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  • 11 Tips for Instructors Bringing Students to ACSM Regional Chapter Meetings

    by Caitlin Kinser | Sep 22, 2022
    11 tips or students attending ACSM regional chapter meetings

    One of the best parts of being a faculty mentor is taking students to regional conferences. You get to show them inspiring scientific content and introduce them to peers and colleagues who share their passion for sports medicine and exercise science. 

    If you’re planning to take students to an ACSM regional chapter meeting, consider these tips to help maximize their conference experience. 

    1. Review the conference program beforehand. 

    Conferences can be overwhelming, but reviewing the program before you attend helps set you up for success. This is especially important for first-time attendees. Discuss the different types of sessions (e.g., symposium, tutorial, thematic poster) with your students and help them choose which sessions they want to attend. You can even highlight a few presentations that you personally plan to attend or that you think would be good for your students to check out. 

    2. Have your students think about their goals for the conference. 

    Ask your students why they are attending the conference and what they hope to accomplish there. Having goals will allow them to be more intentional with their meeting experience. 

    3. Help them develop a personal “elevator pitch.” 

    As faculty, we all have our own “elevator pitches.” We’ve been doing our work for a while and understand what role we play in the advancement of our field. Our students, however, are relatively new to the discipline and may not know exactly who they are as professionals and what they hope to accomplish. Ask your students to think about who they are, what they’ve accomplished, and what they hope to do next in the context of our field. 

    4. Remind them it’s okay to step out of one presentation to attend another. 

    Often, there are several interesting presentations going on at once. Remind your students it’s perfectly fine to step out of one presentation to attend another. Just try to be respectful — sit in the back or close to the aisle, and try to move when the speakers are switching. 

    5. Encourage them to show up to their lab mates’ sessions. 

    Remind your students that friendly faces in the audience help calm nerves, and that they’d want the same support. 

    6. Remind them to talk with the conference’s student representatives. 

    The student representatives are great contacts. At SEACSM, our student reps help answer questions about where sessions are located and also put on a 5K —and this year we are looking to do a student bingo game to help encourage students to meet peers and other conference attendees. 

    7. Ask your students to identify one or two presenters they would like to network with personally. 

    Networking is one of the most important things students can do for their careers because you never know when you’ll meet someone again, especially in our field! Encourage your students to meet one or two new people, learn more about their research and find common ground. Encourage them to talk about research, but also try to make a personal connection — finding something they have in common outside of academia can help students feel more at ease and like they belong. 

    8. Encourage them to say yes to opportunities that might arise. 

    You never know where one “yes” will lead you. Encourage your students to make connections with researchers outside of your school. It could jumpstart their career. 

    9. Remind your students to follow up with people they connected with. 

    While making connections at the conference is important, you need to follow up on them. Make sure your students find a way to connect with contacts after the conference, whether via LinkedIn or email. Faculty should also consider creating an easy way to provide people with their contact information, like a QR code that links to a PDF that includes their abstract, email address and Twitter handle. 

    10. Check in with your students. 

    Conferences can be a little overwhelming. Take the time to check in with your students and see how they feel the event is going. 

    11. Finally, remind them to have a great time!

    Learn About Regional Chapter Meetings

    Bhibha M. Das, Ph.D., MPH, FACSM, is a public health and physical activity practitioner and researcher with over a decade of experience in the field. Prior to joining academia, she spent four years working with communities, including underserved and rural ones, to develop, implement and evaluate physical activity promotion programs and policies. Dr. Das’s research agenda focuses on physical activity promotion as the cornerstone for improvements in quality of life in a variety of populations. Das earned degrees in public health and kinesiology from the University of Illinois and is currently an associate professor in the Department of Kinesiology at East Carolina University as well as a fellow of the American College of Sports Medicine® (ACSM). She also serves as member-at-large in the Southeast Chapter of ACSM (SEACSM). 

