1 INTERNATIONAL INSTITUTE FOR SPORT AND HUMAN PERFORMANCE A news brief May 2003 IISHP On The Move Senior Fitness Workshop offers continuing education credits. The annual Senior Fitness Workshop, offered Thursday through Saturday, May 8-10, 2003, was approved by the American College of Sports Medicine?s Professional Educa- tion Committee for 20 CECs. The workshop is designed for health and fitness professionals who work or want to work with seniors. It provides knowledge about the changes occuring in the aging process and how those changes will affect leading a physically active life. It will also address training for performance. The workshop will be held in the facility of the International Institute for Sport and Human Performance (IISHP), Bowerman Building, 1580 E. 15th, Eugene, on the UO campus. Continued on page 2 Above: Participant in the 2001 Senior Fitness Workshop. Left: Stability ball exercise class for seniors. Basic Concepts in Training a workshop for coaches, parents, and athletes taught by Dick Brown Saturday, May 31, 2003 and Sunday, June 1, 2003 This eight-hour course will give participants an understanding of the concepts that form the basis of training. It can also be very valuable for masters athletes, coaches in any sport, exercise physiologists, athletic trainers, massage therapists, personal trainers, and physical therapists. Registration is open to students, the general public, and the professional community on a space-available basis. Workshop fee is $180. Stu- dents, $150 (Valid student ID required). Call (541) 346-4114 for more information; also: http://www. uoregon.edu/~iishp/events. html. Basic Concepts Course Outline The Concept of Energy In this section the idea that energy quantifies the capacity for movement or physical change will be discussed. The 1st and 2nd Laws of Thermodynamics and their relationship to the human condition will be repre- sented. The Concept of Cells In this section the idea that all systems of the body are designed to service the cells will be discussed. The structure of the cell, as related to energy conver- sion, will be reviewed. The Concept of Homeostasis In this section the idea that the cells seek a stable environ- ment of homeo- stasis will be discussed. Mechanisms that provide for stability and measurements that quantify stability will be presented. The Concept of Metabolism In this section the idea that metabolism is the process that allows mainte- nance of homeo- stasis will be 2 Upcoming Events Institute for Sport and Human Performance at the University of Oregon. IISHP Staff Henriette Heiny, Director Roberta Thompson, Asst. Director Dana Gorman, Business Mgr. Michael Powell, Librarian and Collection Developer IISHP Board of Directors Stasinos Stavrianeas, President Christopher Minson, Vice-president Marna Broekhoff Janet S. Dufek Sarah Grall Stephanie Harris Shawn O. Henry Duane Iversen Gary Klug (ad hoc) Carolyn Kortge Scott Pengelly Janice Radcliffe Wendy Simmons Richard Troxel William Zeman Honorary Director Jin Jong Quek (Singapore) Lifetime Member Stan James Mailing Address: International Institute for Sport and Human Performance 1243 University of Oregon Eugene, OR 97403 Physical Address: 1580 E. 15th Bowerman Family Building Ph: (541) 346-4114 Fax: (541) 346-0935 E-mail: iishp@uoregon.edu Institute web address: www.uoregon.edu/~iishp Kinesiology Publications web address: kinpubs.uoregon.edu Continued from Page 1 Senior Fitness Workshop Schedule Thursday, May 8, 2003 7:00-8:00 On Site Registration 8:00-9:00 The aging process and how exercise affects it (Stan James, M.D.) 9:15-10:30 Bone Health (Christine Snow, Ph.D., Oregon State University) 10:45-12:15 Advanced Strength Training for Seniors (Stephanie Harris, M.D., at In Shape Athletic Club with club seniors) 12:30-1:45nbspace Lunch break with table discussions 2:00-3:00nbspace Cardiovascular changes in aging (Sarah Grall, M.S., Oregon Heart Ctr) 3:15-5:00nbspace Cardio workout (Stephanie Harris, M.D.) 6:30-8:00nbspace Yoga (Verna Reidy, Yoga by Design) nbspacenbspace Friday, May 9, 2003 8:00-9:30nbspace Maintaining an active lifestyle and functional- ity through the use of Pilates (Shawn Healey, M.S., Carpe Diem) 9:45-10:45nbspace Musculoskeletal health and fitness in seniors (Brad Wilkins, M.S., University of Oregon) 11:00-12:45nbspace Strength and balance (Stephanie Harris, M.D.) 1:00 -2:15nbspace Lunch break with table discussions 2:30-3:30nbspace Spirited Walking (Carolyn Kortge, author of The Spirited Walker) 3:45-5:00nbspace Chair exercise (Eliza- beth Simeone, LCC Cottage Grove) 6:30-8:00nbspace Tai Chi (Strawberry Gatts, M.S., University of Oregon) nbspacenbspace Saturday, May 10, 2003 8:00-9:45nbspace Aquatic exercises for Seniors (Lisa Moore, Easter Seal instructor) 10:00-11:00nbspace Nutrition for active seniors (Patty Fahlstrom-Nopp, R.D., Fruits of Wisdom Nutrition Counseling) 11:15-12:45nbspace Flexibility to maintain functional mobility (Stephanie Harris, M.D.) 12:45-1:15nbspace Self evaluated quiz and question