Sports Medicine Bulletin
Jul. 29, 2014

Active Voice: Early Repolarization — Significance in Athletes
By: Philip Aagaard, M.D., Ph.D.
Viewpoints presented in SMB commentaries reflect opinions of the authors and do not necessarily reflect positions or policies of ACSM.

Philip Aagaard is a physician and researcher at Montefiore Medical Center - The University Hospital of Albert Einstein College of Medicine in the Bronx, New York. His research interests include prevention of sudden cardiac death in athletes and the athlete’s ECG.

This commentary presents Dr. Aagaard’s views related to a research report that he and his colleagues authored, which appears in the July 2014 issue of Medicine & Science in Sports & Exercise® (MSSE).


For decades, early repolarization (ER) was considered a benign ECG finding. However, this view was recently challenged by studies associating early repolarization with an increased risk of arrhythmic death in the general population.

Physical training can induce early repolarization, possibly by increasing vagal tone. It is therefore not surprising that early repolarization is prevalent in athletes. In fact, it is even considered a feature of an athlete’s heart. However, in one related study, it was reported that early repolarization was more common in athletes suffering sudden cardiac arrest compared with control athletes. This has sparked debate regarding the significance of early repolarization in the athletic population.More

Don't Miss ACSM experts on RadioMD's Train Your Body!

ACSM has partnered with RadioMD.com to bring you the Train Your Body radio show — a unique health website broadcast sharing important wellness and fitness information in a conversational talk radio style with real time audio streaming 24/7. Each week, ACSM experts discuss their areas of expertise with the show's host, Melanie Cole, an exercise physiologist herself. Listen live each Tuesday at 1:00 p.m. EST, or peruse and download past episodes on your computer, tablet or other device here. Be sure to check out RadioMD.com's other features such as health videos, articles, blogs and healthy eating recipes.More

Policy Corner: Become a Key Contact for ACSM

What does it take to be an ACSM Key Contact? What kind of information is a member of Congress looking for in a presentation? Is it important to communicate with the staff of a member of Congress? How important is it to contact our legislators? What is an ACSM Action Alert?

ACSM member-advocates represent a gamut of expertise, from scientists to physicians to educators and health and fitness professionals. Each brings unique insights and perspectives to help policy makers and staffs inform their decisions. While many ACSM members are involved citizens who participate in town hall meetings, campaign for candidates or issues, or engage in dialogue and debate, few have the deep experience of political professionals. Fortunately, citizen advocacy requires little more than the desire to influence policy and the time it takes to meet with officials or to contact them by phone or email.

To learn more about becoming an ACSM Key Contact, please email ACSM Vice President of Government Relations Monte Ward: mward@acsm.org. More

Don't Miss Out on Free Content from ESSR

The July 2014 issue of Exercise and Sport Sciences Reviews is available online now! Make sure to check out the free content from the issue: the article and accompanying Journal Club questions "Physical Activity and Cancer Survivorship: A Simple Framework for a Complex Field" by author Kerry S. Courneya, Ph.D.

The article covers the author's take on the physical activity (PA) and cancer survivorship field and the four general propositions for the field, which the author defines as "the field that studies the links between cancer variables and PA in people who have been diagnosed as having cancer." PA could be a valuable tool for improving the quality of life for the nearly 14 million American cancer survivors.

*Access to the journal varies by member type. ACSM Professional members must login at the ACSM website and then click on the "Access My Journals" link.More

New Resources Coming: US Report Card on Physical Activity for Children, Youth

At a Congressional Briefing in April, the National Physical Activity Plan (NPAP), in collaboration with ACSM, released the groundbreaking 2014 United States Report Card on Physical Activity for Children and Youth. The National Physical Activity Plan focuses on tactics and strategies for addressing physical activity. The report card is the first in a historic series of report cards that will provide an unprecedented benchmark using a common methodology on this critical public health issue.

The report card's findings served as a wake-up call and prompted coverage by the news media, including this Washington Post article. As the report card outcomes reverberate around the country, two new educational resources are being developed and will be available over the next two months. In early August, a video will be distributed that summarizes the report card's outcomes and subsequent call to action. The video features Peter T. Katzmarzyk, Ph.D., FACSM, chair of the U.S. Report Card Research Advisory Committee and associate executive director at the Pennington Biomedical Research Center at Louisiana State University, and Russell R. Pate, Ph.D., FACSM, chairman of the NPAP Alliance and professor at the Arnold School of Public Health at the University of South Carolina.

A free webinar will be held September 10 to discuss the implications of the PA Report Card, including a question and answer session with Drs. Katzmarzyk and Pate. Check next week's issue of SMB for more information.More

7 Exercises Your Body Wishes You Would Do
RealBuzz via Yahoo
When it comes to working out, the key to being successful is a healthy balance of flexibility, muscular strength, and a strong core. Here are the seven exercises your body wishes you would start doing to give you the perfect workout balance and make you stronger than ever.

Modified press-ups for stronger shoulders

Did you know there is a muscle on the side of your chest called the serratus anterior that is the key to stronger shoulders? This small but mighty muscle helps your shoulder blades move, and you can develop it by making a small modification to the classic press-up movement known as the ‘pushup plus’. Perform a regular press up until the final motion when you push your body back up, and then raise your upper back slightly upwards as you move. Hold for a couple of seconds, and then bring back down. If you’re doing it right, you should be able to feel and see extra movement in your shoulder blades.

Wall slides for stronger knees

Your knees are the weight bearing joint for so many exercises that strengthening them is almost a no brainer. You can do this with a simple exercise known as wall slides, and all you'll need is a medicine ball and, surprise surprise, a wall. With your back against the wall, stand with your legs at roughly shoulder width, and place a medicine ball between your knees. Without taking your back off the wall, slowly slide down the wall, bending your knees until you are almost in a sitting position without letting the medicine ball fall from between your legs. Not only does this great exercise strengthen your knees, it also works your core muscles and quadriceps as well. More

12 Amazing Things Exercise Does to Your Body
Spry Living via Cheboygan Daily Tribune
You know exercise is good for keeping you slim and in shape, but there are other reasons to hit the gym or head out for a walk, from feeling happy to fighting disease, improving cognition and even making you more money. If you weren't motivated to exercise before, you will be now: Makes You Happy Want extra pep in your step? "Research shows that when people regularly exercise —whether aerobic or resistance training or yoga — they have better moods," says Carol Ewing Garber, professor of movement sciences at Columbia University. Yep, one reason are endorphins, along with activation of the endocannabinoid system, thought be responsible for the "runner's high."

Beats Depression More than just keeping a positive mindset, a workout also battles the blues. "Exercise enhances feel-good neurotransmitters like serotonin and dopamine," says Ewing Garber. Her 2012 study found that people who participate in 2.5 to 7.5 hours of physical activity weekly report better mental health.

Other factors: Exercise is a distraction from worries and is often done with friends, which also helps you feel good. Improves Success In a 2012 study in the Journal of Labor Research, frequent exercisers make bank, bringing home nearly 10 percent more than non-exercisers. Credit higher energy levels and more enthusiasm at work that boosts job satisfaction for the increase in earnings. More