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  • Featured CEC Quiz | Your Guide to Fixing Client Burnout

    by David Barr | Jun 19, 2019

    ACSM's Health & Fitness Journal®: May – June 2019 CEC Course #2: A fitness professional’s guide to recognizing and coping with job burnout

    Available ACSM CECs: 2.0

    ACSM CEC Quiz Health Fitness Journal

    About the Course

    This course includes an online ACSM's Health & Fitness Journal® Article and a corresponding online quiz.

    The main purpose of this article is to help fitness professionals identify and relieve symptoms of job burnout. Both individual self-care strategies and changes in the work environment have been proven to be successful in reducing the symptoms of burnout. It is also important to recognize burnout in clients, especially as it can negatively impact adherence, compliance and goal achievement.


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    ACSM CEC Quiz March 2019Might Plight: The Social Anxiety Felt by Men in the Weight Lifting Environment
  • The Athlete's Kitchen: Sports Nutrition Myths BUSTED!

    by Caitlin Kinser | Jun 18, 2019

    nutrition myths blogKeeping up with the latest science-based sports nutrition recommendations is a challenge. We are constantly bombarded with media messages touting the next miracle sports food or supplement that will enhance athletic performance, promote fat loss, build muscle, and help you be a super-athlete. At this year's Annual Meeting of the American College of Sports Medicine, a sports nutrition myth-busters session sponsored by the global network of Professionals In Nutrition for Exercise and Sport featured experts who resolved confusion with science-based research.

    MYTH: Protein supplements build bigger muscles.

    Protein needs for a 150-pound (68 kg) athlete averages about 110 to 150 grams of protein per day. (More precisely, 0.7 to 1.0 g pro/lb. body weight/day; 1.6 to 2.2 g pro/kg./day) Hungry athletes can easily consume this amount from standard meals. Yet, many athletes believe they need extra protein. They consume protein shakes and bars in addition to protein-laden meals. They are unlikely to see any additional benefits from this higher-than-needed protein intake. Resistance exercise is a far more potent way to increase muscle size and strength than any protein supplement.

    MYTH: Eating just before bedtime makes an athlete fat. 

    While it is true the body responds differently to the same meal eaten at 9:00 AM, 5:00 PM, or 1:00 AM, an athlete will not "get fat" by eating at night. The main problem with nighttime eating relates to the ease of over-eating while lounging around and watching TV. When your brain is tired from having made endless decisions all day, you can easily decide to eat more food than required.

    That said, bedtime carbohydrates to refuel depleted muscles and bedtime protein to build and repair muscles can optimize recovery after a day of hard training or competing. For body builders and others who want to optimize muscle growth, eating about 40 grams of protein before bed provides an extended flow of amino acids needed to build muscle. (This bedtime snack has not been linked with fat gain). Cottage cheese, anyone?

    MYTH: A gluten-free diet cures athletes' gut problems. 

    If you have celiac disease (as verified by blood tests), your gut will indeed feel better if you avoid wheat and other gluten-containing foods. However, very few gut issues for non-celiac athletes are related to gluten. FODMAPs (Fermentable Oligo-, Di-, Mono-saccharides and Polyols) are often the culprit. These are types of hard-for-some-people-to-digest carbohydrates found in commonly eaten foods such as wheat, apples, onion, garlic, and milk. For example, the di-saccharide lactose (a kind of sugar found in milk) creates gut turmoil in people who are lactose intolerant. The poorly digested and absorbed lactose creates gas, bloat and diarrhea.

    For certain athletes, a low FODMAP diet two or three days before a competition or long training session can help curb intestinal distress. If you live in fear of undesired pit stops, a consultation with your sports dietitian to learn more about a short-term FODMAP reduction diet is worth considering.

    MYTH: Athletes should avoid caffeine because of its diuretic effect

    With caffeinated beverages, the diuretic effect might be 1.2 ml. excess fluid lost per mg. of caffeine. That means, if you were to drink a small mug  (7 oz./200 ml.) of coffee that contains 125 milligrams of caffeine, you might lose  about 150 ml. water through excess urine loss. But you'd still have 50 ml. fluid to hydrate your body—and likely more if you drink coffee regularly. Athletes who regularly consume caffeine habituate and experience less of a diuretic effect. In general, most caffeinated beverages contribute to a positive fluid balance; avoiding them on the basis of their caffeine content is not justified.

