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November 15, 2018 - Volume 3 - Issue 22

  • Joseph E. Donnelly, EdD, FACSM
  • 2379-2868
  • 2379-2868
  • Twice each month

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The Armstrong et al. commentary is an interesting discussion of the age-old debate regarding the level of screening necessary for the average individual to safely partake in a physical activity program. This article has wide-spread implications for community-based physical activity programs that impact individuals with a wide variety of health status. The discussion illustrates the Diabetes Prevention Program (DPP) and extensive efforts to translate the research findings into a variety of community settings, such as YMCA’s, workplace, and others. DPP was a behavioral intervention that targeted modest weight loss and increases in moderate physical activity to achieve 150 minutes per week. The translation of DPP to community settings potentially provides a vast reach; however, there are trade offs for safety when large numbers of individuals become physically active without or with minimal screening for risk. The authors provide a historical perspective regarding health risk screening prior to physical activity and the burden it creates for the individuals and health care system. There appears to be a shift from strict health screening/medical evaluation to an approach that does not require extensive risk evaluation and testing, such as exercise testing on a treadmill or similar device. Armstrong et al., outline the rationale for past recommendations and the newer recommendations as translational physical activity programs increase reach for individuals in an array of community settings.   

**Notice/Abstract Submission- please see authors can now indicate their research as translational. Furthermore, notice the translational research abstract competition under Travel Awards. 


Joseph E. Donnelly, EdD, FACSM