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In this issue:

Active Voice: ACSM's Partner, USMST, Shares First-Hand Insights on Heat
  Illness Issues during Competition at Recent World Cup Soccer – Part 2
ACSM Announces Partnership to Develop New Youth Sports Concussion Certification
Give to the ACSM Foundation and Fund the Future of Sports Medicine
Educational Video & Free Webinar on U.S. Report Card on Physical Activity
Worksite Health International Newsletter: Brought to you by the IAWHP
Sports Medicine & Exercise Science Headlines


Active Voice: ACSM's Partner, USMST, Shares First-Hand Insights on Heat Illness Issues during Competition at Recent World Cup Soccer — Part 2
By Gautam S. Nayak, M.D., FACC, FACP and Felipe Lobelo, M.D., Ph.D., FAHA
Viewpoints presented in SMB commentaries reflect opinions of the authors and do not necessarily reflect positions or policies of ACSM.

Gautam Nayak, M.D., is a cardiologist at Confluence Health in the Department of Cardiology, Wenatchee, Wash. He earned his M.D. degree from Tulane University in New Orleans, La., and completed training in both internal medicine and cardiology at the National Naval Medical Center in Bethesda, Md. Dr. Nayak is a playing member of the United States Medical Soccer Team (USMST), a member of their board of directors, and currently serves as president of USMST.

Felipe Lobelo, M.D., Ph.D., is a medical epidemiologist in the Division of Diabetes Translation at the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga. He completed his medical training at the Rosario Medical School, Bogota, Columbia and his Ph.D. in epidemiology at the University of South Carolina in Columbia, S.C. As a member of ACSM, he currently chairs the Exercise is Medicine® (EIM) Pediatrics Committee. Dr. Lobelo also is a member of the USMST.

The USMST is an organization of physicians representing the U.S. in the Annual World Medical Football Championship. The USMST is committed to continuing medical education and community outreach. In 2013, launched a partnership with ACSM aimed at advancing EIM’s agenda to encourage healthcare providers to integrate exercise routinely in medical treatment plans for all patients. Here, in a final installment of this two part commentary Drs. Nayak and Lobelo share their expertise on the environmental challenges that facing athletes who recently competed at the FIFA and the World Medical Soccer Championships in Brazil. For further information, click here for Part 1.

In our previous installment, we provided some background on heat illness and introduced some key physiologic concepts that can help in recognizing the clinical manifestations of exertional hyperthermia. With this in mind, we can translate the physiology into a simple clinical approach centered on prevention and early treatment.
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ACSM Announces Partnership to Develop New Youth Sports Concussion Certification

Concussions and head injuries in youth sports can be scary — and most folks on the sidelines currently aren't prepared to handle such an incident. In an effort to address growing concerns regarding concussions among young athletes, the American College of Sports Medicine (ACSM) and the Sports Concussion Institute (SCI) are taking the lead in concussion prevention and management in youth sports. ACSM and SCI announced they will be partnering with a number of organizations on the development of new credentialing programs for health professionals, coaches, parents and other stakeholders. Going beyond awareness and education, these certifications will help youth sports workers meet state concussion requirements and guidelines, and will better position them to help optimize the safety and ensure full recovery of youth athletes before returning to academics and play.

Each level of certification will be designed to meet the unique needs and experience of the following:
  • On-the-field health professionals responsible for recognizing the signs and symptoms of a concussion and removing an athlete from play. These professionals typically have some health care experience, but may not be specialists in concussion treatment; and
  • Those who are not health professionals, such as coaches and parents who often are the only adults on the sidelines at youth games and desire a credential – similar in nature to those in first-aid and cardio-pulmonary resuscitation – that would provide enhanced understanding of concussion and how to recognize it.
A critical component of this effort will be significant inter-organizational collaboration between ACSM and various youth sports, medical and associated stakeholders.

"Because safety has always been the top priority at Pop Warner, we recognize the need for all of us in youth sports to be educated in recognizing the symptoms of head injuries and knowing how to follow up appropriately on them," said Jon Butler, Pop Warner's executive director. "This program will help ensure that our coaches are getting the knowledge they need to be prepared if they’re ever faced with this scenario."

Scientific evaluation and analysis underway underscores that education alone often does not improve or change skills or patterns in regard to prevention and recognition of sports concussions.

"The need has been growing for such highly reliable and scientifically sound certification exams that actually test the mastery and application of knowledge in regard to sports concussions," said Sally Johnson, executive director for the National Council of Youth Sports (NCYS) that represents more than 200 organizations. "Youth sports needs the assurance that people playing keys roles with concussions can apply that knowledge and are recognized for having that mastery."

The certification program is expected to be ready this November. Look for updates on the development of the new certification in future issues of SMB. To view the news release announcing this new certification, click here.

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  New LC7 for Performance Testing

Monark Sports & Medical bikes are designed and built in Sweden by Monark Exercise AB with focus on testing and training in Medicine, Sports, Healthcare and Rehabilitation. Monark has over 100 years of experience in bicycle production. A tradition that has yielded know-how, experience, and a real feel for the product and quality.

Give to the ACSM Foundation and Fund the Future of Sports Medicine

Wherever your career takes you, ACSM will be behind you every step of the way. Because ACSM is the only organization that allows you to have a 360-degree view of sports medicine and exercise science, your membership is the one thing you'll never outgrow. Through moves, promotions, job changes, career changes, life changes and more, ACSM will be there.

Will you, in turn, support the ACSM Foundation? We know your time and money are precious, so we don't ask much. A gift of just $50 is enough to make a huge impact for ACSM. As a member, you've already benefited from what the Foundation has to offer. We want you to know that all money donated through the ACSM Foundation goes right back to our members through important awards, grants and programs.

