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In this issue:

Active Voice: Estimation of Cardiovascular Disease Risk –Time to Make Physical Fitness Part of the Calculus
ACSM, Every Body Walk! Focus on Clinician Engagement
Policy Corner: Ask your officials to co-sponsor PA guidelines bill
Mark Your Calendar: Conference on Integrative Physiology of Exercise, September 17-20, 2014
NWI Certified Worksite Wellness Specialist Certification Workshop to be held March 30-31, 2014 in Atlanta, GA
Sports Medicine & Exercise Science Headlines


Active Voice: Estimation of Cardiovascular Disease Risk —Time to Make Physical Fitness Part of the Calculus
By Jonathon Myers, Ph.D., FACSM
Viewpoints presented in SMB commentaries reflect opinions of the authors and do not necessarily reflect positions or policies of ACSM.

Dr. Myers completed his doctoral studies in exercise physiology at the University of Southern California. He is coordinator for the Cardiology Department's exercise laboratory at the Palo Alto VA Medical Center and is a clinical professor of medicine at Stanford University. Much of his work has focused on epidemiology studies that have demonstrated the importance of exercise tolerance and physical activity in modulating risk for cardiovascular events. Dr. Myers has authored or co-authored guidelines on exercise testing and related topics for numerous organizations, including ACSM, the American Heart Association, and the American Thoracic Society.

The American Heart Association (AHA) and the American College of Cardiology (ACC) jointly released two new guidelines, both of which have received considerable attention — one addressing assessment of cardiovascular risk and the other on treatment of blood lipids. The AHA and ACC guidelines and scientific statements set the tone for clinical care related to cardiovascular disease in the U.S. A pivotal aspect of these new guidelines is an updated cardiovascular risk calculator that is based on an equation developed from community-based populations. Calculation of risk for a cardiovascular event (CVE) is based on race, gender, total cholesterol, blood pressure, smoking, and other well-established markers. The calculator forecasts 10-year risk for myocardial infarction and stroke for individuals aged 40-79 years. Such tools are valuable because they enable the health professional to estimate CVE likelihood and direct patient treatment accordingly.

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ACSM, Every Body Walk! Focus on Clinician Engagement
The American College of Sports Medicine has announced an exciting new partnership with Kaiser Permanente and other partners to implement a national vision for action to engage clinicians with Every Body Walk!

Every Body Walk! is an online educational campaign aimed at getting Americans up and moving. Together, we can spread the message that walking 30 minutes a day, five days a week really can improve one's overall health and prevent disease.

Resources will be available for physicians and allied health professionals to promote walking to their patients. Additionally, the resources can be used by anyone who would like to educate their own health care provider about the importance of talking to their patients about walking. A link to the materials will be available in an upcoming issue of SMB in spring 2014.

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Policy Corner: Ask Your Officials to Co-sponsor PA Guidelines Bill
Can you take a moment and ask your senators/representative to co-sponsor federal physical activity guidelines legislation? Please click here to view ACSM's latest Action Alert.

Senators Harkin and Wicker introduced the Physical Activity Guidelines for Americans Act (S. 531) in the U.S. Senate, and Reps. Kind and Schock introduced the Physical Activity Guidelines for Americans Act (H.R. 2179) in the House. The bills are identical and would direct the Department of Health and Human Services to prepare and promote physical activity guidelines based on the latest scientific evidence at least every ten years.

S. 531/H.R. 2179 would also direct HHS, five years after the release of each set of guidelines, to publish a midcourse report highlighting best practices and continuing issues relating to physical activity among Americans. Given the strong base of science and medicine that shows the benefits of exercise, every American needs to know the current physical activity recommendations to promote health and combat obesity.

Please click here to ask your senators/representative to support S. 531/H.R. 2179. Feel free to use the sample language provided, or to edit the subject and text to reflect your individual views. Then, invite friends and colleagues to do likewise.

Thank you for taking this step in the interest of better health and fitness for all Americans. For more on ACSM's policy program, please visit or contact Monte Ward, VP for government relations (

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Mark Your Calendar: Conference on Integrative Physiology of Exercise, September 17-20, 2014
ACSM's Conference on Integrative Physiology of Exercise on Sept. 17-20, 2014 will again be hosted at the Eden Roc Resort in Miami Beach, Florida. A keynote lecture and a reception will be held on the evening of Wednesday, Sept. 17 to welcome you to Miami Beach and the conference.

