In the present study, intensity, duration and frequency of habitual PA, and its relationship with aerobic and anaerobic fitness were examined with regard to regular sport activity in 11-15 year old boys. No previous study has examined such relationships separately for trained athletic and non-athletic subjects. Thus, the main contribution of this study with respect to the existing literature is that it provides information about how this relationship is influenced by training status. In this study, using %HRR method indicative of intensity, the duration and frequency of habitual PA of 147 boys (73 trained and 74 untrained) were assessed by four complete days of HR monitoring with 15-s sampling intervals. Both maximal (Peak VO2 and Peak RS) and submaximal (RSs at fixed La concentrations) indices of aerobic fitness were also assessed with objective measures. Furthermore, anaerobic fitness was evaluated by measuring peak and mean power outputs during WAnT. The results of this study revealed that the duration and frequency of PA were positively related to both maximal and submaximal indices of aerobic fitness in the untrained group, and these relationships were somewhat better with vigorous intensity of PA (>70% HRR). However, in the trained group, none of the PA variables was related to any of the aerobic fitness indices. Furthermore, no relationship was observed between PA and anaerobic fitness in either group. It appears that such relationships may depend on the fitness level of the subjects. This study has also provided the first report of PA levels in a youth Turkish population as measured by HR monitoring. Although HR monitoring is one of the most commonly used objective measures for assessing PA in children and adolescents (Armstrong and Welsman, 2006; Epstein et al., 2001), direct comparisons of the current results with those of other studies are difficult, because of differences in methodology, age of sample and interpreta-tion of the HR data. Despite these difficulties, comparisons could be made among the studies that used similar age range and definition of activity intensities. Using %HRR method and the same intensity criteria as in this study, Gavarry et al., 1998 reported that the average (± SD) daily accumulated times spent in MPA and VPA were 50 (27) min and 19 (16) min, respectively, for 11-16 year old French school boys. This could be compared to 37 (18) min and 12 (8) min of accumulated MPA and VPA per day for 11-15 year old untrained Turkish boys, and 58 (16) min and 29 (13) min of daily times spent at the same intensity levels for trained boys in the present study. Moreover, some studies provided %peak VO2 as a definition of activity intensity (Ekelund et al., 2000; Riddoch et al., 1991) that is generally equivalent to %HRR (Epstein et al., 2001). Ekelund et al., 2000 reported 26 (17) min and 7 (7) min of daily accumulated PA at an intensity above %50 and %70 peak VO2, respectively, for 14-15 year old Swedish school boys. Riddoch et al., 1991 found that 11-16 year old Irish school boys accumulated 24 (5) min of MPA and 8 (2) min of VPA per day. Furthermore, Welsman and Armstrong, 1992 defined MPA and VPA as the time spent with HR above 140 and 160 b·min-1, respectively, and they reported 36 (18) min of daily MPA and 18 (12) min of daily VPA for 11-16 year old British school boys. It could be assumed that socio-cultural and environmental differences between countries may influence activity patterns and thereby may contribute to this difference. Nevertheless, it seems that the French school boys were more physically active while the Turkish school boys were at least as physically active as their Swedish and British peers. In terms of all PA variables examined in this study, the trained subjects showed significantly higher daily values compared to the untrained group. In fact, the daily PA differences between two groups were more prominent for VPA, this was probably due, in part, to randomly monitored training days. Objective PA data comparing the athletic and non-athletic children in free-living conditions are very scarce in the literature (Falgairette et al., 1996; Hikihara, et al., 2007; Ribeyre et al., 2000). Therefore, the influence of regular sport activity on habitual or spontaneous activity levels in children and adolescents (possible compensatory or stimulating effects) is not well known. Using the HR monitoring, Falgairette et al., 1996 found that the daily habitual PA (time spent with HRs greater than 140 and 160 b·min-1) levels of 6-11 year old boys physically active in a sports club were similar to that of the untrained boys. They suggested that the children who were active in a sports club had less spontaneous activity levels (Falgairette et al., 1996). However, Hikihara et al., 2007, in a study of 16-18 year old boys, found that times spent in moderate and vigorous activities, assessed with accelerometer, were significantly higher in trained than in untrained adolescents. It has been suggested that exercise training in daily life might lead to increase in daily habitual PA levels of adolescents (Hikihara, et al., 2007). Ribeyre et al., 2000, in a study of 16-19 year old adolescents, also reported similar findings, in that PA level and mean daily energy expenditure of athletic boys in freeliving conditions were significantly higher than those of non-athletic counterparts. Thus, the results of this study are in accordance with the findings of Hikihara et al., 2007 