Journal of Clinical Exercise Physiology The official journal of the Clinical Exercise Physiology Association www.cepa-acsm.org An Effort Shared By Many Clinton A. Brawner and Jonathan K. Ehrman Journal of Clinical Exercise Physiology. 2014;3(1):1 All rights reserved. No part of this material can be reproduced without written consent of the Clinical Exercise Physiology Association. The Journal of Clinical Exercise Physiology is a benefit for members of the Clinical Exercise Physiology Association. The Journal of Clinical Exercise Physiology is published by Healthy Learning, P.O. Box 1828, Monterey, CA 93942 for CEPA. The online version of the Journal and additional information about the journal and CEPA membership is available at www.cepa-acsm.org Copyright © 2014 Clinical Exercise Physiology Association (CEPA). 401 W. Michigan St, Indianapolis, IN 46202-3233. ISSN 2165-6193 (print), ISSN 2165-7629 (online) CEPA’S PARTNER IN KNOWLEDGE Healthy Learning is honored to partner with CEPA in bringing you this journal, “to advance the scientific and practical application of clinical exercise physiology for the betterment of the health, fitness, and quality of life for patients at high risk or living with a chronic disease.” And, when you need professional resources, keep in mind that Healthy Learning has thousands of DVDs and books in both hard copy and digital format. DVD Downloads eBooks in EPUB® Healthy Learning 24/7/365. Your professional resource partner, Anytime. Anywhere. Any Device.* *All devices not using proprietary software; e.g. Kindle. EPUB is the recommended standard from the International Digital Publishing Forum and the leading platform for reflowable digital books for all computers, laptops, readers, and smart phone. Earn the CDE® Credential and Demonstrate Your Knowledge and Competence Clinical Exercise Physiologists (CEP) with an active ACSM Clinical Exercise Specialist® (CES) or Registered Clinical Exercise Physiologist® (RCEP) certification are eligible to earn the Certified Diabetes Educator® (CDE®) credential, a highly respected certification in the diabetes arena. The number of patients you see with diabetes will continue to increase. The CDE® credential shows you have taken the extra step to ensure you have knowledge your patients need to effectively manage their diabetes. Start your CDE journey today. Review the certification process on the National Certification Board for Diabetes Educators (NCBDE) web site at www.ncbde.org. ® Earning the CDE® helps you to achieve a personal career goal and distinguishes you from other educators. Study the authoritative text for ACSM RCEP certification Clinical Exercise Physiology, Third Edition, provides a comprehensive look at the clinical aspects of exercise physiology by thoroughly examining the relationship between exercise and chronic disease. Updated and markedly revised throughout, this edition reflects important changes that have occurred in the field. A must-have study tool for those preparing for the ACSM Registered Clinical Exercise Physiologist Examination, the text provides in-depth coverage of all the clinical populations that benefit from physical activity and exercise. Clinical Exercise Physiology, Third Edition, includes the following features: • A new chapter on intellectual disability lends evidence to how the field has evolved in considering patients with more widely diagnosed diseases and conditions. • Case studies covering 27 diseases and populations provide real-world examples of how to use the information in practice. • Practical application boxes offer tips on maintaining a professional environment for client–clinician interaction, a literature review, and a summary of the key components of prescribing exercise. • Clinical Exercise Physiology Pearls describe vital bits of information to be applied to the patient population. ©2013 • Hardback • 776 pp Print: ISBN 978-1-4504-1280-3 $94.00 ($104.95 CDN, £63.99 UK, €83.20 EURO, $124.10 AUS, $154.60 NZ) E-book: ISBN 978-1-4504-5898-6 $52.00 ($55.95 CDN, £35.99 UK, €46.80 EURO, $62.90 AUS, $77.70 NZ) The text also features a test package and presentation package plus image bank for instructors at www.HumanKinetics.com/ClinicalExercisePhysiology. College Instructors: To request an exam copy, please visit our website at www.Human Kinetics.com/Higher-Education. For