Sports Medicine Bulletin
Aug. 7, 2012

Active Voice: Dog Days of Summer

Many young athletes will begin their training regimen for fall sports in the next few weeks. Combining the record-breaking heat of 2012 with “two-a-day” practices and pressure to perform better than the competition, we are republishing two Active Voice columns because of this issue’s significance to so many of our readers involved with care and training of student athletes.

Viewpoints presented in SMB represent opinions of the authors and do not necessarily reflect positions or policies of ACSM.

Revisiting Dangers of Football Practice in the Dog Days of Summer
By Lacy A. Holowatz, Ph.D.
(First published in SMB on September 6, 2011)

Lacy A. Holowatz, Ph.D., is Assistant Professor of Kinesiology at Penn State University in University Park, Pennsylvania. She utilizes in vivo and in vitro approaches using human cutaneous circulation to examine the underlying signaling mechanisms mediating microvascular dysfunction with primary human aging, hypercholesterolemia and essential hypertension. This contribution by Dr. Holowatz addresses physiological issues that increase risk of hyperthermia injury to athletes, a particular concern for the many young athletes around the U.S. who have recently started football practice.

This summer, the majority of the U.S. has experienced prolonged periods of high environmental temperatures and high humidity. As humans, we have the ability to thermoregulate to maintain body temperature within narrow limits during exercise and exposure to heat. However, since 1995 there have been 40 heat stroke deaths reported in high school football players - with 5 of those occurring last year! Therefore, with two-a-day football practices taking place for both college and high school athletes, it is important to understand the physiological issues, dangers, preventative strategies and important safety recommendations to keep athletes safe. More
Exertional Heat Injury: What you can do to prevent it.
By CAPT Scott Pyne, M.D., FACSM
(First published in SMB on September 13, 2011)

CAPT Scott Pyne, M.D., FACSM is a team physician at the United States Naval Academy and the past Sports Medicine Specialty Leader to the Navy Surgeon General. He is an Assistant Clinical Professor of Family Medicine at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. In addition to directly supporting numerous military medical treatment facilities, he has served as the Medical Director of the Marine Corps Marathon. His diverse professional interests include the medical management of exertional heat illness.

A little over ten years ago the highly publicized exertional heat stroke death of Minnesota Vikings’ Korey Stringer rocked the athletic world and served to increase the attention placed on the prevention of similar tragedies. Exertional heat illness has been a well-known entity in military and occupational environments, but the science and systematic education, prevention and treatment strategy for athletes and those entrusted with their care has only recently been developed. The ACSM Position Stand on Exertional Heat Illness during Training and Competition is an excellent resource outlining prevention, identification and treatment recommendations for these conditions. More

ACSM's Sports Performance Center Web Resource

ACSM’s new online Sport Performance Center features commentary from Fellows and other ACSM experts on current topics and issues in sports medicine, as well as engaging conversation on Facebook, Twitter and Pinterest. ACSM is pleased to serve in a new capacity as an evidence-based source of information regarding topics relating to athlete health, sports performance, fitness and conditioning. Visit the ACSM Sports Performance Center for timely commentary on the Olympic and Paralympic Games.More

Policy Corner: Take Action using ACSM Advocacy Toolkit

During the month of August, Members of Congress typically spend less time in Washington, DC, and more time in their respective districts and states to listen to and work with constituents. This presents ACSM members with a great opportunity to meet with their members of Congress in the district to increase awareness of and funding for programs dealing with physical activity and active lifestyles. Advocacy is the key to getting Congress to take action on the issues that are important to all ACSM members.

To this end, ACSM's policy team has created an Advocacy Toolkit to walk you through the process of meeting with your member of Congress. The toolkit includes everything you need from how to set up the meeting, what to say during the meeting and how to follow up after the meeting. In addition, ACSM staff will be there every step of the way to help answer any questions you may have during the process. If you are interested in meeting with your member of Congress during the month of August, please review the Advocacy Toolkit and contact Monte Ward at More

Plan to Observe Childhood Obesity Awareness Month (September)

September 2012 is National Childhood Obesity Awareness Month. Dedicating at least one month per year to the issue will help maximize the impact of programs, activities, messaging and campaigns – all aligned to help eradicate childhood obesity.

