Betsie Valley Fitness Club

Betsie Valley Fitness Club
Paul Oliver Memorial Hospital
"A Medical Fitness Center"


KIDS, TOO!

       
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231-352-9661

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102 Airport Rd
Frankfort, MI
49635


We believe children should develop positive attitudes about health and fitness at an early age.  Our club is equipped with mats, balls, beams, climbing apparatus, and many more items to offer a wide variety of classes for children.  We are continually striving to find qualified instructors eager to use our facility to offer classes.

Kidz Gym

Resumes Tuesday & Thursdays 4-6 PM starting April 8th. Your child(ren) can drop in anytime for 1 hour during 4-6 PM. Call for prices 352-9661. Non-Members = $6. Enjoy your own workout while your children enjoy theirs!

For kids ages 5-12.


This is designed as a "drop in" program that allows parents to work out while their children play in a supervised environment. Our certified fitness professionals have designed a program with "tons" of creative and dynamic fitness and nutrition activities to make working out a family affair!

Activities: Basketball, Volleyball, Walley Ball, Obstacle Courses, Scavenger Hunts.


MENU of ARTICLES

Summer Kids & Exercise
When is it Time to Return to Play After an Injury?
What You Should Know About Steroids

Calories, calories, calories - Just how many does a child need?

Guidelines for Parents of Children in Sports
Kids – Exercise, Strength tRaining, Sports, & Safety



Summer Kids & Exercise
March 2005

Children's physical responses to exercise are similar to adults. Physical responses being, increased activity = increased heart rate, blood pressure and respiratory rate. However, there are age and maturity differences with kids and their response to the combination of warm temperatures and exercise/activity.

With activity/exercise heat is produced. It is necessary for the body to get rid of excess heat to keep core temperatures at safe levels for internal organs and the brain.

This happens when perspiration—water is brought to the skin surface by convection, for evaporation. This evaporation serves as a cooling mechanism. It is the ONLY method the body has when the ambient temperature exceeds skin temperature. Higher humidity levels adversely affect the rate of evaporation.

Why is a child's ability to dissipate heat different than adults?

  1. Heat production with walking and running is greater than adults. The smaller the child the greater the heat production. For example, an 8 year old may have a 25-30% excess heat production.
  2. Kids have a lower rate of sweat production even though they have a higher number of sweat glands per unit of skin area. The transition to adult production rate happens in early puberty.
  3. Adults can experience heat difficulties related to fitness levels. That does not seem to be the case with children. Very fit trained athletes have the same mechanisms as sedentary kids.
  4. 4Children acclimate slower than adults. When it gets warm they needs more time to get used to it.
  5. Kids (adults as well) do not drink enough. Since children produce more heat, sweat less and less surface area than adults, hypo-hydration to dehydration happens more quickly and has more profound affects than adults.
    1. Children need to drink frequently; every 20 minutes is a good time frame.
    2. Children need to drink past thirst.
    3. Use fluids that encourage thirst.
    4. Dilute beverages may be better for children to maintain electrolyte balance. Children have a lower sodium concentration in perspiration than adults. Using dilute beverages needs to be studied more for a final conclusion.

Extra pounds can be an advantage in cold temperatures but they are a definite disadvantage when it's warm because:

  1. Heart rate and core temperature rise more rapidly in heavier children.
  2. Fat cells have a lower specific heat so it takes less heat to warm a fat cell than other cells.
  3. Fat has a lower water content than other tissues so it is harder to dissipate heat in heavier kids.
  4. Dehydration following hypo-hydration is more profound in overweight children.

* The above applies to adults too!

It is critical that all kids have enough time to acclimate, frequent opportunities to hydrate and rest periods when they show signs of overheating. Children are at high risk for heat related illness. Knochel stated (1975) heat related illness ranks second to head injury as a course of death secondary school youths.



When is it Time to Return to Play After an Injury?
August 2004

What exactly does “Return to Play” mean?

When you have recovered sufficiently to participate in your sport at approximately the same level as before your injury. This means no or minimal pain. Returning too soon impairs performance, may cause re-injury, cause the injury to become chronic and/or delay complete rehabilitation.

Why do professional athletes return to play so quickly?

First of all professional athletes are very PHYSICALLY FIT. Research has documented that a high level of fitness, general fitness and sports specific fitness, contributes to injury prevention and recovery. Fitness also can decrease the severity of the injury. These athletes receive prompt diagnosis and treatment. Early treatment means there is less swelling therefore less stiffness and loss of muscle strength and tone. They also work intensively with a physical therapist, exercise physiologist and athletic trainer. A positive attitude and a strong desire not only to play again but achieve maximal medical improvement are contributory to their success.

