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.
Did you know that fewer than 15% of women will actually achieve the minimum recommendation of 150 min per week of moderate-intensity physical activity throughout their pregnancy? Meeting the recommendation can reduce the risk of pregnancy-related illness such as depression by at least 25%, and the risk of developing gestational diabetes, hypertension and preeclampsia by 40%! So why are some clinicians still scared to prescribe physical activity to soon-to-be-mums? On this week’s episode, Dr. Margie Davenport PhD joins BJSM’s Daniel Friedman (T: @ddfriedman) to address common misconceptions regarding physical activity during pregnancy and explain the new 2019 Canadian guideline for physical activity throughout pregnancy (https://bjsm.bmj.com/content/52/21/1339) that was recently published in the BJSM. Dr. Davenport is an Assistant Professor in the Faculty of Kinesiology, Sport, and Recreation at the University of Alberta. She received her PhD in Integrative Exercise Physiology from the University of Western Ontario and conducted a two year Postdoctoral Fellowship at the University of Calgary. She is an emerging expert in metabolic and cardiovascular adaptations associated with normal and complicated pregnancies. Her primary interest is in the benefits of exercise prior to, during and following pregnancy for both mother and child. In this 20 minute conversation, Dr. Davenport discusses: · Who should be physically active throughout pregnancy + contraindications · How much physical activity is recommended throughout pregnancy · Examples of physical activity · Common misconceptions and safety precautions Resources: www.exerciseandpregnancy.ca Program for Pregnancy and Postpartum Health videos: https://www.youtube.com/channel/UCtvzYizIALcs5-RzfHrf5UA 2019 Canadian Guideline: http://csepguidelines.ca/wp-content/uploads/2018/10/4208_CSEP_Pregnancy_Guidelines_En_P2A.pdf.
Did you know that one in four people have hypertension? And with recent changes to diagnostic criteria in major clinical practice guidelines, the prevalence is only going to increase. With concerns about the cost, effectiveness, and potential for side effects of antihypertensive drugs, isn’t it time we looked beyond the pharmacy shelves to lower blood pressure? On this episode, Dr. Huseyin Naci PhD (T: @huseyinnaci2) joins BJSM’s Daniel Friedman (T:@ddfriedman) to discuss his recently published BJSM meta-analysis that compares the effectiveness of exercise and antihypertensive medications on lowering blood pressure. Dr Naci is an Assistant Professor of Health Policy at the London School of Economics and Political Science. During the 2018-2019 academic year, he is a UK Harkness Fellow in Health Care Policy and Practice at the Harvard Kennedy School of Government and Harvard Medical School. His research to date has evaluated the quality and quantity of the evidence base underpinning the approval, adoption, and reimbursement of new pharmaceutical and health technologies in Europe and the US. He has a PhD in Health Policy from the Department of Social Policy at the LSE and an MHS in International Health from the Johns Hopkins Bloomberg School of Public Health. In this 20 minute conversation, Dr Naci discusses: · The history of antihypertensive medications · Exercise’s effects on blood pressure · The findings of his latest meta-analysis · His 2013 study that compared the effectiveness of pharmacological and non-pharmacological interventions on mortality · The clinical practice and guideline implications of the meta-analysis Further reading: Naci H, Ioannidis JP. Comparative effectiveness of exercise and drug interventions on mortality outcomes: metaepidemiological study. Bmj. 2013 Oct 1;347:f5577. https://bjsm.bmj.com/content/early/2018/12/05/bjsports-2018-099921.citation-tools
Naci H, Ioannidis JP. Comparative effectiveness of exercise and drug interventions on mortality outcomes: metaepidemiological study. Bmj. 2013 Oct 1;347:f5577. https://www.bmj.com/content/347/bmj.f5577
Host Dr. Devin McFadden, MD is joined by Dr. Lisa Fortier, DVM, PhD on the AMSSM Sports Medcast to discuss regenerative medicine technologies and the current evidence for their use. Dr. Fortier is a Professor of Surgery at Cornell University, College of Veterinary Medicine in Ithaca, New York, with a particular interest in translational research including the prevention of post- traumatic osteoarthritis. In addition, her internationally renowned research investigates the clinical application of stem cells and biologics such as platelet-rich plasma and bone marrow concentrate for cartilage repair and tendinosis. In this 15 minute conversation Dr. Fortier addresses the following topics: What are orthobiologics and regenerative medicine? What is the evidence behind their use? What current research is being conducted in this field? Where she see the field in 5-10 years. IOC Consensus on Use of PRP in Sports Medicine- https://bjsm.bmj.com/content/44/15/1072 Engebretsen L, Steffen K, Alsousou J, et al. IOC consensus paper on the use of platelet-rich plasma in sports medicine. Br J Sports Med. 2010;44:1072-1081. Systematic Review of Stem Cell Use in Tendon Injuries- https://bjsm.bmj.com/content/51/13/996 Pas HIMFL, Moen MH, Haisma HJ, et al. No evidence for the use of stem cell therapy for tendon disorders: a systematic review. Br J Sports Med. 2017;51:996-1002. Role of platelet-rich plasma in articular cartilage injury and disease- https://www.thieme-connect.com/DOI/DOI?10.1055/s-0034-1384672
