Physically active adolescent girls and young women who eliminate meat from their diets risk developing protein, iron, and zinc deficiencies. Meatless diets signal the possibility of amenorrhea and/or disordered eating, with the attendant risk of osteoporosis. Physicians must educate young women, parents, and coaches about the risks of meatless…

This article surveys recent research on how and when exercise or estrogen therapy should be used to treat or prevent athletic amenorrhea, osteoporosis, cancer, and heart disease. The suspected causes of each disease are discussed and the benefits and dangers of each form of treatment/prevention are weighed. (JL)

Discusses contraindications to athletic participation, examining the cardiac, respiratory, and central nervous system conditions that warrant activity disqualification. Provides guidelines about when it is safe for individuals to participate, and discusses the physician's responsibility. (SM)

Strength training is an effective method of developing musculoskeletal strength and is often prescribed for fitness, health, and for prevention and rehabilitation of orthopedic injuries. This paper describes and presents a rationale for the population-specific strength training guidelines established by major health organizations. (SM)

The results of 2 studies determining the effects of body checking in Pee Wee hockey indicate variability in player size and strength is reason to avoid this practice. In leagues allowing body checking, 55 percent of all injuries and greater frequency of serious injury were a result of body contact. (SM)

A review of literature on exercise and arthritis considers relevant epidemiologic and experimental studies of animals and humans, focusing on the relationship between running and osteoarthritis. No conclusive evidence exists that running causes osteoarthritis; research trends suggest that running may slow the functional aspects of musculoskeletal…

Findings from a survey of 92 American medical school curriculums suggest that physicians may be unprepared to offer effective counseling on exercise. The survey showed that 67 percent of schools had no formal instruction in exercise medicine. A required course emphasizing cardiorespiratory fitness is recommended. (IAH)

Diabetes control involves the appropriate balance of exercise, diet, and medication. Regular exercise has many benefits for people with diabetes. Physicians can educate patients about ways to regulate and monitor blood glucose before, during, and after workouts. Patients need to understand the effects of exercise and diet on insulin requirements.…

Strength training is considered a male activity, but physicians are recommending it to women who want to keep their musculoskeletal systems strong and flexible as they age. This article discusses goals and problems of strength training for women and suggests it as an adjunct to cardiovascular fitness exercises. (SM)

Many active athletes do not consume enough zinc or iron, which are important for oxygen activation, electron transport, and injury healing. Subclinical deficiencies may impair performance and impair healing times. People who exercise regularly need counseling about the importance of adequate dietary intake of iron and zinc. (SM)

Professional boxers provided information about their careers and training practices and completed neuropsychological testing. Test performance did not relate to age, boxing record, career length, or knockout history. The amount of sparring inversely related to performance on several of the tests, with impairment in the areas of attention,…

Although cheerleading carries a relatively low injury risk, injuries that do occur can be severe, commonly affecting the ankle, head, and neck. Two case reports are presented that illustrate acute injuries typical of cheerleading. Prevention recommendations are offered related to supervising, screening, limiting stunts, optimizing the environment…

Summarizes results from the Olympic Exercise Asthma Summit Conference, offering the latest on identifying and managing exercise-induced asthma (EIA). Concludes that effective pharmacologic and nonpharmacologic treatment is available, but EIA is underrecognized and underdiagnosed. Physicians should look for it in all patients, including school…

Provides practical guidelines for a strength training program for cardiac patients which may be modified to fit a particular program. The recommendations include criteria for admission, procedures for orientation and instruction, and techniques for supervision. (SM)

The training phase of a rehabilitation program for football players who have sustained lower back injuries proceeds after the pain-control phase, and seeks to minimize risk of reinjury. This phase emphasizes movement training and exercise for strengthening abdominal muscles to stabilize the lumbar spine. A removable exercise guide is included.…