educate parents, practitioners, and clinicians about the potential benefits of resistance training for all children and adolescents, not only young athletes.

Resistance Training in Youth - Benefits and Characteristics

Resistance Training in Youth - Benefits and Characteristics

Resistance Training in Youth Improves Athletic Performance: A Systematic Review

Resistance Training in Youth Improves Athletic Performance: A Systematic Review

The effects of resistance training, overtraining, and early specialization on youth athlete injury and development.

In 2014, 60 million youth ages 6-18 participated in some form of generalized athletics. Around 3.5 million children are injured annually participating in organized sport or recreational activities. While sound physical education can decrease the burden of youth sports injuries, the median annual physical education budget of $ 764 for USA elementary, middle, and high schools may not allow enough flexibility to apply evidenced-based guidelines. The topics were selected after a careful review of the 2016 National Strength and Conditioning Association Position Statement on Long-Term Athletic Development. Articles used to summarize the topics were located by using and cross-referencing sources from this statement. PubMed searches were also conducted using the key words "youth sports injuries," "early sports specialization," "training and maturation," "training versus developmental stage," and "long-term athletic development." Youth resistance training has been shown to decrease not only the risk of injury, but also of the development of diabetes and metabolic syndrome. Adequate recovery time also decreases injury risk, and resources such as the RESTQ-Sport are available to help coaches identify stress-recovery imbalances, which can be detected two months before an athlete becomes overreached. Through early detection of overtraining, a significant proportion of overuse injuries can be prevented. Early specialization causes fewer muscle groups to be worked and increased repetition, theoretically increasing the risk of injury and early sport dropout. Prior to puberty, increased neuronal activation and adaptation can be achieved through focusing on agility, balance and coordination, thus taking advantage of increased synaptoplasticity. In these early years, neuronal stimulation is more important than muscle hypertrophy, which plays a greater role in athletic development after puberty. A substantial proportion of youth injuries are preventable. Coaches and physical educators who correctly understand and apply the principles outlined in this review can help youth under their supervision engage in healthy training for sport.

Resistance Training in Youth: Laying the Foundation for Injury Prevention and Physical Literacy.

Context:The rising incidence of physical activity– and sports-related injuries has prompted the present-day investigation of resistance training as a potential means of injury prevention and physical literacy development among youth.Evidence Acquisition:Relevant studies on the topics of athlete development, physical literacy, resistance training, and injury prevention in children and adolescents were reviewed (PubMed and Sports Discus, 1982-2016). Recommendations from consensus guidelines and position statements applicable to resistance training and injury prevention in youth, in addition to young athlete development, were reviewed. Additionally, hand searches, expert requests, article reference lists, and gray literature were utilized and reviewed for pertinent content.Study Design:Clinical review.Level of Evidence:Level 4.Results:Youth throughout the physical activity spectrum are at risk for physical activity– and sports-related injury. Of highest priority are early specializers, physically inactive youth, and young girls, owing to increased injury rates. Resistance training among these at-risk populations has been shown to reduce injury risk by up to 68% and improve sports performance and health measures, in addition to accelerating the development of physical literacy. Recent recommendations, position statements, and national initiatives advocate for the incorporation of resistance training with qualified instruction among these groups.Conclusion:Resistance training in addition to free play and other structured physical activity training can serve as a protective means against injury and a positive catalyst for the development of physical literacy to offset the impact of diminishing physical activity and early sport specialization in today’s youth.