BJSM Podcast

Fit vs fat, with Steven Blair

Karim Khan talks to Steven Blair, professor at the Arnold School of Public Health, South Carolina. Professor Blair discusses the wealth of evidence he’s built up on the benefits of exercise, why physical inactivity is a bigger problem than obesity, and how much and of what we should all be doing.0.51 Why physical inactivity is a greater health problem than obesity3.20 Why physical inactivity is an important factor in causing the obesity epidemic6.18 How the World Health Organisation is waking up to the fact physical inactivity is a major health problem8.47 The impact of genetic makeup on the benefits gained from physical activity10.44 The benefits of physical activity in those over 6011.52 How much and of what sort of exercise should we be doing to get the benefits?See also:Physical inactivity: the biggest public health problem of the 21st century http://bit.ly/11yeqrJRelationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men http://bit.ly/10vSKQ4Changes in Physical Fitness and All-Cause Mortality http://bit.ly/XT6yQSPhysical Fitness and All-Cause Mortality http://bit.ly/Zl6gEoWHO Global status report on noncommunicable diseases 2010 http://bit.ly/i5ZiVfEffects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues http://bit.ly/XT6HDMIs physical activity or physical fitness more important in defining health benefits? http://bit.ly/17UmOFeHow Much Physical Activity is Good for Health? http://bit.ly/10vT29B

The shoulder in sport, with Ben Kibler

Babette Pluim (BJSM’s deputy editor) talks to Ben Kibler (medical director of the Lexington Clinic Sports Medicine Center, Lexington, Kentucky) about his varied and prolific career in tennis and baseball sports medicine. Dr Kibler discusses his research on the shoulder and also the tennis serve, the importance of considering biomechanics in injury prevention and recovery, and the role of surgery.0.43 Founding the society for tennis medicine and science2.34 The increasing focus on the shoulder in sports medicine research3.45 Dr Kibler interest in the scapula6.09 The tennis serve as a weapon9.03 The importance of biomechanics in sports medicine11.14 The Kibler rehabilitation programme13.46 The role of surgery15.02 Basics of the throwing motion conference16.28 Do we need guidelines on how many serves young tennis players should hit?19.11 The importance of the rotation of the shoulder and position of the scapula in preventing injurySee also:Basics of the throwing motion conference

Tom Best on hamstring injuries

Tom Best, co-medical director of Ohio State University Sports Medicine and professor of Family Medicine, OSU College of Medicine, talks about his work on the treatment of hamstring injuries.1.00 - Clinical scenario: acute hamstring injury4.15 - Recovery time9.34 - Considerations before returning to sport17.00 - Recurrence19.30 - Use of NSAIDs23.30 - Role of massage in sports medicine injuries26.20 - American College of Sports Medicine 2012 meeting in San Francisico30.30 - Other hamstring injury resourcesSee also:Carl Askling’s BJSM podcast on hamstring injuries http://bit.ly/zFjobUBJSM article: Do you consider two types of injury? http://bit.ly/15Dzv8aFeb 2012 issue of BJSM http://bjsm.bmj.com/content/46/2.tocTom also mentioned:Gisela Sole’s paper http://bit.ly/10aHLnRJan Ekstrand http://bit.ly/ZMbrHWTom’s book is Evidence Based Sports Medicine

Exercise in pregnancy

Pregnancy is hardly an uncommon condition in women, so what are the ins and out of exercise during those nine months? Harriet Vickers (BMJ’s assistant multimedia producer) talks to Bronwyn Bell (consultant obstetrician and gynaecologist) about the benefits and risks of physical activity from conception to postpartum, and how to look after women at different levels of fitness.0:00 Conception: Getting in shape before becoming a mum and optimising your chances of conception2:16 BMI and pregnancy2:40 Benefits of exercise during pregnancy4:00 Does exercise put the fetus at risk? The role of core temperature.5:40 Contact sports and preventing injury during pregnancy6:00 Absolute contraindications to exercise during pregnancy8:34 Physiological changes - energy balance and body changes11:30 Case management - initiating an exercise program in the unfit and newly pregnant woman12:50 Case management - advising the regularly exercising woman to exercise. The ‘talk rule’ and heart rate as guides.15:44 Case management - the professional athlete and exercise during pregnancy17:15 Post-natal exercise advice. Breast feeding and breast support.See also:Royal College of Obstetricians and Gynaecologists - Exercise in pregnancy statement http://bit.ly/ZMaYphBMJ editorial - Exercise during pregnancy http://bit.ly/17Um2br

The South African Sports Medicine Association, with Glen Hageman

In this podcast, also recorded at UKSEM, Babette Pluim (BJSM deputy editor) interviews Glen Hageman (president of the South African Sports Medicine Association). They discuss the work of SASMA, and plans for the future.

The International Olympic Committee with Lars Engebretsen

In anther podcast recorded at the UKSEM conference held in London in November, Karim Khan (BJSM editor) talks to Lars Engebretsen (head of science and research for the International Olympic Committee). They discuss the IOC’s work in trauma research, health promotion, and the BJSM-IOC special issues.2:32: The launch of the IOC’s focus on injury prevention and health promotion (IPHP).4:00 - Periodic health exam - should athletes be screened prior to major competition? Can we prevent high level athletes from dying on the field?6:20 - The IOC Centres of Excellence program - advancing applied sports and exercise medicine research7:43 - Conference opportunities in the field - what is coming up?

Michael Turner on horse racing

Karim Khan talks to Michael Turner about his career as chief medical advisor for the British Horse Racing Association.

Hamstring injuries with Carl Askling

Hamstring injuries are the most prevalent muscle injuries in sport. Symptoms can be particularly prolonged, healing response poor, and the risk of re-injury high.Carl Askling (Karolinska Institute, Stockholm) has been trialling a new way of categorising these injuries, thinking about them as high-speed running or stretching types. He explains to Karim Khan how these types can be diagnosed and the different treatment and monitoring they require. He also describes how to assess athletes post hamstring injury for return to sport.See also:High-speed running type or stretching-type of hamstring injuries makes a difference to treatment and prognosis http://bit.ly/15Dzv8aHamstring strain injuries: are we heading in the right direction? http://bit.ly/LfwK2IHamstring issues in sports: still a major clinical and research challenge http://bit.ly/JTzgb7February’s BJSM has a special focus on hamstring injuries, so there’s even more related content in the issue and on the website.

Michael Turner on tennis

BJSM editor Karim Khan talks to Michael Turner about his time as chief medical adviser of the Lawn Tennis Association, including the medical scandals that have cropped up and the advances he’s seen in the game’s sports medicine.Dr Turner is also chief medical adviser for the British Horseracing Authority, but more of that in a future podcast…

Organising the olympics, with Richard Budgett

We’re well down the road to London 2012, but getting here has taken a herculean feat of organisation. In this BJSM podcast Richard Budgett, Chief Medical Officer British Olympic Association, explains how LOCOG has prepared to meet the medical needs of the olympians, their entourage, and their fans.