Sports Medicine Bulletin
Apr. 10, 2012

Active Voice: Exercise-induced Cardioprotection
By Scott K. Powers, Ph.D., Ed.D., FACSM; Andreas N. Kavazis, Ph.D.; John C. Quindry, Ph.D., FACSM

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

Scott Powers, Ph.D., is the UAA Endowed and Distinguished Professor of Applied Physiology and Kinesiology at the University of Florida. His research interests include exercise-induced protection of cardiac and skeletal muscle against stress and the mechanisms responsible for disuse skeletal muscle atrophy.

Andreas Kavazis, Ph.D., is an Assistant Professor of Kinesiology at Mississippi State University. His main research focuses on cardiac mitochondrial adaptations following endurance exercise training.

John Quindry, Ph.D., is an Associate Professor of Kinesiology at Auburn University. His research interests include understanding oxidative stress and mechanisms of exercise-induced cardioprotection against various cardiac pathologies including ischemia-reperfusion injury.

See the March 2012 issue of
Medicine & Science in Sports & Exercise® (MSSE) for two articles related to this topic, which were authored by these three scientists and others from their research teams: “Exercise protects cardiac mitochondria against ischemia-reperfusion injury” and “Evaluation of arrhythmia scoring systems and exercise-induced cardioprotection”.

Cardiovascular disease and specifically ischemia-reperfusion (IR) injury, i.e., heart attack, remains the major cause of death in the industrialized world. Developing strategies to reduce the incidence and severity of IR injury is vital. Numerous investigations clearly demonstrate that regular endurance exercise protects the myocardium during heart attacks. Heart attack protection is a cellular phenomenon which extends to clinically relevant outcomes including tissue preservation, muscle pump function and ventricular arrhythmia prevention (see Miller et al., March, 2012 issue of MSSE). More

ACSM Elects New Trustees

ACSM congratulates newly elected officers and trustees, who will begin their duties at the Board meeting that concludes the 2012 ACSM Annual Meeting and World Congress on Exercise is Medicine™, May 29-June 2 in San Francisco.

Click here to view the full election results. More

Policy Corner: Q1 Kept FASEB Public Affairs Office on Task

Policy Corner often brings you updates from the public affairs staff of the Federation of American Societies for Experimental Biology. Under the direction of Howard Garrison, Ph.D., the FASEB Office of Public Affairs (OPA) works with representatives of FASEB’s 24 member societies - including ACSM – to develop and promote policies to advance research and education in the biological and biomedical sciences. The OPA provides analytic, communications, and technical support for FASEB’s public policy initiatives.

For a glimpse of the spectrum of issues and activities the industrious OPA crew undertake on our collective behalf – or for an inside view of the nitty-gritty of science advocacy – see the OPA’s most recent quarterly report. More

Accreditation with Commendation Puts ACSM in Top Tier of CME Providers

In kindergarten, it’s a gold star and a cookie. For the college graduate, it’s summa cum laude. For providers of continuing medical education, the top distinction is accreditation with commendation. Only the top 15 percent of providers, including some of the nation’s most prestigious medical schools, earn accreditation with commendation – or Level 3 – from the Accreditation Council for Continuing Medical Education (ACCME).

ACSM’s recently awarded Level 3 accreditation reflects sustained high standards achieved under the leadership of Sandra Hoffman, M.D., FACSM, who chairs the College’s Medical Education Committee. Sue Hilt, senior director of education and CME activities, plays a big role, in guiding CME and accreditation activities.

Steve Passin, president of Steve Passin & Associates, consulted with ACSM in the effort that resulted in the six-year accreditation through ACCME. He noted, “ACSM’s continued inclusion into the vaulted ranks of Level 3-accredited organizations places them among those medical educators in the country that have demonstrated the highest levels of educational acumen based on quality and patient safety parameters consistent with identified needs of the physician.”

ACCME accreditation seeks to assure both physicians and the public that continuing medical education activities sponsored by ACSM meet the high standards of the Essentials Areas and Criteria for Accreditation of the ACCME. The ACCME rigorously evaluates the overall continuing medical education programs of institutions according to standards adopted by all seven sponsoring organizations of the ACCME: the American Board of Medical Specialties, the American Hospital Association, the American Medical Association, the Association for Hospital Medical Education, the Association of American Medical Colleges, the Council of Medical Specialty Societies, and the Federation of State Medical Boards.

CME activities are developed with complete independence and are based on the best medical and scientific evidence as determined by distinguished scientific planning committees associated with the College’s educational initiatives. More

PADS Interactive Anti-doping Program Now Available Online

Professionals Against Doping in Sports (PADS) is now offering a new online education program that addresses various issues with ethical principles surrounding anti-doping efforts. This series is FREE to download and can be accessed and viewed at any time.

There are three parts to the anti-doping educational program.

Part I is an Introduction to the WADA and NCAA anti-doping programs and covers the ACSM statement on ethics related to anti-doping. In addition, the introduction presents information on the approach to the treatment of an athlete, how to inquire about potential doping in the athlete’s training regimen, medical exemptions and exceptions, dietary supplements, and references related to the anti-doping programs.

Part II presents information on the various components of the WADA anti-doping program. This includes the World Anti-Doping Code, the definition of doping, the various international standards which are mandatory for the organizations under WADA, the therapeutic use exemptions (TUE) process, and the information needed to support a request for a TUE.

Part III covers the NCAA anti-doping program including the substances banned by NCAA, steps to obtain information on the status of medications, the medical exception procedure, and information useful in requesting a medical exception. The NCAA policy on supplements is also presented here.

Please share these resources with your colleagues and partner organizations and encourage them to ‘band together’ and join PADS! More

5 Experts Answer: Is Running Bad for Your Knees?
Not everyone who runs is destined to get arthritis.

The knees take a lot of pressure. The hipbone is a very nice ball and socket, and the ankle is set up in a good way, but the knees can take nice, happy cartilage and start to break it down.

The condyles of the femur (thigh bone) are round, and rest on the flat surface of the tibia (shin bone). There is always a place where the two bones touch bone-to-bone (as a basketball on a table would do). Both of these bones have a coating of hard, shiny, firm cartilage at the ends, enabling the bones to glide on one another.More

MSU Doctors Prescribe Exercise Along With Traditional Medicine
The Dispatch
When acid reflux problems led Mississippi State junior Sherika Wheeler to visit her campus physician, she didn't anticipate medical advice that involved tractor-tire flipping and jumping rope.

Wheeler's doctor at the university's Longest Student Health Center gave her two prescriptions: one for a traditional over-the-counter pill from a pharmacy and a second for exercise. Her doctor literally wrote a prescription for exercise. More