BJSM Podcast

The truth behind sports drinks. Episode #345

Did you know that a regular bottle of Gatorade contains 34g of sugar? That’s over 8 teaspoons of sugar! The WHO recommends that  https://www.ncbi.nlm.nih.gov/pubmed/29735573

Combat sports: ringside medicine with the fight doctor. Episode #344

This heavyweight podcast is sure to be a knockout!
On this week’s episode, sports medicine physician Dr. John Neidecker (@DrJohnNeidecker) joins BJSM’s Daniel Friedman (@ddfriedman) in the ring to discuss the hot topics in combat sports today.  Dr. Neidecker is a physician for USA Boxing and USA Taekwondo, and is the vice president for the Association of Ringside Physicians (ARP) (http://www.ringsidearp.org/), an international non-profit
organisation dedicated to the health and protection of boxers and mixed martial artists. He serves as the ARP certification committee chair, enabling physicians to become certified in ringside medicine,
and currently practices at Orthopedic Specialists of North Carolina.
Dr. Neidecker is also the lead author of the ARPs Consensus Statement on concussion in combat sports that was recently published in the BJSM.
In this 20 minute conversation, Dr. Neidecker explains the current medical practices and
controversies in combat sports, and addresses the following topics:
       concussion management in combats sports
       return to fighting protocol
       common injuries in combats sports
       weight cutting
       ethics of combats sports
 
Further reading:
Neidecker, John, et al. "Concussion management in combat sports: consensus statement from the
Association of Ringside Physicians." Br J Sports Med (2018): bjsports-2017.
https://bjsm.bmj.com/content/early/2018/07/26/bjsports-2017-098799
McCrory, Paul, et al. "Consensus statement on concussion in sport—the 5th international conference
on concussion in sport held in Berlin, October 2016." Br J Sports Med (2017): bjsports-2017.
https://bjsm.bmj.com/content/51/11/838
Crighton, Ben, Graeme L. Close, and James P. Morton. "Alarming weight cutting behaviours in mixed
martial arts: a cause for concern and a call for action." (2015): bjsports-2015.
https://bjsm.bmj.com/content/50/8/446
Association of Ringside Physicians Releases Consensus Statement On Weight Management in
Professional Combat Sports (2014)
 http://www.ringsidearp.org/resources/Documents/Position%20Statements/Weight%20Management%
20in%20Professional%20Combat%20Sports.pdf

Dr Alison Grimaldi on managing gluteal tendinopathy. Episode #343

Fresh off ‘BJSM Podcast World Cup’ victory, superstar physiotherapist Dr. Alison Grimaldi returns for what is sure to be another chart-topping podcast.  On this week’s episode, Dr. Alison Grimaldi (@alisongrimaldi) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the results from her latest clinical trial – the LEAP trial - that was recently published in the BMJ.
https://www.bmj.com/content/361/bmj.k1662    
With 25 years of clinical experience and particular expertise in the management of hip, groin and lumbo-pelvic pain and dysfunction, Alison is Principal Physiotherapist at Physiotec in Brisbane, Australia, and an Adjunct Research Fellow at the University of Queensland. Alison also has a special interest in the assessment and optimisation of lumbo-pelvic and lower limb biomechanics for
running, change of direction and all weight bearing sports. She is currently involved with research studies through the University of Queensland and University of Melbourne.
https://dralisongrimaldi.com/
Alison explains the clinical significance of the findings from the LEAP trial and shares some practical
physiotherapy tips for clinicians helping patients manage gluteal tendinopathy pain. She discusses:
       Treatment options for managing gluteal tendinopathy pain
     Load management for gluteal tendinopathy
       Specific exercises for gluteal tendinopathy
Alison continues to publish, present and provide practical workshops for other health professionals, and will be coming to Vancouver in September 2018 for her hip and groin pain masterclass!
https://www.eply.com/DrGrimaldi-2018
You can listen to Dr. Grimaldi’s previous BJSM podcast on treating lateral hip pain here:
https://soundcloud.com/bmjpodcasts/dr-alison-grimaldi-with-practical-physiotherapy-tips-on-treating-lateralhippain?in=bmjpodcasts/sets/bjsm-1

