Sports Medicine Bulletin
Aug. 4, 2015

Active Voice: Leisure Time Sitting and Cancer Risk
By Alpa V. Patel, Ph.D. and Lynette L. Craft, Ph.D, FACSM
Alpa Patel, Ph.D. Lynette Craft, Ph.D.,FACSM
Viewpoints presented in SMB commentaries reflect opinions of the authors and do not necessarily reflect positions or policies of ACSM.

Alpa V. Patel, Ph.D., is a cancer epidemiologist and principal investigator of the Cancer Prevention Study-3 at the American Cancer Society in Atlanta, Georgia. Her research broadly focuses on physical activity, sedentary behavior, obesity and disease risk. More specifically, she is interested in understanding these factors in relation to cancer risk and survival, as well as better quantification of the amount and type of activity needed for optimal health.

Lynette L. Craft, Ph.D., FACSM, is the vice president for evidence-based practice and scientific affairs at ACSM. Her Ph.D. is in kinesiology and she is an adjunct faculty member in the Department of Preventive Medicine at Northwestern University, Feinberg School of Medicine in Chicago, Illinois. Her research focuses on the mental and physical benefits of exercise. Specifically, she examines how intervening on lifestyle factors, such as physical activity and sedentary behavior, are related to chronic disease risk and quality of life in breast cancer survivors.

This commentary presents the views of Drs. Patel and Craft on the topic of a research article which they and their colleagues recently published in the journal Cancer Epidemiology, Biomarkers & Prevention, which has received extensive attention in the public media over the last two weeks.

ACSM meets with NIH Leadership on Common Fund

Pictured from left to right: Mark Roltsch; Carol Garber; Lynette Craft; Betsy Wilder, James Anderson, Jim Whitehead.
Last week, an ACSM staff team including ACSM President Carol Ewing Garber, Executive Vice President and CEO Jim Whitehead, VP of Evidence-Based Research Lynette Craft and VP of Governmental Affairs Monte Ward met with James Anderson, director of the NIH Division of Program Coordination, Planning and Strategic Initiatives and Betsy Wilder, director of the Office of Strategic Coordination of the NIH Director — NIH Common Fund. The ACSM team applauded NIH’s decision to include a physical activity research program within the Common Fund and reviewed the next steps in the process. ACSM will continue to be involved substantially in the process and will keep its members informed with up to date information.

NIH is also currently requesting input from stakeholders from the extramural community and the general public regarding the framework for a five-year, NIH-wide strategic plan. Since physical activity research has been added to the NIH common fund, feedback from ACSM members will be valuable to shape future research programs related to physical activity, active lifestyles and Exercise is Medicine®. Comments can be submitted electronically at the NIH-wide strategic plan RFI submission website.More

Reminder: American Fitness Index® Twitter Chat with Dr. Walt Thompson Tomorrow
Join Walt Thompson, Ph.D., FACSM, tomorrow at 1:00 p.m. EDT for a Twitter chat about the 2015 ACSM American Fitness Index® Report! Find out about this year’s biggest movers and shakers in the ranking and how your community can move up the list in 2016. Follow @drwalthompson and #fitcityindex to join the chat, along with @ACSMNews and @ACSMFitIndex.More

Upcoming Opportunity for Member Involvement with ACSM Position Stands

ACSM has recently improved the procedures for developing position stands to ensure that they are produced using evidence-based methodology based on the highest quality research evidence.

Our new evidence based protocol also allows for greater member involvement in position stand development. In the near future, ACSM will train a cadre of member volunteers as ACSM- credentialed evidence analysts. Evidence analysts will participate in the development of position stands by reviewing the individual studies to be included in a position stand, grading the studies for quality and freedom from bias, and extracting information from the studies to be housed in our new evidence library and resource center, MOSAIC. Thus, members who become credentialed evidence analysts not only have the opportunity to participate in advanced training in systematic review and evidence-based practice methodology, but they will significantly contribute to the development of ACSM’s highly influential position stands.

In September, a call for evidence analysts will appear in SMB. That announcement will provide detailed information regarding specific responsibilities of credentialed evidence analysts, necessary qualifications and how to apply.More

ACSM Seeks Nominations for Clinician Awards

In October 2015, the Every Body Walk! Collaborative and America Walks will host its second annual National Walking Summit. The summit will bring together the multiple supporters, allies and disciplines working to increase walking and making our communities safer, more attractive and accessible for walking.

