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Youth resistance training — DCH MCQ

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EasyPaediatric SportYouth resistance trainingDCH

A healthy 12-year-old rugby player with no current injury or relevant medical condition wants to start resistance training. His parents are concerned that training before skeletal maturity could damage his growth plates. What is the most appropriate advice?

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Correct answer: CStart supervised training with technique teaching and gradual load progression

The correct answer is C. Resistance training does not need to be postponed until growth plates have closed. In a healthy young person, an age-appropriate programme can improve muscular fitness and bone strength when it is supervised by someone competent, begins with correct movement technique and uses gradual progression. Injury concerns relate mainly to poor technique, unsuitable equipment, excessive loads and inadequate supervision rather than resistance training itself. Restricting him to bodyweight exercise until an arbitrary age is unnecessary. Adult hypertrophy programmes do not account for developmental stage or training experience. Maximal one-repetition testing should not precede familiarisation and technique teaching; initial emphasis should be on controlled submaximal exercise rather than maximal lifting.

Reference: Lloyd RS et al. Position statement on youth resistance training: the 2014 International Consensus. British Journal of Sports Medicine. 2014;48:498-505. https://www.gov.uk/government/publications/physical-activity-guidelines-uk-chief-medical-officers-report/uk-chief-medical-officers-physical-activity-guidelines