Copyright 1997-2006  American Society of Exercise Physiologists. All Rights Reserved.



October, 2006; Vol. 10 No. 10
 Editor: Dr. Lonnie Lowery

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BOD Editorial
Industrial Wellness and the EP
Durak, E.
See what's happening with EP-related positions and products/ services now
JEPonline   Ask the Professor
Maximal lactate steady state in running rats (4th on page)
Manchado, F., et al. 
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This month: lab activities and the real world
the ASEP Board of Directors
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Professionalization of Exercise Physiology (MS Word doc)
Boone, T., et al.
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the ASEP Board of Directors




Editorial: Industrial Wellness and the Exercise Physiologist
Eric Durak

Over the past decade, one of the missions of ASEP has been in job creation for Exercise Physiologists outside of the hospital setting. Although there are some bright spots in the hospital wellness realm, other avenues may be opening up for those who are willing to look in the right places.

One such area is in industrial wellness and fitness. Not to be confused with corporate wellness programming, industrial health program usually are aligned with workers compensation programs (WC) and reducing costs associated with WC claims. Over the past twenty years, employee groups in manufacturing and facilities management have incurred ever-increasing rises in costs associated with injuries, repetitive strain conditions, and psychological stress-related lost work days, hospitalizations, and medical costs.

The application of wellness and exercise programming is made simple from the standpoint that reducing costs is the main outcome so all programming must be geared toward that end goal. This gives the EP the ability to cast all wellness, exercise, relaxation, nutrition, and education programs into cost-reduction aspects not just health improvement.

Why is this important? After years of detailing the benefits of exercise from health improvement standpoints (reduced cholesterol, improved blood pressure, reduced blood glucose levels, etc.), it is the area of cost-containment that may give exercise and wellness programming the impetus it needs to become a driving force in healthcare.

Consider the effects of a wellness and safety program at the University of California over the past two years. After wrestling with rising WC rates over five years, UC Santa Barbara implemented an injury reduction program that concentrated on exercise programming (light resistance training, stretching, noon walking), weight control programming, stress reduction (using the Resp-E-Rate system), and in-house chair massage therapy (15 minute sessions). Safety inspections and lectures are also part of the program.

Over the course of the first year, attendance in wellness programs was approximately 50% of the 350 Facilities Management staff. Injuries were reduced by almost 70%, pain levels (measured by McGill scale) were reduced by almost 50% in staff who used in-house post therapy programs (stretching, pressure point massage, ice therapy), and most important monies paid to workers comp. Physicians visits, surgeries, and other related costs were reduced.

One example is repetitive strain syndrome, or Carpal Tunnel. There were over 30 cases of this disorder diagnosed (and surgically repaired) over three years prior to the implementation of the IRPP. Over the past two years since the program began, there have been no (zero) cases of RS /CTS diagnosed in any FM staff. Back injuries are of a major financial concern to most industrial businesses. The costs over five years at UCSB averaged over $45,000 (one year over $350,000). Within the first year of the IRPP, the total expense of low back problems was just over $11,000 a significant reduction over previous years.

It is clear that in many businesses, exercise programs are becoming an important part of improving employee morale but with more evidence coming to light that these programs save substantial amounts of workers compensation dollars, it is something for E.P.s to think about in terms of turning their talent to industries that could use their expertise not only in exercise prescription, but in managing those wellness programs to cost savings, as well.

Therefore, as part of the continuing mission of ASEP, industrial wellness programs across the country should be targeted as potential employment (and contracting) opportunities for E.Ps who are interested in both clinical and business / organizational aspects of program development. Future articles will address specific programs and organizations who should work with exercise professionals in terms of improving health status of their staff, and improving their bottom line as well.

Eric Durak is both the Wellness Supervisor at UC Santa Barbara in the Injury Prevention program with Facilities Management, and President of Medical Health and Fitness a national clinical consulting and education firm in Santa Barbara, CA. Contact him at 805-451-1745, or

<> Ask the Professor: Your Inside Scoop on Tough Questions
Note: Ask the Professor is intended for informational purposes only. It is not to be taken as healthcare advice. Please do not submit questions of a personal nature (e.g. fitness programs, nutrition advice solicitation, etc.) Thanks.

Q.) I'm taking a Physiology of Exercise course this Fall. What do all these lab activities have to do with earning a paycheck?  