more information or to order, visit www.HumanKinetics.com or call: (800) 747-4457 US • (800) 465-7301 CDN • 44 (0) 113-255-5665 UK (08) 8372-0999 AUS • 0800 222 062 NZ • (217) 351-5076 International C852 HUMAN KINETICS The Information Leader in Physical Activity & Health true breath-by-breath metabolic analysis CONFIGURATIONS TEST MODES (STANDARD) SOFTWARE FEATURES (STANDARD) Spirometry: FVC, SVC, MVV ˚ Integrated 12 Lead ECG ˚ O and CO Exercise Testing ˚ HAST: High Altitude Simulation Test ˚ Elevated FiO Test ˚ ABG: Arterial Blood Gas Entry ˚ Direct Fick Cardiac Output ˚ ADDITIONAL TEST MODES (OPTIONAL) 2 2 2 Bronchial Provocation ˚ NICO: Indirect Fick Cardiac Output ˚ Nutritional Assessment ˚ Treadmill & Ergometer compatible Cost effective testing with disposable and reusable testing supplies ˚ ˚ ˚ ˚ ˚ ˚ ˚ ˚ ˚ ˚ ˚ ˚ ˚ ˚ ATS/ERS Error Codes Device Control Disability Reports HIPAA/HITECH Security Manual Data Entry Microsoft® SQL Database O2 Kinetics OUES: Oxygen Updake Effficiency Slope Pediatric Incentives Report Designer Trend Reports User-Defined Predicteds VE/VCO2 Slope VO2/Work Slope Ultima™ CardiO2® gas exchange analysis system to learn more visit www.mgcdiagnostics.com Got an idea for a book? EMAIL US AT info@healthylearning.com FOR SUBMISSION GUIDELINES 888.229.5745 www.healthylearning.com From the Editors An Effort Shared By Many W ith this issue of the Journal of Clinical Exercise Physiology (JCEP), we are happy to announce JCEP’s inaugural team of section editors (see page iv). The addition of section editors is an important step in preparing JCEP for future growth, such as a more frequent publication schedule and an open submission for articles. We are grateful that these individuals are willing to contribute their time to JCEP. Our gratitude also extends to the individuals who have authored and reviewed articles for JCEP. Because this is a new publication that is not yet indexed by the US National Library of Medicine’s Medline®, publishing in JCEP does not currently carry the same professional weight as would publication in an indexed journal. Finally, thanks also go out to all who see JCEP and its potential to be the go-to professional journal for the clinical exercise physiologist. One of our goals when JCEP was conceptualized was to provide review articles that would have some shelf life, thereby being a resource for students and professionals to get up to speed on a topic and provide a foundation for further study. At the same time, we knew the topics had to be diverse, even though more than 75% of clinical exercise physiologists work primarily with patients with cardiovascular disease. Diversity is important because of the high prevalence of comorbidities in these patients and the growing body of knowledge on the benefits of physical activity and exercise training among individuals with other conditions, such as cancer. This diversity is seen in the current issue of JCEP. Among the reviews in this issue, Dr. Lynette Craft and Dr. Anne Fish shed light on evidencebased practice and the development of scientific statements and Dr. Brad Roy and colleagues discuss the potential of health and wellness coaching to improve patient adherence to behavioral change. In addition, Dr. Dennis Kerrigan and colleagues present an interesting case study on postural orthostatic tachycardia syndrome. In the point/counterpoint, Drs. Paul Visich, Gregory Dwyer, and Donald Cummings discuss the merits of different undergraduate routes of study in exercise science with a goal of a career in clinical exercise physiology. Finally, with this issue of JCEP, we introduce a new section: Expert Commentaries. In this section, Mr. Robert Berry discusses programmatic considerations in anticipation of the US Medicare’s coverage of cardiac rehabilitation for patients with heart failure and Dr. Quinn Pack reviews several new guidelines related to cardiovascular disease. Finally, it is with a heavy heart that we share the passing of one our colleagues and previous contributors to JCEP: Dr. Carole Schneider. She was a pioneer in cancer and exercise rehabilitation. We appreciate the contribution from Cathy Heise in Dr. Schneider’s memory. Clinton A. Brawner, PhD, ACSM-RCEP Jonathan K. Ehrman, PhD, ACSM-CES Co-Editors-in-Chief, Journal of Clinical Exercise Physiology Henry Ford Hospital, Detroit, MI 1