Sports Medicine Bulletin
Jun. 24, 2014

Active Voice: MVPA Protects Against Excessive Sedentary Behavior
By Mark D. Peterson, Ph.D., M.S.
Viewpoints presented in SMB commentaries reflect opinions of the authors and do not necessarily reflect positions or policies of ACSM.

Dr. Mark Peterson, an ACSM member, is a physiologist, activity epidemiologist, and research assistant professor at the University of Michigan-Medicine, Department of Physical Medicine & Rehabilitation. His work is devoted to the treatment/prevention of obesity, sarcopenia, and functional motor deficit. He is also funded by the National Institutes of Health (NIH) to study mechanisms of metabolic dysregulation and muscle pathology among individuals with cerebral palsy (CP), and to identify behavioral interventions to prevent these secondary outcomes.

This commentary presents Dr. Peterson’s views on the topic of a research article he and his colleagues have authored and which appears in the June 2014 issue of Medicine and Science in Sports and Exercise® (MSSE).


Excess dietary consumption and failure to meet the recommended 150 minutes of weekly moderate-to-vigorous physical activity (MVPA) have received extensive attention in the literature, as underlying factors that place individuals at risk for obesity and chronic disease (for further information, see 2010 Dietary Guidelines for Americans and the ACSM/AHA joint recommendation on physical activity and public health). However, and especially during the past few years, the topic of sedentary behavior (SB) has received equal research emphasis as a modifiable predictor of cardiometabolic diseases and early mortality. The bulk of this work has demonstrated a strong link between time spent sitting down, such as occurs during television viewing, and increased risks for negative health outcomes. Numerous large cohort studies have demonstrated an association between sitting time and risk, even after adjustment for self-reported MVPA. These findings collectively suggest the following important public health messages regarding the interplay between lack of physical activity and health deterioration: (1) physical activity and exercise cannot protect against the negative consequences of excessive SB, and/or (2) individuals who engage in large volumes of SB are at exaggerated risk because they are also less likely to engage in any physical activity. More

Acting Surgeon General Visits ACSM National Center in Indianapolis

The ACSM National Center in Indianapolis hosted a special guest last Tuesday. Acting Surgeon General Boris Lushniak joined ACSM staff and leadership from throughout the Indianapolis community to continue the dialogue started at ACSM’s Annual Meeting last month on the importance of physical activity for prevention of chronic disease.

While in Indianapolis, Acting Surgeon General Lushniak met with ACSM leadership for a planning meeting to discuss a working relationship between ACSM and the Office of the Surgeon General moving forward. Following the planning meeting, ACSM hosted more than 60 community leaders representing diverse organizations who dialogued with the Acting Surgeon General about how they can support his vision for promoting walking and overall physical fitness. Prior to heading back to Washington, D.C., RADM Lushniak led a walk along the Indianapolis canal, which is adjacent to the ACSM National Center.

To read more about RADM Lushniak’s visit, please see this story from the Indianapolis Star.

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ACSM, Partners Release White Paper Today Urging Training of Med Students, Physicians in Nutrition and Physical Activity

A new white paper was released today by ACSM, the Bipartisan Policy Center (BPC) and the Alliance for a Healthier Generation. The paper, titled Teaching Nutrition and Physical Activity in Medical School: Training Doctors for Prevention-Oriented Care shows that current training for medical professionals in nutrition and exercise is inadequate to cope with the nation’s obesity epidemic, and it offers recommendations on how to remedy that deficit.

The paper points to a skills and knowledge gap among medical professionals; more than 75 percent of physicians felt they had received inadequate training to counsel their patients on changing diet and increasing activity levels. It also highlights that fewer than 30 percent of medical schools meet the minimum number of hours of education in nutrition and exercise science recommended by the National Academy of Sciences.

