Sports Medicine Bulletin
Jul. 3, 2012

Active Voice: Energy drinks —What you need to know!
By Amy Eichner, Ph.D. and Erin Hannan
Viewpoints presented in SMB commentaries reflect opinions of the authors and do not necessarily reflect positions or policies of ACSM.

Amy Eichner, Ph.D., is Special Advisor on Drugs and Supplements at the U.S. Anti-Doping Agency, where her responsibilities include their dietary supplement policy and providing related education to their stakeholders. Dr. Eichner previously led USADA’s Drug Reference Department. Prior to joining USADA, she conducted medical research at Harvard University and Massachusetts General Hospital. During the period immediately before coming to USADA, she directed an accredited calibration and testing laboratory dedicated to biocompatibility testing of medical devices for the Therapeutic Goods Administration in Australia.

Erin Hannan is Communications and Outreach Director for the U.S. Anti-Doping Agency. Her work focuses on ensuring that competing athletes and our nation’s youth are equipped with tools and skills for making healthy, informed and ethical choices for their lives. With a background in enterprise marketing, branding, communications and outreach initiatives, her responsibilities at USADA include facilitating communications with competing athletes to foster ethical, healthy and informed behaviors, as well as developing comprehensive educational resources to promote these aims.

This article first appeared in the April 2012 e-newsletter of the Professionals Against Doping in Sports. The PADS initiative is jointly led by ACSM and USADA. This topic has broad relevance to many exercise and sports settings, so it is also being presented here for our SMB readers. For more about PADS and to become a subscriber to the PADS newsletter, see the website at:

You may already know this, but there are significant differences between sports/electrolyte drinks (those that contain carbohydrates and electrolytes) and the "Energy” drinks that are now all the rage. But what you may not know is just how significant, and potentially serious, these differences can be. All of these names for drinks can be confusing – don’t be fooled. The ingredients can be deceiving. If your patients are drinking something that advertises itself as an “Energy Drink,” they are probably helping themselves to a healthy (or more likely unhealthy) dose of stimulants. A more proper name for this class of drinks could be “Stimulant Drinks.”More

All Four ACSM journals boost Impact Ranking to all-time high

Articles in Medicine & Science in Sports & Exercise® (MSSE) and Exercise and Sport Sciences Reviews (ESSR) continue to be cited frequently in the sport sciences literature, according to an industry report released last week. In fact, the impact factors for all four ACSM journals increased from the previous year and are the highest is each journal’s history.

ESSR and MSSE are ranked No. 2 and No. 3, respectively, out of 84 journals in the Sport Sciences category of the Journal Citation Reports® for 2011 issued by Thomson Reuters. ESSR’s impact factor is 4.491, up from 3.825 in 2010. MSSE’s impact factor is 4.431, up from 4.106. In 2010, MSSE ranked third and ESSR ranked fourth in the Sport Sciences category.

The impact factor for Current Sports Medicine Reports increased to 1.140 from 1.086, and ACSM’s Health & Fitness Journal® increased to 0.404 from 0.292.

The impact factor is a measure of the frequency with which the "average article" in a journal is cited in a given period of time. The 2011 impact factor measures citations in 2011 to articles published in 2009 and 2010.

In both 2010 and 2011, Sports Medicine, a monthly review journal, was ranked No. 1.

All ACSM journals are available online through the ACSM website ( Members should sign in for full-text access. The journals also have a Facebook page at

Policy Corner: Physical Activity and the Affordable Health Care Act

ACSM issued the following news release June 28 to underscore the importance of physical activity and exercise in discussions of health care policy.

The U.S. Supreme Court’s decision on the Affordable Care Act (ACA), awaited amid much speculation for its impact on the act’s ongoing implementation, changes nothing about one fundamental truth, according to medical experts and scientists. Leaders of the American College of Sports Medicine point to physical activity and exercise as a powerful prescription for what’s ailing the U.S. citizenry, health system and economy. There is widespread and bipartisan support in Congress for effective steps in preventing disease rather than trying to pay for treating people after they get sick, including major promotion of physical activity and healthy lifestyles.

“Americans’ lack of exercise will cause seven million early deaths in this decade, according the U.S. Dept. of Health and Human Services,” said Janet Walberg Rankin, Ph.D., ACSM president and an associate dean at Virginia Tech. “With chronic diseases—including heart disease, stroke and diabetes—responsible for seven out of 10 deaths, and with physical activity and exercise shown to help prevent and treat more than 40 chronic conditions, healthy lifestyles must be a part of the health care equation.”

“It’s good medicine, it’s sound science, and it’s an economic necessity,” said Robert Sallis, M.D., FACSM, a physician with Kaiser Permanente and past president of ACSM who chairs the Exercise is Medicine global health initiative. “Chronic diseases account for 75 percent of the nation’s health care spending. Increased physical activity can play a powerful role in treating these problems and, even better, in preventing them from occurring in the first place. If the benefits of exercise could be captured in pill form, it would be the most widely prescribed drug in the world.”