    Katherine (Katie) E. Spring, M.S., is a doctoral candidate in Dr. Danielle Wadsworth’s Exercise Adherence and Obesity Prevention Lab at Auburn University. While at Auburn, she has been elected to serve as student representative for SEACSM as well as ACSM’s Student Affairs Committee. She received her master’s and bachelor’s degrees from Mississippi State University. Prior to attending Mississippi State, she received her associate’s degree from Holmes Community College, where she also played for the college tennis team. Her research primarily focuses on the effects of physical activity and play on physical, behavioral and learning outcomes in young children. 

  • Combating Obesity as a Family

    by Greg Margason | Sep 22, 2022
    Combating Obesity as a Family

    Obesity is one of those diseases that just breaks my heart. After almost 24 years in the health care field, I have not personally witnessed a reduction in this “lifestyle” disease, and the official statistics in the U.S. and worldwide don’t reflect that much progress has been made toward prevention. There are many reasons why obesity remains pervasive, and in many cases it occurs within families — parents, children and often extended family members. When talking about children, the age range is up to 18 years old, and I’m going to do my best to be as inclusive as possible, recognizing that developmentally, there are differences.

    My infamous soundbite is that diet and exercise are the least invasive, least expensive and most effective ways of preventing and treating obesity. One of the biggest challenges that we health care professionals have is the abundance of misinformation and so-called experts that perpetuate fads around food, diet and even exercise. Wellness professionals spend quite a bit of time correcting these inaccuracies. Here is what we do know: Parents should lead by example, adopting and practicing healthy lifestyle habits and behaviors. We can learn from the centenarian or longevity regions of the world: eat predominantly plant-based foods with small amounts of animal-sourced protein, participate in physical activity daily, get a good night’s sleep, minimize stress, have loving relationships, be a part of a community, have a purpose, and avoid smoking and excessive alcohol consumption.

    Children can be picky eaters — and so can adults. It can take up to 10 exposures to a food before a child may like the food. I always tell families, “Do not be a short-order cook.” You are not a diner offering 500 items on a menu each day. However, when trying new foods, make sure there is at least one thing that everyone is willing to consume at the meal. Most important — this is for the whole family — try to eat food closer to the way it’s found in nature, and cut back on processed foods. Beverages should be predominantly water, 100% fruit juice or milk — no soda, and avoid non-nutritive sweeteners. A great way to develop important life skills is to let your children help you with meal preparation. Stop bribing children with sweets or desserts like cakes, cookies, candy or ice cream!

    However, if a child is overweight or obese, do not discuss their body weight with them unless they bring it up. Developing positive self-esteem in children can be challenging. One of the worst things adults can do is criticize their own bodies or let their children see or hear them talking about their body weight. Limit technology time, and try to ensure your children get at least eight hours of sleep each night. Sleep is when the body can rest, repair and renew cells!

    Let’s get moving — together! Remember, when discussing movement, let’s use the less-threatening term “physical activity” rather than “exercise.” Assuming everyone is ambulatory, there is no reason to sit or lay down all day long. Assuming kids have not been raised with the TV or technology as their sole source of entertainment or babysitting, most have a lot of energy and love to run around and play. Physical activity as a family includes all movement, even chores around the house: cleaning and yard work count! Try taking a walk together, turning on music and dancing. Better yet, especially in a public playground, get on the swings and pump your legs, try to get across the monkey bars, climb up a ladder and then use the ladder to get back down. Children can walk, jog, bike, board or skate — and so can adults! Take a hike, go to a park that has trails — some even have fit trails with specific exercise stations. Track your steps, and let your kids do the same. Determine the distance and make a game out of it — how many steps would it take to walk across the country? — and determine your family’s progress.

    Don’t always park in the closest spot in a parking lot. Get your children accustomed to walking! Teach your kids to take the stairs instead of the elevator, assuming it’s safe. Safe places to walk and play are important. If it can’t be done outside, doing it indoors is the default. Encourage children to PLAY! Until high school, my son’s favorite “subject” was gym or PE. If you have the means, enroll them in sports or classes like dance, yoga or martial arts. Virtual reality arcades have fabulous games that get everyone up and moving! Let kids take the dog out for a walk rather than just letting your pooch loose in the back yard.

