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  • Physical Activity Guidelines – How to Meet the Goals in Everyday Activities

    by Caitlin Kinser | Jun 12, 2024

    Man mowing grass with a push mowerThe other day I heard a story about a woman who hated to exercise. She wanted nothing of it: going to the gym, sweating, walking on the treadmill. Boring. No way! She’d heard about the latest 2018 U.S. Physical Activity Guidelines, but had dismissed them as irrelevant to her life.

    Recently, she stumbled onto an article that said the activities she was doing in everyday life counted as exercise and that moving more could actually make her feel better. “Cleaning the house, sweeping the porch, mowing the lawn, and walking my child to school are exercise? Really? I need to learn more!”

    Off she went to search the internet. She discovered the  Compendium of Physical Activities that listed MET values for hundreds of activities. METs? What are those? After learning that METs are a multiple of energy expended at rest (1 MET), the woman got a paper and pen and went to work. She listed all of her daily activities and how much time she did them each week. Then she separated the activities into light-, moderate-, and vigorous-intensity categories based on the MET values. Low and behold, she spent a lot of time in moderate activities and even some in vigorous activities. Amazing!

    She wondered, how many minutes are ‘enough’? She remembered the 2018 U.S. Physical Activity Guidelines and went back to the internet. The guidelines recommended that she should “move more and sit less throughout the day.” Check! She did that.

    The guidelines also recommended that she also “do at least 150 – 300 minutes of moderate-intensity activities (3.0-5.9 METs) or 75 minutes of vigorous-intensity activities (6.0 and higher METs), or a combination of the two intensities each week. Preferably the activities should be aerobic. And every minute counted.” Based on her list of activities and METs, she was close to meeting that goal too. She was on a roll!

    The third guideline stopped her in her tracks. They recommended she “do at least two days of muscle-strengthening activities of moderate or greater intensity that involve all her major muscle groups.” Whoa. She didn’t do any muscle strengthening activities. She had no idea what were her major muscle groups.

    Back to the internet for more information.

    The woman learned that it’s important to work the major muscle groups: the chest, shoulders, back, biceps and triceps, legs and calves, and stomach. Oh. No way she worked these muscle groups at least two days a week, let alone one day a week.

    To get help with where to start, the woman went to a nearby gym and worked with a trainer who showed her exercises to strengthen her muscles. She added these exercises to her schedule twice a week and, she liked it! She was getting stronger, her body was firming up and she liked how she felt during and after her workouts. She was sweating and loving it!

    Before she knew it, the woman was looking for ways to get moving intentionally. She dusted off that old bicycle in the garage and took it for a spin. She bought a fitness tracker and took the long way to pick up her child at school. She even signed up for an exercise class to get more minutes of vigorous-intensity activities. Moving more had become a part of her life. Everything she was doing, even the bite-sized amounts of activity, counted toward her activity goals. She felt great, slept better, and had more energy.

    The moral to this story is that if we move every day, we are doing positive things for our mental and physical health. The new 2018 U.S. Physical Activity Guidelines tell us how much activity we need on a regular basis to improve our health and reduce our risk of chronic diseases. So here’s to an active and healthy 2019 as we aim for every child, adult and senior to reach the goals set in the 2018 U.S. Physical Activity Guidelines.

     

    Author: Barbara E. Ainsworth

    Originally published February 5, 2019

  • Parks: More Than Just a Playground

    by Caitlin Kinser | Jun 12, 2024

    Blog cover: Parks featuring image of three women with dogs in a sunny parkSummertime is in full swing, and, for many of us, it’s the time of year we consider engaging with the great outdoors. However, as much as we might like, we can’t make every day a journey into nature … or can we? Local parks are a significant way to bring a piece of nature into our neighborhoods. And perhaps surprisingly, they may be doing a lot more good than just being a place to take the kids for a push on the swing.

    It’s not a stretch of the imagination that parks help communities be more physically active. The relationship between parks and activity levels is so strong that the American Fitness Index – a ranking that evaluates the health and fitness of cities – includes several measures of parks in a community. For example, the rankings look at the total number of parks, the percent of residents living within a ten-minute walk to a park, and even local government spending on parks, a policy-level consideration. These are just a few featured indicators that are used to evaluate the cities that are ranked yearly.

    Science shows that in addition to getting people to move more, parks also improve mental well-being and are essential for community connectedness—a critical aspect of social health.

    One might wonder how a simple park can achieve so much! The open space or grassy areas in parks are great places to play catch with a friend or do exercises on your own. In addition, parks provide beautiful tree canopies for walking and moments of tranquility. And of course, many parks have sports fields or courts for team activities, outdoor gyms, and playground equipment for kids that can easily be repurposed for working out.

    And what about mental health? The mental health community knows that “greenspace” positively impacts psychological well-being. Greenspace is an umbrella term that includes both open wilderness and urban parks and has been linked to greater mental health and well-being. Not only do parks and greenspace support physical activity, which is well known to improve mental health, but they also benefit psychological health through peaceful and relaxing sounds as well as feelings of closeness to nature. Related to this are the benefits parks and greenspace may have to social health, one driver of which is community connectedness. The physical parkland area may attract family, friends, and the larger community to come together for various social reasons.

