BJSM

Dr Simon Kemp is a Sport and Exercise Medicine consultant, and Medical Services Director at the Rugby Football Union. He is a leading researcher in Rugby Medicine, with a wide and high-impact research portfolio. Dr Patrick O’Halloran is a Sport and Exercise Medicine Registrar in the UK who is undertaking a PhD at the University of Birmingham. He also works as a senior medical advisor to Marker. They both join us in this podcast to talk about their recently published paper on the diagnostic signatures of concussion in the saliva of male athletes. In this 15-minute chat, we talk about the importance of developing objective measures in diagnosing concussions, how they went about their ground-breaking trial and much more. You can find their paper ‘Unique diagnostic signatures of concussion in the saliva of male athletes: the Study of Concussion in Rugby Union through MicroRNAs (SCRUM)’, via the link below: https://bjsm.bmj.com/content/early/2021/02/09/bjsports-2020-103274

The benefits of physical activity are unquestioned, but many health care providers still do a poor job of activity counseling and prescription. Frequently cited reasons for this apparent disconnect include a lack of time, poor reimbursement, and lack of training on how to incorporate exercise prescription into clinical practice. The AMSSM has assembled a team of international experts to help address these gaps and share best practices for incorporating exercise medicine into both clinical practice and academic medicine. On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by Dr. Irfan Asif, MD is a Professor and Chair of the Department of Family and Community Medicine at the University of Alabama-Birmingham School of Medicine. He also serves on the AMSSM board of directors and is an associate editor for both the BJSM and Sports Health. In this 10-minute conversation Dr. Asif addresses the following topics: What is the focus of the upcoming AMSSM Collaborative Research Summit? What are the aims and anticipated outputs of the summit? Is this summit relevant to a clinician not currently engaged in multi-site research? The Virtual AMSSM Annual Meeting takes place from April 13-18, 2021. Registration is still open for both the main meeting and CRN Research Summit. More information can be found at https://annualmeeting.amssm.org/ Exercise is Medicine connects physical activity to healthcare: https://www.exerciseismedicine.org/ Joy E (L), Blair SN, McBride P, et al. Physical activity counseling in sports medicine: a call to action. Br J Sports Med. 2013;47:49-53. https://bjsm.bmj.com/content/bjsports/47/1/49.full.pdf Hebert ET, Caughy MO, Shuval K. Primary care providers’ perceptions of physical activity counseling in a clinical setting: a systematic review. Br J Sports Med. 2012;46:625-31. https://bjsm.bmj.com/content/bjsports/46/9/625.full.pdf

Linda Truong is a physical therapist and PhD trainee at the University of British Columbia, in Vancouver. Her research aims to understand how social support can improve recovery outcomes and delay post-traumatic osteoarthritis after a traumatic knee injury. In this episode, Brooke Patterson asks Linda about her recent scoping review and editorial regarding the need to embrace non-physical factors in the treatment of sports-related injury. Linda provides practical suggestions as to how to assess and treat social and contextual factors after sports-related knee injury. Twitter: @LKTphysio Resources: Multidimensional Scale of Perceived Social Support (MSPSS)- https://www.researchgate.net/publication/311534896_Multidimensional_Scale_of_Perceived_Social_Support_MSPSS_-_Scale_Items_and_Scoring_Information The PASS-Q: The Perceived Available Support in Sport Questionnaire - https://www.researchgate.net/publication/50936606_The_PASS-Q_The_Perceived_Available_Support_in_Sport_Questionnaire The ARSQ: The Athletes' Received Support Questionnaire - https://www.researchgate.net/publication/261256629_The_ARSQ_The_Athletes%27_Received_Support_Questionnaire Truong LK, Bekker S, Whittaker JL, Removing the training wheels: embracing the social, contextual and psychological in sports medicine, BJSM, Published Online First: 12 November 2020. - https://bjsm.bmj.com/content/early/2020/11/11/bjsports-2020-102679.abstract Truong LK, Mosewich AD, Holt CJ, Le CY, Miciak M, Whittaker JL. Psychological, social and contextual factors across recovery stages following a sport-related knee injury: a scoping review. BJSM, 2020. - https://bjsm.bmj.com/content/54/19/1149

