What are the most effective strategies for preventing sport-related concussions in youth? What role do clinicians have in this arena? Dr. Erin Macri took advantage of Prof. Emery’s recent visit to the Netherlands to get caught up on the latest evidence in concussion prevention. Prof. Emery is a physiotherapist and epidemiologist. She currently holds an appointment in the Faculty of Kinesiology at the University of Calgary, with joint appointments in Pediatrics and Community Health Sciences, Cumming School of Medicine, and is Chair of the Sport Injury Prevention Research Centre at the University of Calgary. Her research focuses on injury prevention in youth sport and recreation, concussion, and pediatric rehabilitation. In this episode, Prof. Emery discusses over a decade of work aimed at preventing sport-related concussion in ice hockey in Canada. Related Articles and Links Emery CA, Black AM. Are rule changes the low-hanging fruit for concussion prevention in youth sport? JAMA pediatrics 2019. E-pub ahead of print doi:10.1001/jamapediatrics.2018.5498 Emery CA, Black AM, Kolstad A, et al. What strategies can be used to effectively reduce the risk of concussion in sport? A systematic review. Br J Sports Med 2017;51(12):978-84 Kolstad A, Nadeau L, Eliason P, Palacios-Derflingher L, Goulet C, Emery CA. The Effect Of Body Checking Policy Change On Offensive Game Skill Performance In 13–14 Year Old Ice Hockey Players. Br J Sports Med 2017;51(4):345-45 McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S, Cantu RC, Cassidy D, Echemendia RJ, Castellani RJ, Davis GA. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med. 2017 Jun 1;51(11):838-47. Concussion: prevention, detection and management (online course): https://www.ucalgary.ca/knes/online-concussion-course Concussion Awareness Training Tool: https://cattonline.com/ Canadian Concussion Guidelines and other resources, Parachute Canada:
On this week’s BJSM podcast, Kathrine Switzer (T: @KVSwitzer) joins BJSM’s Daniel Friedman (T: @ddfriedman) to chat about empowering female athletes and the changing face of women’s sport in 2019. In 1967, 20-year-old Kathrine Switzer became the first woman to complete the all-male Boston Marathon as an official entrant. She managed to fight off a race official who tried to force her from the course after only several kilometres, and made history as she crossed the finish line four hours later. Empowered by her experience, Kathrine became determined to create change for all women and has dedicated her career to advancing women’s sport, health and equality. https://kathrineswitzer.com/ In this 25-minute conversation, Kathrine discusses: · The story of her historic 1967 Boston Marathon · Her activism in advancing women’s running · 261 Fearless – a global supportive social running network http://www.261fearless.org/ · The biggest barriers to female participation in sport today · What SEM clinicians can do to help out On June 6-8, Kathrine will be speaking at the 4th biennial Female Athlete Conference in Boston. She will be presenting alongside a world-class line up of local and international experts on women’s sport and exercise medicine, coaching, leadership and culture. https://bostonchildrens.cloud-cme.com/default.aspx?P=1&EID=910
Learn more about NZ’s Green Rx: https://www.health.govt.nz/our-work/preventative-health-wellness/physical-activity/green-prescriptions
What venue are we at today? Which half is it now? Who scored last in this match? The Maddocks questions are a key part of immediate or on-field assessment of concussion. But do you have an easy way of remembering what else needs to be done? On this week’s episode, Dr Jim Bovard joins BJSM’s Daniel Friedman (T: @ddfriedman) to share his ABC concussion tool for rapid on-field assessment. Dr Bovard is the team physician for the Vancouver Canucks and Vancouver Whitecaps. He currently consults for Canada Snowboard and Tennis Canada. In this 20 minute conversation, Dr. Bovard discusses: · Clinical reasoning for approaching the collapsed athlete · His own ABC concussion tool for on field assessment · Tips for coaches and parents for managing concussion · The difference between caring for elite athletes vs general population Further reading:
Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenbogen RG, Echemendia RJ, Makdissi M, Sills A, Iverson GL. The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5). Br J Sports Med. 2017 Apr 26:bjsports-2017. https://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097506SCAT5.full.pdf
What are your favourite sports medicine research articles from 2018? This week, we are excited to share an AMSSM Sport Medcast hosted by Drs Scott Young and Dr. Meghan Raleigh In this abbreviated episode, learn about the latest research regarding: · Treatment of Achilles tendinopathy · Effect of NSAIDs on bone healing rates · Management of lateral hip pain · Exercise as medicine for concussion · Physiotherapy vs surgery for meniscal tears To listen to the full episode and learn about all ten studies, please visit the AMSSM’s website: https://www.amssm.org/E-Learning.php Further reading: Johannsen F, Jensen S, Wetke E. 10-year follow-up after standardised treatment for Achilles tendinopathy. BMJ open sport & exercise medicine. 2018 Oct 1;4(1):e000415. Wheatley BM, Nappo KE, Christensen DL, Holman AM, Brooks DI, Potter BK. Effect of NSAIDs on Bone Healing Rates: A Meta-analysis. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2019 Apr 1;27(7):e330-6. Nissen MJ, Brulhart L, Faundez A, Finckh A, Courvoisier DS, Genevay S. Glucocorticoid injections for greater trochanteric pain syndrome: a randomised double-blind placebo-controlled (GLUTEAL) trial. Clinical rheumatology. 2019 Mar 14;38(3):647-55. Leddy JJ, Haider MN, Ellis M, Willer BS. Exercise is medicine for concussion. Current sports medicine reports. 2018 Aug 1;17(8):262-70.
van de Graaf VA, Noorduyn JC, Willigenburg NW, Butter IK, de Gast A, Mol BW, Saris DB, Twisk JW, Poolman RW. Effect of early surgery vs physical therapy on knee function among patients with nonobstructive meniscal tears: the ESCAPE randomized clinical trial. Jama. 2018 Oct 2;320(13):1328-37.
Farooq Mohammed was a football fan who discovered that he has heart disease. In this BJSM podcast, we focus on the patient voice and hear from Farooq who shares his own lived experience with the disease and, importantly, how football became part of his rehabilitation. Farooq shows that by empowering patients to take control of their own health, rehabilitation can become a fun activity, not a boring ‘must do’ where the individual is counting down the minutes until it’s over. If you want to learn more about the “friendly group of ‘Heart Patients’ from #EastLondon” who make up Two Touch Athletic Football Club, connect with them on Twitter (@TwoTouchAFC) or Linked In (TwoTouchAthleticAFC). The conference that Farooq refers to was the 2019 Football is Medicine conference, University of Southern Denmark, Odense. It was led by Professor Peter Krustrup: http://ow.ly/7Xxn30oxFFR
You can find another BJSM patient podcast here: http://ow.ly/rXis30oxFMJ Christina Le shares her lived experience of suffering an ACL injury in 2017.
In this podcast Dr Katie Marino interviews Dr Rebecca Robinson about physical activity & cancer. Dr Robinson is a Sport and Exercise Medicine Consultant in Sheffield who has clinics at Weston Park Hospital in Sheffield working directly with cancer patients. During the podcast she gives a great insight into our current understanding of the use of physical activity in cancer patients. As Macmillan quote that by 2020 almost half the population will develop some form of cancer in their lifetime, it is important that we increase our understanding of how physical activity can be used to improve quality of life in this patient group. As mentioned in the podcast, please visit the following link for more information:
Drop and give us 20. On this week’s BJSM podcast, Dr Alex Hutchinson PhD (T:@sweatscience) joins BJSM’s Daniel Friedman (T: @ddfriedman) to make sense of all of the click-bait headlines and explore whether push-up prowess is the secret to long life. Alex writes Outside’s Sweat Science column, about the science of endurance and adventure. He started out as a Cambridge-trained physicist and long-distance runner on the Canadian national team. As a journalist, he earned a National Magazine Award for his energy reporting with Popular Mechanics, covered adventure travel for The New York Times, and wrote a training column for Runner’s World. His latest book, out in February 2018, is ENDURE: Mind, Body, and the Curiously Elastic Limits of Human Performance. He lives in Toronto, where he runs fast, climbs poorly, and gets outside as much as possible with his wife and daughters. In this 17-minute conversation, Alex discusses: · If push-ups can predict your likelihood of future cardiovascular events · What we can learn from functional tests that aim to assess different health outcomes · New data on the cardio vs weights debate Further reading: Yang J, Christophi CA, Farioli A, Baur DM, Moffatt S, Zollinger TW, Kales SN. Association Between Push-up Exercise Capacity and Future Cardiovascular Events Among Active Adult Men. JAMA network open. 2019 Feb 1;2(2):e188341-. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2724778 Stamatakis E, Williamson C, Kelly P, Strain T, Murtagh EM, Ding D, Murphy MH. Infographic. Self-rated walking pace and all-cause, cardiovascular disease and cancer mortality: individual participant pooled analysis of 50 225 walkers from 11 population British cohorts. Br J Sports Med. 2019 Mar 1:bjsports-2018. https://bjsm.bmj.com/content/early/2019/03/01/bjsports-2018-100468.abstract
Harb SC, Cremer PC, Wu Y, Xu B, Cho L, Menon V, Jaber WA. Estimated age based on exercise stress testing performance outperforms chronological age in predicting mortality. European journal of preventive cardiology. 2019 Feb 13:2047487319826400. https://journals.sagepub.com/doi/10.1177/2047487319826400
Seth is a physiotherapy lecturer at the University of Leicester with a special interest in calf & Achilles injuries, having completed his PhD on Achilles Tendinopathy. He joins us to answer some of these questions · What are the biggest risk factors for Achilles tendinopathy (AT)? · What would be your biggest bang-for-buck treatments for AT? · What would you say were the most useful markers for progression? · Where do you think people are going wrong in the treatment of AT in general – what are the most common misconceptions/mistakes? · How important is the role of the soleus in ankle/calf function, and sporting performance in general?
· In terms of managing soleus injuries, what tips would you have for clinicians out there?
What comes first—the robust athlete or the high training load? What is the role of moderating factors in training load? And is the ‘10% rule’ a myth? On this episode, Dr. Tim Gabbett PhD x2 (T: @TimGabbett) joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss all things training load and debunk some common misconceptions. Tim has over 20 years of experience working as an applied sport scientist with elite athletes, coaches, and high performance teams from around the world. He holds a PhD in Human Physiology (2000) and has completed a second PhD in the Applied Science of Professional Football (2011), with special reference to physical demands, injury prevention, and skill acquisition. www.gabbettperformance.com In this 20 minute conversation, Tim discusses: · The definition of training load and its different components · The Acute:Chronic Workload Ratio (ACWR) and its limitations · What separates robust from fragile athletes · The 10% rule ‘myth’ · How to design a rehabilitation training program for an injured athlete Further reading: Gabbett TJ, Nielsen RO, Bertelsen ML, Bittencourt NF, Fonseca ST, Malone S, Møller M, Oetter E, Verhagen E, Windt J. In pursuit of the ‘Unbreakable’Athlete: what is the role of moderating factors and circular causation? https://bjsm.bmj.com/content/early/2018/11/13/bjsports-2018-099995 Gabbett TJ. Debunking the myths about training load, injury and performance: empirical evidence, hot topics and recommendations for practitioners. Br J Sports Med. 2018 Oct 26:bjsports-2018. https://bjsm.bmj.com/content/early/2018/10/26/bjsports-2018-099784 Gabbett TJ. The training—injury prevention paradox: should athletes be training smarter and harder?. Br J Sports Med. 2016 Mar 1;50(5):273-80. https://bjsm.bmj.com/content/50/5/273 Hulin BT, Gabbett TJ, Lawson DW, Caputi P, Sampson JA. The acute: chronic workload ratio predicts injury: high chronic workload may decrease injury risk in elite rugby league players. Br J Sports Med. 2016 Feb 1;50(4):231-6. https://bjsm.bmj.com/content/50/4/231
Soligard T, Schwellnus M, Alonso JM, Bahr R, Clarsen B, Dijkstra HP, Gabbett T, Gleeson M, Hägglund M, Hutchinson MR, Van Rensburg CJ. How much is too much?(Part 1) International Olympic Committee consensus statement on load in sport and risk of injury. Br J Sports Med. 2016 Sep 1;50(17):1030-41. https://bjsm.bmj.com/content/50/17/1030
