Steiv Shore, Alexis Neal, Jordan Lubell, Lauren Connolly, Michael Megafu, Jacob Speechley, Samuelson E Osifo, Sumitra Miriyala
{"title":"How COVID-19 Increased Fractures Among Adolescent Ice Hockey Players-A National Database Analysis From 2014 to 2023.","authors":"Steiv Shore, Alexis Neal, Jordan Lubell, Lauren Connolly, Michael Megafu, Jacob Speechley, Samuelson E Osifo, Sumitra Miriyala","doi":"10.1123/pes.2025-0088","DOIUrl":"https://doi.org/10.1123/pes.2025-0088","url":null,"abstract":"<p><strong>Background: </strong>Ice hockey remains popular among adolescents aged 10-19, but limited research exists on how COVID-19 pandemic influenced injury rates in this group. Since pandemic disrupted youth sports through widespread shutdowns and changes in training environments, examining shifts in injury patterns particularly fractures is essential.</p><p><strong>Hypothesis: </strong>Fracture counts declined in 2020 due to reduced sports participation during pandemic but increased in 2021 as athletes returned to more intense gameplay, often with poorer conditioning and elevated psychological stress.</p><p><strong>Study design: </strong>Retrospective cohort study, level 3.</p><p><strong>Methods: </strong>The study utilized the National Electronic Injury Surveillance System to evaluate emergency department visits for ice hockey-related injuries in adolescents (10-19 y) from 2014 to 2023. The focus was on fractures, and only ice hockey-specific injuries were included. Statistical analysis assessed annual injury trends.</p><p><strong>Results: </strong>A total of 3626 injuries were reported. Fractures were the most common diagnosis overall (22.1% of all injuries). The top 3 diagnoses were fractures, contusions (15.9%), and concussions (12.2%). Of note, fracture diagnosis revealed a decline during 2020, followed by a statistically significant increase by 2021, accounting for 30% of all reported injuries (P < .05) remained significant even after excluding 2020 data).</p><p><strong>Conclusion: </strong>Reduced activity likely caused the 2020 fracture decline. Although causation cannot be definitively established from National Electronic Injury Surveillance System data alone, this correlation may reflect reduced participation in 2020 and subsequent changes in training, conditioning, gameplay intensity, and possibly equipment quality upon return to sport.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah R Thompson, Margaret Schneider, Dan Cooper, Shlomit Radom-Aizik, Joni Ladawn Ricks-Oddie, Kristine A Madsen
{"title":"Impact of Annual School Fitness Reports on Students' Cardiorespiratory Fitness: A Cluster-Randomized Controlled Trial of Parental Reporting.","authors":"Hannah R Thompson, Margaret Schneider, Dan Cooper, Shlomit Radom-Aizik, Joni Ladawn Ricks-Oddie, Kristine A Madsen","doi":"10.1123/pes.2025-0070","DOIUrl":"10.1123/pes.2025-0070","url":null,"abstract":"<p><strong>Background: </strong>School-based physical fitness testing is an important population health monitoring tool and has the potential to improve student fitness performance. However, few studies exist on the impact of reporting student fitness to parents.</p><p><strong>Methods: </strong>Using data from the Fit Study (2014-2017) from 12 California public schools, we used mixed-effects models to compare changes in cardiorespiratory fitness (estimated peak oxygen consumption, calculated from the 1-mile run) and strength (curl-ups and push-ups) over 1 and 2 years between students randomized to having their parents receive an annual fitness report (intervention, n = 1638 students) and control (n = 2070) in grades 5 to 8 (ages 10-15 y). The student sample was 47.9% female, 55.9% Hispanic, and 24.1% Asian.</p><p><strong>Results: </strong>After 1 year, intervention students did not demonstrate differential change compared with control students in estimated peak oxygen consumption (between-group change: -0.03 mL/kg/min; 95% CI, -.367 to 0.302), curl-ups (between-group change: 1.2 curl-ups; 95% CI, -0.306 to 2.660), or push-ups (between-group change: 0.1 push-ups; 95% CI, -0.672 to 0.787). Similarly, no differences were seen after 2 years.</p><p><strong>Conclusion: </strong>Sending a 2-page, once-a-year school-based fitness report home to parents-in the absence of environmental changes and/or behavioral coaching and support-does not impact student fitness performance after either 1 or 2 years of reporting.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":" ","pages":"1-11"},"PeriodicalIF":1.3,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13570707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Petri Jalanko, Marja H Leppänen, Bert Bond, Jari A Laukkanen, Timo A Lakka, Eero A Haapala