The white paper is the outcome of an October 2013 conference hosted by ACSM, BPC and the Alliance in Washington, DC. The conference was designed to gather input from medical school representatives, insurance providers, medical licensing and certification boards, and community-based organizations, as well as recent and current medical students and practitioners. The conference also included Dan Glickman, former secretary of agriculture; Donna Shalala, former secretary of health and human services; Senator Bill Frist; and leadership from the three sponsoring organizations, including ACSM CEO Jim Whitehead.

A summary of the white paper’s key findings and recommendations are as follows:

  1. Medical schools should develop and implement a standard nutrition and physical activity curriculum.
  2. Licensing and certification exams, as well as residency and continuing education programs should include more nutrition and physical activity content to reinforce its importance to treatment.
  3. Board-accredited advanced training programs should work to expand the cadre of experts in nutrition and physical activity who can teach health professionals.
  4. Federal and state governments should provide support for reforms in medical education and health care delivery that can help providers better meet patient needs with respect to nutrition, physical activity, and other lifestyle factors.
  5. Public and private insurance should provide reimbursement for health services that target lifestyle factors such as nutrition and exercise.
A press release announcing the white paper and its recommendations was also distributed today.More

May 2014 ACSM Selected Board Actions

The ACSM board of trustees convened at the 2014 Annual Meeting, working through a full agenda and a number of key topics critical to the life of the organization and its members.

A number of new officer candidates were approved for the 2015 Officer and Trustee Election. Additional candidates will be approved next month. The entire slate of approved officers and trustees will be shared in a future issue of Sports Medicine Bulletin.

Per constitutional requirement, the ACSM Nominating Committee announces a call for nominations each year for the positions of president-elect, vice president and trustee. All nominees must be ACSM Fellows. ACSM’s policy is to rotate leadership among three interest areas of Education & Allied Health, Basic & Applied Science, and medicine. Chapter and international representation is also required among trustees. To submit a nomination for 2016, click here for a form.

In support of ACSM’s focus on addressing solutions for obesity, the trustees approved funding for a consultant to assist with a marketing and branding campaign that will promote a new ACSM obesity awareness initiative leveraging complex energy balance concepts.

Based on the success and expanding international influence of the Exercise is Medicine Program®, the board of trustees also recommended moving the Exercise is Medicine Advisory Board from a task force to standing committee status. The recommendation will be voted on by the fellows at the 2015 Business Meeting. The EIM Advisory Board will serve as a standing committee until the official vote is taken and registered at the 2015 Business Meeting.

Trustees also approved key directions and plans presented by the Publications and Health and Science Policy Committees that support the ACSM SOAR strategic plan. All other committees will complete their key directions by this fall. The committee key directions and plans will ensure ongoing alignment with ACSM’s overall strategy.

Other reports heard by the board of trustees included the ACSM Foundation, Exercise is Medicine®, America Fitness Index™ and Health Club Standards and Accreditation.More

ACSM's 2014 Health & Fitness Summit Videos are now available

Was there a session you missed at the 2014 Health & Fitness Summit held in April? Or, maybe you attended a session that you'd like to view again? Several summit sessions were filmed and are currently available on ACSM's ceOnline website.

Sessions recorded include several ACSM gold standard presenters:

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Vitamin D May Improve Your Athletic Performance
FitSugar
A lack of the "sunshine vitamin" may affect muscle function and fitness levels, according to a new analysis published in the American College of Sports Medicine's Health & Fitness Journal.

Vitamin D supplements appear to help, the article concludes — but only in people who have tested positive to a deficiency.More

Walk with a Doc to Improve Area's Fitness
Louisville Courier Journal
We need to get moving, Louisville. As The Courier-Journal recently reported, Louisville ranked 49th for fitness among the nation’s 50 largest metropolitan areas in the 2014 American Fitness Index conducted by the American College of Sports Medicine.

The index showed that only 26 percent of Louisville-area residents meet federal aerobic-activity guidelines, which recommends 150 minutes each week of moderate-intensity aerobic activity.More