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Departments: From the Editor

9 Thoughts and One Big “Thank You” That Popped Into My Head While Reading Through This Issue!

Roy, Brad A. Ph.D., FACSM

doi: 10.1249/FIT.0000000000000347
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  • 1. Time Flies! Seems like yesterday (at least to me), but November 2017 marks the first decade of the Exercise is Medicine® (EIM) initiative. Be sure to read this issue’s Health & Fitness from A to Z column “Exercise is Medicine® – Ten Years and Counting: Looking Back, Moving Forward” to learn more about the history of EIM, where it is going and how you can play a role in the next decade.
  • 2. Critical Vital Sign! Although the physical activity vital sign (PAVS) has been slowly gaining momentum, it is well positioned to gain additional traction as primary care shifts to a stronger preventive approach in the years ahead. As the most powerful medication we have, it is critical that as fitness professionals we continue to support the EIM initiative and encourage all providers to assess, prescribe, and refer their patients for PA coaching and counseling.
  • 3. And the Winner Is? For the 12th consecutive year, Walter R. Thompson, Ph.D., FACSM, reveals the top 20 health and fitness trends as identified by an international survey of health and fitness professionals. Seventeen trends continue to populate the top 20, whereas three new trends have joined the group. Don’t miss reading through Walt’s feature article, “Worldwide Survey of Fitness Trends for 2018: The CREP Edition.”
  • 4. It’s still a “HIIT”: OK, I’m giving one away, perhaps no surprise to anyone, high intensity interval training (HIIT) has grabbed the top spot for 2018. Used for decades by endurance athletes, HIIT continues to gain popularity throughout the fitness industry as a time-effective training protocol.
  • 5. What is good for you, may not be for me! With today’s abundance of acute and chronic health conditions, selection of appropriate resistance training and other exercises can be challenging. Many textbook activities that are good for the masses may be harmful for some individuals compromised by musculoskeletal or other health conditions. Thus, knowing how to adapt exercises and choose alternatives is critical when working with these populations. D. Michael Jett, Jr., M.S.; Jessica Gibb, M.S.; and David E. Verrill, M.S., discuss this challenge and provide several excellent activity adaptations in their feature article, “Evidence-based Alternatives to Popular Exercises.”
  • 6. Stop the Saboteurs! Changing health behaviors can be challenging, and far too often, people are derailed in their efforts by other people and circumstances. This is particularly true with weight loss efforts. Justin Kompf, M.S., shares some excellent insight into these challenges in his feature article, “Self-Regulation Strategies for Barriers to Weight Loss.”
  • 7. Not Another Disruption! Exercise, good nutrition, and other positive health behaviors can easily be sidetracked when the unexpected occurs. Planning ahead for “when” (not if) such disruptions happen is critical toward maintaining consistency and not giving in. This issue’s Enhancing Your Behavioral Toolkit column, elegantly penned by Janet Buckworth, Ph.D., FACSM, covers this important topic. I am sure you will enjoy reading through her column, “Staying on Track: Creating a Practical Plan B,” as I have.
  • 8. Recognizing the “Wake-up Call”: Far too many people live in a state of health denial and let the gradual creep of time overtake them with serious health conditions. Ann M. Swank, Ph.D., FACSM, and Franklin Muntis, M.S., discuss the critical importance of annual wellness checks and taking action to preserve our personal health. Don’t miss reading this issue’s Clinical Applications column, “A Personal Story of How I Found Motivation for Lasting Change,” and encourage your clients to make and keep those life-saving wellness visits with a primary care provider, regardless of their age.
  • 9. “Achoo, Acciu, Atchoum, Atjo”! Ah yes, the ever-dreaded internationally known cold symptoms, and winter is soon to be on us! David C. Nieman, Dr.P.H., FACSM, gives us one more excellent reason to be physically active in his Medical Report column, “The Common Cold is Less Common Among the Fit.”
  • 10. THANK YOU Ann M. Swank, Ph.D., FACSM! This month marks the final Clinical Applications column to be penned by Associate Editor Ann Swank. Seems that she is ready to enter into a new phase of life, active retirement! So, thank you Ann for all of your exceptional service to ACSM’s Health & Fitness Journal®. We will miss your excellent insights. And a special welcome to Kristi M. King, Ph.D., CHES, who will be replacing Ann as associate editor for this column beginning with the March/April 2018 issue.

Brad A. Roy, Ph.D., FACSM,


Kalispell Regional Medical Center

[email protected]

© 2017 American College of Sports Medicine.