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In this issue:

Active Voice: Dyspnea During Daily Activities, Fitness and Mortality
Reminder: Certification Name Change Open to Public Comment
Next Week: ACSM at Climate Week NYC
Policy Corner: President Obama Proclaims September is Childhood Obesity
  Awareness Month
Call for Abstracts: 2015 ACSM Annual Meeting
Don't Miss Free Online Content from Current Sports Medicine Reports
In Memoriam: Passing of Dr. Bengt Saltin
Sports Medicine & Exercise Science Headlines


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Active Voice: Dyspnea During Daily Activities, Fitness and Mortality

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

Urho Kujala, M.D., Ph.D., is a specialist in sports and exercise medicine and professor at the Department of Health Sciences, University of Jyväskylä, Finland. His research focuses on different health benefits and adverse effects of sports and exercise. He has been a member of ACSM for 25 years.

This commentary presents Dr. Kujala’s views on the topic of a research article which he and his colleagues published in the August 2014 issue of Medicine & Science in Sports & Exercise® (MSSE).


There is much evidence that high physical fitness is associated with reduced risk of death. Measured high maximal oxygen uptake has been shown to be associated with reduced risk of death, but many other modes for assessing physical fitness, such as walking tests or self-reported ability to walk longer distances, are associated in a similar way with the risk of death, at least among older people.

Dyspnea is a sensation of breathlessness that is related to exercise intolerance. Dyspnea during specific daily activities also can be used as an indicator of low fitness. According to our study on Finnish twins that recently was published in MSSE, individuals with persistent or developing dyspnea had an increased risk of death. Dyspnea was measured with a modified Medical Research Council (mMRC) scale. The scale includes four questions on the degree of dyspnea when walking and performing daily tasks (e.g., do you usually get short of breath when you walk uphill, climb stairs, or when walking on level ground?). The level and change in dyspnea reported by the subjects between 1975 and 1981 was used to predict mortality during a 28-year follow up (between 1981 and 2010). In total 21,379 twins (including 8,672 complete twin pairs) were studied. The study was a collaborative effort of the universities of Jyväskylä and Helsinki and was conducted among all same-sex twin pairs born in Finland before 1958.

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Reminder: Certification Name Change Open to Public Comment

ACSM's Committee on Certification and Registry Boards (CCRB) has taken on an ambitious strategic planning project with the overriding goal of moving the profession forward. The three categories for this first phase of the project are as follows:
  • Define the professions within the field, in order to advance the profession
  • Promote the value of an exercise science degree
  • Promote ACSM's gold standard certifications to employers
In making progress toward consistency of ACSM certification titles, the CCRB Executive Council has voted to approve changing the current title of ACSM Certified Health Fitness Specialist (HFS) to ACSM Certified Exercise Physiologist (EP-C) in an effort to establish a protected title to improve recognition of degreed exercise professionals who are ACSM certified. Before finalizing the process the CCRB is putting the issue up for public comment. If you are interested in reviewing the proposal and making a comment, please send an email to certification@acsm.org to request a link to the public comment survey.

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Next Week: ACSM at Climate Week NYC

ACSM is convening various segments of the public health community on Monday in a Climate Week NYC event that will bring together an extraordinary set of speakers to address the intersection of climate, physical activity and health.

The event, which will take place the day before Climate Week NYC begins, is co-hosted by the American College of Sports Medicine, the Public Health Institute, the Global Climate and Health Alliance and the University of Wisconsin-Madison. It focuses on the health benefits of climate mitigation and the pathway toward a sustainable and healthy future. Acting U.S. Surgeon General Boris Lushniak and Dr. Richard Horton, editor of The Lancet, will lead a dynamic program engaging thought leaders across multiple sectors, including food and agriculture, transportation and community design, and energy and air pollution.

In addition, ACSM will also be announcing a new initiative called ActivEarth. A legacy program of Past President Janet Rankin, Ph.D., FACSM, ActivEarth is a cross-sector initiative focused on making it easier for the population to be physically active through safe and accessible active transportation, while also reaping the cobenefits related to health, the environment and sustainable economies. ActivEarth will bring together a variety of thought leaders and organizations to strategically address and emphasize the critical role of physical activity for planetary health and sustainability.

While this civil society event is invitation-only due to space limitations, you can follow and participate in live tweeting at #ClimateHealthAction, and view the event video in mid-October. Visit the event website to learn more about the program, see a list of panelists and watch the event video once it is released.