How can you and your organization help? A new Childhood Obesity Awareness Month website launched last week. A downloadable toolkit and other information about COAM month is available on the site. Check it out at

One in three American children is already overweight or obese. These children are at greater risk of cardiovascular disease, bone and joint problems, sleep apnea, psychological problems, bullying and more. This is a troubling public health issue, compounding as overweight and obesity continue into adulthood.

The financial implications of childhood obesity are sobering, at $14 billion per year in direct health care costs alone. Increased awareness and prevention of childhood obesity will save billions of dollars in unnecessary health care costs and promote healthier lifestyles to improve and prolong the lives of the next generation of Americans. More

Research Collaborative in Cuba: An Invitation from ACSM Past President Barbara Ainsworth

The American College of Sports Medicine is organizing a research collaborative to visit Cuba in December 2012 for the purpose of researching practices, treatment, and education in the field of sports medicine. As Past President of ACSM, I am honored to have been selected to lead this collaborative and invite you to join in this unique opportunity.

The program schedule will be designed to support ACSM’s mission. Specific meetings and visits will be based largely on the experience, background, and interests of the collaborative members. Planned topics of discussion include:

Travel to Cuba is restricted by the Office of Foreign Assets Control (OFAC) of the United States Treasury Department. This collaborative will be travelling under OFAC regulation 31 CFR §515.564 General license for professional research. This license supports our access to the highest level professionals in Cuba.More

Call for MSSE Editor-in-Chief Applications, Nominations

The ACSM Publications Committee invites applications and nominations for editor-in-chief of Medicine & Science in Sports & Exercise® (MSSE), ACSM’s flagship monthly journal. The editor will serve a four-year term from January 2014 to December 2017, with the option of serving a second term.

Current Editor-in-Chief Andrew J. Young, Ph.D., FACSM, will complete his second term in December 2013. The incoming editor, expected to be confirmed by January 2013, will work with Dr. Young and ACSM staff members for one year to prepare for and transition into the role. One of his or her first tasks will be to recruit associate editors-in-chief and associate editors. The new editorial team then will begin reviewing papers in July 2013.

In addition to being an official ACSM journal, MSSE is among the most cited in the sport sciences literature. It is ranked No. 3 out of 84 journals in the sport sciences category of the Journal Citation Reports® for 2011 issued in June by Thomson Reuters. MSSE’s impact factor is 4.431, up from 4.106 the previous year.

Candidates are required to complete a short questionnaire and submit a CV by September 28, 2012. For more information or to request a questionnaire, contact Managing Editor Kenneth O. Wilson at More

Sports Medicine Staff Play Important Role at Olympic Games
Swimming World Magazine
When the 2012 London Olympic Games opened, team physicians started playing an essential behind-the-scenes role in the preparation of their nation's athletes. The author of this article will be attending as official physician to the United States swimming team, as he did at the 2008 Beijing Games and the 2004 Athens Games. Swimming -- always one of the highlights of the Summer Games -- began on the first day of competition.More

Despite Obesity Concerns, Gym Classes Are Cut
The New York Times
More than a half-century ago, President Dwight D. Eisenhower formed the President’s Council on Youth Fitness, and today Mayor Michael R. Bloomberg and Michelle Obama are among those making childhood obesity a public cause. But even as virtually every state has undertaken significant school reforms, many American students are being granted little or no time in the gym.

In its biennial survey of high school students across the nation, the Centers for Disease Control and Prevention reported in June that nearly half said they had no physical education classes in an average week. In New York City, that number was 20.5 percent, compared with 14.4 percent a decade earlier, according to the C.D.C. More