and Ribeyre et al., 2000, but opposite to the findings of Falgairette et al., 1996. It seems that the effect of regular sport activity on habitual PA may depend on the content and length of the intervention exercise and the age of the subjects. Nevertheless, these results may indicate that trained boys are at least as spontaneously active as their untrained counterparts and trained boys may not necessarily compensate their elevated daily activity level by having a more sedentary lifestyle. In previous studies, sustained PA was analyzed as the number or percentage of children who were experienced 5, 10 and 20 min of sustained bouts with the HR exceeding MPA and VPA thresholds. It had been suggested that sustained bouts of MPA or VPA for such durations (especially 10 and 20 min bouts) were not characteristic of most young people’s PA patterns (Al-Nakeeb et al., 2007; Armstrong and Welsman, 2006; Armstrong et al., 2000; Gilson et al., 2001). Therefore, in this study, a different approach was used for the analysis of sustained bouts of MPA and VPA, in that both the daily duration of maximum sustained bout (in minutes) and the daily number of sustained bouts (in number) of different durations (1st duration: up to 60 s; 2nd duration: from 60 s to 120 s; 3rd duration: >120 s) were calculated for each intensity level. No other HR monitoring study has reported data in this manner. The average (± SD) daily duration of maximum sustained bouts of MPA and VPA for 11-15 year old trained boys were 5.0 (1.7) min and 5.7 (2.4) min respectively, and those for untrained boys were 3.3 (1.3) min and 2.8 (1.7) min respectively. In accordance with the findings of the observational study (Bailey et al., 1995), the current results clearly indicated that both MPA and VPA were not sustained for extended periods of time in the daily life of children. When the daily number of sustained bouts was considered, the highest number of bouts was observed for the 1st duration of MPA (with a mean (± SD) daily value of 46.0 (14.5) times and 36.2 (15.8) times for trained and untrained boys, respectively), followed by the 1st duration of VPA (with a mean (± SD) daily value of 12.6 (5.7) times and 7.2 (4.7) times for trained and untrained boys, respectively). These results indicated that as duration of bouts of MPA and VPA increased the daily frequency of sustained bouts decreased. Taken together, these results confirm that short intermittent bouts of MPA and VPA are more likely to characterize the nature of children’s activity than continuous activity. Although this study was cross-sectional in nature, the results indicated that the levels of daily PA in both trained and untrained subjects decreased with increasing chronological age and sexual maturation from 11 to 15 years. In fact, generally only weak to moderate, but significant inverse relationships were observed between most of the daily PA variables and both age and maturation. It was interesting to note that these relationships tended to be slightly higher for maturation than for age and were quite similar in both trained and untrained subjects. No study to date has examined such relationships in trained subjects. Nevertheless, the current results for the untrained subjects are in accordance with previous studies that found age (Armstrong et al., 2000; Welsman and Armstrong, 2000; Gavarry et al., 2003; Riddoch et al., 2004; Thompson et al., 2003) or maturity (Armstrong et al., 2000; Janz et al., 1992; Riddoch et al., 2007; Thompson et al., 2003) related declines in habitual PA of children and adolescents. Moreover, a recent literature review indicated that the PA levels of European children declined as they moved through adolescence (Armstrong and Welsman, 2006). However, as displayed in Table 5, the duration of maximum sustained bouts of MPA and VPA in both groups was not related to either age or sexual maturation. Thus, in contrast to other daily PA variables, the duration of maximum sustained bouts did not change with age or maturation in either group of subjects. To our knowledge, such a result has not been reported before and needs to be confirmed by further studies. Examination of the relationship between daily PA and physical fitness was another purpose of the present study. As shown in Table 5, body fatness, expressed as the sum of eight skinfolds and %BF, was negatively and significantly related to almost all of the daily PA variables in the untrained group. However, these inverse relationships were weak to moderate in magnitude, ranging from -0.23 to -0.43, and tended to be higher for ?SKF than for %BF. The latter may indicate that using the ?SKF from different sites may better reflect total body fatness than using the population specific equations. Nevertheless, for the untrained group, the results revealed that the subjects with higher daily PA level tended to be slightly leaner than the subjects with lower daily PA level. In other words, subjects who had a higher body fatness tended to be less active as well. Although some of the previous studies did not find a significant relationship between PA and body fatness (Armstrong et al., 2000; Armstrong et al., 1990; Al-Nakeeb et al., 2007; Ekelund et al., 2001; Welsman and Armstrong, 2000), the results of this study as well as those of other reports (Falgairette et al., 1996; Gutin et al., 2005; Janz et al., 1992; Ruiz et al., 2006; Zarrouk et al., 2009) indicated a weak to moderate but significant inverse relationship