Ordinary people may not have convenient access to sports medicine therapists, exercise physiologists and athletic trainers that professional athletes do but if you can harness the power of your own determination and optimize the recovery/rehabilitation facilities you have available, you will be in a good position for return to play.

About RECOVERY

Injury recovery is a series of logical progressive steps from the time of injury
until you are back in your sport. Your treatment plan should be designed and updated as needed by your physician(s) and therapist(s)

During the ACUTE phase one of the priorities will be minimizing swelling using the RICE formula–
REST–ICE–COMPRESSION–ELEVATION. Your treatment plan may also include surgery, bracing or casting depending on the type and severity of the injury.

When you are away from your sport think of ways to keep yourself as fit as you can. Discuss options with your physicians and therapists.

Next is
REHABILITATION to regain strength and function of the injured part. Make sure you are compliant with your treatment plan both in therapy and your home program. If you do not have a home program ask if one is appropriate.

Remember challenge during therapy/exercise is good; pain and/or fatigue lasting more than 12 hours for more than 2 sessions needs to be reviewed with your physician and therapists. You may have to back off then try again.

Your rehabilitation will then progress to functional rehabilitation-a progressive program designed to return you to specific movements required by activities of daily living and your sport.

During the final phases of rehabilitation monitor yourself when practicing hard so you don't overdo and jeopardize your recovery.

TIPS FROM THE PROS

  • ALWAYS maintain a year-round physical conditioning program for fitness

  • If you are hurt seek treatment IMMEDIATELY.

  • Don't bail out of your rehab early. You may feel recovered before healing is complete. Let your physician and therapist decide. It is their job to know when you are at maximal medical improvement.

  • Stay as fit as possible while you are injured

  • Keep your chin up----it may take awhile but things will improve!



What You Should Know About Steroids
June 2004

What Are Steroids?
Drugs commonly referred to as "steroids" are classified as anabolic, androgenic, and corticosteroids. Corticosteroids, such as cortisone, are drugs used to control inflammation, and are not the steroids that build muscle and receive so much media attention. Rather, it is the anabolic steroids that are used by athletes and bodybuilders to bulk up and improve athletic performance.

Anabolic steroids are synthetic hormones that cause the body to produce muscle and prevent muscle breakdown. (The word "anabolic" is derived from a Greek word that means to "build up.") Some athletes take steroids in the hopes that they will improve their ability to run faster, hit farther, lift heavier weights, jump higher, or have more endurance. You should be aware that anabolic steroids are a drug like any other. In the United States, it is against the law to use anabolic steroids without a prescription.

Androstenedione, or "andro," is a weaker anabolic androgenic steroid, and, like other anabolic steroids, it is taken by athletes who want to build muscle. It has been suggested in some recent studies that if andro is taken in very large daily doses, it can significantly increase levels of testosterone and muscle proteins that would be extremely harmful to every body system.

How Do Anabolic Steroids Work?
The human body produces many forms of steroids naturally. Anabolic steroids are drugs that resemble the chemical structure of the body's natural sex hormone testosterone. Androstenedione is a steroid hormone that can be broken down into testosterone. Testosterone is naturally made by the bodies of males and, in much smaller amounts, females. The hormone directs the body to produce or add male characteristics such as increased muscle mass, facial hair, and deep voices, and is an important part of male development during puberty.

When athletes take anabolic steroids, these drugs stimulate the muscle tissue in their bodies to grow larger and stronger, exaggerating the effects of testosterone on the body. The effects of too much testosterone circulating in the body is harmful over time.

Dangers of Anabolic Steroids
Steroids are dangerous for two reasons: they are illegal, and they can damage a person's health, especially if used in large doses over time.

Although they may build muscle, steroids can produce very serious side effects in both males and females. Using steroids for a long time can negatively affect the reproductive systems. In males, steroids can reduce the amount of sperm produced in the testicles and even reduce the size of the testicles. Steroids also can cause impotence in males.

Females who use steroids may have problems with their menstrual cycles because steroids can disrupt the maturation and release of eggs from the ovaries. This disruption can cause long-term problems with fertility.
 
Steroids taken for an extended period of time can also:

  • stunt growth in teens by causing the growth plates in the bones to mature too fast and fuse
  • cause irreversible liver damage
  • enlarge the heart muscles
  • cause violent, aggressive mood swings
  • contribute to heart disease and increase cholesterol and lipid levels
  • increase breast growth in males, especially teens
  • create irreversible stretch marks
  • heighten a person's tendency to lose hair
  • cause muscles to ache

In addition to these, teen girls and women risk additional side effects:

  • permanent effects of male hair growth or male-pattern baldness
  • deepening of the voice
  • enlargement of the clitoris

The health problems caused by steroids may not appear for years after the steroids are taken. The risk of steroids causing bones to fuse early and preventing a teen from reaching full growth potential is significant - and at an all-time high. The National Institutes of Drug Abuse estimates in recent studies that 325,000 teenage boys and 175,000 teenage girls are using steroids.

