ASEPNewsletter
Vol
3 No 11
November,
1999
ISSN
1097-9743
The
ASEPNewsletter
is devoted to informative articles and news itmes about exercise physiology.
It is a monthly magazine of news, opinions, exercise physiology professionals,
and events that shape exercise physiology. While it contains views and
opinions of the Editor
who
oversees the ASEP Internet Websites, visitors can have a voice as well.
We welcome interested practitioners, researchers, and academicians to e-mail
the Publisher their thoughts and ideas or respond directly online via the
ASEP
Public Forum.
Copyright
©1997-1999 American Society of Exercise Physiologists. All Rights
Reserved.
December
1999
Table
of Contents
ASEPNewsletter
Editorial
Policy and Call for Papers
JEPonline
Research
Manuscripts/Abstracts- 2nd National ASEP Meeting
PEPonline
Exercise
Physiology: Some Professional Reflections
October
1999 National Meeting Abstracts/Presenters
“Never
cease to pursue the opportunity to seek something different. Don’t
be satisfied with what you’re doing. Always try to seek a way and
a method to improve upon what you’re doing, even if it’s considered contrary
to the traditions of an industry.” Howard Marguleas
Are
you interested in starting an exercise physiology association in your state?
If you are, click on the following documents (Constitution
and By-Laws) for a template of how to do so. Naturally, the documents
can (and, perhaps, should be changed) to fit your circumstances.
 From
the Editor:I want to take this opportunity to thank the ASEP President,
Dr. Robert Robergs, and ASEP members for the "Recognition Award" given
to me at the October 1999 ASEP National Meeting. I appreciate the
work that our President is doing for exercise physiologists while staying
on top of his full time academic job. I am also grateful to all the
ASEP members and their efforts in professionalizing exercise physiology.
By the way, to let you know that it is hanging on my wall, take a look!
October
Report by President Robergs
Interested
in starting a Student Chapter at your institution, then contact
Dr.
Robert Robergs at 505-277-1196 or the ASEP National Office (218-723-6297).
The Student Chapter ByLaws
and Constitution
are
on the Internet.
Be
sure to click on the October
1999 issue of JEPonline.
ASEP's
exercise physiology journal. There are four research articles plus
selected abstracts of presentations in the upcoming meeting in Albuquerque,
NM. ASEP's electronic journals exist for exercise physiologists.
Each article can be printed either in HTML or PDF format, and can used
in your work or as part of your classroom assignments. As an author
of an article in ASEPNewsletter,
JEPonline,
or
PEPonline,
you can list the work in your Resume' and other important documents.
There are no page charges to publish in the three ASEP documents.
ASEP meets the costs of publishing your work. What about copyright?
Both e-journals and the newsletter are listed with the Library of Congress
via their own ISSN numbers (International Standard Serial Number).
Exercise
Physiology: Some Professional Reflections by Tommy Boone, PhD,
MPH, FASEP What are your thoughts about the articles? AGREE? DISAGREE?
A
FRESH PERSPECTIVE ON
EXERCISE
AND CANCER - THE TRUE MEANING OF VICTOR
Eric
Durak
“ I
was always looking outside myself for strength and
confidence,
but it comes from within. It was there all the time”.
-
Anna Freud
Like
most Americans, I took great pride in the victory of Lance Armstrong in
this year’s Tour de France. His victory was especially important
because I understood the seriousness of his cancer diagnosis, and his subsequent
return to competitive athletics. Over the past five years the Santa
Barbara Athletic Club has instructed an exercise and wellness program whereby
persons diagnosed with cancer can participate in small group exercise sessions
with their peers. They lift weights, perform yoga, train on aerobic
machines, and relax with meditation sessions. The results have been
as remarkable as a Tour de France win.
Participants
on average improved strength and endurance by 25% over their initial 10
weeks of exercise. They improved their fatigue levels by 30%, and
reduced pain by 20%. They also improved their quality of life scores
(well being, daily living scores) by almost 40%. These changes are
important because survivability and quality of life are the two most important
areas of cancer treatment today. Courneya (1999) from the University
of Alberta in Canada has done some of the best research on the effects
of exercise and quality of life. His recent review of over 20 studies
concludes that three quarters of these reports had significant results
in quality of life improvements for patients. Hence, the most published
reports favor the use of exercise to improve quality of life.
