Sports Medicine Bulletin
Nov. 19, 2013

Active Voice: Navigating Health and Safety Policy Changes -- It Doesn't Always Have to be in Response to Tragedy
By Kelly D. Pagnotta, M.A., ATC, PES and Douglas J. Casa, Ph.D., ATC, FACSM, FNATA
Viewpoints presented in SMB commentaries reflect opinions of the authors and do not necessarily reflect positions or policies of ACSM.

Kelly D. Pagnotta, M.A., ATC, PES is an athletic trainer at Bloomfield High School in Bloomfield, CT. She also is a doctoral student in the Neag School of Education and Chief Information Officer for the Korey Stringer Institute at the University of Connecticut in Storrs. Her research interests include preventing sudden death in sport through education and policy development. In addition to the secondary school setting, she has also worked at various mass-event medical tents.

Douglas J. Casa, Ph.D., ATC, FACSM, FNATA, is professor in the Department of Kinesiology, the University of Connecticut at Storrs. He also is Director of Athletic Training Education and Chief Operating Officer of the Korey Stringer Institute at the University of Connecticut.

This commentary presents Ms. Pagnotta’s and Dr. Casa’s views on the topic of the article which they and their colleagues published in the September/October 2013 issue of ACSM's
Current Sports Medicine Reports (CSMR).

Health and safety policies for athletics are a hot topic within the medical community, media and public. Concussion assessment and return-to-play, AED availability, coaching education, availability of athletic trainers (ATs), sickle cell testing, pre-participation exams and heat acclimatization are only some of the policies that could be used to reduce the risk associated with athletic participation. While heat acclimatization is one example, currently only 12 of 50 states have adopted heat acclimatization guidelines for high school sports (for details, see Korey Stringer Institute website) that follow Inter-Association Task Force Pre-Season guidelines (see NATA website).More

Register Now for the 2014 Team Physician Course, Feb. 19-23 in San Diego

The ACSM Team Physician Course — Part I is the only conference to bring you the full range of athlete care and sports medicine, giving you a conference experience that extends beyond any one specialty. Courses need not be taken in sequential order.

Register today for "Essentials of Sports Medicine: From Sideline to the Clinic," to be held Feb. 19-23 in San Diego, California. At this course, you’ll learn how to:

Who should attend?

Clinicians and other health care professionals interested in learning the basic information needed to provide sideline coverage and evaluation of athletic injuries: Register now to reserve your spot for this exciting conference.More

Policy Corner: Congressional Briefing Addresses Girls' Sports Injuries, Lifelong Participation

Rep. Mike McIntyre greets young athletes at NYSHSI/ACSM briefing

A team from the ACSM-sponsored National Youth Sports Health & Safety Institute made the case Nov. 13, and congressional staff got the message. Girls are more susceptible than boys for some injuries – particularly knee injuries – which can prevent them from desirable participation in sports and physical activity. The solution lies in teaching girls early to move safely, instilling lifelong habits and helping prevent injury.

Michael Bergeron, Ph.D., FACSM, executive director of the Institute, led an all-star team of presenters including Karin Allor Pfeiffer, Ph.D., FACSM, and Lindsay DiStefano, Ph.D., ATC. Monte Ward, ACSM vice president of government relations, commented on legislative priorities such as the Physical Activity Guidelines for Americans Act, the FIT Kids Act and renewal of the Carol White Physical Education Program (PEP grants). Jim Whitehead, CEO of ACSM, led off with a statement of support for the Institute and an affirmation of ACSM’s commitment to seeking policy solutions to benefit individuals and society.

Rep. Mike McIntyre’s comments were a high point of the briefing. McIntyre founded and co-chairs the Congressional Caucus on Youth Sports, which supported the briefing, and serves on the board of the National Youth Sports Health and Safety Institute. He underscored the importance of helping every young American learn to enjoy being physical active for life. As a parent and coach, he understands the value of sports in providing opportunities for healthful activity as well as leadership, character and team-building.

The Nov. 13 briefing was the second in two weeks for ACSM, which has proven singularly successful in promoting policy changes that support its mission.More

ACSM Hosts Symposium at Obesity Week 2013

ACSM played a key role in the Obesity week 2013, the inaugural event co-locating the American Society of Metabolic and Bariatric Surgery (ASMBS) and The Obesity Society (TOS) annual meetings. Together, these two meetings bring over 60 years of combined experience in the study of obesity and its management in an interdisciplinary program for attendees. The ACSM symposium was co-chaired by John M. Jakicic, Ph.D., FACSM and Renee J. Rogers, Ph.D. Presenters included James Hill, Ph.D.; Robert Ross, Ph.D., FACSM; and John Jakicic, Ph.D., FACSM. Remarks supported the importance of physical activity in weight management for health.

More information about the Obesity Week program is available at

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

Two free featured articles from the November/December 2013 issue of Current Sports Medicine Reports are available at Also, if you own an iPad®, make sure to download the free app for Current Sports Medicine Reports in the Apple Store℠.

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. Interested in print? ACSM physician members can purchase a print subscription of Current Sports Medicine Reports for only $15 per year. Contact ACSM Membership at 317.637.9200 x309 or email for details.

The November/December issue is now available for download on the app. The free featured articles for the November/December issue include "Recurrent Exertional Rhabdomyolysis: Coincidence, Syndrome, or Acquired Myopathy?" and "Helmets in Sport: Fact and Fallacy." The articles are available free of charge on the journal's website until Jan. 9, so download your copies today.More

Check Out the New Issue of ACSM Fit Society® Page

Check out the latest issue of the ACSM Fit Society Page supported by Liberty Mutual – and share the publication with your patients, clients, colleagues, family and friends.

The October issue discusses steps you can take on your own to improve your health and fitness, and includes the following stories:

Current and past issues of the ACSM Fit Society Page are available online. More

New Heart Guidelines Could Put More Americans on Statins
USA Today
Twice as many Americans will be eligible for cholesterol-lowering drugs, based on controversial new heart guidelines from two of the USA's leading cardiovascular associations.

The number of adults considered likely to benefit from statins will rise from about 15.5% today to 31%, according to the new criteria, developed by the American College of Cardiology and the American Heart Association, in collaboration with the National Heart, Lung and Blood Institute. While statins have been widely prescribed to reduce the risk of heart attacks, the new guidelines recommend that they also be considered for people at high risk of stroke.

That advice could lead doctors to prescribe statins to millions more people, says Steven Nissen, chair of cardiovascular medicine at the Cleveland Clinic, who wasn't involved in the new guidelines. More

How Safe Is The Hottest New Fitness Trend?
CBS News New York
One of the hottest fitness trends in the country has instructors turning up the heat and is leaving gym goers drenched.

The trend puts participants in rooms that range from a toasty 82-degrees to a nearly oppressive 95-degrees, more than 20-degrees warmer than recommended.

It started with hot yoga and then it spread. People like Jen Ellenberg swear by classes like hot cycling.

"When you take a heated spinning class you feel like you get so much more out of it. You sweat, your blood is pumping, it's amazing," Ellenburg told CBS 2's Kristine Johnson.

Advocates, like 'The Sweat Shoppe' owner Mimi Benz, claim the higher temperatures lead to a better workout.

"Obviously your heart rate's going to increase because it's a heated environment which yields more of a caloric burn," Benz said. More