    My philosophy has been that it is much easier to prevent overweight and obesity than it is to treat them. Modeling appropriate lifestyle behavior choices is foundational. It does not guarantee that your child will always mimic your actions, but at least you are doing it for yourself and exposing your children to it. Physical activity is not about weight — it’s about building bones and muscles, improving cardiopulmonary function, improving mental health, helping with sleep and maintaining appropriate blood sugar and cholesterol.

    Let’s give our children the foundation for a lifetime of good health — the habits and behaviors established by the age of 20 impact one’s health over 40!

    Related Content: 
    Resource | ACSM Sports Medicine Basics: Childhood Overweight & Obesity
    Blog | Physical Activity: A Key Lifestyle Behavior for Prevention of Weight Gain and Obesity
    Pronouncement | Physical Activity and the Prevention of Weight Gain in Adults: A Systematic Review

    Felicia Stoler
    Dr. Felicia Stoler, DCN, M.S., RDN, FACSM
    , is a registered dietitian nutritionist, exercise physiologist and expert consultant in disease prevention, wellness and healthful living. She has a bachelors from Tulane University (N’89), a masters in applied physiology and nutrition from Columbia University and doctorate in clinical nutrition from Rutgers University. Felicia is Fellow of the American College of Sports Medicine, a Fellow of the Academy of Nutrition and Dietetics, a Diplomate in Lifestyle Medicine (ACLM); and a Council member of the True Health Initiative. She authored ACSM’s Sports Medicine Basics on Childhood Obesity.

     
  • Student Loan Cancellation: What You Need To Do Sooner Than Later

    by Caitlin Kinser | Sep 21, 2022

    student loan cancellation: what you need to knowIn August, President Biden announced that many federal student loan borrowers would be eligible for loan cancellation. While more details on implementation are expected in the coming weeks, here’s what we know now. 

    Borrowers making less than $125,000 per year individually or $250,000 per year for married couples are eligible to have up to $10,000 in student loans cancelled. Borrowers that received a Pell Grant as part of their student aid package are eligible for up to $20,000 in cancellation. 

    All loans must be federal student loans to qualify, including subsidized and unsubsidized Direct loans, Parent Plus loans and graduate school loans. Private student loans aren’t eligible for cancellation. There is no employment requirement or minimum number of payments required to receive this student loan cancellation. 

    To get cancellation, you’ll need to submit an online application, expected to launch in October. Sign up here to receive email updates when the form is ready online. Loans are expected to be cancelled within 4-6 weeks of application. Applying by Nov. 15, 2022, should ensure that your loans are cancelled and any remaining balance re-amortized before loan payments resume in 2023. 

    If you’re one of the 9 million people who made payments during the pandemic forbearance (March 2020 to Dec. 31, 2022), you can request a refund for those payments and then apply for student loan cancellation. Contact your loan servicer to request a refund. 

    Visit studentaid.gov to check your loan balances, find your loan server, update your contact information and see if you were a Pell Grant recipient. 

    PSLF 2.0 — It’s worth a second look  

    If you expect to still have a loan balance after receiving the cancellation described above, consider the Public Service Loan Forgiveness (PSLF) program. We’ve all heard the struggles of the PSLF program over the past 10+ years. I’m here to tell you to ignore what you’ve heard. Recent changes to the PSLF program have temporarily expanded eligibility to qualify for loan forgiveness; however, this opportunity ends Oct. 31, 2022 so act quickly. 

    Some of the basic requirements remain the same — you have to be working full time in public service (nonprofit, government, public universities, etc.) for a qualifying employer and have made 120 payments on your Direct Loans or Direct Consolidation Loans. 

    The most important temporary change now credits payments that previously didn’t count toward the required 120 payments. This includes payments made on a variety of federal student loan types, payments under any repayment plan, late payments and more. Additionally, forbearance periods and economic hardship deferment may also be credited toward your total payment count, including the pandemic forbearance period. Periods of default and in-school deferment still don’t qualify. 