We all know the benefits of physical activity, but have you ever considered the ways the area you live in influences your ability to and options for exercise? Many Americans live in areas that discourage rather than promote an active lifestyle. Lack of access to areas to safely exercise creates physical activity deserts, which like food deserts, where fresh produce is not readily available, have deleterious effects on the health and well-being of the population living there. On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine researcher and president of the American College of Sports Medicine, Dr. NiCole Keith, PhD. Dr. NiCole Keith (T: @nicolekeithphd) is a Professor from the Department of Kinesiology and associate dean of faculty affairs in the School of Health & Human Sciences at Indiana University-Purdue University Indianapolis. Her research interests include physical activity and health equity. In addition to serving as the current president of the ACSM she has previously served as the vice president of membership, communication, and policy and serves on both the Exercise is Medicine and American Fitness Index advisory boards. In this 20-minute conversation Dr. Keith addresses the following topics: What are physical activity deserts? Who is a risk of these deserts and what are the consequences? What can we do to advocate for improved access to safe areas to be physically active on the local and national levels? Physical Activity Alliance: https://paamovewithus.org/ The American Fitness Index ranks America’s top 100 healthiest cities: https://americanfitnessindex.org/ Exercise is Medicine connects physical activity to healthcare: https://www.exerciseismedicine.org/ ActivEarth seeks to improve communities through physical activity and active transportation: https://www.acsm.org/acsm-membership/strategic-initiatives/activearth-(active-transportation)

Joining us on this podcast to discuss this crucial topic are Dr Adam Gledhill, Dr Dale Forsdyke and Tom Goom. Adam is Course Director for Sport, Exercise and Health Sciences at Leeds Beckett University. He is also chair of the British Association of Sport and Exercise Science Division of Psychology. Dale is a Senior Lecturer in Sports Injury Management at York St John University, and Head of Science and Medicine at York City Tier 1 Regional Talent Club. Tom (probably known to many as ‘the running physio’) is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course. In this podcast we cover: The inspiration behind the editorial and why is it such an important topic Patients’ basic psychological needs and how they relate back to rehab? A number of practical suggestions on how to enhance adherence. Links: ‘I’m asking you to believe—not in my ability to create change, but in yours’: four strategies to enhance patients’ rehabilitation adherence https://bjsm.bmj.com/content/early/2020/11/03/bjsports-2020-102245?hwshib2=authn%3A1611998232%3A20210129%253A76cf0ccf-1d2e-4e4c-8ced-6c1e1766754f%3A0%3A0%3A0%3AikkQGUelivZ4k1xUJsCLFQ%3D%3D Blog on the running-physio website https://www.running-physio.com/adherence/

Childhood obesity is a prevalent problem but perhaps not as commonly addressed in doctors’ appointments due to a variety of reasons. In part two of their conversation, Dr. Dusty Marie Narducci, MD speaks with Dr. Caitlyn Mooney, MD about childhood obesity, including the following questions: · At what point would you recommend intervening? · Once a weight loss goal is determined, how do you move forward? · How exactly does diet play a role in obesity? · What is the role of physical activity, and what are the current activity recommendations? · What’s the evidence regarding interventions for childhood obesity? · Is there a role for pharmacological therapy in treatment? And what about surgical intervention? · Is there a role for counseling in certain populations? Related Articles and Links: Paul R. Stricker, Avery D. Faigenbaum, Teri M. McCambridge and COUNCIL ON SPORTS MEDICINE AND FITNESS Pediatrics June 2020, 145 (6) e20201011; DOI: https://doi.org/10.1542/peds.2020-1011 Brown T, Moore TH, Hooper L, et al. Interventions for preventing obesity in children. Cochrane Database Syst Rev 2019; 7:CD001871. Thomas H. Inge, MD, PhD1; Meg H. Zeller, PhD1; Todd M. Jenkins, PhD1; et al. Perioperative Outcomes of Adolescents Undergoing Bariatric Surgery The Teen–Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Study. JAMA Pediatr. 2014;168(1):47-53. doi:10.1001/jamapediatrics.2013.4296