"A testosterone measurement of more than 200 nanograms per milliliter would signal steroid abuse, and I have seen athletes with levels in the thousands," says Larry Bowers, MD, a steroid expert. "Although it may take 20 years, case studies of long-term steroid use indicate negative effects on almost every system of the body."

In addition to the health risks, steroids are illegal. Drug testing for all athletes has become more prevalent, and athletes who fail a drug test for steroids can face numerous legal consequences: jail time, monetary fines, exclusion from an event or from the team, or seizure of trophies or medals.

Although the health problems associated with steroid use are well documented, it's important to remember that the rules about the legal use of steroids can be confusing. Even professional athletes don't always agree on the issue. For instance, when Mark McGwire freely admitted that he used androstenedione on the way to setting baseball's single-season home run record, he wasn't kicked out of the league or stripped of his achievement. That's because the use of andro - what some people in sports still consider a dietary supplement, although it is proven to be a form of anabolic steroid - is still permitted in Major League Baseball and National League Hockey. But andro is banned in other sports organizations. The International Olympic Committee, the National Football League, the National Basketball Association, the National Collegiate Athletic Association, the Association of Tennis Professionals, and most high school athletic associations currently ban the use of androstenedione.
Andro is banned as an illegal substance in Canada, but in the United States can be easily obtained as a dietary supplement.

Talking to Your Kid About Steroids
It's important to understand the pressures that may drive young athletes to experiment with steroids. Although most athletes exercise hard, eat properly, and take care of their bodies to maintain optimal fitness and performance levels, athletic competition and the desire to look physically toned and fit can be fierce.

To help your child handle these pressures, you should talk to him about healthy competition and drugs. Ask your child what his concerns are and what are his coach's and team members' attitudes toward steroids. You should also encourage your child to prepare mentally and physically for competition by eating well and getting enough rest.

If you suspect your child is using steroids, watch for these warning signs:

  • exaggerated mood swings
  • worsening acne
  • unusually greasy skin with stretch marks
  • a sudden increase in muscle size

If you have strong suspicions that your child is using these drugs, you should call your child's doctor. He or she may recommend that you have your child take a simple urine test at the doctor's office to detect the presence of steroids.

And if your child is using steroids, what should you do? There's no easy answer.

"Unless young people are taught to know where and how to draw the line, to know that it's not right to try to win at all costs, they're not going to listen when you tell them steroids put their lives at risk for the glory of winning," says Charles E. Yesalis, MD, a steroid expert and editor of Anabolic Steroids in Sports and Exercise.

It may help you to consider your child's desires to look fit and perform well. Understand that these desires can be very strong and that to forbid the use of steroids may not be enough to help him quit. You should schedule an appointment with his doctor so that he can learn healthy ways (through diet and exercise) to boost performance and physical appearance.

Steroids may give your child the sense that he or she is stronger and more athletic, but the consequences are too dangerous to risk. The chance that your teen's growth and long-term health could be jeopardized by steroids is especially worrisome. Help your child stay away from steroids by encouraging a healthy lifestyle that is followed by your entire family. And be sure to promote your child's self esteem so that body image doesn't take over your child's self-worth.

This is serious stuff here—steroids aren’t harmless supplements they are dangerous illegal substances. NO ONE should ever experiment with them. Even the “steroid like” dietary supplements can contain harmful ingredients.

An important thing to remember is that unless they are dispensed from a pharmacy (and that probably won’t happen) doses are not consistent or accurate. They may be illegally obtained veterinary drugs that may not be good for humans and in large doses for cattle and horses. You will have absolutely no idea what you are taking and how much.


CaLoRiES cALOriES CaloRiES
Just how MANY does a CHILD need?

May 2004

Parents often ask how many calories their children need, but for the average child who is growing and developing normally and has a NORMAL ACTIVITY LEVEL, counting calories is USUALLY not necessary.

In general though, knowing how many calories your child needs each day can help you plan your child's nutrition and make sure he/she is eating a healthy diet.

Being familiar with calorie requirements can also be helpful in evaluating children with failure to thrive, who are gaining weight well, and for children who are overweight.

For younger children, calorie recommendations and average energy needs depend on their age. Remember that these are just averages though, some children will require more calories and some will require less. The amount of calories that allows your child to grow normally is likely what is 'enough' for him.