between PA and body fatness in children and adolescents. This was also corroborated by a meta-analysis which demonstrated that PA level in children was weakly to moderately associated with body fatness and habitual PA explained only a small proportion of the variance in fatness (Rowlands et al., 2000). Moreover, in relation to aerobic fitness, both maximal and submaximal indices were assessed in this study. It was found that, for the untrained group only, daily PA variables were positively and significantly related to both maximal (peak VO2 and peak RS) and submaximal (RSs at fixed La concentrations) indices of aerobic fitness. These relationships, albeit weak to moderate, and ranged from 0.23 to 0.47 (Table 5), could be interpreted as untrained subjects who had a higher aerobic fitness level also tended to be slightly more physically active in daily life. There are a number of factors that influence aerobic fitness, such as pulmonary diffusing capacity, cardiac output, oxygen carrying capacity of the blood, skeletal muscle characteristics, oxidative enzymes and peripheral diffusion capacity (Bassett and Howley, 2000). It has been suggested that genetic factors modify all of these (Bouchard et al., 1992). According to the most recent data, 22 genes associated with aerobic performance (Beunen et al., 2010). Results from twin and family studies have suggested that about 50% to 60% of variance in aerobic fitness could be accounted for by genetic factors (Bouchard et al., 1999; Gaskill et al., 2001; Maes et al., 1996; Perusse et al., 2001; Sundet et al., 1994). Two of the twin-based studies with large sample sizes reported a heritability of more than 60% for peak VO2 (Maes et al., 1996; Sundet et al., 1994). Therefore, it might be assumed that, at most, 40% to 50% of the variance in aerobic fitness remains to be accounted for by all other environmental and behavioral factors including PA. It was not unexpected that there are inconsistent findings in the literature regarding the relationship between PA and aerobic fitness in children and adolescents. Some earlier studies failed to show such a relationship (Armstrong et al., 1998; 2000; Janz et al., 1992; Katzmarzyk et al., 1998; Welsman and Armstrong, 1992; Weymans and Reybrouck, 1989). It had been suggested that the levels of habitual PA in children were not of the intensity, duration and frequency necessary to exert a training effect upon aerobic fitness (Armstrong et al., 1998; 2000; Welsman and Armstrong, 1992; Weymans and Reybrouck, 1989). It was also possible that any relationships might be obscured by the strong genetic component to fitness and the influences of normal growth and maturation. In training studies, it was also reported that the similar program of intensity, duration and frequency that was expected to produce 15-20% improvement in peak VO2 of adults produced little (5-6%) change in peak VO2 of children (Baquet et al., 2003; Rowland, 2005). In a review of training studies in children, Baquet et al., 2003 suggested that intensities higher than 80% of maximal HR were necessary to expect a significant improvement in peak VO2. However, in previous studies that failed to show a significant relationship between PA and aerobic fitness, habitual PA had been assessed either by subjective methods (Katzmarzyk et al., 1998; Weymans and Reybrouck, 1989) or by objective measures with less than four complete days of monitoring (Armstrong et al., 1998; 2000; Janz et al., 1992; Welsman and Armstrong, 1992). In addition, in one of the studies, aerobic fitness had been estimated without direct measurement of oxygen consumption (Katzmarzyk et al., 1998). However, a number of more recent studies, in which objective measures were used, corroborated the finding that a generally weak to moderate positive relationship existed between habitual PA and aerobic fitness in children and adolescents (Dencker et al., 2006; Ekelund et al., 2001; Falgairette et al., 1996; Gutin et al., 2005; Hikihara, et al., 2007; Kristensen et al., 2010; Ruiz et al., 2006). Thus, another reason for these inconsistent findings may partly depend upon the methods used to assess both habitual PA and aerobic fitness. The use of objective measures for the assessment of both PA and aerobic fitness might strengthen the current findings of this study. Nevertheless, the lack of a strong relationship between daily PA, aerobic fitness and body fatness in this study as well as in other recent reports (Dencker et al., 2006; Ekelund et al., 2001; Falgairette et al., 1996; Gutin et al., 2005; Kristensen et al., 2010; Zarrouk et al., 2009) may indicate that other potential factors such as heredity, diet and socio-cultural conditions are likely to be more dominant factors than daily PA in determining aerobic fitness and fatness levels in children and adolescents. As shown in Table 5, it is notable that the magnitude of the positive correlations tended to be slightly higher when the peak VO2 was related to VPA rather than to MPA or %HRR. Furthermore, the peak RS and submaximal RSs at fixed La concentrations were also significantly and positively related to VPA, but not related to MPA or %HRR in the untrained group. Similarly, it had been previously reported that aerobic fitness was somewhat better related to VPA than to MPA or total daily PA in children and adolescents (Dencker et al., 2006; Gutin et al., 2005). Thus, taken together, these results suggest that higher intensity PA (>70% HRR) may be