A.) A similar topic has surfaced here before. In short, those lab activities 1.) Help you develop skills and gain familiarity with assessment equipment - equipment you may indeed use upon graduation. 2.) Reinforce the "book learning" you acquire during class lectures by allowing you to actually witness biochemistry, physiology, etc. and 3.) Help you develop critical thinking and scientific abilities that don't necessarily come when you are merely handed a stack of the latest professional guidelines form whichever organization your professor happens to value. Becoming a critical thinker will help in every facet of your professional (and even personal) life. Once a wise man said: "A good university does not teach one what to think, it teaches him how to think. Exercise physiology instructors - and like minded professors in related disciplines - can really shine in this regard.

We've said it before. Value your laboratory training; it makes you unique! The students of many professions don't get to see the kinds of things that you do every week in your lab sessions!  


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Exercise Physiologist Part-time, 1 day/week in clinic and several hrs/1 eve/week

Orlando, FL

Nemours mission is to provide leadership, institutions, and services to restore and improve the health of children through care and programs not readily available, with one high standard of quality and distinction regardless of the recipients financial status.

Employing 445 subspecialty physicians and surgeons, Nemours cared for more than 221,000 children during nearly 887,000 patient visits in 2003, making Nemours one of the nations largest pediatric subspecialty group practices with a history dating back to 1936. This is in addition to many ongoing research and education programs conducted at Nemours.

Enjoy 100% in-network health coverage for children of full-time Nemours Associates, insurance benefits effective first day of the month after you start, work/life balance, generous paid time off, 403(b) and fully funded pension plan. EOE

The Nemours Childrens Clinic of Orlando is expanding and offering services to our patient population designed to address obesity and other conditions related to chronic illness. One of these services will include an exercise series as part of an overall program of healthcare and wellness. We are seeking an Exercise Physiologist to work in developing and implementing this new program with the guidance of our Clinical Managers and under the direction of our Director of Clinical Operations.

This position will be part-time with a schedule of one day per week in clinic and several hours one evening per week.

The ideal candidate will: be familiar with diagnostic exercise equipment, possess knowledge of computer- based programs, have an understanding of basic cardiovascular physiology, possess knowledge of pediatric pulmonary diseases; and, have experience with the pediatric and adolescent population (preferably in a diagnostic or clinical setting). Educational requirements include a degree in Exercise Physiology/Exercise Science and experience in exercise physiology.

Apply at EOE



<> Behind everything we do, is the life of a child.
Behind every treatment, discovery and cure is a legacy of care and commitment, the love of a family, the compassion of a caregiver, the dedication of support staff...the life of a child.  We are Lucile Packard Children's Hospital, an internationally recognized pediatric and perinatal facility, committed to providing an exceptional health care experience for children and expectant mothers. We invite professionals who are interested in growing their career at one of the nation's top pediatric hospitals as ranked by US News and World Report to join us in the following role:



Children's Heart Center

Working in our new outpatient Children's Heart Center, we will expect you to perform high quality, simple and complex echocardiograms of fetuses, infants, children and young adults with known suspected congenital and/or acquired heart disease in outpatient and inpatient settings. You will also supervise and perform graded exercise testing (including metabolic and stress echoes), prepare exercise prescriptions and consultations, and perform oxygen titration with pulse oximetry, at rest and during exercise.

We require candidates who are board registered with RDCS in pediatric echocardiography. We prefer 1-2 years in cardiac rehab.

As an employee of Lucile Packard Children's Hospital at Stanford, youll be part of a close-knit university community complete with a wealth of continuous educational and professional development opportunities, as well as world-class fine arts, dining, shopping and recreational facilities. In addition, you'll enjoy a substantial benefits package that includes a competitive salary, 100% company-paid medical, dental and vision for employees and dependent children, tax-deferred annuity opportunity, 403(b) Employer Matching Retirement Plan, and generous paid time off.

Candidates interested in learning more about joining our team may view Req# 7959 and apply at: We also invite you to contact Louise Laforet at EOE

Exercise Physiologist

This exciting opportunity offers a full-time, 80 hour/biweekly schedule in a cutting-edge cardiac rehabilitation program. The ideal candidate should be an experienced clinician, teacher, consultant, and researcher
and able to demonstrate knowledge in exercise prescription, exercise physiology, behavior change, risk factor assessment and management, cardiovascular emergency procedures, nutrition, and adult education.