Age Average Calorie
Needs Each Day
0-5 months

650

5-12 months

850

1-3 years

1300

4-6 years

1800

7-10 years

2000

In addition to age, for older children, calorie requirements are also determined by their sex, with boys, in general, requiring more calories than girls. Other factors include a child's size, body composition and level of activity. A very active teen at the top of the growth charts will likely need many more calories than a smaller and/or less active child.

Boys Average Calorie
Needs Each Day
Girls

Average Calorie
Needs Each Day

11-14 years

2500

11-14 years

2200

15-18 years

3000

15-18 years

2200


Guidelines for PARenTS of ChiLDreN in SPORTS
by the The Physician and Sportsmedicine

April 2004

  1. Make sure your children know that WiN or LoSE you love them & are NOT disappointed with their performance

  2. Be Realistic about your child's physical ability

  3. Then HELP your child set realistic goals
  4. Emphasize improved performance, not winning. Positively reinforce skills

  5. DON"T relive your own athletic past through your child

  6. Provide a safe environment for training & competition. Including proper training and equipment use

  7. Control your own emotions at games & events. Don't yell at other players, coaches or officials

  8. Be a cheerleader for your child and the other children on the team

  9. Respect your child's coaches. Communicate openly with them. If you disagree with their approach, discuss it with THEM

  10. Be a positive role model. Enjoy sports yourself. Set your own goals. Live a healthy lifestyle.


kIds ExerciSe, StRength tRaining, SportS & SafetY
February, 2004

WHY? Because:

  1. it encourages long-term healthy lifestyles
  2. it builds confidence
  3. scientific literature shows strength training improves coordination improved motor skills equals better sports performance
  4. it can lower the rate of sports related injuries.
  5. if facilitates more effective rehab from injuries.


SAFETY ISSUES

Severe injuries are rare and are most commonly due to inadequate or inappropriate adult supervision.

OVERUSE

OVERUSE injuries are becoming more & more common as more children/adolescents are involved in sports and sports training programs Significant numbers of kids train & compete year around.

An OVERUSE injury happens when tissues are subjected to repetitive submaximal loads causing fatigue to a structure such as tendons or bones.

What happens next?

FATIGUE without rest/recovery plus added to continued loading contributes to MICROTRAUMA that in turn stimulates the body's INFLAMMATORY processes which can led to damage.

The next step is an obvious injury. More loading results in DEGENERATIVE changes, to weakness, to flexibility loss, to chronic pain, to chronic degeneration i.e. tendinosis vs. tendonitits.


SOME FACTORS TO CONSIDER – Understanding Supports Prevention

  • Intrinsic factors: Growth, prior injury, inadequate conditioning, anatomic malalignment, psychological factors (maturity, self-esteem).
  • Extrinsic Factors: Too rapid progression/ inadequate rest, inappropriate equipment/footwear, poor sport techniques, uneven/hard surfaces, adult/peer pressure.
  • Growth Factors: Growth cartilage is vulnerable to repeated stresses and growth cartilage is present on surfaces where bones come together (articular joint surfaces), physes & apophyses. The ARTICULAR cartilage is most vulnerable at the KnEE, AnkLe, & ElboW.

OTHER FACTORS:

  • history of previous injury
  • repeated training/technique errors
  • incomplete rehabilitation of injuries
  • physical fitness levels
  • alignment problems i.e. over pronation, kneecap malalignment, etc.
  • excessive ligament laxity

NOTE; ligament laxity measurements are static not dynamic so they may not accurately assess laxity in dynamic (movement) situation.


PREVENTION IDEAS

The American College of Sportsmedicine estimates that 50% of overuse injuries in children and adolescents are preventable.

Training programs should:

  1. accentuate general fitness

  2. avoid excessive volume of training/practice

  3. include conditioning and dynamic flexibility

  4. encourage & allow children to experiment with several sports for fitness & motor skill development

  5. downplay the importance of early sport specialization.

    Many world class athletes began their sport later -

    Bill Rogers (marathoner) started distance running at age 15; Michael Jordan didn't play varsity basketball until the 11th grade.

  6. stress GraDuAL progression.

    Follow the "10% rule" — Total training — intensity, frequency, duration, or any combination of the above should increase by 10% at a time.

  7. periodization may help with injuries as well.

    (Periodization means systemic cycling of training loads over set periods of time with well defined rest periods.)

  8. monitor training regimes during adolescent growth spurts. Remember growth related factors might pre-dispose kids to injuries. It is appropriate to modify training temporarily.

It is crucial that kids undergo diagnosis, treatment, and rehabilitation for injuries and that they complete thorough rehabilitation programs before re-entering their sport.

Following re-entry, you must assess the risk factors that may have contributed to the injury and make modifications / corrections to decrease the chance of re-injury. Some injuries cause permanent life-altering damage to children/adolescents.


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2004-2008
Betsie Valley
Fitness Club &
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