A very
recent report presented by Anderson (1999) from the Ohio State University
found that patients who attended regular support groups actually increased
their survivability significantly. Unlike previous psychosocial interventions,
the OSU group looked at stress hormones such as cortisol, and proteins
such as Mucin (MUC1) and their relationship to breast cancer progression.
It now seems that support and regular physical activity (which was also
monitored) have a tremendous impact on survivorship by regulating hormones
and proteins that may have deleterious effects on the immune system.
So
why don’t we hear more about exercise and cancer in the media? One
reason is that a person like Lance Armstrong doesn’t come along every day.
Whether he knows it or not, he is now considered an international spokesperson
for using exercise as part of the cancer recovery process.
The
second reason is basic awareness. Most oncologists are familiar with
clinical trials and medical treatments. They think of exercise as
perhaps just routine physical therapy (which it is not). For years
many patients never mentioned their disease to family and friends.
Recently, however, with the diagnosis and treatment of skaters Scott Hamilton
(testicular cancer) and Peggy Fleming (breast cancer), 100 meter hurdler
Ludmila Enquist (breast cancer), and miler Steve Scott (testicular
cancer), we are now seeing that athletes can resume their training regimes
after their diagnosis and treatment. In many cases the exercise reduces
the nausea and crushing fatigue that happens during chemotherapy regimes.
Is being an athlete a guarantee of a full cancer recovery? Of course
not.
One is reminded of the severity of cancer prognoses when reading about
WNBA professional Kim Perrot of the champion Houston Comets, who passed
away from on August 19, 1999 after a seven month battle with cancer at
the age of 29.
However,
awareness on the benefits of therapeutic exercise has already crossed the
threshold in the area of cardiac rehabilitation when doctors such as Ken
Cooper spoke out in favor of aerobic training for post-heart attack patients.
Now it is standard therapy. Doctors Andrew Weil and Dean Ornish have
given America awareness on the effects of alternative medical procedures
for stress management and heart disease prevention and treatment.
Today, thousands of heart patients take heed of these new medical recommendations.
Lance
Armstrong has raised the awareness of people internationally that cancer
patients whose prognosis (long term health survivability) is not good and
use exercise as part of their recovery may help extend life. Add
this to nutrition, stress management, support groups, and better medicine,
and we may see a new generation of cancer survivors. Remember that
the Surgeon General recommends exercise for all Americans anyway, so there
should be acceptance with physicians who wish to refer to cancer wellness
programs, just as there is with the Santa Barbara wellness program, where
oncologists from the entire community now refer their patients. As
more research and published literature on protocols and benefits appear
in the published literature, the awareness will grow throughout the medical
and fitness communities. More patients than ever before will benefit
from regular exercise to build strength, endurance, and self efficacy to
increase their odds for survival. It is also my opinion that exercise
programming will see a huge growth in acceptance in the coming years.
This is in part because cancer survivors want to get better. Having
a community program where they can exercise helps them out even more.
Will it be a revolution? Perhaps - but it is for now a victory, just
like in the Tour de France.
References:
Andersen, B, Emery, C. Effects of physical activity and group support
on fatigue, nausea, and cortisol and MUC1 protein antibody production.
Presented
at the 1999 American Psychological Association meeting, Boston, MA
Courneya, KS, Friedenreich, CM. Physical exercise and quality of
life following cancer diagnosis: A literature review. Annals
of Behavioral Medicine. 21:2:1-10, 1999.
Suggested
Reading:
Dimeo, RC., Tilmann, MHM., Bertz, H, Kanz, L, Mertelsmann, R, Keul, JR.
Aerobic exercise in the rehabilitation of cancer patients after high dose
chemotherapy and autologous peripheral stem cell transplantation. Cancer.
79:1717-22, 1997.
Dimeo, RC., Rumberger, BG., Kuel, JR. Aerobic exercise as therapy
for cancer fatigue. Medicine and Science in Sports and Exercise.
