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January 2005

Walking not running helps burn fat in children
A new study published in The Journal of Clinical Endocrinology & Metabolism suggests that walking speed does not cause fat oxidation, otherwise known as “fat burning,” to speed up among a group of overweight boys between the ages of 9 and 11.
The study showed that the highest fat and carbohydrate burning occurred at a walking speed of about 2.5 miles per hour. Researchers say that a moderately intense exercise program may be recommended to overweight children as a feasible way to treat childhood obesity.
In the study, researchers compared fat burning rates at different walking speeds among 24 overweight boys with an average body mass index (BMI, a measure of weight in relation to height) of 25.5.
The maximum fat burning rate was found at a moderate walking speed of about 2.5 miles per hour (4 kilometers/hour). Increasing the walking speed to 5 kilometers/hour or 6 kilometers/hour did not substantially increase the fat burning rate.
Although the boys burned more carbohydrates when they increased their walking speed, researchers found the moderate walking pace promoted the highest fat to carbohydrate burning ratio, which is recommended for weight loss.
They added that obesity causes the body to get energy from other sources rather than fat, which causes fat to build up. But exercise stimulates fat burning and helps promote weight loss.
Hence it may be more reasonable to prescribe and encourage low- intensity exercise, which is more feasible and acceptable to obese children, than to insist on more intense exercise programs that may not provide any additional fat-burning benefits.

18 January 2005
Source

Sleep apnea linked with problem behavior in children
Sleep-disordered breathing (SDB), ranging from snoring to obstructive sleep apnea, is associated with a higher prevalence of behavioral problems in children, researchers report in the December issue of Pediatrics.
“Although many studies have reported increased behavioral problems in clinical samples of children referred for suspected SDB, those studies could be biased by an over-referral of children with behavioral problems,” lead investigator Dr. Carol L. Rosen told Reuters Health.
To avoid this potential problem, Dr. Rosen and colleagues at the Case Western Reserve University School of Medicine, Cleveland, Ohio, conducted a community-based cross-sectional survey involving 829 children ages 8 to 11 years old.
SDB was defined either by parental-reported habitual snoring or by objective measures of sleep apnea obtained by overnight monitoring. Two well-validated scales were used to obtain parental ratings of behavior.
Overall 5% of children were classified as having sleep apnea, 15% had snoring without sleep apnea and the remaining 80% had neither condition.
Children with SDB were significantly more likely to show a higher prevalence of problems, including emotional lability, hyperactivity, aggressive behavior and social problems.
“Finding this relationship in a non-clinical, non-referred community-based sample of children strengthens the relationship between SDB and behavioral problems,” Dr. Rosen noted.
However, she concluded, “well-controlled studies looking at the reversibility of behavioral problems with treatment of SDB are needed to answer the question of causality.”

David Douglas
Source: Pediatrics 2004;114:1640-1648.

10 January 2005

 

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