Childhood obesity is a prevalent problem but perhaps not as commonly addressed in doctors’ appointments due to a variety of reasons. Dr. Dusty Marie Narducci, MD speaks with Dr. Caitlyn Mooney, MD on the AMSSM Sports Medcast all about childhood obesity. In part one of their conversation, Dr. Narducci tackles the following questions: · Why is it important to know about childhood obesity? · What defines obesity, and what causes it in children? · What are BMI z-scores, and how much can clinicians rely on BMI as a measurement? · What are the comorbidities of obesity in childhood and adolescents? · What are the musculoskeletal implications of obesity? · What is the prognosis of childhood obesity? Related Articles and Links: BMI Z-Score and Percentile Calculator: https://www.bcm.edu/bodycomplab/BMIapp/BMI-calculator-kids.html BMI Percentile Calculator for Child and Teen https://www.cdc.gov/healthyweight/bmi/calculator.html Boutelle KN, Rhee KE, Liang J, et al. Effect of Attendance of the Child on Body Weight, Energy Intake, and Physical Activity in Childhood Obesity Treatment: A Randomized Clinical Trial. JAMA Pediatr 2017; 171:622. US Preventive Services Task Force, Grossman DC, Bibbins-Domingo K, et al. Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA 2017; 317:2417. Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents, National Heart, Lung, and Blood Institute. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report. Pediatrics 2011; 128 Suppl 5:S213

In this podcast, we’re joined by Professor Ben Jones, to discuss his recently published paper on the risk of COVID-19 transmission in sport. Ben is a Professor at the Carnegie School of Sport at Leeds Beckett University, with a background in Sport and Exercise Physiology. He is also Head of Performance for England Rugby League and the Pathway Performance Director for Leeds Rhinos. We cover: · The sports the research relates to · The methods involved · What this means for players, for medical staff, and for sport in general Link: https://bjsm.bmj.com/content/early/2021/02/10/bjsports-2020-103714

Twitter: @GBruinvels, @JaneSThornton, @Erin_Macri Dr. Georgie Bruinvels is a Research Associate at St. Mary’s University in Twickenham in the UK, and also works as a Senior Sports Scientist and Research Scientist at Orreco. Her research focuses on the female athlete and female physiology. In this episode, Dr. Erin Macri, Dr. Jane Thornton, and our guest Dr. Georgie Bruinvels discuss menstrual symptoms and sports performance, and explore the technology and ethics around normalizing period talk in sports medicine. Related Articles Bruinvels G, Goldsmith E, Blagrove R, Simpkin A, Lewis N, Morton K, Suppiah A, Rogers JP, Ackerman KE, Newell J, Pedlar C. Prevalence and frequency of menstrual cycle symptoms are associated with availability to train and compete: a study of 6812 exercising women recruited using the Strava exercise app. British Journal of Sports Medicine. 2020. http://dx.doi.org/10.1136/bjsports-2020-102792

Brooke Patterson is a physiotherapist who is currently completing her PhD at the La Trobe Sport and Exercise Medicine Research Centre, investigating the impact of ACL injuries on the lives of young adults. Brooke played several seasons in the Australian Football League national women’s competition (WAFL), and has recently transitioned to becoming a coach. You will be hearing more from Brooke, who will be hosting some BJSM podcasts over the coming months, so we thought we’d take this opportunity to get to know Brooke and her research. In this podcast we discuss: The latest ACL injury prevention & early-onset osteoarthritis research The next big breakthroughs to expect in the next decade from a research perspective do Advice for people wanting to/working in elite women’s sport Links: 1. Making football safer for women with Brooke Patterson and Dr Ben Mentiplay. Episode #445 https://soundcloud.com/bmjpodcasts/making-football-safer-for-women-with-brooke-patterson-and-dr-ben-mentiplay-episode-445 2. Building on a BJSM podcast – and celebrating good news! #WomensFootball https://blogs.bmj.com/bjsm/2020/10/22/building-on-a-bjsm-podcast-and-celebrating-good-news-womensfootball/ 3. Making football safer for women: a systematic review and meta-analysis of injury prevention programmes in 11 773 female football (soccer) players https://bjsm.bmj.com/content/54/18/1089