For more information or to donate to ACSM scholarship or travel funds, click here.

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Educational Video & Free Webinar on U.S. Report Card on Physical Activity

A new video is now available that can provide education and inspire action when it comes to promoting physical fitness within your sphere of influence.

The video provides an overview of the groundbreaking United States Report Card on Physical Activity for Children and Youth released earlier this year by the National Physical Activity Plan Alliance (NPAPA) and ACSM. Featuring ACSM members Peter Katzmarzyk, Ph.D., FACSM, chair of the U.S. Report Card Research Advisory Committee and Russell Pate, Ph.D., FACSM, chair of the NPAP Alliance, the video reveals six key outcomes from the study and key action steps needed to address current environmental deterrents when it comes to physical activity. The report card is the first in a historic series that will provide an unprecedented benchmark using a common methodology for this critical public health issue.

ACSM members are encouraged to use the video as an advocacy tool and call-to-action with those who can help implement new initiatives, programs and policies that support healthy environments and improve physical activity levels for children.

You can view and share the video by clicking here.

In addition to the video, a free webinar will be held September 10 to discuss the implications of the Physical Activity Report Card, including a question and answer session with Drs. Katzmarzyk and Pate. Register for the webinar today!

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25% off for ACSM Members!

Attend the leading independent event for fitness professionals, the 2014 Club Industry Show and receive 25% off an All-Access conference pass. Use promo code ACSM14 during registration.
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To find out how to feature your company in the ACSM Sports Medicine Bulletin and other advertising opportunities, contact Geoffrey Forneret at 469.420.2629.

Worksite Health International Newsletter: Brought to you by the IAWHP

International Association for Worksite Health Promotion (IAWHP) is happy to offer you a complimentary issue of their quarterly newsletter! Check it out here.

About IAWHP: The mission of International Association for Worksite Health Promotion (IAWHP) is to advance the global community of worksite health promotion practitioners through high-quality information, services, educational activities, personal and professional development and networking opportunities

IAWHP has been established as an Affiliate Society to the American College of Sports Medicine (ACSM). As an affiliate society, IAWHP will operate as a non-profit organization exempt from the payment of federal taxes under Section 501(c)(3). IAWHP is subject to oversight by the ACSM Board of Trustees by virtue of being an Affiliate Society; however, it will function independently in terms of strategic directions and day-to-day operations.

Membership in IAWHP is open to anyone interested in the association and is not restricted to members of ACSM. There are two classes of members: Full Members and Student Members. Full Members will have the privilege to vote, serve on committees, hold office, and be a member of the IAWHP Executive Committee.

Don't miss a newsletter! To join IAWHP, log on to
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Should You Really be Tracking Everything?
Shape Magazine
There was a time in the not-so-distant past when you wouldn't find the term wearable fitness defined anywhere. Nike's Fuelband, the FitBit, and apps that tracked everything from your breathing to your diet were still just ideas in the heads of fitness and health scientists. Mood rings and Livestrong bracelets were the closest we came to making statements about our body. But today? You're hard pressed to find a naked wrist (or ankle, or chest, or neck) in the gym. Today? Fitness trackers have become part of our daily wardrobe, and the numbers they spew out? Those are sometimes the figures we base our health off of.

In fact, a recent survey by the NPD Group reports that 58 percent of women reported intending to buy one of these devices. The most sought after features: counting calories and tracking the number of steps taken in a day, the survey found. Of course, that's just the tip of the iceberg when it comes to what this technology can do.

Why Fitness Trackers Work
The reaped benefits of these products are a no-brainer. "Research has shown that if you want to stick to a new habit, monitoring is one of the best ways to make a change," says Joshua Klapow, Ph.D., clinical psychologist at the University of Alabama at Birmingham. Since these devices have eliminated the burden of having to physically keep track of everything yourself, monitoring is easier than ever, he says. And it works: A recent study presented at the annual meeting of the American College of Sports Medicine showed that people who wore pedometers spent less time sitting, more time being active, and lost more weight than those who didn't sport the device.

Tracking also brings you back to reality. Because, really, even if it feels like you had to walk 10 miles to make that appointment after an unsuccessful hunt for a cab, you probably didn’t. "When you look at self-estimates on questionnaires, people tend to overestimate how much activity they're getting and underestimate how many calories they're eating," says John Raglin, Ph.D., professor of kinesiology at Indiana University. "With more objective information, you can get more specific about the changes you need to make."

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The Best Kind of Exercise to Control your Blood Sugar
You don't need to be working out for longer, but you should probably be working harder — in spurts, at least.

Studies have shown that interval training can help people burn more fat, and increase fitness levels even after just 15 or 20 minutes of exercise. And a new study found that people with type 2 diabetes benefited more from interval walking—their blood sugar was more controlled — compared to people who walked continuously.

"The return on investment of interval training is fabulous, and it keeps exercise interesting," says Richard Cotton, the National Director of Certification at the American College of Sports Medicine, who was not involved in the new research. "Walkers can incorporate interval training by warming up and walking for three minutes and jogging for one minute and repeating that pattern for let's say, 30 minutes."

Interval training means alternating between different intensities of exercise and allowing time to rest in between bursts of action. This can mean simply speeding up your walk to a jog for a few minutes or, in the more extreme, it can mean high-intensity interval training (HIIT) and Tabata. But they're all based in the same idea: short explosions of exercise that get your heart rate up followed by periods of rest or lower intensity provide a greater benefit.

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To find out how to feature your company in the ACSM News Digest and other advertising opportunities, Contact Geoffrey Forneret at 469.420.2629

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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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