Exercise is medicine: A summary of the 2016 annual meeting of the ACSM
The American College of Sports Medicine (ACSM) is the largest sports medicine and exercise science organization in the world. They are dedicated to “advancing and integrating scientific research to provide educational and practical applications of exercise science and sports medicine.” This year from May 31st to June 4th, they hosted their 63rd annual meeting and the 7th World Congress on Exercise is Medicine® and World Congress on the Basic Science of Energy Balance in Boston, Massachusetts. The meeting had five main goals:
To assess exercise-induced changes in biology, biomechanics, psychology, and behavior in both normal and pathological states
To examine the most innovative basic and applied science and clinical medicine dealing with exercise, fitness, and physical performance
To host interactive discussions between scientists and clinicians regarding new techniques and perspectives on exercise science and sports medicine
To recognize the importance of basic science studying diseases and conditions related to physical inactivity
To determine how exercise research and practice can contribute to public health knowledge and awareness
Out of these goals, 6,000 professionals gathered to discuss a range of topics from nutrition, exercise and cardiometabolic health to brain pathology in individuals with a history of exercise-related concussions to myofascial pain disorders in sports medicine. The meeting hosted several special lectures. The Joseph B. Wolffe Memorial Lecture, given by Dr. Russell R. Pate, professor of exercise science at the University of South Carolina, was entitled Raising today’s children: can we launch an active, fit and healthy generation? Another featured lecture, the D.B. Dill Historical Lecture, was given by clinician, Dr. Robjert J. Johnson of the University of Minnesota, and regarded his perspective on the history of sports medicine. Other highlighted lectures focused on the economic cost of physical inactivity, the regulation of body weight, medical and scientific conundrums in Paralympic sport, preventing sudden death in sport and physical activity, and the health-promoting effects of a low-carbohydrate lifestyle.
The basic science portion of the conference focused on energy balance and the combined importance of diet and physical activity. In keeping a healthy body and mind, both diet and exercise are important, but most likely, the majority of us only focus on one of those things. Personally, I focus on exercise. I will attend an intense cycling class at 7 AM, but then enjoy a steak dinner with ice cream for dessert. Of course, I like to live my life with a bit of balance, and I certainly hate to diet or food restrict; however, I do not struggle with problems of obesity. Scientists at the ACSM meeting focused on whether changes in energy balance (i.e., a sedentary lifestyle with easily accessible and ample food sources) contribute to the epidemic of obesity we are facing in western society and how evolution plays a role in this issue. Other topics that were discussed centered on how sleep and our circadian patterns affect body weight regulation. Finally, research was presented on how age, sex hormones and sedentary behavior influences metabolism and energy balance.
Clinicians at the conference gathered with a set of specific objectives in mind. In order to enhance health and prevent disease, they sought to develop exercise prescriptions for children, adolescents and adults in clinical settings. This is certainly an important area of scientific research and a question that holds interest for many people. What is the best and most effective exercise regimen to increase both physical and mental health? These exercise prescriptions need to be flushed out in the scientific literature as there is currently no standardized exercise protocols. Virtually every scientific paper I read utilizes a different exercise protocol, which makes comparing across studies and making definitive conclusions challenging. Additionally, they sought to evaluate treatments for dancers and athletes with sports-related physical injuries as well as to develop diagnostic criteria and treatment strategies for sports-related concussions. A final and important goal was to address controversies in the community regarding the implementation of cardiac screening programs in individuals who are exercising, with one of the main lectures focusing on whether clinical cardiac complications arise from too much exercise.
A benefit of this conference is in the bringing together of scientists and clinicians. As these two parties often have disparate but complementary knowledge, this coming together is an obvious idea but one that unfortunately does not happen often. Scientists tend to stick to their inner-circle of other scientists and clinicians tend to do the same. It is in the interactions between scientists and physicians, however, that some of the best science and medicine emerge. I look forward to personally attending next year’s conference and hearing about the latest and greatest work on exercise science and sports medicine from the perspective of both scientists and clinicians.