    Even if you haven’t qualified for PSLF before, it’s worth your time to explore the temporary eligibility expansion and see if you qualify for loan forgiveness, but you must act now before the expansion expires. 

    Tips for PSLF success 

    I personally went through the PSLF process a few years ago after completing all of the requirements for the original eligibility. While it was a difficult process then, the lessons I learned can help you with today’s PSLF. 

    • Read all the details. The PSLF website has a lot of information, and it can seem overwhelming. Read it anyway. 

    • Follow the instructions exactly. There have been stories of people getting rejected for not following the date format or something equally miniscule. Don’t let that be your story. 

    • Get hand-written signatures, not digital signatures. 

    • Be a squeaky wheel and your own advocate. If you call your loan servicer and you’re not getting the information or progress you need, ask for a supervisor firmly and politely. You may need to ask more than once. 

    • If you run into a roadblock, ask your loan servicer if there’s an escalation team that can review your account to clarify which payments qualify. 

    • Keep meticulous notes through every step. Note who you talk to, when, what they said, and any steps or dates they give you. 

    Finally, don’t forget the pandemic forbearance expires on Dec. 31, 2022. If you still have a loan balance at that time, you will need to resume loan payments. Even if you don’t qualify for student loan cancellation or PSLF, you may benefit from changes to repayment plans, discretionary income thresholds, and interest rate coverage

    Gretchen Patch, MPH, CPH, is ACSM's Senior Director of Strategic Health Initiatives and Partnerships. Her public health expertise has guided the ACSM American Fitness Index report since 2018 and helped to lead ACSM's strategy to protect its staff and members throughout the pandemic. 

  • Eccentric Contractions Are Responsible for Muscle Damage and Neuromuscular Fatigue

    by Greg Margason | Sep 16, 2022
    Eccentric Contractions Are Responsible for Muscle Damage and Neuromuscular Fatigue

    Many of our functional daily and exercise activities include both concentric (shortening) and eccentric (lengthening) muscle contractions (actions). However, eccentric-only or accentuated eccentric contractions are also commonly performed in resistance exercises. It is well known that exercises consisting of high-intensity and/or a large number of eccentric contractions induce delayed-onset muscle soreness and prolonged decreases in muscle function. This is especially true when performed for the first time or infrequently. However, less is known about how preceding eccentric contractions with concentric contractions may affect neuromuscular fatigue and muscle damage. It is possible that muscle damage is exacerbated by the fatigue induced by the preceding concentric contractions.

    In our study published in Medicine & Science in Sports & Exercise®, we compared eccentric-only and alternating concentric and eccentric (CON-ECC) exercise protocols of the knee extensors for changes in neuromuscular and neurophysiological parameters. We recruited 12 male and 8 female adults who were assigned to either an eccentric-only exercise group or a CON-ECC exercise group. The eccentric-only exercise consisted of 6 sets of 8 eccentric contractions with the load of 80% of eccentric one-repetition maximum (1-RM). The CON-ECC exercise consisted of 6 sets of 8 alternating concentric and eccentric contractions at 80% of concentric 1-RM and 80% of eccentric 1-RM, respectively. It should be noted that the eccentric 1-RM was 16-53% greater than the concentric 1-RM. Outcome measures included maximal voluntary isometric contraction force, rate of force development, resting twitch force, maximal M-wave, voluntary activation, motor-evoked potentials, corticospinal silent period, short-interval intracortical inhibition and muscle soreness. These measures were taken before, immediately after and 1-3 days post exercise.

    We found no significant differences between eccentric-only and CON-ECC protocols for any of the measures. Since both protocols consisted of the same number of eccentric contractions, our findings showed that the addition of concentric contractions had little effect on neuromuscular fatigue and muscle damage. This suggests that eccentric contractions were the main mediators of the fatigue and damage in the CON-ECC exercise.