What common injury patterns do adolescent overhead throwing athletes face? What are the current pitch count recommendations and evidence for their use? How can we best monitor and encourage compliance with these recommendations? Host Dr. Devin McFadden, MD is joined by Dr. Jason Zaremski to explore these topics and more on the AMSSM Sports Medcast. Dr. Zaremski is an assistant professor from the Division of Physical Medicine and Research, Department of Orthopaedics and Rehabilitation and Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida College of Medicine in Gainesville, Florida. He is also a past participant in the AMSSM International Travelling Fellowship program, having recently travelled to Scandinavia where he shared insights on the above topics and learned how the Scandinavians deal with similar injuries. In this 30 minute conversation Dr. Zaremski addressed the following topics: What are common injury patterns in adolescent overhead throwing athletes? What injury prevention strategies have been enacted and what is the evidence for their use? When to consider operative rather than conservative treatments. Mechanisms and Treatment of Throwing Injuries- https://journals.lww.com/acsm-csmr/fulltext/2017/05000/Mechanisms_and_Treatments_for_Shoulder_Injuries_in.17.aspx Zaremski ZL, Wasser JG, Vincent HK. Mechanisms and Treatments for Shoulder Injury in Overhead Throwing Athletes. Current Sports Medicine Reports. 2017;16(3):179-188 Unaccounted Workload in Pitch Counts- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894908/ Zaremski JL, Zeppieri G, Jones DL, et al. Unaccounted workload factor: game-day pitch counts in high school baseball pitchers- an observational study. Orthop J Sports Med. 2018;6(4):1-7 The Thrower’s Ten Exercises- https://insights.ovid.com/pubmed?pmid=28498227
Wilke KE, Yenchak AJ, Arrigo CA, et al. The advanced throwers ten exercise program: a new exercise series for enhanced dynamic shoulder control in the overhead throwing athlete. Phys Sportsmed. 2011;39(4):90-97.
Breakneck speeds. Scorching heat. Extreme g-forces. Motor racing is one of the most challenging of all sports - not only for drivers themselves, but also for the teams that play an integral role in the performance of the driver and car. As the 2019 Formula One World Championship Season launches into action this weekend in Melbourne, F1 physiotherapist Kim Keedle takes a pit stop with BJSM’s Daniel Friedman (T: @ddfriedman) to share insights into the physically and mentally demanding world of motor racing. Kim graduated from Melbourne University in 2012 with a Bachelors of Physiotherapy, and completed a Masters in Strength & Conditioning at Edith Cowan University in 2016. He is currently working full time as a physiotherapist and high performance coach for the Haas F1 Team, based in Geneva. In this 17 minute conversation, Kim explains: · His pathway into F1 · The role of the physiotherapist within the broader F1 medical team · The physical and mental demands of F1 racing · The importance of neck and trunk strength for drivers · Cervical loading programs and conditioning during the off season Further reading: https://blogs.bmj.com/bjsm/2013/03/26/the-fast-and-the-furiousand-physiotherapy-training-for-extreme-g-force-loads-on-the-neck/
Contact Kim: email@example.com
Following their recent editorial (https://bjsm.bmj.com/content/early/2018/11/09/bjsports-2018-099457) in the BJSM, and the publication of the reliability paper in the #BMJOpenSEM https://t.co/lCFcZNi5Tu - we managed to get this international team of collaborators around the table at BMA House, to discuss the applicability of the ASH test in guiding the return to play process following shoulder injuries. Steffan Griffin had the pleasure of hosting Ben Ashworth, Laura Tulloch, Nav Singh & Daniel Cohen, who take us through the journey behind the test, and how it can be used within the clinical setting. Some great examples & case-studies for anyone who sees upper limb injuries in sport! If you’re interested in the paper & the group’s work, you can follow them here: https://twitter.com/AthleteShoulder https://twitter.com/benashworth https://twitter.com/lt_physio https://twitter.com/paddhog https://twitter.com/danielcohen1971