Mascarenhas R, Saltzman BM, Fortier LA, et al. Role of platelet rich plasma in articular cartilage injury and disease. J Knee Surg. 2015 Feb;28(1):3-10
What should we eat in order to stay healthy and avoid disease? Nutrition is one of the biggest drivers of chronic disease, including obesity and diabetes, yet the answer to this seemingly simple question remains a subject of heated debate. On this week’s episode, Dr. Zoë Harcombe (@zoeharcombe) joins BJSM’s Daniel Friedman (@ddfriedman) to address some common nutrition myths. Zoë has a PhD in public health nutrition. The full title of her thesis is: “An examination of the randomised controlled trial and epidemiological evidence for the introduction of dietary fat recommendations in 1977 and 1983: A Systematic Review and Meta-analysis“. She researches in the fields of nutrition, diet, dietary advice, diet-related health and obesity and writes and talks about these topics daily - http://www.zoeharcombe.com/ In this 30 minute conversation, Zoë reviews the evidence supporting commonly held nutrition beliefs and discusses: · Does red and process meat cause cancer? · Should everyone follow a Mediterranean diet? · Are wholegrains healthy? · How many fruit + veg should we be eating daily? · What makes up a nutritious diet? Further reading: Harcombe, Zoe. "Designed by the food industry for wealth, not health: the ‘Eatwell Guide’." (2017): 1730-1731.https://bjsm.bmj.com/content/early/2016/05/25/bjsports-2016-096297 Harcombe, Zoe. World Health Organisation, meat & cancer http://www.zoeharcombe.com/2015/10/world-health-organisation-meat-cancer/
Estruch, Ramón, et al. "Primary prevention of cardiovascular disease with a Mediterranean diet." New England Journal of Medicine 368.14 (2013): 1279-1290.
Professor Jon Drezner, a world authority on Sports Cardiology and vastly experienced Sport & Exercise Medicine physician, kindly gives us his time on this BJSM podcast to fill us in on updates in the Sports Cardiology world. Covering everything from high-risk groups, to the subsequent management of ‘positive’ screening results, this podcast will ensure that the listener is very much up-to-date with the latest research & developments in Sports Cardiology. For more information & a deeper-dive into the publications mentioned: Sports cardiology: preventing sudden cardiac death https://bjsm.bmj.com/content/48/15/1133 BMJ Learning ECG Interpretation Course: https://learning.bmj.com/learning/course-intro/.html?courseId=10042239 International criteria for electrocardiographic interpretation in athletes: Consensus statement https://bjsm.bmj.com/content/51/9/704 Outcomes of Cardiac Screening in Adolescent Soccer Players (NEJM) https://www.nejm.org/doi/full/10.1056/NEJMoa1714719
Cardiac arrest survival greatly increases when bystanders use an automated external defibrillator - Circulation Journal Report https://newsroom.heart.org/news/cardiac-arrest-survival-greatly-increases-when-bystanders-use-an-automated-external-defibrillator
Minimalist? Maximalist? Zero drop? Is there really one running shoe paradigm to rule them all? On this week’s episode, Dr. Chris Napier PhD (T: @runnerphysio) and Paul Blazey (T: @Blazey85) joins BJSM’s Daniel Friedman (T:@ddfriedman) to debate running shoe prescription. Chris is a Clinical Assistant Professor in the Department of Physical Therapy at the University of British Columbia, where he recently obtained his his PhD (“Running biomechanics and injury prevention”) in 2018. Since becoming a physio, Chris has specialised his training with postgraduate studies in manual therapy and sport physiotherapy. He is currently a physiotherapist of Athletics Canada. Chris competed at the national level as a successful middle-distance runner and today is an avid skier, kayaker, and marathoner. A self-proclaimed encyclopaedia of running shoes, Paul is a physio who has spent time working with Crystal Palace and Arsenal FC, with a keen interest in managing running and triathlon injuries. He left his physiotherapy clinic in England behind in 2017 to take up research at the University of British Columbia and currently works as a senior associate editor for BJSM. Like Chris, Paul is an accomplished runner with envious marathon times. In this 20 minute conversation, Chris and Paul discuss: Eliud Kipchoge’s recent marathon world record Different running shoes’ effects on running economy Running shoe prescription and tips for choosing shoes in-store Gait retraining The future of running shoes Further reading: Brick NE, McElhinney MJ, Metcalfe RS. The effects of facial expression and relaxation cues on movement economy, physiological, and perceptual responses during running. Psychology of Sport and Exercise. 