    The findings of the present study are important for practitioners including strength and conditioning coaches, physical therapists and exercise physiologists when prescribing resistance exercise to different groups.

    First, high-intensity eccentric contractions have a risk of muscle damage. However, this muscle damage is minimized or prevented by performing light-intensity eccentric contractions at 1-14 days before higher-intensity eccentric exercise, or gradually increasing the intensity and volume. Thus, the risk of muscle damage should not discourage people from performing eccentric exercises.

    Second, muscle damage is not affected by including concentric contractions. However, a question remains whether high-intensity concentric contractions should be included in resistance exercise. Due to the low metabolic demand, haemodynamic and cardiorespiratory cost in eccentric exercise, eccentric-only contractions may be more appealing for use in older individuals and clinical populations.

    It has been documented that eccentric exercise training produces greater increases in muscle strength and muscle mass, balance and flexibility, and improves insulin sensitivity and blood lipid profile than concentric exercise training. Thus, resistance exercise training focusing on eccentric-only contractions may become more popular. To perform eccentric contractions without a load for concentric contractions requires specific device. So CON-ECC can be used in eccentric resistance training protocols such as lifting a dumbbell with two arms but lowering it with one arm, where performing eccentric-only contractions with load is not possible.

    Cassio Ruas
    Cassio V. Ruas, Ph.D.
    , received a doctorate in exercise and sports science from Edith Cowan University in Australia. He is now an adjunct lecturer at Edith Cowan University and a postdoctoral research fellow at the University of Campinas in Brazil. He investigates neurophysiological changes following eccentric exercise interventions; neuromodulation interventions for movement recovery in clinical populations such as stroke and spinal cord injury patients; and resistance training protocols for enhancement of muscle function in children, adults and athletes.

    Kazunori Nosaka
    Kazunori Nosaka, Ph.D.
    , is a professor of exercise and sports science in the School of Medical and Health Sciences at Edith Cowan University in Australia. He has published more than 320 peer-reviewed journal articles, and about 80% of his articles are related to eccentric exercise in relation to muscle damage, neuromuscular fatigue, strength and power training, and exercise as medicine. A longtime advocate of the beneficial effects of eccentric exercise, his goal is to translate his research to practice and make people healthier, fitter and happier. Dr. Nosaka is a member of ACSM.

    Viewpoints presented in SMB commentaries reflect opinions of the authors and do not necessarily represent ACSM positions or policies. Active Voice authors who have received financial or other considerations from a commercial entity associated with their topic must disclose such relationships at the time they accept an invitation to write for SMB.

  • Steering Clients Away from Steroid Use

    by Greg Margason | Sep 14, 2022
    Steering Clients Away from Steroid Use

    So you’ve got a client who’s asking about certain “extracurricular” substances. Or worse, you’re starting to recognize the signs that they’ve already added them to their repertoire. 

    If you’ve spent enough time in fitness facilities, you’ll have run into someone using performance-enhancing substances. They can sing a siren song to clients looking to make quick gains because, frankly, they work — a reality we can’t ignore. According to a 2021 ACSM consensus statement published in Medicine & Science in Sports & Exercise®, anabolic-androgenic steroids (AAS) confer significant gains in muscle strength, power and endurance. 

    However, the costs far outweigh the benefits — and not just physically. Let’s explore the issue. 

    How many people are on this stuff? 

    The research on rates of recreational AAS use is less than optimal. The elephant in the room, of course, is that gymgoers aren’t necessarily forthcoming about their “gear” status. Investigators generally have to rely on self-reported survey responses, putting us in a bit of pickle. That caveated, the range of gym attendees using AAS seems to lie somewhere between 3.5 and 80%. 

    Obviously we’re not operating with precision data here. You could run wind sprints between either end of that range. But even if we’re as conservative as possible, sticking with the absolute bare minimum figure, that means between three and four out of every 100 people who go to the gym use AAS. You’ve encountered it. 

    What do AAS do? 

