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In this issue:

Active Voice: The Continuing Saga of Drugs in Sports
CEO Commentary: Doping and Sports – 10 Years on
Don’t Miss Free Online Content and New iPad App from Current Sports Medicine Reports
Team Physician Consensus Statement: 2013 Update Released
Policy Corner: Funding for Research in Proposed NIH Appropriation
Exercise is Medicine® Credential Course Now Available
Member Benefit: 20% off Wyndham Hotels
Sports Medicine & Exercise Science Headlines
 
 


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Active Voice: The Continuing Saga of Drugs in Sports
By Phillip B. Sparling, Ed.D., FACSM
Phillip B. Sparling, Ed.D., FACSM, is a professor emeritus of applied physiology at the Georgia Institute of Technology in Atlanta. As an exercise physiologist and former competitive distance runner, he conducted research on endurance sports and advised athletes on training and diet for more than 30 years. This essay is an edited version of his invited commentary, “The Lance Armstrong Saga: A Wake-up Call for Drug Reform in Sports,” which first appeared in the March/April 2013 issue of Current Sports Medicine Reports, the official clinical review journal of ACSM. Click here to read the journal article, available without charge until 12/31/13.

In collaboration with the US Anti-Doping Agency (USADA), ACSM initiated PADS (Professionals Against Doping in Sports) in 2007, an organization that works to unify physicians, scientists and others to promote ethical competition and prevent use of performance-enhancing drugs (PEDs) in sports. Drug use in sport is a significant concern for ACSM members. As this issue again is receiving extensive media attention across several high-level sports (e.g., in
Sports Illustrated), SMB is especially pleased to present readers with this commentary by Dr. Sparling.

Viewpoints presented in SMB commentaries reflect author opinions and not necessarily the positions or policies of ACSM, PADS, or USADA.


On July 14, 2013, sports fans and particularly track and field enthusiasts were stunned by another revelation of the use of banned substances in sports. Tyson Gay, two-time Olympian, American 100-meter record-holder and promoter of drug-free sport, tested positive for a banned substance. Like a recurrent toothache, doping allegations are reported nearly weekly across many sports in the U.S. and abroad – most recently in Spain, Turkey and Jamaica.

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  • CEO Commentary: Doping and Sports - 10 Years On The Times They Are a-Changin' (Aren't They?)

    James R. Whitehead is executive vice president and CEO of ACSM.

    In 1964, singer-songwriter Bob Dylan released a third studio album entitled “The Times They Are a-Changin',” focusing on upcoming social and cultural change in the U.S. and around the world, as well as his own transitions. Last week also was one of those points-in-time for doping and sports. On Monday, July 15, the news media were reverberating with the news that Olympian track star Tyson Gay had tested positive for a banned substance. Other news rang out that day about doping in Jamaica, Turkey and elsewhere around the world. On that day as well, a key panel meeting was occurring in Indianapolis on doping and its deterrence.

    And also on this same day, and in that meeting itself, it was noted that this concerning issue is one with a human face and, on occasion, human tragedy. July 15 in addition was the ten-year-anniversary of the passing of Taylor Hooton, a young baseball player who had been using steroids and who was in the process of discontinuing when he took his own life. The legacy of Taylor Hooton includes the Taylor Hooton Foundation, led by father Don Hooton, which strives to combat doping and substance abuse among youth through education, awareness and other efforts. In the Indianapolis conference, there was a moment of silence in Taylor's memory, noting that this issue touches people and families everywhere.

    So, this otherwise typical day was replete with irony, disappointment and hope, all converged into one as to the state of doping and sports. Clearly some progress has been made, the issue is on the radar screen of a growing number, and much effort is being made to create a new tomorrow on this front. So, indeed, “The Times They Are a-Changin',” but arguably not fast enough and not thoroughly enough. Especially not fast enough for those whose lives are disrupted or worse, as was poignantly noted July 15.

    And the continuing saga unfortunately continues…Unfortunately it has become nearly impossible to publish weekly and reflect the latest in banned substance use in sports. So it was yesterday as Ryan Braun, the 2011 MVP in the Major League Baseball, accepted a suspension for the rest of the season. Perhaps as many as two dozen other MLB players are under suspicion and investigation. ACSM is committed to collaborating with leading organizations in the U.S. and worldwide to slow and ultimately reverse this continuing saga that threatens the integrity of sports everywhere, erodes the idea of fair competition, and risks the health and well-being of athletes at all levels.

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    Don't Miss Free Online Content and New iPad App from Current Sports Medicine Reports

    Check out the two free featured articles from the July/August 2013 issue of Current Sports Medicine Reports at www.acsm-csmr.org. Also, if you own an iPad®, make sure to download the free app for Current Sports Medicine Reports in the Apple StoreSM. The July/August issue is now available for download on the app.

    The free featured articles for the July/August issue include, "Iron Supplementation for Athletes: Effects on Iron Status and Performance Outcomes," by Diane M. DellaValle, Ph.D., RD, and "Integrating Exercise is Medicine into the Care of Pregnant Women," by Elizabeth A. Joy, M.D., MPH, FACSM; Michelle F. Mottola, Ph.D., FACSM; and Heather Chambliss, Ph.D., FACSM. The articles are available free of charge on the journal’s website until September 12, so download your copies today.