2018 Jan 1;34:20-8. https://www.sciencedirect.com/science/article/pii/S1469029217303461 Napier C, Willy RW. Logical fallacies in the running shoe debate: let the evidence guide prescription. https://bjsm.bmj.com/content/early/2018/10/22/bjsports-2018-100117 Hoogkamer W, Kram R, Arellano CJ. How biomechanical improvements in running economy could break the 2-hour marathon barrier. Sports Medicine. 2017 Sep 1;47(9):1739-50.https://link.springer.com/article/10.1007/s40279-017-0708-0 Barnes KR, Kilding AE. A Randomized Crossover Study Investigating the Running Economy of Highly-Trained Male and Female Distance Runners in Marathon Racing Shoes versus Track Spikes. Sports Medicine. 2018:1-2. https://link.springer.com/article/10.1007/s40279-018-1012-3 Nigg BM, Baltich J, Hoerzer S, Enders H. Running shoes and running injuries: mythbusting and a proposal for two new paradigms:‘preferred movement path’and ‘comfort filter’. Br J Sports Med. 2015
Jul 28:bjsports-2015. https://bjsm.bmj.com/content/49/20/1290.short
Is this a dysplasia problem? Or is this an impingement problem? Did you know that a young adult with a non-arthritic hip problem sees an average of 4.2 health care providers before a diagnosis of impingement is made?! On this week’s podcast, Dr J.W. Thomas Byrd MD (T:@nashvillehipmds) joins AMSSM’s Sports Medcast (T: @TheAMSSM) to discuss femoroacetabular impingement and hip dysplasia. Dr. Byrd founded the Nashville Hip Institute to help treat patients with complex hip disorders using advanced surgical techniques. A recent Past President of both the International Society for Hip Arthroscopy (ISHA) and the Arthroscopy Association of North America (AANA), Dr Byrd has pioneered many of the surgical techniques for hip arthroscopy commonly employed throughout the orthopaedic world and invented numerous instruments that have revolutionised aspects of orthopaedic surgery. He has been one of the leaders for defining and developing the role of less invasive arthroscopic techniques in and around the hip. Dr. Byrd is currently the team physician for the Tennessee Titans and consults for many professional sports teams. https://nashvillehip.org/jw- thomas-byrd-md-orthopedic-hip-specialist-nashville-tn/ In this 20 minute conversation, Dr. Byrd addresses the following topics: What is FAI? The work-up of FAI – examination and imaging Management of FAI - when to intervene Hip dysplasia in athletes
Common errors in managing hip pathology
Knowledge translation with Dr Sandro Demaio. Episode #354 There are over 1.5 million papers published each year…but as many as 50% of them are never read by anyone other than their authors, referees and journal editors. How can we move research from the laboratory, the academic journal, and the medical conference into the hands of people and organisations who can put it to practical use? On this week’s podcast, Dr Sandro Demaio (@SandroDemaio) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss how we can bridge the gap between evidence and practice in the real world. After leaving his role as the WHO’s medical officer for NCDs and Nutrition, Sandro was appointed the CEO of EAT (https://eatforum.org/contributor/dr-alessandro-demaio), a non-profit startup focused on food and sustainability. Formerly an Assistant Professor and Course Director at the University of Copenhagen’s School of Global Health, and a postdoctoral fellow at Harvard, Sandro regularly shares his knowledge and ideas at international conferences, universities and public events. He founded the PLOS Global Health Blog, NCDFREE (https://ncdfree.org) and festival21 (https://www.festival21.com.au), and is currently a bestselling author and TV host. http://sandrodemaio.com/about In this 20 minute conversation, Sandro addresses the following topics: The importance of knowledge translation Ways in which knowledge translation can be achieved Overcoming the “leaky research pipeline”
Social media tips for clinicians
Sham surgery for shoulder impingement19 Oct 2018