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Policy Corner: President Obama Proclaims September is Childhood Obesity Awareness Month

President Obama has officially recognized September as Childhood Obesity Awareness Month with a presidential proclamation issued from the White House. The proclamation recognizes the threat to our nation’s health that obesity poses and encourages all Americans to take action to lead healthier lives to beat childhood obesity. Read the full proclamation here.
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Call for Abstracts: 2015 ACSM Annual Meeting

ACSM's 62nd Annual Meeting, 6th World Congress on Exercise is Medicine® and World Congress on The Basic Science of Exercise Fatigue will cover many disciplines and include integrative tracks that provide CEC and CME opportunities. We are now accepting abstract and clinical case submissions for the 2015 ACSM Annual Meeting, May 26-30, 2015, in San Diego, California.

Click here to submit an abstract.

The deadline to submit is Monday, November 3, 2014, 11:59 p.m. PST.

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Don't Miss Free Online Content from Current Sports Medicine Reports

Check out the three free featured articles from the September/October 2014 issue of Current Sports Medicine Reports at www.acsm-csmr.org.

The free featured articles from the September/October issue include, "Lower Extremity Nerve Entrapments in Athletes," "Rugby Contact and Collisions: Clinical Challenges of a Global Game," and "Sport Medicine Surveillance 101: What Clinicians Need To Know When Choosing Software Programs To Record Injuries and Illnesses." The articles are available free of charge on the journal's website until November 11, 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.

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In Memoriam: Passing of Dr. Bengt Saltin

ACSM was saddened to learn that Bengt Saltin, M.D., Ph.D., passed away on September 12. Dr. Saltin was a world-renowned leader in in the field of exercise physiology. He received the ACSM Citation Award in 1980 and the ACSM Honor Award in 1990. He delivered the first Joseph B. Wolffe lecture at ACSM Annual Meeting titled "Substrate, Physical Exercise and Work Capacity" in 1972. During his career, he also delivered the Gollnick and Dill lectures, as well as the inaugural Exercise is Medicine® keynote lecture in 2010. ACSM sends our deepest condolences to Dr. Saltin’s family, friends and colleagues.
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HEADLINES


Moderate Exercise is Great When You're Expecting
San Francisco Chronicle
Women endure countless wives' tales throughout their pregnancy. Have heartburn? Your baby is sure to have a full head of hair at birth. Have a high bump? You're clearly carrying a girl. While most of these are harmless, some of the enduring myths about prenatal exercise are actually dangerous to both mom and baby.

The predominant myth is that pregnancy should be a time to indulge, not to begin an exercise routine, said Dr. Raul Artal, professor and chairman emeritus of the Department of Obstetrics and Gynecology & Women's Health at St. Louis University School of Medicine.

"Pregnancy is a great time for lifestyle modification. It's during pregnancy that women have the easiest access to medical care and supervision, more than any other time in life," said Artal, who is also lead author of the American Congress of Obstetricians and Gynecologists guidelines for exercise during pregnancy.

This doesn't mean moms-to-be should begin training for a marathon if they've never done one, but with the obesity epidemic in this country, it's more likely now than ever that women are overweight or obese at conception. That makes regular moderate exercise and a healthy diet even more important during the gestational period.

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More Access to Nature Trails May Lower Youth Obesity Rates
University Herald
Access to nature trails could help reduce youth obesity, according to a recent study.

Researchers from the University of Missouri and the University of Minnesota have found that counties with more non-motorized nature trails and forest lands have higher levels of youth activity and lower youth obesity, while counties with more nature preserves have lower activity levels. They suggest that local governments can decrease youth obesity rates by increasing the amount and type of public lands available for recreation.

"More non-motorized nature trails available for use by youth in a particular county lead to an increase in the physical activity rates as well as lower youth obesity rates," Sonja Wilhelm Stanis, an associate professor of parks, recreation and tourism, said in a statement. "This was in contrast to counties with more nature preserves, which showed decreased levels of physical activity among youth, and parklands, which did not show any relationship with obesity levels and physical activity of youth. Overall, this research shows how local policymakers can impact the health of their youth through land-use decisions."

For the study, Wilhelm Stanis and her colleagues analyzed data from every county in the state of Minnesota and compared youth activity rates and youth obesity rates to amount of public non-motorized nature trails, motorized nature trails, nature preserves, parklands and forest land.

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