and answer session orn4fliporn7fliporn4fliporn7fliporn4fliporn7fliporn4fliporn7fliporn4flip Continued from page 1 Concepts in Training discussed. The conversion of energy from one form to another in the cell will be reviewed. The Concept of Nutrients In this section an overview of the nutrients the body requires for metabolism will be discussed. Each nutrient, including its characteristics and its specific role in metabolism, will be presented. Nutrients will include oxygen, water, protein, carbohy- drates, fat, vitamins, minerals, and trace elements. The Concept of Fight or Flight In this section the idea that we have evolved, and therefore our bodies react in specific ways to certain stimuli and require certain considerations to func- tion at an efficient level, will be discussed. The concept of Fight or Flight, and the reaction these conditions demand from the 3 Upcoming Events For details, application forms, or on-line registration regarding institute workshops, go to www.uoregon.edu/~iishp and click on ?events? American College of Sports Medicine Exercise Specialist workshop offered prior to certification exam June 17-20, 2003 Exercise Specialist certification candidates have in the past enjoyed the extra training and reviewing of materials provided by the preceding workshop. The program content is embracing the basic knowledge of exercise physiology, pathophysiology, pharmacology, electrocardio- graphy, exercise program leader- ship, and counseling. The workshop serves to review and supplement the background experience of the well-prepared participant. It is, however, intended to independently prepare a candidate for ACSM Exercise Specialist certification. Workshop Content Coronary Artery Disease & Interventional Treatments Objective: Brief overview of the pathogenesis of coronary artery disease and risk stratification. To review thrombolytic therapy, percutaneous transluminal coronary angioplasty, coronary atherectomy, coronary artery bypass surgery, stents and laser; with specific reference to indica- tions, contraindications, and complications. Exercise Physiology Objective: To describe the physiological systems that act to provide energy for exercise performance, including the oxygen transport system and the metabolic pathways that function in skeletal muscle tissue. Pharmacology Objective: To cover the physi- ologic effects of medications commonly encountered in patients involved with exercise testing and training. The medica- tions include those used in the control of angina, elevated blood pressure, CHF, arrhythmias, bronchospasm, and elevated blood lipids. Electrocardiography Objective: To review systematic interpretation of standard 12- lead ECGs, normal and abnormal ECG responses and arrhythmias. Clinical Exercise Testing Objective: To review current recommendations regarding guidelines for medical screening and risk stratification before exercise testing, methodology and interpretation. Additional Diagnostic Testing Procedures Objective: To discuss current additional testing procedures included with standard graded exercise testing and the value of the results. Testing and Exercise Prescription for the Pulmonary Patient Objective: To discuss physiologic parameters and special clinical considerations in exercise testing and training patients with pulmonary disease. body to maintain homeostasis, will be presented. The Concept of Hans Selye In this section the most impor- tant training concept for athletes, Hans Selye's General Adaptation Syndrome Theory, will be discussed. It will be shown how all the preceding concepts contribute to this practical and useful theory. The role of recov- ery from challenge, the only time adaptation takes place, will be presented. The Concept of Adaptation In this section the idea that our body is designed to adapt to challenge will be discussed. Types of challenges and reac- tions to these challenges will be presented. Registration Registration is open to students, the general public, and the professional community on a space-available basis. Workshop fee is $180. Students, $150 (Valid student ID required). Registration Deadline Applications must be received by Friday, May 21, 2003. 4 Testing and Exercise Prescription for the Cardiac Disease Patient Objective: To discuss specific clinical considerations in exer- cise testing and training for cardiac patients (including angina, CHF, CABG/valve sur- gery, heart transplant, and AICD/ pacemaker patients). Testing and Exercise Prescription for the Diabetic Patient Objective: To discuss specific clinical considerations for testing and training a diabetic patient. Testing and Exercise Prescription for Other Special Populations Objective: To discuss special clinical considerations in exer- cise testing and training for the following patient populations: hypertension, peripheral vascu- lar disease, obesity, and preg- nancy. Current Concepts of Rehabilitation Programs Objective: To provide current concepts of exercise-based inpatient rehabilitation therapy, transitional