Management of shoulder pain has been estimated to account for 4.5 million visits to the doctor and $3bn (£2.3bn; €2.6bn) each year in the US alone. 44-70% of patients with shoulder pain are diagnosed with shoulder impingement syndrome. Although various non-operative treatment modalities are recommended as initial treatment for patients with shoulder impingement, subacromial decompression has become one of the most frequently performed orthopaedic procedures in the world...BUT DOES IT ACTUALLY HELP? On this week’s episode, Prof. Teppo Järvinen (@shamteppo) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the results from his latest clinical trial – the FIMPACT trial - that was recently published in the BMJ. Teppo is a Professor of Orthopaedics and Traumatology at the University of Helsinki and Helsinki University Hospital, and is head of the Finnish Centre for Evidence-Based Orthopaedics. He recently organised the 2018 Too Much Medicine symposium that took place in Helsinki, Finland. http://too-much-medicine.com/ In this 15 minute conversation, Prof. Järvinen addresses: ∙ shoulder impingement and subacromial decompression ∙ a brief overview of the FIMPACT trial ∙ the results of the trial and how to integrate the findings into clinical practice ∙ what does too much medicine mean for orthopaedic surgery ∙ the future of sham surgery Further reading: Paavola Mika, Malmivaara Antti, Taimela Simo, Kanto Kari, Inkinen Jari, Kalske Juha et al. Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial BMJ 2018; 362 :k2860 https://www.bmj.com/content/362/bmj.k2860 FIDELITY infographic: https://www.bmj.com/content/bmj/362/bmj.k2860/F1.large.jpg Beard, David J., et al. "Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial." The Lancet 391.10118 (2018): 329-338. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32457-1/fulltext Sihvonen R, Paavola M, Malmivaara A, et al. Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med 2013;369:2515–24. https://www.nejm.org/doi/10.1056/NEJMoa1305189?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dwww.ncbi.nlm.nih.gov FIDELITY study video: https://www.youtube.com/watch?v=RaDWkJHmEB0
Savulescu, Julian, Karolina Wartolowska, and Andy Carr. "Randomised placebo-controlled trials of surgery: ethical analysis and guidelines." Journal of medical ethics (2016): medethics-2015.https://jme.bmj.com/content/42/12/776
We catch up with BJSM Deputy Editor, Physiotherapist and hugely influential researcher Mario Bizzini. We discuss everything from the evidence behind injury prevention programmes, maximising their implementation, and the upcoming #SportSuisse2018 Links below: JOSPT Clinical Guideline https://www.jospt.org/doi/10.2519/jospt.2018.0303 Knakentroll (Swedish Group) - https://blogs.bmj.com/bjsm/2016/11/02/football-injuries-prevention-swedish-football-injury-warriors-martin-markus/ FIFA11+ https://bjsm.bmj.com/content/49/9/577 The Santa Monic Sports Medicine Research Foundation – The PEP Program: Prevent injury and Enhance Performance http://www.aclstudygroup.com/pdf/pep-program.pdf Implementing Injury Prevention – Aspetar Journal - http://www.aspetar.com/journal/viewarticle.aspx?id=406#.W6TYAf4zbEY Reference to Implementation Studies by Dr Alex Donaldson & colleagues in AFL https://www.ncbi.nlm.nih.gov/pubmed/30217833
Type 2 diabetes is a complex systems disease, caused by interactions between lifestyle and genes. It is an illusion to believe that it can be cured by medication. Lifestyle change should always be at the heart of treatment. Hanno Pijl is an internist-endocrinologist and professor of Diabetology at the Leiden University Medical Center (LUMC) In Leiden, The Netherlands. He co-authored over 250 papers in peer reviewed scientific journals, primarily related to obesity and type 2 diabetes. He has been a member of the Dutch Health Council (standing committee on nutrition) from 2008-2016. He currently co-chairs the Dutch Innovation center for Lifestyle Medicine (www.nilg.eu), a joint effort of LUMC and the Dutch Organisation of Applied Science (TNO) focusing on lifestyle interventions in health care. Esther van Zuuren is a dermatologist at the Leiden University Medical Centre, but apart from that and more relevant for now is that her expertise lies in Evidence Based Medicine. She has been with Cochrane for almost 20 years, has held the position of Key Editor and Methods editor for Cochrane Skin group for several years and conducted over 30 systematic reviews on a wide variety of topics. Furthermore, she is member of the GRADE working group, is a Recommendations Editor for DynaMed Plus (clinical evidence-based reference tool for clinicians) and Associate Editor for Systematic Reviews for the British Journal of Dermatology. In our 20 min conversation we discuss Dietary advice for people with type 2 diabetes The importance of other lifestyle measures Effects of lifestyle intervention in clinical practice