{"title":"Associations of Physical Activity and Sedentary Time From Childhood to Adolescence With Cognition in Adolescence: The PANIC Study.","authors":"Petri Jalanko, Marja H Leppänen, Bert Bond, Jari A Laukkanen, Timo A Lakka, Eero A Haapala","doi":"10.1123/pes.2025-0083","DOIUrl":"10.1123/pes.2025-0083","url":null,"abstract":"<p><strong>Purpose: </strong>Investigate the associations of cumulative exposure to physical activity (PA), sedentary time (ST), and screen time from childhood to adolescence over an 8-year follow-up with cognition in adolescence.</p><p><strong>Methods: </strong> All together, 260 adolescents (136 boys) who were 15-17 y at 8-y follow-up were analyzed. PA and ST were assessed using an Actiheart device, and different types of PA, nonscreen-based ST, and screen time were assessed by a questionnaire at baseline, 2-y and 8-y examinations. Cognition was assessed using CogState tests at 8-year examinations.</p><p><strong>Results: </strong>Self-reported cumulative unsupervised PA from childhood to adolescence was inversely associated with accuracy in working memory task (standardized regression coefficient, β = -0.127; 95% confidence interval [CI], -0.247 to -0.008) in adolescence. Self-reported nonscreen-based ST was inversely associated with reaction time (β = -0.176; 95% CI, -0.299 to -0.053) and accuracy (β = -0.149; 95% CI, -0.274 to -0.024) in working memory tasks. Self-reported screen time was inversely associated with reaction time (β = -0.194; 95% CI, -0.316 to -0.071) and accuracy (β = -0.233; 95% CI, -0.355 to -0.112) in both working memory tasks and directly associated with overall cognition (β = 0.187; 95% CI, 0.070 to 0.305).</p><p><strong>Conclusion: </strong>Accumulating less unsupervised PA and more screen time from childhood to adolescence was associated with better cognition in adolescence.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":" ","pages":"268-283"},"PeriodicalIF":1.3,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sahar Afeef, Roberto Salvaggio, Laura A Barrett, Julia K Zakrzewski-Fruer, Lindsey R Smith, Michael L Newell, Alice E Thackray, Andrew Kingsnorth, Keith Tolfrey
{"title":"Associations Between Movement Behaviors and Glycemic Variability in Healthy Adolescents: A Multiday Accelerometry and Continuous Glucose Monitoring Study.","authors":"Sahar Afeef, Roberto Salvaggio, Laura A Barrett, Julia K Zakrzewski-Fruer, Lindsey R Smith, Michael L Newell, Alice E Thackray, Andrew Kingsnorth, Keith Tolfrey","doi":"10.1123/pes.2024-0173","DOIUrl":"https://doi.org/10.1123/pes.2024-0173","url":null,"abstract":"<p><strong>Purpose: </strong>Glycemic variability is a potential risk factor for cardiometabolic disease. As adolescence is a critical period for establishing metabolic health, this study examined associations between daily physical activity (PA) levels, sedentary time, and glycemic variability in healthy adolescents under free-living conditions.</p><p><strong>Methods: </strong>Eighty-seven adolescents (53 girls; mean age: 12.9 [0.8] y) wore a continuous glucose monitor (FreeStyle Libre) and an accelerometer (ActiGraph) concurrently over 8 days. Generalized estimating equations examined daily associations in participants with ≥3 days of concurrent accelerometer/continuous glucose monitor data, after adjusting for key confounders.</p><p><strong>Results: </strong>Vigorous PA was consistently associated with a lower glucose coefficient of variation (exponentiated beta coefficient [exp β] = 0.898; 95% CI, 0.828-0.974; P = .010), mean amplitude of glycemic excursion (exp β = 0.889; 95% CI, 0.804-0.983; P = .022), and SD of glucose (exp β = 0.914; 95% CI, 0.845-0.988; P = .023) and a greater percentage in the 3.9 to 7.8 mmol·L-1 glucose range (exp β = 1.020; 95% CI, 1.003-1.038; P = .019). Moderate-to-vigorous PA was also inversely associated with coefficient of variation and SD of glucose (P ≤ .018). Yet, sedentary time, light PA, moderate PA, and total PA were not significantly associated with any glycemic metric (P ≥ .145).