care, and outpatient exercise programming. Musculoskeletal Injuries: Prevention, Recognition, and Treatment Objective: To discuss the preven- tion, recognition, and treatment of musculoskeletal injuries; highlighting the importance of a mild-to-moderate intensity exercise prescription, the signifi- cance of an appropriate warm-up and cool-down, and the RICE treatment method. Human Behavior and Psychology Objective: To describe the psychological responses that often arise and complicate the course of recovery from myocar- dial infarction, heart surgery, and/or chronic diseases. Nutrition Interventions Objective: To review the role of the Registered Dietitian, and dietary recommendations to reduce cardiovascular risk. Emergency Procedures Objective: To discuss the man- agement of emergencies, with specific reference to training, rehearsal and certification, early warning signs/symptoms, inter- ventions, emergency equipment, drugs, and the importance of adequate documentation. Quality Measurement & Improvement Objective: To discuss the impor- tance of continuous quality improvement (CQI), quality assurance methods, and the Joint Commission of Accreditation of Health Care Organizations. Legal Aspects of Exercise Testing and Training Objective: To review legal issues associated with facilities, equip- ment, personnel and practices, negligence and malpractice, standards of practice and compe- tency, informed consent, docu- mentation, and communication. Environmental Considerations Objective: To discuss the hazards present in the environment that may affect exercise performance or place an exercising individual at risk for injury or illness. Exercise Testing Practical Session Objective: To highlight the fundamentals of graded exercise testing with specific reference to indications, contraindications, protocols, methodology, end- points, normal and abnormal responses. To allow hands-on participation. Exercise Leadership Pract. Session Objective: To discuss principles of effective leadership in Phase I (inpatient) & Phase II (outpatient) exercise programs; including appropriate activity, education, and motivating patients. To provide the participant with innovative exercise programming ideas, with and without equip- ment during individual and group activities. Exercise Prescription Pract. Session Objective: To review the perti- nent information for the develop- ment of appropriate exercise prescriptions in various clinical populations. Energy Expenditure Calculations Practical Objective: To provide an over- view of the energy cost equations and their practical application. Sample problems will be distrib- uted. For an application, go to: http://www.wwilkins.com/ acsmcrc/exerspe.html or call (541) 346-4114. Upcoming Events 5 Performance-Enhancing Substances in Sport and Exercise Bahrke, Michael S. & Yesalis, Charles E., eds. Human Kinetics, 2002, 384 pp. $57.00 Few subjects are more controver- sial than the use of drugs and other supposed performance- enhancing substances (PESs) in sport and, increasingly, among amateur athletes and fitness enthusiasts. As researchers gain further insight into the hazards of drug use and athletes and coaches become increasingly savvy, interest in this field will only increase. Performance- Enhancing Substances in Sport and Exercise offers a comprehen- sive yet succinct review of the current state of drug use in sport and a look at what the future may hold for athletes and the scientists trying to catch drug users and promote substance-free activity. Edited by Michael Bahrke and Charles Yesalis, the text is founded on a detailed and fully referenced discussion of how drug use evolved in competitive sport during the past two centu- ries. From international scandals such as the East German doping program to U.S.-specific situa- tions such as steroid use in the National Football League, the historical context of performance enhancement provided is both broad and deep. This background is helpful in understanding how today?s events evolved. The discussion of methods used to detect the use of PESs is equally helpful to readers. The description of drug testing methods will be especially beneficial for allied health professionals and fitness special- ists who lack training in labora- tory science. Detailed explana- tions of the biochemical mecha- nisms associated with PESs help clarify what athletes seek to gain from taking them and why scientists and public health officials discourage their use. The text also discusses the factors that make it difficult to conduct meaningful research (e.g., variations in bioavailability and formulation) and influence research results (e.g., study design, lab data vs. field data), thereby enhancing readers? ability to assess published research. The editors devote full chapters to common classes of PESs such as anabolic-androgenic steroids as well as to biochemicals such as erythropoietin. These over- views offer not only a view of the current cutting-edge knowledge but also a concise list of key