Do I really need this test, treatment or procedure? What are the downsides? What happens if I do nothing? And are there simpler, safer alternatives? Dr. Ray Moynihan (@raymoynihan) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the growing problem of overdiagnosis and overtreatment, and what is being done to wind back the harms of too much medicine. Ray is an Australian academic, author and award-winning health journalist who completed his PhD on overdiagnosis in 2015 at the Centre for Research in Evidence-Based Practice at Bond University in Australia, where he is also a senior research fellow. Having reported across print, radio, television and social media, Dr Moynihan has worked at the ABC TV’s investigative program, Four Corners and the 7:30 Report, and The Australian Financial Review. He has also developed an impressive body of academic work published in the Lancet, the New England Journal of Medicine, PLOS ONE and the BMJ. Dr. Moynihan has won several awards for his investigative journalism, and his book ‘Selling Sickness’ (2005) was described in the New York Times as a “compelling case” and has been translated into a dozen languages. His fourth book, ‘Sex, Lies & Pharmaceuticals’ was released globally in 2010 and generated widespread interest internationally. Dr Moynihan hosts the very popular podcast, ‘The Recommended Dose’, that is produced by Cochrane Australia and co-published by the BMJ. https://soundcloud.com/therecodo In this 25 minute conversation, Dr Moynihan explains the drivers of too much medicine and addresses: embracing healthy scepticism in healthcare the threat of too much medicine to our health the problem with diagnostic labels his ground-breaking discovery of a dangerous new disease
what clinicians should do to practice ‘just the right amount’ of medicine (Goldilocks Principle)
We were thrilled to catch up again with Dr Andrew Murray, the recently appointed Chief Medical Officer to the PGA European Tour, European Tour Performance Institute, and Ryder Cup Europe. He is universally known for his work promoting physical activity for health, his ultra-endurance challenges, and for leading the ‘Golf and Health project’. In this podcast he covers everything from the health benefits of golf, how to produce a consensus statement, the WHO’s GAPPA, to how to overcome various factors affecting knowledge translation #Gold Various papers/resources are referred to throughout the podcast, links to which can be found below: http://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2018-099509 http://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2018-099771 The relationships between golf and health: a scoping review https://bjsm.bmj.com/content/51/1/12 Previous BJSM podcast on Golf & Health: https://soundcloud.com/bmjpodcasts/andrew-murray-1 The World Health Organization’s Global Action Plan for Physical Activity: Prof Fiona Bull https://soundcloud.com/bmjpodcasts/the-world-health-organizations-global- action-plan-for-physical-activity-prof-fiona-bull?in=bmjpodcasts/sets/bjsm-1 It is time to replace publish or perish with get visible or vanish: opportunities where digital and social media can reshape knowledge translation https://bjsm.bmj.com/content/early/2017/11/17/bjsports-2017-098367
We hope you enjoyed the podcast – get in touch with us via social media if you have any questions for @docandrewmurray
Contrary to the long held contention that low fat diets are best for people with type 2 diabetes (DM2), the totality of current evidence suggests that low carb diets are at least as effective in ameliorating metabolic health in DM2. In fact, low carb seems to be somewhat better, particularly in the short to medium term, although the evidence is of moderate certainty. On this week’s episode Prof Hanno Pijl (@HannoPijl) and dr Esther van Zuuren (@Ezzoef) join Dr Aseem Malhotra (@DrAseemMalhotra) to discuss the most appropriate diet for people with DM2 Hanno Pijl is an internist-endocrinologist and professor of Diabetology at the Leiden University Medical Center (LUMC) In Leiden, The Netherlands. He co-authored over 250 papers in peer reviewed scientific journals, primarily related to obesity and type 2 diabetes. He has been a member of the Dutch Health Council (standing committee on nutrition) from 2008-2016. He currently co-chairs the Dutch Innovation center for Lifestyle Medicine (www.nilg.eu), a joint effort of LUMC and the Dutch Organisation of Applied Science (TNO) focusing on lifestyle interventions in health care. Esther van Zuuren is a dermatologist at the Leiden University Medical Centre, but apart from that and more relevant for now is that her expertise lies in Evidence Based Medicine. She has been with Cochrane for almost 20 years, has held the position of Key Editor and Methods editor for Cochrane Skin group for several years and conducted over 30 systematic reviews on a wide variety of topics. Furthermore, she is member of the GRADE working group, is a Recommendations Editor for DynaMed Plus (clinical evidence-based reference tool for clinicians) and Associate Editor for Systematic Reviews for the British Journal of Dermatology In our 20 min conversation we discuss Efficacy of low fat versus low carb diets in the treatment of type 2 diabetes The method of weighing the certainty of evidence we used in our systematic review of the literature Dietary recommendations for people with type 2 diabetes
© 2009 - 2018 Ebling Library, UW-Madison
750 Highland Ave, Madison, WI, 53705-2221