Since 1996, the Football Association has mandated that every young professional footballer in England undergoes cardiac screening. In this podcast, Dr Aneil Malhotra, lead author on the recent NEJM paper which reported the outcomes of the FA’s screening programme, discusses the implications of the research and what it means for screening in the future. In this conversation with Dr Sean Carmody, he also discusses other measures support staff can take to minimise the risk of sudden cardiac deaths in athletes. Related Articles: Outcomes of Cardiac Screening in Adolescent Soccer Players
Emergency response facilities including primary and secondary prevention strategies across 79 professional football clubs in England
NCAA athletes face the realization of career ending injuries, whether they are acute/catastrophic or cumulative. As team physicians and athletic trainers it is imperative that we have our athletes' long- term health as a priority in their care. Presenters of this podcast are Pierre Rouzier, MD, head team physician of the University of Massachusetts, Jennifer Brodeur, ATC, director of Sports Medicine and Jeff Smith, ATC, senior associate Athletic Director for Internal Operations at UMass. This presentation will discuss various medical categories considered career ending and disqualifying; some of these are clear-cut, some may be more nebulous. Athletes facing 'retirement due to injury' are known to have significant psycho-social issues in their transition; we will discuss important institutional resources to help our athletes. We will present cases and outcomes from data collected at the University of Massachusetts. At the conclusion of the podcast, listeners will have learned various NCAA definitions, such as 'medical disqualification', 'medical hardship', 'medical red-shirt' and changes new to 2018. Program participants will know the consequences and implications of being 'medically disqualified' from an NCAA sport, and the impact on the athletes' financial assistance and what this means to their team's scholarship numbers. Listeners will be able to learn the process of medically disqualifying an athlete and how to provide the support and care they need to transition out of their sport. Hayley Marks, Daniel R. Czech, Brandonn S. Harris, Trey Burdette, David D. Biber, An Examination of Coping with Career Ending Injuries: An NCAA Division I and NCAA Division III Comparison, International Journal of Sports Science, Vol. 5 No. 2, 2015, pp. 87-92. https://doi.org/10.5923/j.sports.20150502.07 Leena Ristolainen, Jyrki A. Kettunen, Urho M. Kujala & Ari Heinonen (2011): Sport injuries as the main cause of sport career termination among Finnish top-level athletes, European Journal of Sport Science, https://doi.org/10.1080/17461391.2011.566365 2017-18 NCAA Division 1 Manual https://www.ncaapublications.com/p-4511-2017-2018-ncaa-division-i-manual-august-version- available-august-2017.aspx 2014-15 NCAA Sports Medicine Handbook
Did you know that worldwide, more than one in four adults (28% or 1.4 billion) are physically inactive? In some countries, it’s as high as one in three! How many more times do we need to be reminded that physical inactivity is one of the leading risk factors for global mortality before we finally decide to get off the couch? On this week’s episode, Prof Fiona Bull MBE (T: @fiona_bull) joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss the latest physical activity trend data and explain how clinicians can play their part to increase levels of physical activity for a more active world. Prof Bull is the Programme Manager in the Department of Prevention of Noncommunicable Diseases (NCD) at the World Health Organization based in Geneva, Switzerland. She leads the WHO’s global work on physical inactivity, healthy eating and the prevention of obesity, and provides leadership for global monitoring and surveillance of NCDs and their risk factors. Bull joined WHO in 2017 after 25 years in applied research in Australia, the UK and the USA. Her recent positions include Professor of Public Health and Director of the Centre for Built Environment and Health at the University of Western Australia and Professor of Sports Science and Director of National Centre of Physical Activity at Loughborough University in the UK. Bull has co-authored over 180 scientific publications