Walberg Rankin and Sallis recommend that, given the ability of physical activity and exercise to help people of any age or health status gain and maintain better health, these considerations should be central to any discussion on health policy. “Governments worldwide, from the community level to national legislatures, are wising up to what businesses are already finding out,” said Sallis. “Keeping people healthy has a profound impact on the bottom line. Lack of physical activity has an estimated cost of $223 billion to $381 billion per year, which is now going to treat preventable diseases.” Exercise can cost next to nothing, with enjoyable activities such as walking available to almost anyone.

“Beyond the avoidable cost in health care dollars, we need to look at the loss of worker productivity and the impact of non-communicable diseases on families and on individual quality of life,” said Walberg Rankin. “Research shows that physically active people have fewer hospital stays and physician visits. Our nation—and every community, workplace and organization—must act on the growing evidence base supporting Exercise is Medicine and collectively shift focus from overspending to treat preventable diseases to keeping people healthy. That’s a proven prescription for individual health and America’s bottom line.” More

ACSM launches innovative online education platform

ACSM is now offering Continuing Education Credits (CECs) online. The new system offers more courses, provides the ability to record and track CECs online, and is conveniently accessible from any computer. The new online education can be accessed at

“ACSM is constantly striving to better meet the needs of health and fitness professionals,” said Jim Whitehead, ACSM’s Executive Vice President and CEO. “Using the new online platform, we can offer a broad curriculum of continuing education programs that will keep certified fitness professionals on the cutting edge in their field.”

The new online learning platform offers a more diverse selection of continuing education opportunities, including multimedia video trainings. Credits are updated instantly after each CEC is earned, so health and fitness professionals can easily track their progress. In addition, it allows users to manually enter and track all of their CECs earned through various organizations.

ACSM offers nine different certifications and credentials to health and fitness professionals, including Certified Personal Trainer® and Certified Group Exercise InstructorSM, as well the new Exercise is Medicine® credential and other clinical and specialty certifications. More than 75,000 health and fitness professionals have been certified by ACSM to date. All ACSM certifications require continuing education to maintain their certified status. More

ACSM offers condolences on the loss of Dr. Keith Hardy

ACSM offers its sincere condolences to the family and loved ones of Dr. Keith Hardy, an ACSM member who passed away in a tragic skiing accident earlier this month on Mt. Baker in Washington State. Dr. Hardy, 34, received his M.D. from the University of Michigan and worked at Evergreen Sport & Spine Center. He had served as medical director or team doctor for several teams and events, including Ride to Conquer Cancer, University of Washington lacrosse, Sammamish High School football, Seattle Rock and Roll Marathon medical team, Woodinville High School football, Snoqualmie Pass Ski Resort, Ski Patrol medical advisor, and the Seattle Sounders women’s soccer team. He was an avid outdoorsman and an experienced climber and skier. Dr. Hardy will be missed not only for his research and work with patients, but also for his passion for sports, humble attitude, and fun-loving spirit. Dr. Hardy recently presented at this year’s ACSM Annual Meeting, which featured record-breaking attendance of over 6,600, on the topic of ultrasound-guided injections.

(Source: KIRO 7 News,

ESSR's July 2012 issue now online

The July 2012 issue of Exercise and Sport Sciences Reports is now posted online. Don’t miss the article “Exercise-induced Regulation of Mitochondrial Quality” by Zhen Yan, Ph.D.; Vitor A. Lira, Ph.D., and Nicholas P. Greene, Ph.D. The Journal Club discussion questions by Stephen E. Alway, Ph.D., will help broaden your understanding of this important topic. Act now to download this article for free from the ESSR website (available through 9/21/12). Professional members* have access to all previously selected Journal Club articles as part of their membership.

*ACSM members should first log in to the ACSM website and find the link to the journal from the “Access My Journals” link. Once on the journal website, go to the Topical Collection Journal Club to access the articles.More

Cities' efforts to make exercise easier pays off
Fitness is often a combination of personal choice and environmental support, experts say, and a ranking of the 50 healthiest U.S. cities seems to reinforce the theory.

High rates of physical activity helped to propel Minneapolis-St. Paul to the top of the list of the American College of Sports Medicine's 2012 American Fitness Index AFI.L for the second year in a row, while raised obesity levels and smoking pushed Oklahoma City to the bottom.

"When I say Minneapolis ranked No. 1, people give me an 'are you kidding me' kind of look," said Walter Thompson, the chairman of the AFI Advisory Board. "Between November 1 and April 1 they have cold and snow, but they've addressed that." More

Strengthening beats stretching when it comes to this common running injury
The Globe and Mail
They call it the “other” runner’s knee injury. Iliotibial band syndrome was the topic of a special session at the annual meeting of the American College of Sports Medicine earlier this month, and for good reason: While it’s less familiar than the cartilage problems that cause the classic “runner’s knee,” it remains the second most common running injury , accounting for about 25 per cent of overuse injuries, and also afflicts many cyclists.

The results presented at the meeting suggest a new approach to dealing with iliotibial band pain. While traditional rehab has focused on lengthening and loosening the stubborn band, early results from a study by the University of Calgary’s Running Injury Clinic show that strengthening the hip muscles may be more effective – not only for rehab, but for preventing the injury in the first place. More