</p><p><strong>Conclusion: </strong>PA at moderate-to-vigorous, and especially vigorous, intensities was associated with lower glycemic variability in healthy adolescents.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Dual-Task Training on Motor, Cognitive, and Dual-Task Performance in School-Age Children: Randomized Controlled Trial.","authors":"Sema Büğüşan Oruç, Eda Gülbetekin","doi":"10.1123/pes.2025-0089","DOIUrl":"https://doi.org/10.1123/pes.2025-0089","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the effect of dual-task (DT) training on motor, cognitive, and DT performance in school-aged children.</p><p><strong>Methods: </strong>The study sample consisted of 108 children, aged 8-10 years, living in a province in eastern Türkiye, between April and December 2024. Participants completed the 10-m walk test, the 2-minute walk test, and the timed sit-to-stand test under both single-task conditions and DT conditions, which involved performing a concurrent cognitive task. The study group received DT training during physical education classes once a week for 40 minutes over a 4-week period, while the control group continued their regular physical education classes.</p><p><strong>Results: </strong>Significant improvements were observed in the study group between the first and last measurements for both single-task cognitive (t = -4.035; P = .000) and single-task motor (t = -3.182; P = .002) performance. There were no differences in the difficulty levels of the cognitive and motor tasks between the study and control groups (P > .05). However, significant differences were found between the groups in adjusted posttest scores for the DT condition (F = 9.010, P = .003, η2 = .079).</p><p><strong>Conclusions: </strong>DT training enhanced cognitive, motor, and DT performance in school-aged children. The findings suggest that pediatrics professionals should consider incorporating DT training more widely in practice.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of Training Load on Sleep Characteristics, Hormonal, and Immune Responses of Adolescent Female Water Polo Athletes.","authors":"Isidora Krimizi, Argyris Toubekis, Panagiota Klentrou, Petros Botonis","doi":"10.1123/pes.2024-0183","DOIUrl":"https://doi.org/10.1123/pes.2024-0183","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the sleep behavior, cortisol, and immunoglobulin A responses between 2 conditions; an experimental condition consisting of 2 consecutive weeks of school and training commitments with low- and high-load training and a 3-day control condition without school and training obligations.</p><p><strong>Methods: </strong>Objective sleep characteristics were monitored using ActiGraphy in 11 female water polo athletes (age: 12.9 [1.2] y) during both conditions. In the experimental condition, a low-load training week was followed by a high-load training week. Salivary cortisol and immunoglobulin-A were measured before training.</p><p><strong>Results: </strong>Sleep duration was lower and awakenings were fewer in experimental condition compared to control condition (duration: 464.1 [20.6] vs 501.3 [85.0] min, P = .02, d = 0.66; awakenings: 17.4 [8.4] vs 21.1 [10.2], P = .02, d = 0.71). Sleep characteristics were similar between training conditions; however, variability in time in bed and total sleep time was lower during high- (12.34% [6.46%] and 13.32% [7.59%]) than low-load training (16.30% [7.43%] and 17.32% [5.50%]) (P < .01, d = 1.12 and P = .04, d = 0.70). Salivary cortisol and immunoglobulin-A levels were higher during high-load than low-load training (P < .01, d = 1.02 and P < .01, d = 1.38).</p><p><strong>Conclusions: </strong>School and sports training commitments reduce sleep duration but improve sleep quality in adolescent water polo athletes, while high-load training reduces sleep variability and increases allostatic load without altering sleep characteristics.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":" ","pages":"1-8"},"PeriodicalIF":1.3,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial Intelligence - Friend or Foe for the Reviewer?","authors":"Craig A Williams","doi":"10.1123/pes.2026-0050","DOIUrl":"10.1123/pes.2026-0050","url":null,"abstract":"","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":"38 2","pages":"113"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicole E Logan, Janis Gaudreau, William W Lewis-de Los Angeles
