The May/June issue of ACSM's Health & Fitness Journal® is filled with an abundance of practical information contained in a variety of well-written feature articles and columns penned by our associate editors. The following are eight thoughts that struck me as I read through the issue. And this is only the tip of the iceberg. I encourage you to read through the entire issue; you won't be disappointed!
1. Registered Dietician Nutritionists (RDN) and Certified Exercise Professionals Must Team Together for Better Outcomes! Both RDNs and exercise professionals work with clients who need to lose weight. RDNs provide some physical activity advice and exercise professionals frequently provide some nutritional guidance based on the Dietary Guidelines for Americans. Karen Reznik Dolins, Ed.D., RDN, CSSD, CDN, and her coauthors share a summary of a recent survey of both professional groups regarding weight management in their feature article, "Improving Weight Management Outcomes by Collaboration Between Nutrition and Exercise Professionals."
2. Weight Loss is Not as Simple as Calories In and Calories Out! With 70% of adults in the United States being overweight and obese, weight loss continues to be a significant medical and societal focus. Because "energy balance" is highly dynamic, successful weight management will require the integration of proper nutrition and physical activity/exercise training. Thus, it is critical that both groups of professionals gain a strong understanding of the dynamics of energy balance.
3. Preactivity Screening: No Longer "Too Long" and "Too Complicated." In the past, many people were flagged unnecessarily as "moderate to high risk" and referred to their physicians before being allowed to participate in an exercise program. This not only resulted in unnecessary referrals, but some people decided to skip the exercise rather than take the time and expense to see their physician for a release. New Pre-Activity Participation screening guidelines were published in 2015 and summarized nicely by Meir Magal, Ph.D., FACSM, and Deb Riebe, Ph.D., FACSM, in a 2016 article published in ACSM's Health & Fitness Journal®. In this issue of the Journal, JoAnn M. Eickhoff-Shemek, Ph.D., FACSM, and Aaron C. Craig, Ph.D., present a tool for conducting preactivity screening based on the new guidelines. I highly encourage you to read thei rarticle, "Putting the New ACSM Pre-Activity Health Screening Guidelines Into Practice."
4. "The Most Valuable of All Capital is that Invested in Human Beings," Alfred Marshall As health and fitness professionals, we are in the "people" business. Caring for, coaching, and supporting our patients, clients, and employees is why we exist. Unfortunately, in our fast-paced, high-demand society, stress abounds and far too many people have not developed the tools that will assist them to bounce back in the face of adversity. Nico P. Pronk, Ph.D., FACSM, and Felix Ankel, M.D., in their Worksite Health Promotion column, "Building Resilience Into the Workplace: Bending the System to Adapt," share some excellent insight into this extremely important area.
5. Postexercise Discomfort — My "Badge of Honor!" Do you have clients that like to wear their postexercise discomfort as a "badge of honor?" Many people do, and love to talk about it. Grace T. DeSimone, B.A., addresses this challenge in her Fitness Focus column and provides some tips on how your clients can avoid obtaining this "badge!"
6. Physically Active Youth Enjoy aWide Range of Benefits. Physical activity during our childhood, adolescent, and teen years not only promotes cardiovascular and musculoskeletal development but also benefits brain structure, function, and cognition. In fact, data suggest that scholastic performance may be enhanced in youth who are physically active. Be sure to read the column, "Wouldn't You Like to Know," by Barbara A. Bushman, Ph.D., FACSM, and Emma G. Gist, B.S., to learn more about this critical topic, physical activity in youth.
7. Children and Youth: Summer Vacation Shouldn't Be a Physical Activity Break! Not only is physical activity during the school day and after school important, but it also is important to remain physically active during the summer vacation months. Far too many young people become less active during the summer months, and as a result, they accumulate additional weight. Additional creativity is necessary to keep our youth physically active during all seasons of the year.
8. "Risk Management": FarToo Often Put on the Back Burner by Exercise Professionals. Although none of us desire to be entangled in a legal liability/negligence challenge, far too few exercise professionals take a proactive approach in minimizing such risk. Anthony Abbott, Ed.D., FACSM, shares in Part II of his Legal Aspects column important risk management strategies that all exercise professionals should understand and put into place.
Brad A. Roy, Ph.D., FACSM
Kalispell Regional Medical Center