During the summit, ACSM will honor the individual selected to be the recipient of the first annual “Walks the Walk” Outstanding Clinician Award. This award is given to recognize the awardee’s remarkable contributions to improving physical activity in the United States.

The award program will shine a national spotlight on individuals and the organizations they represent – clinicians who have made a significant commitment to physical activity assessments with their patients.

A committee will select an awardee from nominations that meet the selection criteria. The awardee will be honored at the 2015 National Walking Summit, October 28-30. A stipend for travel and lodging will be provided.

To learn more about the “Walks the Walk” Outstanding Clinician Award program and/or to nominate a deserving individual click here. Nominations close August 28, 2015.More

Five Steps to Launching Exercise is Medicine® on Your Campus

In the July/August 2015 issue of ACSM’s Health & Fitness Journal®, Carena Winters, Ph.D., MPH, FACSM, and Robert E. Sallis, M.D., FACSM, authored an article on Exercise is Medicine®(EIM) on Campus which provides background information and step-by-step instructions on how to bring this program to an institution. If you are interested in learning more about how your campus can be engaged and join the movement, check out the article.

You also can visit the EIM website for more details and to officially register your campus.More

Keep on moving to keep metabolism up
Quad Cities Online
There’s a plot, familiar to adventure film fans, in which the hero must keep moving or die.

Although the average person’s situation isn’t that dramatic, a lack of movement could be detrimental.

“Prolonged sitting slows down the metabolism regardless of fitness levels,” writes Arto Pesola, exercise physiologist, in an email interview.

That phrase “regardless of fitness levels” is important.

You can’t lull yourself into thinking you’re doing enough if you only follow the current guidelines to get at least 150 minutes of physical activity a week, health experts say.

You’re still coming up short.

That 150 minutes a week is only about 2 percent of the time you're awake during the week, and it isn't enough to go to the gym three times a week, says Dr. Srinivasan Beddhu, professor of medicine at the University of Utah School of Medicine, Salt Lake City.

Instead, more consistent and frequent effort is needed. More

Four exercises to help strengthen and relieve hip and lower back pain
WDRB Louisville
Sitting at a computer all day or simply not getting up to move can result in hip and lower back pain. But Carlos Rivas, the Director of Health and Wellbeing at Proformance, LLC says there are four exercises you can do to stretch and strengthen your hips and prevent injuries.

Exercising after injury or surgery will also help you return to daily activities and enjoy a healthier and active lifestyle. The hip flexors are the group of muscles that allow you to lift your knees toward your chest and bend forward from the hips.

Tight hip flexors are a common problem among those of us who spend a great deal of the day sitting at a work. When you spend a lot of time in a seated position, the hip flexors remain in a shortened position. Over time, the muscles surrounding the hips become tight and weak which can lead to pain and injury.

Tight hip flexors can result in lower back pain, hip pain and injury. A lot of strain is put on those muscles during activities that involve sprinting and kicking. For example, runners are more prone to hip flexor injuries because of the small, repetitive movement during running. But even if you're not an athlete, hip flexor injuries can occur during everyday activities (for example, slipping and falling or running to catch a bus). When those tight muscles are suddenly stretched beyond what they are accustomed to, you might also experience pain in the upper groin region, typically where the hip meets the pelvis. More

5 Tips to Help Conquer Hot-Weather Workouts
Globe and Mail
The average summertime high in Qatar, which is slated to host the 2022 World Cup, is above 40 degrees Celsius. That made it a fitting location for a recent gathering of physiologists and sports medicine experts to formulate updated guidelines for training and competing in hot conditions, which were published in this month’s issue of Sports Medicine and two other journals.

While the basic advice remains unchanged – take time to adjust to hot weather, moderate your effort, drink plenty – the details continue to evolve. Here are five topics where new research is changing how athletes handle heat.

New research from Matthew Cramer and Dr. Ollie Jay of the University of Ottawa's Thermal Ergonomics Lab challenges two enduring myths about who gets hottest. The first is that, as an article in The New York Times claimed last week, "body fat is the ultimate heat insulator."More