{"title":"Impact of Pubertal Progression on Physical Activity and Sedentary Time in Adolescent Girls.","authors":"Nicole E Logan, Janis Gaudreau, William W Lewis-de Los Angeles","doi":"10.1123/pes.2025-0075","DOIUrl":"10.1123/pes.2025-0075","url":null,"abstract":"<p><strong>Purpose: </strong>Understand how pubertal progression is associated with physical activity behaviors in adolescent girls.</p><p><strong>Methods: </strong>Longitudinal analysis of early adolescent girls (n = 2778, aged 11.9 y) from the Adolescent Brain Cognitive Development study was conducted. Pubertal trajectories were characterized via latent class analysis. Physical activity measures were derived from Fitbit accelerometers at year 2. Multivariate linear regression analyses examined how pubertal progression predicted physical activity patterns.</p><p><strong>Results: </strong>Girls with early puberty showed fewer steps (b = -506, P < .001), and girls with slow pubertal progression had more steps (b = 580, P < .001), compared with those with typical puberty. Girls with early puberty had more sedentary time (b = 17.9, P < .001), and girls who had slow pubertal progression had less sedentary time (b = -18.3, P < .001), compared with girls with typical puberty.</p><p><strong>Conclusions: </strong>Girls who developed puberty early had fewer steps and more time spent in sedentary behaviors. A gradient was observed for both steps and sedentary time, with slow progressors engaging in the most steps and least sedentary time, followed by typical progressors, with early progressors showing the fewest number of steps and longer time spent in sedentary behaviors. Girls who progress through puberty early might benefit from additional resources to stay engaged in PA opportunities.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":" ","pages":"259-267"},"PeriodicalIF":1.3,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie A Palmer, Kara K Palmer, John Paul Arslanian, Leah E Robinson
{"title":"Fundamental Motor Skills and Physical Activity: Short-Term but Not Sustained Associations Between Improved Locomotor Skills and Preschoolers' Physical Activity Following a Motor Skill Intervention.","authors":"Stephanie A Palmer, Kara K Palmer, John Paul Arslanian, Leah E Robinson","doi":"10.1123/pes.2025-0003","DOIUrl":"10.1123/pes.2025-0003","url":null,"abstract":"<p><strong>Background: </strong>Fundamental motor skills (FMS) support children's participation in health-enhancing physical activity (PA), yet it remains unclear whether postintervention motor skill gains translate into increased PA.</p><p><strong>Purpose: </strong>This study used cross-sectional and prospective analyses to examine associations between changes in preschoolers' FMS and PA immediately following the Children's Health Activity Motor Program and again 6 months later.</p><p><strong>Methods: </strong>Preschoolers (N = 153; 86 girls, mean age = 53.14 mo [4.43 y]) from 3 preschool centers participated. Process-oriented FMS were assessed using the Test of Gross Motor Development-Third Edition, and product measures were collected for running, jumping, hopping, kicking, and throwing. Moderate to vigorous PA was measured using wrist-worn ActiGraph accelerometers. Linear mixed models tested associations between FMS and PA changes, controlling for age, sex, and body mass index and accounting for preschool center differences.</p><p><strong>Results: </strong>Improvements in locomotor skills were positively associated with increased moderate to vigorous PA postintervention, whereas improvements in object control skills were negatively associated with moderate to vigorous PA at the same time point. No significant prospective associations were observed.</p><p><strong>Conclusion: </strong>These findings suggest that locomotor skill gains may support short-term PA among preschoolers, but further research is needed to clarify additional aspects of the FMS-PA relationship after motor skill interventions.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":" ","pages":"250-258"},"PeriodicalIF":1.3,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12997558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}