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Safe and Effective Exercise for Overweight Youth

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Table of Contents

Profile of the Overweight Child: Implications for Exercise Prescription Factors That Limit Physical Activity in Children Responses of the Obese Child to Exercise Implications to Exercise Prescription Summary References Aerobic Exercise Defining Cardiorespiratory Endurance Prescribing Aerobic Exercise to Overweight and Obese Youth Sample Class References Strength (Resistance) Training Muscular Strength and Endurance The Overload Principle Periodization Training Benefits of Strength Training in Youth Developing Strength Training Programs for Youth Adapting Strength Training to Overweight and Obese Children Sample Class References Flexibility Training Benefits of Flexibility Training Modifying Flexibility Exercise for Overweight and Obese Children Flexibility Training in Overweight Children with Bone and Joint Problems Ten-Week Flexibility Training Program Sample Class References Motivating Overweight Children to Increase Physical Activity Determinants to Physical Activity 118 Motivational Theories and Models for Encouraging Positive Behavior Change Motivational Techniques and Strategies to Increase Physical Activity in Overweight Youth Putting Research into Practice: Lesson Plans Tailored to Overweight and Obese Youth Using the Social Cognitive Theory Summary References Putting It All Together Developmentally Appropriate Physical Activity Tailoring Exercise Recommendations to Age, Overweight Level, and Associated Medical Problems Clinical Overview of a Typical Multicomponent Weight Management Program for Overweight Children 20-Week Exercise Curriculum for Group, Family, Clinical, and Home-Based Exercise Instruction Putting Research into Practice: Weekly Exercise Lesson Plans Tailored to Overweight and Obese Youth References Monitoring Progress The Importance of Regular Medical Monitoring and Self-Monitoring Tracking Obesity in Children Performing the Initial Medical Evaluation Ordering and Interpreting Laboratory Blood Work Provide Ongoing Medical Supervision Monitoring Patient Progress Evaluating Long-Term Progress References Measuring Health and Fitness Outcomes Appropriate and Reliable Protocols for Measuring Outcomes Anthropometrics and Body Composition Measurement of Resting Blood Pressure Measurement of Resting Heart Rate Laboratory Blood Work Measures of Physical Activity Level and Fitness Fundamental Movement Skill Competency Detailed Exercise Testing Protocols: Measurement of Fitness Measurement of Resting Metabolism: Resting Energy Expenditure and Respiratory Quotient Tanner Staging References What to Expect Metabolic Health Outcomes after Physical Activity and Exercise Training Biochemical, Anthropometric, Behavioral, and Fitness Outcomes Related to Physical Activity Current U.S. Evidence-Based Recommendations for Physical Activity References Future Trends in Exercise Research in Overweight and Obese Youth Primary Targets for Exercise Research in Overweight and Obese Children Factors That Inhibit Exercise in Overweight and Obese Youth Summary References Index

About the Author

Melinda S. Sothern, PhD, CEP is a licensed clinical exercise physiologist and Professor (tenure) in the LSUHSC School of Public Health (Behavioral and Community Health Sciences Program) and School of Medicine (Department of Pediatrics) in New Orleans, LA, and the Prevention of Childhood Obesity Laboratory at the LSU Pennington Biomedical Research Center in Baton Rouge. She is the recipient of the LSUHSC School of Public Health Jim Finks Endowed Chair in Health Promotion. Dr. Sothern's research is widely published in a multitude of peer-reviewed scientific journals and in three scientific textbooks, Safe and Effective Exercise for Overweight Youth (CRC Press, 2014), The Handbook of Pediatric Obesity: Clinical Management (Taylor and Francis, 2006), and The Handbook of Pediatric Obesity: Etiology, Pathophysiology and Prevention (Taylor and Francis, 2005). She also senior-authored a popular press book for parents of overweight children entitled Trim Kids (Harper Collins, 2001). The Trim Kids program is recognized by the National Cancer Institute as a Research Tested Intervention Program and is acknowledged by the U. S. Surgeon General for its community dissemination in YMCA centers in Louisiana. Dr. Sothern was the 2009 recipient of the Obesity Society's Oded Bar Or Award for Excellence in Pediatric Obesity Research, the 2008 recipient of the Cecil J. Picard Award for Excellence in Education to Prevent Childhood Obesity in Louisiana, and was selected as one of the Top Ten Female Achievers by New Orleans magazine. She recently received the 2014 Allen Copping Award for Excellence in Teaching at the LSUHSC School of Public Health, was honored with a proclamation by the New Orleans City Council as the outstanding alumna of the Human Performance and Health Promotion Program, and received Dr. Vane Wilson Award in recognition of excellent work and service in the field of human performance and health promotion in May 2000. Dr. Sothern is currently serving as Principal Investigator on two NIH-sponsored studies entitled, Molecular and Social Determinants of Obesity in Developing Youth and Obesity and Asthma: Determinants of Inflammation and Effects of Intervention and CO-PI/mentor on two additional studies, Obese Women May Pass Pro-inflammatory Biomarkers through Breast Milk to Infant and A Social Marketing Intervention Designed to Increase Fruit and Vegetable Purchases. She also previously served as PI on other NIH-sponsored studies. Dr. Sothern led her field in establishing standardized guidelines for prescribing exercise for children with increasing levels of obesity. She is considered a national spokesperson for overweight youth and has been featured extensively in national and international media including Good Morning America, The Today Show, CNN International, The Oprah Show, The Washington Post, Wall Street Journal, Parents Magazine, and many others. She is currently an associate editor for the journal Obesity and serves on the editorial board of the journals Pediatric Obesity, Childhood Obesity, and Obesity: Science and Practice. Dr. Sothern co-founded the Pediatric Obesity Interest Group and serves as Scientific Advisory Board Member for the Windward Islands Research and Education Foundation. She is also a member of the scientific advisory committees for the U.S. Report Card on Physical Activity for Children and Youth and the Louisiana State Report Card on Physical Activity and Health for Children and Youth. During the past 25 years Dr. Sothern has provided over 250 invited scientific lectures or presentations to universities, medical centers, and scientific meetings.


"As the incidence of obese and overweight youth increases, busy professional will need to consult a reliable reference. Thus, this book is highly recommended." -ARBA

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