references on the topic. The text also addresses the use of sub- stances that are less well-known in sport, such as hypnotics and neuroleptics. Performance enhancement, both legal and sanctioned, frequently involves the use of nutritional supplements, herbals prepara- tions, and other substances that fall outside the realm of prescrip- tion medications. Individual chapters address the use of creatine and sodium bicarbonate, as well as macronutrients and metabolic intermediaries such as glutamine, pyruvate, and car- nitine. These sections will be of particular interest to athletic trainers and other allied health professionals who field questions from athletes. Many in the health care industry don?t regard recreational drugs (e.g., mari- juana, cocaine) as PESs, but some athletes do. The book provides a thorough description of how social drugs affect athletic performance. Designer genes and designer drugs have been much in the news as genomics researchers unravel the mysteries of human DNA. Sport commissions and even athletes have condemned developments in the field of genetics as potentially opening a new era of pharmacological cheating. The book includes a chapter that explains the Human Genome Project and the possi- bilities for manipulation of human performance through such means as recombinant human erythropoietin, growth factors, and red blood cell substitutes. It also addresses stem cell research and how the ability to manipulate undifferen- tiated cells could open new doors for performance enhance- ment. Scientific discoveries notwith- standing, successful performance enhancement relies to a large degree on understanding and working within the sport gover- nance system. The text provides a brief overview of the legal environment facing athletes and researchers and how that envi- Book Reviews 6 Book Review Advanced Fitness Assessment and Exercise Prescription 4th ed. Vivian H. Heyward Human Kinetics: Champaign, IL, 2002, 384 pp. In this fourth edition of the exercise science classic Ad- vanced Fitness Assessment and Exercise Prescription, Vivian Heyward provides a focused, comprehensive approach to fitness assessment and training. Heyward brings together all the information needed to prepare for the ACSM Health/Fitness Instructor certification as well as a wide range of materials that underlie the art and science of exercise prescription. She successfully avoids the tempta- tion to present everything published about a given subject and, in the process, gives readers a succinct, useful sourcebook for professional activities. The text provides a concise explanation of the physiological principles on which testing for cardiovascular fitness, muscular strength and endurance, flexibil- ity, and body composition are based. An abundance of figures, tables, and sample calculations make it easy for readers to identify key points. Case studies involving common scenarios illustrate how health care profes- sionals use assessment results individually and collectively in designing a fitness improvement program. Heyward makes the text readable by interspersing question-and- answer sections among the more traditional explanatory text. Sidebars to the main text identify key points and summarize recommendations and guidelines for quick review. Photographs of correct testing procedures and illustrations of proper exercise form support the explanations in the text. The chapters discuss the theory and research underlying fitness assessment and exercise pre- scription. The appendices, however, bring together all the material in an easy-to-use refer- ence format. The six appendices, organized by area?health and fitness appraisal; cardiorespira- tory assessments; muscular fitness exercises and norms; body composition assessments; energy intake and expenditure; flexibility exercises, low back care exercises, and stress assess- ment?provide a handy way for students to prepare for profes- sional certifications and a useful reference for practicing profes- sionals. Some highlights of the appendices include: ? Full PAR-Q and PARmed-X with medical history ques- tionnaire ? Standard informed consent form ? Sample ECG tracings for practice reading heart rate ? Comprehensive energy expenditure charts exercises, sports, and activities ? Comprehensive chart of resistance exercises with muscles used, joint actions, and variations ? Illustrations demonstrating proper exercise techniques and positions to be avoided Advanced Physical Fitness Testing and Exercise Prescription works as both a classroom text for upper division and graduate students and a reference for professionals in the field. Ama- teur athletes seeking to improve competitive performance, too, will find it valuable. ?Carolyn Petersen, M.S. Carolyn Petersen is a Web Communications Consultant at Mayo Clinic in Rochester, Minnesota. ronment affects their behavior. The text also identifies some of the key performance-enhance- ment issues going into the 21st century. The readability and comprehen- siveness of Performance-Enhanc- ing Substances in Sport and Exercise makes it a useful addition to the library of any sport scientist or athletic trainer. Though some readers may find the technical detail a bit chal- lenging, the text?s diagrams and tables help simplify these con- cepts. Although understanding of the science underlying the use of PESs evolves continuously, the completeness and detail of this text will make the volume valuable for some time to come. ?Carolyn Petersen, M.S. Carolyn Petersen is a Web Communications Consultant at Mayo Clinic in Rochester, Minnesota. 