To emphasize areas of rapid advancements in exercise physiology, the IPE 2014 program includes the following:
  • Exercise, stem cells and adaptation
  • Exercise metabolism: integration of heart, skeletal muscle and fat
  • Exercise, oxidative stress, and mitochondrial dynamics
  • Circadian rhythms, sleep, systems health and exercise performance
  • Cytokines and "Exer-kines"; new insight into exercise and system's health
Registration information will be available at next month.

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NWI Certified Worksite Wellness Specialist Certification Workshop to be Held March 30-31, 2014 in Atlanta, GA
Join the National Wellness Institute as they offer the NWI Certified Worksite Wellness Specialist Certification Workshop on March 30-31, 2014. This program focuses on the importance of changing the organizational culture to ensure long-term results and uses the most current information and research in the field. Certification requires a two-day, in-person training followed by an online exam. Plan to stay after the workshop to attend the 2014 IAWHP Executive Summit on Worksite Health Promotion.
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Headlines include recent stories in the media on sports medicine and exercise science topics and do not reflect ACSM statements, views or endorsements. Headlines are meant to inform members on what the public is reading and hearing about the field.

The Strength I Found Through Physical Activity
The Huffington Post
Sport and physical activity can provide important benefits for our health, but for those with a progressive condition, it may be more crucial than we realized.

Last week the American College of Sports Medicine held their first "Developing the Healthy Youth Athlete Conference" in Buena Vista, Florida. Attendees and speakers — from Nike, Project Play, Women's Sports Foundation to NCAA — engaged in dialogue about redefining the healthy youth athlete, best practices for children in sports, and the benefits of physical activity.

But is physical activity and training possible for someone diagnosed with a progressive condition? Ten-time Olympic medalist, Gary Hall, Jr. and I were approached by the American College of Sports Medicine to discuss this issue and the benefits of sport. Both swimmers at a young age were diagnosed with a progressive condition. Hall was diagnosed with Type 1 Diabetes (T1D) in 1999 during the peak of his swimming career while I was diagnosed with FSHD Muscular Dystrophy at age nine. Not only is there no cure for both conditions, but at the time there was minimal information or medical studies available to reference for training and physical activity.

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Couch Potato Today, Wheelchair Tomorrow? Study Links Sitting, Disability
NBC News
Here's another reason desk jockeys need to get up and move. Researchers are finding that sedentary behaviors like sitting even just an hour extra per day can up your risk for disabilities in later life — even if you are a moderately active gym rat.

The study published Wednesday in the Journal of Physical Activity and Health is the first to show that sedentary behavior alone may be an independent risk factor for disability, separate from lack of moderate physical activity, its authors say.

To be clear, exercise is important, but it is only the beginning of a healthy lifestyle, said lead author Dorothy Dunlop, Ph.D., professor of medicine at Northwestern University Feinberg School of Medicine in Chicago.

"The message is that we can work on what the government recommends in terms of moderate physical activity, but we need to reduce sitting time by replacing it with some light activity," Dunlop said. That doesn't mean sweat and spandex, but rather simple activities like pushing a grocery cart, strolling through a museum, and even getting up once an hour to walk around.

The researchers strapped devices to the waists of some 2,200 adults aged 60 and older to monitor their activity and found that every additional hour a day spent sitting was strongly linked to a doubling of the risk of disability. So, if one 60-something year old person is sedentary for 12 hours a day, and another is sedentary for 13 hours a day, the second individual is 50 percent more likely to be disabled, according to the study.

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Sports Medicine Bulletin

Sports Medicine Bulletin is a membership benefit of the American College of Sports Medicine. There is no commercial involvement in the development of content or in the editorial decision-making process for this weekly e-newsletter. The appearance of advertising in Sports Medicine Bulletin does not constitute ACSM endorsement of any product, service or company or of any claims made in such advertising. ACSM does not control where the advertisements appear or any coincidental alignment with content topic.

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