The gut microbiome for athlete health and performance. Episode #342

After listening to this one, you may want to think twice before reaching for that next bottle of kombucha!
On this week’s podcast, microbiome expert Dr Patrick Hanaway joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the implications of the gut microbiome for athlete health and performance.
Dr Hanaway is a family physician who has served as the Director of Medical Education for the Institute for Functional Medicine, as well as the Medical Director at the Cleveland Clinic Center for Functional Medicine. He is also a past president of The American Board of
Integrative Holistic Medicine. He is currently the Director of Research at the Cleveland Clinic Center for Functional Medicine (https://my.clevelandclinic.org/departments/functional-medicine), and practices at his clinic (http://www.familytofamily.org) in Asheville, North Carolina.
In this 20 minute conversation, Dr Hanaway shares how clinicians can apply our current understanding of the gut microbiome in their clinical practice, and addresses the following topics:
· What is the gut microbiome?
· Microbial diversity throughout the life cycle and its relationship with different disease states
· The relationship between different diets/foods/macronutrients and the gut microbiome
· The effects of different types of physical activity on the gut microbiome
· The role of probiotics in sport

Research imbalance: Sport and Exercise in Women versus Men. Episode #341

In this podcast Katie Marino speaks to Jack Forsyth.
Jacky Forsyth (@JackyForsyth) is a senior lecturer at Staffordshire University. She is a lead organiser of the Women in Sport and Exercise Conference. In this podcast Katie Marino (@krmarino1) speaks to Jacky about the difference in the amount of research done on exercise in women compared to exercise in men, and why we need to correct this imbalance. The research community needs to strengthen and promote research on women in sport and exercise, with the goal of optimising women’s athletic success and increase their participation rates.
The Women in Sport and Exercise Academic Network (WISEAN) is mentioned in the podcast. It is a research-orientated interdisciplinary group that focuses on: Generating high quality, impactful research into women in sport and exercise (WISE); Collaborating and sharing resources; Increasing the visibility of WISE issues and Research mentoring.
If you would like to join this network, please email claire-marie.roberts@uwe.ac.uk or J.J.Forsyth@staffs.ac.uk
To keep up to date on WISEAN and the Women in Sport and Exercise Conference follow WISEAN on Twitter (@WISE_AN)

The World Health Organization’s Global Action Plan for Physical Activity: Prof Fiona Bull

Thanks to BJSM editorial board member Daniel Friedman (@DDFriedman), who has also served as in intern at the World Health Organization, for hosting this podcast. The BJSM’s guest is Professor Fiona Bull, MBE – Program Manager of WHO Prevention of Noncommunicable Diseases Management Team, Geneva, Switzerland. @fiona_bull
The conversation gives the listener a 20-minute gem that covers the following points
What is the global action plan?
How was it developed?
Why was this needed? How does it differ from the 7 investments?
What is the overall goal? (15% reduction in physical inactivity by 2030)
What can the BJSM community and how can we follow progress?
The answer to the last question is via the WHO ‘Let’s be active’ page:
http://www.who.int/ncds/prevention/physical-activity/gappa
Here is the link for the ‘’7 investments” document: https://bjsm.bmj.com/content/46/10/709
Here is the link for the Bangkok Declaration on Physical Activity:
https://bjsm.bmj.com/content/bjsports/51/19/1389.full.pdf
If you are interested in physical activity, see the 2018 BJSM special issue on walking here:
https://bjsm.bmj.com/content/52/12

“Don’t mislabel nociceptors as pain fibres”. Lorimer Moseley on teaching pain science Ep:339

Thanks to Professor Lorimer Moseley for his 4th BJSM podcast over the last 4 years. Here he chats with final year medical student Daniel Friedman who is at the coalface (@DDFriedman). How are the terms pain, nociception and central sensitisation used? Are they taught accurately or poorly? All of us can learn from Lorimer as he clarifies these concepts.
Professor Lorimer Moseley (PT, PhD) is Chair of Physiotherapy at the University of South Australia and a professor of Clinical Neurosciences. people.unisa.edu.au/lorimer.moseley
He combines Oxford rigour with a laconic and very popular Australian style of communication.
You can find his patient-focused website ‘Tame the Beast’ here: www.tamethebeast.org/#home
You can find his academic/health professional website ‘Body in Mind’ here: www.bodyinmind.org/
Lorimer’s 2014 BJSM podcast was on tendons. Still worth listening to. It has had 20K listens: ow.ly/5OGN30gkaD7.
The 2017 podcast on pain was on pain (some overlap): http://ow.ly/XgNi30kaQax
His 2018 update, focusing particularly on knowledge translation – helping the community become aware of, and benefit from contemporary pain science, is here: http://ow.ly/q3b230kIf4R