A Bachelor of Science in Exercise Physiology; BLS, ACLS, defibrillation certification; ability to make independent clinical decisions; and telemetry monitor/arrhythmia interpretation skills are required.  An M.S. and 2+ years of experience in cardiopulmonary rehabilitation are preferred. Please apply online at (Online applications strongly preferred.) email:, FAX: (410) 368-3536. St. Agnes Hospital, 900 South Caton Ave., Baltimore, MD, 21229. EOE

Body Composition Analyzer
Direct/ Segmental/ Multi-Frequency
Bioelectrical Impedance Analysis

 Modern BIA Technology you can trust!
 BIOSPACE, Inc., located in Beverly Hills, California, introduces a new body   composition analyzer, the InBody320. With more advanced BIA technology, InBody320 is the first segmental body composition analyzer using multi-frequency for professional use.

Traditional BIA technology
With conventional BIA technology, bioimpedance is measured either from hand to foot (R-type) or from foot to foot (T-type). These types only partially measure bioimpedance of the body. Boimpedance of the trunk segment is not measured by most BIA technology leaving segments of the body unaccounted for in the body composition analysis. 

Direct/ Segmental/ Multi-frequency

Bioelectrical Impedance Analysis (DSMF-BIA)
InBody320 divides the body into five segments -4 limbs and a trunk- and measures impedance of each segment at multiple frequencies (5, 50 and 250 kHz) targeting the whole body as shown in Figure 3. Therefore, the DSMF-BIA method shows a high level of accuracy. The extreme accuracy makes InBody320 possible to monitor even slightest compositional changes during the process of medical treatment, rehabilitation, and exercise programs.

No Statistical Estimations
With conventional BIA, results are distorted by statistics, based on personal data input such as age, sex, body type, etc. Conventional BIA devices only partially measure body composition and the rest is statistically determined. Although it gives reasonable results for people of the norm, its accuracy is very low for children, elderly, patients and athletes. However, InBody320s DSMF-BIA technology has overcome the limitations of the conventional BIA method. For it accurately assesses intracellular water using multi-frequency and measures bioimpedance of trunk as well as the rest of the body. The InBody320 uses actual measurements to yield accurate results regardless of empirical estimation.   

LifeStyle Management, located in Minneapolis, MN, has a full-time position available for an experienced and degreed professional in exercise physiology and/or athletic training. This position would require travel to alternate LifeStyle managed sites. LifeStyle Management is a progressive medically based company with multiple private/corporate sites. Excellent technical, customer service, organizational, and computer skills are a must. Applicants must have a minimum of 2 years experience in personal training and a certification by ASEP, ACSM, NSCA, NATA, or NASM. This position offers potential for
advancement based upon performance. Interested professionals should contact Patrick Ayres at 612-332-2292 x440 for more information or forward resume to 



Come discover why Forsyth Medical Center has been recognized for making the life/work balance easier for its employees. Our location of Winston-Salem, North Carolina, offers a unique blend of history, culture, and outdoor beauty. We are seeking an EXERCISE PHYSIOLOGIST to join our Preventative Cardiology Department.

The selected candidate will be responsible developing and implementing exercise prescriptions under the direction of the Medical Director. Duties include providing instructional assistance in accordance with proper exercise techniques, the individual exercise prescription, and the medical diagnosis.

Bachelor's in Exercise Physiology required; Masters preferred. Must have experience with exercise training programs, preferably in cardiac rehabilitation.

Forsyth Medical Center offers competitive salaries and benefits. Interested candidates, please contact Eunice Barrineau at Toll Free: 1-800-777-1876 or Email: You may also apply online at We are an equal opportunity employer committed to providing diversity in the workplace.

Exercise Physiologist - Kosciusko Community Hospital

At Kosciusko Community Hospital our goal is to provide customer service that exceeds the expectations of patients, physicians and the community. If you are committed to the same expectations then we are currently seeking you as a new team member.

Exercise Physiologist:
KCH currently has an opening in its Wellness Center for An experienced Exercise Physiologist. The successful candidates will posses a Bachelors degree in Exercise Physiology and three to six months experience preferably in a Hospital Cardiac Rehab program. ASEP certification is preferred.

KCH offers a competitive salary and benefits package. Qualified candidate may submit a resume or application to:

Kosciusko Community Hospital
2101 East DuBois Drive
Warsaw, Indiana 46580 
574-372-7624 (fax)

Copyright ©1997-2006 American Society of Exercise Physiologists. All Rights Reserved.  All materials posted on this site are subject to copyrights owned by the American Society of Exercise Physiologists (ASEP). Any reproduction, retransmission, or republication (in whole or in part) of any document or information found on this site is expressly prohibited, unless otherwise agreed to by ASEP and expressly granted in writing to consent to reproduce, retransmit, or republish the material. All other rights reserved. 



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