and reports. Her interest is in bridging the knowledge-policy-practice gap, and she has been actively involved in civil society. She is immediate past President of the International Society of Physical Activity. In 2014, Bull was awarded a Member of the British Empire (MBE) for her services to public health. In this 15 minute conversation, Prof Bull addresses: · Physical inactivity trends over the past 16 years · The causes of physical inactivity · What the WHO is doing to support countries increase physical activity · What clinicians can do to play their part Further reading: Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1· 9 million participants. The Lancet Global Health. 2018 Oct 1;6(10):e1077-86. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(18)30357-7/fulltext World Health Organization. (2018). ACTIVE: a technical package for increasing physical activity. World Health Organization. http://www.who.int/iris/handle/10665/275415 Global action plan on physical activity 2018–2030: more active people for a healthier world. Geneva: World Health Organization; 2018. http://apps.who.int/iris/bitstream/handle/10665/272722/9789241514187-eng.pdf
Global action plan on physical activity 2018-2030: At a glance http://apps.who.int/iris/bitstream/handle/10665/272721/WHO-NMH-PND-18.5-eng.pdf
Our guest for this podcast is Professor Greg Whyte, one of the world’s most respected and renowned Sport & Exercise Scientists. Greg combines his academic position at Liverpool John Moores University with both public & private work around the UK, and is a hugely respected scientist and voice, with expertise in a wide range of domains. Not content with overseeing breathtaking Sport Relief challenges and helping to raise >£30m for charity, he has recently published a book titled ‘Bump It Up’, focused on advice for pregnant women. In this podcast, Greg covers: - The current consensus - Common misconceptions - Common barriers and how to overcome them - Safety & contraindications - The importance of physical activity at every life-stage Further resources: Greg’s Book: https://www.penguin.co.uk/books/111/1111959/bump-it-up/9780593077481.html BJSM Special Edition on Pregnancy: https://bjsm.bmj.com/content/52/21
2019 Canadian guideline for physical activity throughout pregnancy https://bjsm.bmj.com/content/52/21/1339
Did you know that up to 3.8 million sports-related concussions occur in the USA annually? As the largest membership organisation representing sports medicine physicians in North America, the AMSSM is perfectly placed to provide advice and guidance to clinicians who are expected to manage every stage of the concussion spectrum. On this week’s episode, Prof Kimberly Harmon (T: @DrKimHarmon) returns for another podcast and joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss the upcoming updated 2019 AMSSM position statement on managing concussion in sport. Prof Harmon is a Professor in the Department of Family Practice and Departments of Family Medicine and Orthopaedics and Sports Medicine at the University of Washington, as well as a past president of the AMSSM. She has over 20 years of experience as a team physician for the University of Washington, and is currently the head physician for the university’s American football team. In this 20 minute conversation, Prof Harmon discusses: · Our current understanding of concussion · The 2019 updated AMSSM Concussion in Sport position statement vs the 2013 statement · Managing concussed athletes and return to play at the collegiate level · Efforts to prevent concussion and reduce its severity in college football Prof Harmon will be speaking at the upcoming 2019 ACSEP conference (https://bit.ly/2HkQsi5) in Queenstown, NZ, and at the 2019 AMSSM Annual Meeting (https://bit.ly/2U573rD) in Houston, USA. Don't miss out! Further reading: Harmon KG, Drezner JA, Gammons M Endorsed by the National Trainers’ Athletic Association and the American College of Sports Medicine, et al. American Medical Society for Sports Medicine position statement: concussion in sport Br J Sports Med 2013;47:15-26. https://bjsm.bmj.com/content/47/1/15.short Turner M Happy Birthday Concussion! Br J Sports Med Published Online First: 01 December 2018. doi: 10.1136/bjsports-2018-100316 McCrory P, Meeuwisse W, Dvorak J, et al Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016.