    MYTH: Athletes should be wary of creatine because it is bad for kidneys.

    Creatine is sometimes used by athletes who want to bulk up. It allows muscles to recover faster from, let's say, lifting weights, so the athlete can do more reps and gain strength. A review of 21 studies that assessed kidney function with creatine doses ranging from two to 30 grams a day for up to five and a half years indicates creatine is safe for young healthy athletes as well as for elderly people. Even the most recent studies using sophisticated methods to assess renal function support creatine supplements as being well tolerated and not related to kidney dysfunction.

    MYTH: The vegan diet fails to support optimal performance in athletes.

    Without a doubt, vegan athletes can —and do—excel in sport. Just Google vegan athletes; you'll find an impressive list that includes Olympians and professional athletes from many sports (including football, basketball, tennis, rowing, snow boarding, running, soccer, plus more.)

    The key to consuming an effective vegan sports diet is to include adequate leucine, the essential amino acid that triggers muscles to grow. The richest sources of leucine are found in animal foods, such as eggs, dairy, fish, and meats. If you swap animal proteins for plant proteins, you reduce your leucine intake by about 50 percent. For athletes, consuming 2.5 grams of leucine every three to four hours during the day optimizes muscular development. This means vegan athletes need to eat adequate nuts, soy foods, lentils, beans and other plant proteins regularly at every meal and snack.

    Most athletes can consume adequate leucine, but some don't because they skip meals and fail to plan a balanced vegan menu. Vegan athletes who are restricting food intake to lose undesired body fat need to be particularly vigilant to consume an effective sports diet. Plan ahead!

    Nancy Clark, MS, RD, FACSM, counsels both casual and competitive athletes at her office in Newton, MA. She is the author of many books as well as articles and resources available on nancyclarkrd.com. This blog post originally appeared on her website on June 6, 2019.

  • Daily Steps and Health | Walking Your Way to Better Health

    by David Barr | Jun 14, 2019

    Walking 10000 Steps a Day Physical Activity Guidelines ACSM

    Walking 10,000 steps a day - what is the correct number? ANSWERED by the Physical Activity Guidelines Advisory Committee.

    Being physically active is one of the most important actions people of all ages and fitness levels can take to improve their health. A 2017 survey suggests that more than 75% of U.S. adults acknowledge that “being in shape and looking good are ‘very important,’” yet only 31% of those surveyed exercise regularly and almost half are inactive. Beyond “being in shape and looking good,” exercise and physical activity provide a myriad of health benefits, many of which are easy to achieve.

    In November 2018, the Department of Health and Human Services released the second edition of the Physical Activity Guidelines for Americans. Some of the key updates are: an expansion of the list of health benefits associated with physical activity; greater flexibility on how to achieve those benefits; and highlighting the many proven strategies to help people be more active. The key guidelines for adults and older adults have a few main takeaways:

    • Adults should move more and sit less throughout the day. Some physical activity is better than none. Adults who sit less and do any amount of moderate-to-vigorous physical activity gain some health benefits.
    • For substantial health benefits, adults should do at least 150 minutes to 300 minutes a week of moderate-intensity, or 75 minutes to 150 minutes a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic activity.
    • Additional health benefits are gained by engaging in physical activity beyond the equivalent of 300 minutes of moderate-intensity physical activity a week.
    • Adults should also do muscle-strengthening activities of moderate or greater intensity that involve all major muscle groups on 2 or more days a week, as these activities provide additional health benefits.