7 My/our contribution of $_________________is enclosed My/our pledge of $______________________to be billed for total amount in___________________________ or paid starting in ___________________ in the amount of $___________________each month. Visa or MasterCard for $_____________ Name on Card________________________________________________ Account #_____________________________________Expires______________ Signature_________________________________ Name(s)____________________________________________________________ Phone____________________________________ Address______________________________________________________________________________________________________ City___________________________________________________State__________________Zip_____________________________ I/we would prefer to remain anonymous I/we would like institute planned giving information I/we have enclosed my company's matching gift program information As you would like it to appear on the donors' list (month) Pledge Form Invest in Oregon's Future Please consider a gift to the International Institute for Sport and Human Performance. Your contri- bution will help us expand our educational and service programs. Please make your check out to UO Foundation and mail to: IISHP, Bowerman Building 1243 University of Oregon Eugene, OR 97403-1243 Kudos to our Friends The International Institute for Sport and Human Performance sincerely appreciates the support from alumni and friends. A warm thank you to the contributors who gave since Sep. ?02. Institute Gifts: Janet Dufek and Barry Bates, Eugene, OR Stephanie Harris, Eugene, OR Human Performance and Wellness Foundation, Eugene, OR McKenzie View Fund, The Oregon Community Foundation Jan Broekhoff Scholarship Fund Elmie & Gordon Augustine, San Jose, CA Richard Munroe, Pinetop, AZ Jin Jong Quek, Singapore Jack and Ruby Schendel, West Linn, OR Richard Tay, Singapore Jan Broekhoff scholarships received with gratitude Two graduate students of the Exercise and Movement Science Department each received a grant of $1,000 to be used toward their research. The scholarship was made possible through the help of many donors under the leadership of Singapore alumnus Dr. Jin Jong Quek. Dr. Jan Broekhoff was the last dean of the College of Human Development and Performance and was one of the principal founders of the institute. Bret Wong is a doctoral student in physiology. His dissertation will explore mechanisms of the local heating response in the skin. He hopes his study will give some answers to questions about neu- rotransmitters, their involvement, and how they work together. Shing-Jye Chen is a doctoral student in biomechanics. His research area is related to the human foot and ankle complex. Specifically, he is investigat- ing the foot complex response to customized arch supports. He ex- plains that many unknowns about arch supports exist and that it is necessary to analyze these foot supports for their effectiveness. Shing- Jye will use his scholarship to purchase individual customized arch supports as well as other research tools such as foot models and model- ing software. ?The grant will also provide me with one of the most valuable provisions a researcher must have: time,? he says. 8 INTERNATIONAL INSTITUTE FOR SPORT AND HUMAN PERFORMANCE Bowerman Building 1243 University of Oregon Eugene, OR 97403-1243 Nonprofit Organization U.S. Postage PAID Eugene, Oregon Permit No. 63 Annual HEAL Conference featured 20 different activities (front) leading a tai- chi class The HEAL (Health through Exercise and an Active Lifestyle) conference had its 11th occur- rence on April 1, 2003. This year?s event, entitled, ?Come Fool Around with Fitness,? was held at the Valley River Center and attracted approximately 300 senior citizens. Sixteen different interactive sessions were offered, including walking, chair exer- cise, line- and folk-dancing, strength and balance exercises. The stability balls were a new feature that enjoyed much attraction. There were also introductions to golfing, yoga, tai chi, and Pilates. More than 30 organizations and businesses, offering services for seniors, were Above: Virginia Fillingim of OASIS is leading a tai-chi session Left: Participants in the session ?Exercise with stability balls,? offered by the Eugene Family YMCA, are enjoying the use of Therabands for strength development. represented. Cosponsors with the institute were OASIS and PeaceHealth?s Center for Senior Health.