In this podcast, you can hear from James Collins – a leading performance nutritionist and one of the leads on the recent UEFA expert group statement on nutrition in elite football. James has worked with a range of elite sporting organisations, and is also the founder of the Intra Performance Group. In this podcast, we cover: - how the statement came about, and where it fits into the existing literature - nutritional considerations for training and match-day - the importance of body composition - nutritional considerations in the rehabbing athlete - next steps For more, please check out the links below: UEFA expert group statement: https://bjsm.bmj.com/content/early/2020/11/08/bjsports-2019-101961 Importance of nutrition in football: the coach’s perspective https://bjsm.bmj.com/content/early/2020/10/22/bjsports-2019-101972 The importance of nutrition in football: perspective of a national team’s doctor https://bjsm.bmj.com/content/early/2020/10/22/bjsports-2020-103318 James’ twitter profile: https://twitter.com/JamesCollinsPN James’ company profile: https://www.intraperformancegroup.com/team Informed Sport https://www.informed-sport.com/

On this week’s podcast, Dr. Dusty Marie Narducci, MD speaks with Dr. Ben Krainin, MD on the AMSSM Sports Medcast about the use of bioinformatics and wearable technology in female athletes. In this conversation, Dr. Narducci focuses the following topics: · A general overview of bioinformatics, including the three main wearable technology product categories · Injury Prevention in Volleyball Players · Menstrual Tracking for Female Athletes · Fitness Trackers for the “General Consumer” This lecture features multiple key points and takeaways about bioinformatics and was originally scheduled to be presented during the 2020 AMSSM Annual Meeting.

Join us for a 15-minute chat with Prof Jon Drezner, the new Editor-in-Chief of the BJSM. We cover his journey to the job, his hopes for the future, and the role he sees the journal playing for the international sport and exercise medicine community over the coming years. In this, the last podcast of 2020, we discuss the challenges of 2020, and also pay tribute to the outgoing editor-in-chief, Professor Karim Khan, for his mentorship and for his incredible contribution to both the BJSM, and the wider Sport and Exercise Medicine community. For more, you can check out Jon's editorial in the latest edition of the BJSM https://bjsm.bmj.com/content/55/1/1

In this week’s podcast, we are joined by Dr Mahmood to discuss how we can support the mental health of elite cricketers. Dr Mahmood is a psychiatrist based in Birmingham, England, who recently authored a chapter about mental health emergencies in cricket in a new textbook, Case Studies in Sports Psychiatry. In this 15-minute podcast, Dr Mahmood explores mental health screening, the difference between sports psychologists and psychiatrists, and how cricket can learn from other sports to improve the wellbeing of all athletes.

Dr. Kirsty Elliott-Sale. Dr. Elliott-Sale is an Associate Professor of female physiology at Nottingham Trent University in Nottingham, England, where she is Head of the Musculoskeletal Physiology Research Group. For over 20 years she has been focussed on elite women athletes and maternal populations, primarily in the areas of endocrinology and musculoskeletal and exercise physiology. In this episode, Dr. Erin Macri talks to Dr. Elliott-Sale about menstruation and oral contraception, and their effects on sports performance. This is an important listen for all men and women who work with women athletes of all levels. Twitter: @ElliottSale @Erin_Macri Resources and references Menstruation is not a taboo in women’s sport, period. https://theconversation.com/menstruation-is-not-a-taboo-in-womens-sport-period-92378 The BASES Expert Statement on Conducting and Implementing Female Athlete-Based Research https://www.bases.org.uk/imgs/0000_bas_tses___autumn_2020_online_pg6_7237.pdf McNulty, K.L., Elliott-Sale, K.J., Dolan, E. et al. The Effects of Menstrual Cycle Phase on Exercise Performance in Eumenorrheic Women: A Systematic Review and Meta-Analysis. Sports Med 50, 1813–1827 (2020). https://doi.org/10.1007/s40279-020-01319-3 Elliott-Sale, K.J., McNulty, K.L., Ansdell, P. et al. The Effects of Oral Contraceptives on Exercise Performance in Women: A Systematic Review and Meta-analysis. Sports Med 50, 1785–1812 (2020). https://doi.org/10.1007/s40279-020-01317-5 Martin, D., Sale, C., Cooper, S. B., & Elliott-Sale, K. J. (2018). Period Prevalence and Perceived Side Effects of Hormonal Contraceptive Use and the Menstrual Cycle in Elite Athletes, International Journal of Sports Physiology and Performance, 13(7), 926-932. Retrieved Dec 2, 2020, from https://journals-humankinetics-com.ezproxy.library.ubc.ca/view/journals/ijspp/13/7/article-p926.xml