    And finally, parks may actually be saving money in health care costs. A  recent UK report found that park users are healthier – saving an astonishing £111 million (US$146 million) in medical expenses for that country.

    The parks in our neighborhoods are spaces that can contribute significantly to our health and well-being. While seasonal activities are a great way to get outdoors, for many, local parks are accessible nearly every day of the year. See how your city ranks on parks plus many other health and fitness indicators in the 2018 American Fitness Index.

    Author: Jane C. Hurley 

    Originally published August 8, 2018

  • Active Voice | Does Cardiorespiratory Fitness Prevent Breast Cancer in Women?

    by Greg Margason | Jun 11, 2024

    Scientific evidence collected for seven decades strongly supports the position that higher cardiorespiratory fitness (CRF) levels are associated with more favorable health outcomes, including mortality due to various cancers. Findings from several small population studies suggest that a physically active lifestyle offers protection against pre- and postmenopausal breast cancer. However, physical activity in these studies was self-reported and subject to inaccuracies. CRF can be assessed objectively and accurately via a standardized exercise treadmill test (ETT), the peak exercise capacity achieved during said ETT being expressed in peak metabolic equivalents (METs; 1 MET ≈ 3.5 mL·kg−1 of body weight per minute). However, no studies have yet examined the association between breast cancer and CRF assessed objectively by a standardized ETT in a large population. 

    In our study, published in the June 2024 issue of Medicine & Science in Sports & Exercise®, we evaluated the association between CRF and breast cancer in 44,463 women (mean age ± SD; 55.1 ± 8.9 yr). All women were cancer free before completing the ETT and had no evidence of heart disease. We formed CRF categories (Least-fit, Low-fit, Moderate-fit and Fit) based on age and peak METs achieved during the ETT and assessed the incidence of breast cancer over several decades. 

    Table2

    After more than 20 years of follow-up and 438,613 person-years of observation, 994 women developed breast cancer. After controlling for covariates such as body mass index (BMI) and comorbidities (i.e., cardiovascular disease, dyslipidemia, hypertension and diabetes) the risk of breast cancer was inversely related to exercise capacity. For each 1-MET increase in CRF, the risk of developing cancer was approximately 7% lower. When risk was assessed across CRF categories with the Least-fit group as the reference group, the risk of breast cancer was 18% lower for Low-fit women, 31% for Moderate-fit, and 40% for Fit (see table). 

    Our findings support the idea that higher CRF levels lower the risk of developing breast cancer in women independent of other established risk factors. This is the largest study to examine the relationship between CRF assessed objectively by a standardized ETT and the risk of developing breast cancer.  

    Most middle-aged and older women can achieve improved CRF levels by engaging in moderate-intensity physical activities for at least 150 minutes per week. We strongly advise that regular moderate-intensity activity should be part of a healthy lifestyle approach and should become part of routine health care counseling in women for primary breast cancer prevention. 

    Peter Kokkinos


    Peter Kokkinos, Ph.D., FACSM, is a professor in the Department of Kinesiology and Health at Rutgers University in New Brunswick, New Jersey. Dr. Kokkinos completed his graduate work in exercise physiology at the University of Maryland and postdoctoral training at the Veterans Affairs Medical Center in Washington, D.C. His research is focused on the prognostic, preventive and therapeutic aspects of cardiorespiratory fitness, physical activity and exercise.  

  • Upholding Standards: Why Open-Book Exams Fall Short in Professional Certification

    by Greg Margason | Jun 11, 2024
    Upholding Standards

    In the ongoing effort to position exercise professionals as part of the health care continuum, maintaining professionalism is paramount. As an industry, we must be hold steadfastly to the ideal of professionalism if exercise professionals (e.g., personal trainers, exercise physiologists, strength and conditioning coaches, clinical exercise physiologists) are to earn the respect of established health occupations. Open-book exams undermine our efforts to position exercise professionals as uniquely qualified professionals in the health care. Further, it is also essential we clarify the distinct roles and significance of educational training programs vs. professional certifications. While both play vital roles in workforce development, conflating the two erodes our ability to defend and protect the health fitness space. 

    Educational Programs Assess Student Learning 

    Educational programs, particularly those offering certificates, are designed to provide foundational knowledge and skills for a specific job. These programs are essential for laying the groundwork in various in exercise science-related careers and also include opportunities to explore avenues of professional growth. Certificates provide structured learning experiences, covering essential theories, methodologies and practical skills that prepare individuals for entry-level positions. However, the primary objective of an educational certificate is to demonstrate that students have met the learning objectives of a program rather than identify individuals who are qualified and effective professionals. 