30;4:475-78, 1998.
Durak, EP, Lilly, PC, Hackworth, JL. Physical and Psychosocial Responses
to Exercise in Cancer Patients: A Two Year Follow-Up Survey with
Prostate, Leukemia, and General Carcinoma.
Journal of Exercise Physiologyonline.
2;1:1-10, 1999.
Friendenreich, CM. Exercise as rehabilitation for cancer patients.
Clinical
Journal of Sports Medicine. 6;4:237-44, 1996.
Hoffman-Goetz, L. Exercise, natural immunity, and tumor metastasis.
Medicine
and Science in Sports and Exercise. 26;2:157-63, 1994.
Miller, LT. Exercise in the management of breast cancer-related lymphedema.
Innovations
in Breast Cancer Care. 3;4:101-06, 1998.
Winningham, ML, MacVicar, MG, Burke, CA. Exercise for cancer
patients: Guidelines and precautions. The Physician and
Sportsmedicine. 14;10:15257, 1986.
Winningham, ML, MacVicar, MG. The effect of aerobic exercise on patient
reports of nausea.
Oncology Nursing Forum. 15;4:447-50,
1988.
Additional
Resources in Cancer Wellness:
Durak, EP. Cancer Exercise, Wellness, and Rehab.
Medical Health and Fitness Publications, Santa Barbara, CA 1997.
Rosenbaum, E. Cancer: Supportive Care.
Sommerville House Publishing, Kansas City, MO, 1998
Eric
Durak, MSc is the Co-Director of the Cancer Well-fit Program in
Santa Barbara, CA. This exercise program has serviced over 200 cancer
survivors over the past five years, and was awarded the IHRSA Institute
“best practice” award at the 1999 international annual conference.
Eric’s book on exercise and cancer survivorship is available at www.medhealthfit.com
Letter,
Dated October 22, 1999
I
am writing this letter to request information and an application to the
American Society of Exercise Physiologists. Presently, I am not working
in the field due to the scarce job market in exercise physiology.
I've been out of school for two years now and I've only had one job in
the field; which took me two years to find. I received a B.S. in
Exercise Physiology from Temple University in Philadelphia, on August 31,
1997. I pray that this organization will spread some light on the
field of Exercise Physiology. It really is a wonderful occupation.
The problem is finding a job once you graduate. I've had to resort
to temp agencies to make ends meet. This is something I really don't
want for myself. I went to college for four years only to come out
and work at temp agencies. I think not! I hope ASEP can spread
some light on a frustrating problem facing many people, who possess an
undergraduate degree in Exercise Physiology. [name withheld by the
ASEPNewsletter
Editor]
The
following list of Career Resources was compiled by Dr. Len Kravitz
of the Center for Exercise and Applied Human Physiology, The University
of New Mexico, Albuquerque, NM.
Aerobics
and Fitness Association of America
American
Association of Cardiovascular and Pulmonary Rehabilitation
American
College of Sports Medicine
American
Occupational Therapy Association
American
Physical Therapy Association
American
Society of Exercise Physiologists
Association
for Worksite Health Promotion (fee)
Club
Industry c/o Primedia Intertec
Health
Promotion Recruiters International
IDEA
Health and Fitness Source
International
Spa and Fitness Association
Medical
Fitness Association
National
Wellness Association (fee)
National
Strength and Conditioning
National
Athletic Training Association
Northern
Arizona University (internships/jobs)
The
Chronicle of Higher Education
The
National Center for Health Fitness
University
Internship Services (for internships)
Exercise
Physiologists
"3"
self-motivated, independent EPs needed to perform Cardiopulmonary Stress
Testing on a mobile basis. Ideal candidate will also be able to establish
and maintain exercise programs in Physician's Offices for cardiac/Pulmonary
Rehab as well as simple deconditioning. ACLS and ACSM certifications
required. Transportation is provided. Nashville, chattanooga,
Atlanta, and Macon areas available. Please fax resume to : (912)
272-04208
Contact:
Accumed
Systems of TN, LLC
424
Academy Ave
Dublin,
GA 31021
1-800-308-7304
ext. 5309
ASEP
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