Faculty Collaboration Database

Pain Response after Maximal Aerobic Exercise in Adolescents across Weight Status. Med Sci Sports Exerc 2015 Nov;47(11):2431-40

Date

04/10/2015

Pubmed ID

25856681

Pubmed Central ID

PMC4598265

DOI

10.1249/MSS.0000000000000678

Scopus ID

2-s2.0-84944328515 (requires institutional sign-in at Scopus site)   26 Citations

Abstract

INTRODUCTION: Pain reports are greater with increasing weight status, and exercise can reduce pain perception. It is unknown, however, whether exercise can relieve pain in adolescents of varying weight status. The purpose of this study was to determine whether adolescents across weight status report pain relief after high-intensity aerobic exercise (exercise-induced hypoalgesia (EIH)).

METHODS: Sixty-two adolescents (15.1 ± 1.8 yr, 29 males) participated in the following three sessions: 1) pressure pain thresholds (PPT) before and after quiet rest, clinical pain (McGill Pain Questionnaire), and physical activity levels (self-report and ActiSleep Plus Monitors) were measured, 2) PPT were measured with a computerized algometer at the fourth finger's nailbed, middle deltoid muscle, and quadriceps muscle before and after maximal oxygen uptake test (V˙O2max Bruce Treadmill Protocol), and 3) body composition was measured with dual-energy x-ray absorptiometry.

RESULTS: All adolescents met criteria for V˙O2max. On the basis of body mass index z-score, adolescents were categorized as having normal weight (n = 33) or being overweight/obese (n = 29). PPT increased after exercise (EIH) and were unchanged with quiet rest (trial × session, P = 0.02). EIH was similar across the three sites and between normal-weight and overweight/obese adolescents. Physical activity and clinical pain were not correlated with EIH. Overweight/obese adolescents had similar absolute V˙O2max (L·min(-1)) but lower relative V˙O2max (mL·kg(-1)·min(-1)) compared with normal-weight adolescents. When adolescents were categorized using FitnessGram standards as unfit (n = 15) and fit (n = 46), the EIH response was similar between fitness levels.

CONCLUSIONS: This study is the first to establish that both overweight and normal-weight adolescents experience EIH. EIH after high-intensity aerobic exercise was robust in adolescents regardless of weight status and not influenced by physical fitness.

Author List

Stolzman S, Danduran M, Hunter SK, Bement MH

Author

Marie Hoeger Bement MPT,PhD Associate Professor in the Physical Therapy department at Marquette University

MESH terms used to index this publication - Major topics in bold

Adolescent
Body Composition
Body Mass Index
Body Weight
Child
Exercise
Female
Humans
Male
Obesity
Overweight
Oxygen Consumption
Pain Threshold
Physical Fitness
Quality of Life