    Certifications Assess Professional Competency 

    NCCA and ISO/IEC 17024 accredited certifications, on the other hand, are independent assessments of professional competency. They serve as a legally defensible validation that an individual has acquired the necessary knowledge and skills, and that they have demonstrated an ability to apply them effectively in real-world scenarios. Certification exams require candidates to pass a standardized assessment that assures the public they are competent and capable of performing their duties safely and effectively. In short, professional certifications are essential for public protection. 

    The Danger in Conflating Open-Book Certificate Programs and Professional Certifications 

    Conflating open-book certificate programs with professional certification raises substantial concerns about the credibility of the health fitness profession. It is critical we maintain a clear distinction between training (educational programs) and competency assessment (certification). Organizations that consider themselves legitimate cannot call themselves “gold standard” if they use open-book exams. If we in the health fitness industry want to be recognized as essential members of the health care continuum, we must uphold the rigor, value and purpose of professional certification. It’s not just semantics. It’s about professional integrity. 

    Commitment to Scientific and Professional Integrity 

    2024-2027 ACSM Strategic Plan infographicThe ACSM Board of Trustees (BOT) and the ACSM Committee on Certification and Registry Boards (CCRB) maintain an unwavering commitment to scientific and professional integrity. Science is a fundamental part of all facets of ACSM and has been for 70 years. Science remains front and center in ACSM’s new 2024-2027 strategic plan. In conjunction with the new strategic plan, the ACSM BOT transformed its vision to “extend and enrich lives through the power of movement.” To support this vision, the CCRB revised its mission to “advance the credibility and integrity of ACSM-certified professionals through career-long development with evidence-based practices to benefit all.” ACSM aims to elevate the standards of practice within the health fitness and clinical exercise sectors through rigorous adherence to professional standards and the latest scientific research. ACSM assures its stakeholders that exercise professionals are equipped with the skills and knowledge necessary to navigate the evolving landscape of the health fitness industry. Through rigorous defense of professional standards, ACSM can assure key stakeholders that its certified professionals are not only qualified but invaluable members of multidisciplinary health care teams. 

    Parting Thoughts 

    While educational programs play an important role in providing foundational knowledge and skills in the health fitness profession, professional certifications protect the public. Health fitness organizations like ACSM must uphold the distinctions among and unique roles of education, accredited certification and professional registration. ACSM and its CCRB ensure that our registered exercise professionals possess the level of professionalism required to be integral members of the health care continuum. 

    Francis_Neric, MS,MBAFrancis Neric, M.S., MBA, currently serves as the associate vice president of certification and credentialing at the American College of Sports Medicine® (ACSM). With professional credentialing experience spanning 16 years, Francis has been instrumental in leading strategic initiatives to enhance the certification, advanced certificate and exam preparation programs to meet the needs of the domestic and international stakeholders of ACSM. Francis holds an MBA in business management from the University of Colorado at Colorado Springs; an M.S. in clinical exercise physiology from California State University, Fullerton; and a B.S. in exercise science from California State University, Long Beach. Francis combines academic and industry knowledge to drive innovation and excellence in the health fitness industry. Francis is a passionate advocate for raising the bar for professionalism in the health fitness industry and expanding opportunities for exercise professionals in health care. 

  • Check out ACSM's New Look

    by Greg Margason | May 28, 2024

     

    The American College of Sports Medicine® has been a pillar of the sports medicine and exercise science community since its founding in 1954. In fact, one could say it’s more cornerstone than pillar — much of the field was built upon the foundation ACSM established.

    But it’s 2024. (Cue “[current year]” joke.) Alongside a celebration of its 70th(!) anniversary, ACSM has launched a refreshed brand image, including a new logo and set of striking colorways.

    Now, a fresh coat of paint does not a new car make. And in this case, that’s partially the point. ACSM is still what it has always been — a reliable classic. BUT, we’ve made some tweaks here and there under the hood, and the colorful new branding is a meaningful signal that ACSM is nothing to sleep on. (You wouldn’t want to challenge ACSM to a race, is what I’m saying.)

    2024-2027 ACSM Strategic Plan infographicACSM’s new mission and vision refocus the work we’ve done since our founding in a way that positions us to serve patients and clients around the world for the next 70 years and beyond. And ACSM physicians, researchers and certified professionals all contributed immensely to the process.

    To sum it up: ACSM believes in the enduring power of movement to change lives — a message that gets right to the point about what it is we do and why.

    Our new tagline? “Movement for all.”

    ACSM certified professionals know that getting people moving is the starting point for a host of benefits, not only in terms of plain old quality of life but also improvements in a wide range of chronic conditions and even mental health and performance. Effectively, cert pros are on the front lines of health care.

    Which is why it’s important to have a hi-vis, attractive brand: ACSM’s new look draws the eye and conveys the profound excitement we have about the power of movement.

    It’s hard to help clients if you can’t first get them through the door, and we believe our new branding will inspire and bring people in.

    Here’s to a bright, healthy future.

    Steal Our Look

    You can order gear with the new brand from the ACSM Apparel Store. Choose from tees, polos, dress shirts, outerwear and more.

    Find desktop/virtual meeting backgrounds and more information here.

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