    Current Sports Medicine Reports is the official clinical review journal of ACSM and is written specifically for ACSM physician members to provide a thorough review of the most current sports medicine literature. ACSM physician members receive an online subscription to this journal as a member benefit. Interested in print? ACSM physician members can purchase a print subscription of Current Sports Medicine Reports for only $15 per year. Contact ACSM Membership at (317) 637-9200 x 309 or email membership@acsm.org for details.

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    Team Physician Consensus Statement: 2013 Update Released

    As a professional in sports medicine and exercise science, it’s likely that a team physician has impacted your career as a mentor, a colleague, or a care provider. ACSM is a driving force behind the Team Physician Consensus Statement series, which are published in collaboration with the American Academy of Family Physicians, American Academy of Orthopaedic Surgeons, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine and American Osteopathic Academy of Sports Medicine. The consensus statement published last week, titled "Team Physician Consensus Statement 2013 Update," updates recommendations originally published in 2000. The update upholds the high standards set by the original document and also provides guidance on new issues in the field that have evolved in more recent years. New in this document are sections guiding the practice of team physicians relating to ethical and medicolegal issues. Like the original version, the 2013 update outlines medical qualifications and education and medical administrative duties as well as responsibilities recommended for all team physicians.

    This document is of great significance not only to the sports medicine community, but also to the larger sports culture at all levels of play. Please help us share this important document with your network. The 2013 update, as well as all of the team physician consensus statements, can be accessed on ACSM's website.

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    Policy Corner: Funding for Research in Proposed NIH Appropriation

    The American College of Sports Medicine has been involved in the process of ensuring that the National Institutes of Health (NIH) receives adequate funding for continued scientific research. To that end, the Senate Appropriations Committee recently passed the FY 2014 Senate Labor, Health and Human Services (LHHS) Appropriations bill. This legislation includes the funding for NIH.

    The Federation of American Societies for Experimental Biology, of which ACSM is a constituent society, has prepared a brief summary of the legislation.

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    SPORTS MEDICINE & EXERCISE SCIENCE HEADLINES

    Headlines include recent stories in the media on sports medicine and exercise science topics and do not reflect ACSM statements, views or endorsements. Headlines are meant to inform members on what the public is reading and hearing about the field.


    Team Physicians are Critical to Athlete Care and Team Success
    Kansas City infoZine
    According to the team physician consensus statement released by the American College of Sports Medicine (ACSM) and five other professional organizations, the care of a team physician is a necessary component to providing the best possible medical treatment and care to any athlete.

    The consensus statement, titled “Team Physician Consensus Statement 2013 Update,” updates recommendations originally published in 2000. The update upholds the high standards set by the original document and also provides guidance on new issues in the field that have evolved in more recent years. New in this document are sections guiding the practice of team physicians relating to ethical and medicolegal issues. Like the original version, the 2013 update outlines medical qualifications and education and medical administrative duties as well as responsibilities recommended for all team physicians.

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    As Obesity Measures Gain Prevalence, Limitations Exist for Policymaking
    Governing
    The American Medical Association (AMA) made headlines last month when it designated obesity as a disease, a decision not without controversy that’s expected to focus more attention on the issue.

    More than a third of Americans are currently considered obese. By 2018, one study projects the number to grow to an alarming 43 percent of the population.

    For decades, defining obesity as a measure of body mass index, or BMI, has served as the rule of thumb in evaluating populations’ body fatness. But as the issue gains prominence, both doctors and public officials are keenly aware of the limitations inherent in this methodology.

    In determining whether an adult is overweight or obese, doctors calculate BMI based on height and weight. Many have long argued that this simple computation misclassifies some individuals, particularly muscular or athletic types.

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    Concussions Among Women Exceed Men as Awareness Found Lacking
    Bloomberg News
    Emily Peters wanted to play college soccer so badly that when she suffered a concussion during her junior year in high school, she kept it a secret.

    Two years later, after receiving a fourth concussion when a teammate elbowed her in the head during preseason practice at the University of Pittsburgh, Peters developed symptoms ranging from dizziness and nausea to impaired vision and headaches. The university forced her to leave the team, and now, at 22, she said she can’t get out of bed quickly without getting dizzy, suffers headaches as often as twice a day and wonders if she’ll ever fully recover.

    "I try not to think about it too much, because what can I do?" Peters said in a telephone interview. "I don't know what's going to happen in 10 years or 20 years or even five."

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    Sports Medicine Bulletin
    Sports Medicine Bulletin is a membership benefit of the American College of Sports Medicine. There is no commercial involvement in the development of content or in the editorial decision-making process for this weekly e-newsletter. The appearance of advertising in Sports Medicine Bulletin does not constitute ACSM endorsement of any product, service or company or of any claims made in such advertising. ACSM does not control where the advertisements appear or any coincidental alignment with content topic.

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