Need a big fat surprise? Iconoclast Nina Teicholz via Dr Mark Hyman on healthy fats. #Ep338

BJSM is one of very few channels that comments on food but doesn’t receive any funds from any food-related stakeholder. The BMJ doesn’t receive funds from food companies (as far as I know) and the new BMJ Open journal on nutrition doesn’t either. What about the ‘British Nutrition Foundation’ – sounds pretty helpful right? Well, it may be, but if you know where to click 5 times you can find that about 1/3 of its funding from corporate sponsors. The Academy of Nutrition and Dietetics has food sponsors too. That’s perfectly legal.
What about Government Food Guidelines – surely they are based on health evidence? Well, they may be, but governments run the food guidelines past their Departments of Agriculture before finalizing them. And that is OK too – I can understand why that would happen – of course that Department has to have input. Government requires balancing competing interests.
I don’t recommend people following national food guidelines (personal opinion – k2). I wouldn’t follow most nations’ food guidelines if I were given the food for free and paid $100 per day. Not for $500 per day – sorry. I’m fortunate as I’m on stable financial footing (touch wood). And what I eat may be ‘wrong’. This podcast is shared with the BJSM community in a spirit of humility and to provide data for folks to make up their own minds.
Nina Teicholz is a journalist (let’s get than in early to save the critics from bringing it up – pre-empting the ad hominem attack) and she has a fascinating book that argues fats have been unfairly demonized. Since that book was published the news that Harvard scientists were paid for a report suggesting that fats, not sugar, caused obesity. http://ow.ly/j1Bc30kCvqx. Nina Teicholz tweets from @bigfatsurprise.
Thanks to Dr Mark Hyman (@MarkHymanMD) for allowing us to edit his conversation with Nina Teicholz.
Link to a recent Nina Teicholz comment in The BMJ: https://www.bmj.com/content/360/bmj.k822/rr-13
Here’s a link to the book that documents the case for healthy fats: https://thebigfatsurprise.com/
The original (full version) of Dr Mark Hyman’s podcast with Nina Teicholz on YouTube https://youtu.be/Zc_e5ME_5Cg
Thanks again to Dr Mark Hyman and Nina Teicholz.

Treating hip pain including FAI syndrome. Arthroscopy or focused physio? Prof Damian Griffin Ep#337

Damian Griffin is the Professor of Trauma and Orthopaedic Surgery at the University of Warwick. He trained in Cambridge, Oxford and the United States, and worked as a Consultant in Oxford before taking up the Foundation Chair in Warwick and helping to establish Warwick Medical School. Here’s a link to his personal website: http://www.hiparthroscopyclinic.co.uk/
He was the chief investigator for the FASHioN trial, a large, multicenter randomised controlled trial of treatments for people with FAI syndrome, comparing surgery with physiotherapy-led rehabilitation:www.nets.nihr.ac.uk/projects/hta/1310302.
He has published a major paper in the field of hip pain in one of the top sports medicine journals – The Lancet. Published @TheLancet on June 2nd. http://ow.ly/4LhQ30kvJ1u BJSM fortunate to have chatted with @DamianGriffin courtesy of @footballmed. Podcast about it with the BJSM community in two weeks - 15th June (all 2018).
Previous podcast with Damian Griffin: About the FAI syndrome: http://ow.ly/oo7530kvJB5. Two years ago. Griffin DR, Dickenson EJ, O'Donnell J, et al. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med2016;50:1169-1176.
http://bjsm.bmj.com/content/50/19/1169
You can follow Damian on Twitter @DamianGriffin and @WarwickOrtho or reach him on damian.griffin@warwick.ac.uk

Anthem for football fitness. Football isn’t just fun, it’s broad-spectrum medicine. Ep #336

Dr Marcos Agostinho (@MarcMedMD) asks Professor Peter Krustrup (http://ow.ly/9slg30koLv1) about the history of football fitness. What is it? Does it involve games/competition? Who are the main beneficiaries? And what of ‘walking football’ – what does that entail? This short podcast is a celebration of the health benefits of football and it provides powerful practical examples of what can be done. Kudos!
The 2nd International Football and Medicine Conference will be held in Odense, Denmark, on 25-26th January 2019.
Here is a 2018 systematic review: Broad-spectrum physical fitness benefits of recreational football: a systematic review and meta-analysis. http://ow.ly/oGBs30koLzT