    There are many ways for adults of all ages and fitness levels to achieve these federally recommended amounts of physical activity. However, simplifying the guidelines into something such as daily step counts may be an easy way for the majority of Americans to understand and achieve these guidelines. Step counts provide a straightforward metric of physical activity, and measuring daily step counts through a physical activity tracker is an easy and accessible way to monitor and set physical activity goals. In many health and fitness circles, a goal of 10,000 steps/day is often prescribed. In fact, some countries are adopting a 10,000 steps/day target as a national public health goal.1 However, the research supporting the 10,000 steps a day recommendation is limited and many believe this recommendation was derived from the name of a Japanese-made pedometer sold in the 1960s called Manpo-kei, which translates to “10,000 steps meter.2

    Given the simplicity and utility of steps/day as a metric for physical activity, translating the “150 to 300 minutes per week of moderate-to-vigorous physical activity” into a steps/day recommendation is important. As a result, the Physical Activity Guidelines Advisory Committee (PAGAC), who produced the scientific report that informed the development of the physical activity guidelines, systematically reviewed the literature to better understand the relationship between steps/day and health.

    The PAGAC results were first published in the 2018 PAGAC Scientific Report but have recently been updated in ACSM’s journal, Medicine & Science in Sports & Exercise. This recent publication, titled Daily Step Counts for Measuring Physical Activity Exposure and Its Relation to Health, identified eleven studies that evaluated the relationship between daily step counts and all-cause mortality, cardiovascular disease morality, incident cardiovascular disease, and type 2 diabetes mellitus. In short, the investigators found that, compared to people who accumulated the least number of steps/day, those who accumulated the most steps/day were less likely to suffer from cardiovascular disease, type 2 diabetes, and experience premature mortality. The authors acknowledge and specify that many research gaps still exist, and that more evidence is needed before these findings can be accurately translated into public health guidelines. However, the investigators suggest that step counts in the range of 7,000 to 9,000 steps/day may result in health benefits that are similar to achieving the federally recommended amounts of 150 to 300 minutes per week of moderate-to-vigorous physical activity.

    The physical activity guidelines encourage all adults to move more and sit less throughout the day. Locomotion, specifically walking, is an easy and popular form of physical activity for most Americans4 and can be of moderate-intensity. Worldwide, the average number of steps accrued daily is approximately 5,000. In United States, it is 4,800.3 So, whether it is somewhere in the range of 7,000 to 9,000, 5,000, or 4,801steps/day, let’s keeping walking our way to better health.


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    Author
    : Kyle Sprow, MPH is a Cancer Research Training Award Fellow with the National Cancer Institute. He was part of the federal staff that supported the Physical Activity Guidelines Advisory Committee and the development of the second edition of the Physical Activity Guidelines for Americans.


    References

    1. Duncan MJ, Brown WJ, Mummery WK, Vandelanotte C. 10,000 Steps Australia: a community-wide eHealth physical activity promotion programme. Br J Sports Med. 2018;52(14):885–6
    2. Lee I, Shiroma EJ, Kamada M, Bassett DR, Matthews CE, Buring JE. Association of Step Volume and Intensity With All-Cause Mortality in Older Women. JAMA Intern Med. Published online May 29, 2019. doi:10.1001/jamainternmed.2019.0899
    3. Althoff  T, Sosič  R, Hicks  JL, King  AC, Delp  SL, Leskovec  J.  Large-scale physical activity data reveal worldwide activity inequality.  Nature. 2017;547(7663):336-339. doi:10.1038/nature23018
    4. Watson, K. B., Frederick, G. M., Harris, C. D., Carlson, S. A., & Fulton, J. E. (2015). U.S. Adults' Participation in Specific Activities: Behavioral Risk Factor Surveillance System--2011. Journal of physical activity & health12 Suppl 1(0 1), S3–S10. doi:10.1123/jpah.2013-0521
  • Featured Video | How to Perform a Blood Pressure Assessment

    by David Barr | Jun 13, 2019

    For even more vital information, download your free sample from ACSM's Exercise Testing and Prescription book.


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  • Client Resource Download | Exercising in Hot and Cold Environments

    by David Barr | Jun 12, 2019

    Download Exercise Hot Cold Environments

    While it is very important to remain physically active throughout the year, it is equally important to prevent the risk for environmental-related injury. This resource download shows how.

    Highlighted topics include:

    • Symptoms of heat and cold stress 
    • What to do if you get too hot or cold 
    • Heat and cold stress prevention 

    Go To Resource

    More Recommended Resource Downloads:

    Women Heart Disease Download Women and Heart Disease

    Healthy Eating Resource Download Creating a Healthy Eating Pattern
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