more important than total daily PA or moderate intensity PA in influencing children’s aerobic fitness levels. Further studies are needed to clarify which dimension of PA is more beneficial for cardiovascular fitness. In contrast to the untrained group, daily PA variables in the trained group were not related to any indices of aerobic fitness. Moreover, the relationships between daily PA variables and body fatness were also weaker in the trained group and did not reach statistical significance in most cases. In other words, as shown in Table 5, when the trained and untrained groups were analyzed separately, group- dependent relationships were observed between daily PA variables, aerobic fitness indices and body fatness in this sample of athletic and non-athletic children. It seems that such relationships may somewhat depend on the fitness level of the subjects. The cross-sectional nature of the present study precludes any firm conclusion regarding the causality of these relationships. Nevertheless, the current results suggest that, in terms of the effect on physical fitness, habitual PA may be more important for untrained subjects than for trained subjects. Thus, compared with their trained athletic counterparts, non-athletic children and adolescents may be more likely to improve their physical fitness level by increasing their daily habitual PA level. A possible explanation of this finding may be that as trained subjects have already significantly lower body fatness and higher aerobic fitness levels, the amount of daily PA in trained subjects may not be high enough to produce further enhancement of their physical fitness level. It seems that this finding may be due, in part, to a ceiling effect. No previous study, to our knowledge, has examined such relationships separately for trained athletic and non-athletic subjects. These results also need to be confirmed by future studies. As presented in Table 3, both peak and mean power values for the trained subjects were significantly greater than those for the untrained subjects. Again, these differences may also be attributed to the cumulative effect of exercise training or genetic predisposition. Relatively few studies have examined the trainability of anaerobic fitness in children and adolescents. Previous studies revealed a significant improvement in anaerobic fitness of athletic (Mosher et al., 1985; Diallo et al., 2001) and nonathletic (Rotstein et al., 1986; Obert et al., 2001) boys following plyometric and interval training programmes. However, it was suggested that training did not improve children’s peak and mean power as much as it did in adults. (Al-Hazzaa et al., 2000; Van Praagh and Dore, 2002). A recent literature review of training studies sug-gested that anaerobic fitness in children was to some degree trainable with the appropriate and adequate training stimulus (not less than 90% of maximal effort) (Matos and Winsley, 2007). The authors also reported that, in children, training-induced gains ranged from 3% to 10% for mean power, and from 4% to 20% for peak power (Matos and Winsley, 2007). It seems that regular sport activity or exercise training may play a role in promoting anaerobic fitness in this age of children. However, regarding the anaerobic fitness-habitual PA relationship, neither peak nor mean power values were related to any of the PA variables in both trained and untrained subjects. It seems that variations in peak and mean power are determined by factors other than daily habitual PA. It has been suggested that anaerobic fitness is also primarily genetically determined (Beunen et al., 2010; Calvo et al., 2002; Issurin et al., 2004; Simoneau and Bouchard, 1998). Simoneau and Bouchard (1998) reported that important determinants of anaerobic performance such as muscle fiber type proportion and glycolytic enzyme capacity of muscle were influenced by genetic factors. The authors have proposed that genetic factors account for approximately 50% of the total variance in maximal anaerobic performance phenotype (Simoneau and Bouchard, 1998). Based on the most recent data, it was reported that 20 genes associated with strength or anaerobic phenotypes (Beunen et al., 2010). Calvo et al., 2002 have also investigated genetic influences on anaerobic fitness. Using the WAnT, the authors report heritabilities of 74% for the peak power and of 84% for the mean power (Calvo et al., 2002). To date, only one other study appears to have examined the relationship between anaerobic fitness and habitual PA in children. Using the HR monitoring method and the WAnT, as in this study, Armstrong et al., 1998 reported that no significant relationship was found between habitual PA and either peak or mean power values in 12 year old untrained British children, which would support the results of the current study. In view of these results, it appears that children's habitual PA, which is typically characterized by short intermittent bursts of moderate to vigorous activity (Bailey et al., 1995; Berman et al., 1998; Baquet et al., 2007), may not be of sufficient volume to improve anaerobic fitness. The methods of analysing HR data and sampling frequency may also lack sufficient sensitivity to detect and quantify short intermittent bursts of activity and, therefore any possible relationship may be masked. This issue may need to be examined further for future studies in which more sensitive methods with more frequent sampling intervals could be employed. |