Br J Sports Med 2017;51:838-847
Traditionally, sports medicine may have focussed on joints and tendons and muscles, but, as with medicine more widely, nutrition is now being properly recognised as an essential aspect of health. Food is a very strong lever to improve human health and environmental sustainability on earth. However, food is currently threatening both people and planet. The food we eat, the ways we produce it, and the amounts wasted or lost affect us all – athletes, patients and clinicians. On this BJSM podcast Prof Jess Fanzo (T: @jessfanzo) from Johns Hopkins (full bio below) joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss the recently published report Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems that is making headlines around the world. The report is also creating much controversy. Not everyone will agree with the commission, just as not everyone agrees with all nutrition advice. At BJSM, our job is to share major views from the scientific world with our community and here you can listen to a major player in this report. In this 15-minute conversation, Prof Fanzo shares the report’s key takeaways (!) and how sport and exercise medicine clinicians can contribute to “the great food transformation". Prof Jess Fanzo PhD is the Bloomberg Distinguished Associate Professor of Ethics and Global Food & Agriculture at the Johns Hopkins Berman Institute of Bioethics, the School of Advanced International Studies, and the Bloomberg School of Public Health, Department of International Health. She also serves as the Director of the Global Food Ethics and Policy Program. Prof Fanzo received her PhD in Nutrition at the University of Arizona, and was the Stephen I. Morse Postdoctoral Fellow in Immunology in the Department of Molecular Medicine at Columbia University. https://eatforum.org/contributor/dr-jessica-fanzo/ Have something to say about the commission or the podcast? Let us know your thoughts by leaving us a comment via social media or wherever you get your podcasts! Further reading: https://eatforum.org/eat-lancet-commission/ https://eatforum.org/lancet-commission/healthcare-professionals/
Full report: Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems https://hubs.ly/H0gcll-0
Is it possible to support small, individual clinicians with an interest for research, while also encouraging collaborative research from major medical centers and teaching hospitals? These topics and others are explored on this episode of the AMSSM Sports Medcast. Host Dr. Devin McFadden, MD is joined by a panel which includes Dr. Anthony Beutler, MD, Dr. Andrew Peterson, MD, and Dr. Stephanie Kliethermes, PhD who help form a portion of the AMSSM’s Collaborative Research Network leadership. They cover the history of this organization from inception to present day, and discuss the challenges and strategic issues which the organization has faced in its brief existence to date. Collaborative Research Network website: https://www.amssm.org/CRN.php Editorial on the CRN- https://bjsm.bmj.com/content/early/2018/11/26/bjsports-2018-100330 Kliethermes SA, Beutler AI. Clinical research and the AMSSM collaborative research network.
Br J Sports Med. Published Online First: 27 November 2018. doi: 10.1136/bjsports-2018-100330
We have known for a long time that exercise is effective in lowering blood pressure. But how does it stack up against antihypertensive medication? On this episode, Dr. John Ioannidis joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss his recently published BJSM meta-analysis that made headlines around the world https://bit.ly/2EYW66J Dr Ioannidis is recognised as one the most influential scientists alive today. A Professor of Medicine and of Health Research and Policy at Stanford University School of Medicine and a Professor of Statistics at Stanford University School of Humanities and Sciences, Dr Ioannidis has authored close to 1,000 academic papers and served on the editorial boards of 30 of the world's top journals. He is best known for his legendary 2005 PLOS medicine paper “Why Most Published Research Findings Are False”, which has been viewed over 2.5 million times. https://profiles.stanford.edu/john-ioannidis In this 15 minute conversation, Dr Ioannidis discusses: · The findings of his latest BJSM meta-analysis · How trials that examine exercise’s effects on blood pressure can be made more useful · How exercise can become part of routine hypertension management · What needs fixing in the world of evidence-based medicine Further reading: Naci H, Salcher-Konrad M, Dias S, et al How does exercise treatment compare with antihypertensive medications? A network meta-analysis of 391 randomised controlled trials assessing exercise and medication effects on systolic blood pressure Br J Sports Med Published Online First: 18 December 2018. doi: 10.1136/bjsports-2018-099921 Naci H, Ioannidis JP. Comparative effectiveness of exercise and drug interventions on mortality outcomes: metaepidemiological study. Bmj. 2013 Oct 1;347:f5577. Ioannidis JP. Why most clinical research is not useful. PLoS medicine. 2016 Jun 21;13(6):e1002049.
Ioannidis JP. Why most published research findings are false. PLoS medicine. 2005 Aug 30;2(8):e124.
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