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
Editorial Policy and Call for Papers
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?

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.

    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

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
    Accumed Systems of TN, LLC
    424 Academy Ave
    Dublin, GA 31021
    1-800-308-7304 ext. 5309

    ASEP Table of Contents