    The answer is complex because what comprises AAS — and the other substances users take in conjunction with them — is complex. There is a wide swath of compounds and chemicals that fall into the category, from testosterone, testosterone derivatives and testosterone esters (a version of testosterone more easily absorbed into oils) themselves to designer AAS, selective androgen receptor modulators and human chorionic gonadotropin (which stimulates sperm and testosterone production). 

    However, overall, research indicates that AAS users see 5-20% increases in lean body mass, a significant boost that will inevitably be attractive to many potential users. Many AAS also reduce recovery time between exercise bouts, allowing users to add significantly more volume to their lifting regimen. AAS aren’t a magic potion, and users still need to train in order to realize results, but the effects are measurable and often appealing to a particular subset of gymgoers. 

    Why do people use AAS? 

    According to the ACSM consensus statement, many people use AAS not so much to increase their athletic performance but because of muscle dysmorphia. The mirror is lying to them, so to speak. Other reported reasons included a desire to improve recovery between workouts, receive social recognition, decrease body fat, increase the ability to protect oneself and to increase sex drive. 

    This isn’t an exhaustive list, but even from this sampling we can see there are clearly emotional factors at play, especially in the last two items. 

    What are the risks of AAS use? 

    Here we get to the heart of the matter. Besides infringing on the idea of fair play and sportsmanship in the athletic arena — a significant topic in its own right — AAS users risk serious physical and psychological consequences. 

    Physically, the risks run the gamut: heart attack and sudden cardiac death, blood-clotting abnormalities, stroke, liver damage, erectile dysfunction and reduced testicular size in men, clitoral enlargement and amenorrhea in women, acne, baldness, renal failure, and rhabdomyolysis. 

    Psychologically, AAS users may face depression, mood swings, insomnia, an increase in violent tendences, and a higher risk of suicide and even homicide. 

    Once again, this is only a small sampling of the available information, and the ACSM consensus statement covers these outcomes in much more detail. 

    Discouraging AAS use 

    In theory, the risks listed above should immediately dissuade people from using AAS, and yet plenty still do. How do we approach the subject in a way that actually reaches someone and effects change? 

    The tack to take will be different for each client, but there are some broad commonalities: First, bear in mind that for plenty of people who use or are interested in using AAS, there is a deeper psychological need at play. This makes discussions difficult because there’s often a vulnerability at the core of someone’s attraction to or use of these substances. Such vulnerabilities can cloud judgement and make people desperate for their desired result regardless of the risk. 

    One good strategy is to shift the client’s paradigm from thinking only in the present to considering life in the long term. (This can be more difficult with younger clients, but it’s still worth attempting.) Explain that AAS are counterproductive over the course of the lifespan, that what they may bring in in the present will have to be paid back with interest in the future. Emphasize also that, with time, the diet and exercise programming you can provide them with should show results so long as they stick with them. As much as they may want to see big changes Right Now, being diligent and persistent will pay off in the end. 

    Another tactic is to have clients consider something intangible that AAS use might take from them: seeing what their body is capable of on its own. That if they use AAS, they’ll never have the complete feeling of accomplishment that comes from achieving pure physical performance. AAS users will never know exactly how much of their results are from their own body’s expression of itself and how much are from chemical enhancement. Once you’ve crossed that bridge, there’s no going back. 

    Clients may worry that their body can’t give them the results their after without AAS, but encourage them to trust the process and watch as their physical systems rise to the occasion. 

    These are difficult conversations, but armed with the knowledge that AAS use has serious consequences, it’s best to dissuade any clients who might be using or interested in using. Exercise professionals are charged with improving and maintaining the health and well-being of those who seek out their services. And AAS use comes with demonstrable harms. The stakes are high, and a tough conversation is a small price to pay to save someone from the potential consequences that come with AAS. 

    Related content: 
    Consensus statement | Anabolic-Androgenic Steroid Use in Sports, Health, and Society
    Blog | Sports Supplements & Performance
    CSMR article | Ten Things You Need to Know About Sports Nutrition

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