Reviews causes and treatment of heat syncope, heat exhaustion, and exertional heatstroke and discusses the effectiveness of cooling heatstroke victims in ice versus cooled water. Cooled water appears to be as effective, though ice water decreases the incidence of cardiovascular complications. An energy depletion model is presented. (Author/SM)

Asthma patients can benefit from 20 to 30 minutes of exercise at 60 to 85% of maximum heart rate several times a week. Improved fitness can reduce airway reactivity and medication use. The capacity to exercise requires good general control of asthma. Patients must learn to prevent exercise-induced bronchoconstriction by using inhaled medications…

This study examined the effects of resistance exercise and anabolic steroids on lipoprotein profiles of female weightlifters. The study found that women who participate in resistance training have better lipoprotein profiles than their sedentary counterparts, but these changes do not offset the deleterious effects of steroid use. (SM)

The subjects covered in this bibliogaphy (1,406 citations) include the history of sports and sports medicine, sports injuries, physical fitness throughout various stages of life, and the current status of physical fitness in the United States. The first section includes journal articles, book chapters, and conference papers in three areas: history…

Arthritic patients who regularly do aerobic exercise make significant gains in aerobic and functional status, and in subjective areas like pain tolerance and mood. Still, they are often advised to curtail physical activity. Guidelines are presented for physicians prescribing aerobic exercise. An exercise tolerance test is recommended. (SM)

As personal fitness trainers move into the mainstream, physicians are increasingly recommending them to patients as part of ongoing health programs. Personal trainers provide personalized fitness programs, including exercise prescriptions and guidelines and nutrition information. The article explains how physicians can find qualified trainers for…

Presents exercise guidelines for elderly individuals, noting that people of all ages receive physical and emotional benefits from appropriate exercise programs. These programs must be carefully evaluated for each individual's physical limitations; type of exercise, as well as its frequency, duration, and intensity, must be considered. (SM)

Discusses the development of osteoarthritis and whether running and other impact loading sports promote it. Although these sports do not cause arthritis in normal weight bearing limbs, they can accelerate it in damaged joints. It is important to identify people with preeexisting joint disease so they can choose nonimpact-loading aerobic exercise.…

Examines the opinions of several experts on the safety of weight training during pregnancy, noting that no definitive research on weight training alone has been done. Experts agree that low-intensity weight training probably poses no harm for mother or fetus; exercise programs should be individualized. (SM)

The article describes the development of a comprehensive conditioning and education program to ensure total fitness (including aerobic) in professional baseball players on and off season, noting that standard training keeps them fit in every way except aerobically. The program helped them improve playing performance and develop a healthy…

Presents results of a study of the physiological responses of uninjured runners to running on a treadmill and in water. Water running may lessen an injured athlete's rate of deconditioning, but indications are that the metabolic cost of water running is not significantly greater than that of treadmill running. (SM)

Recent research on the causes of hypertension could influence the care given by sports medicine physicians to Black patients in general, and to Black athletes in particular. (JD)

Discusses the relationship between nutrition and fatigue and how carbohydrates and timing of carbohydrate consumption can affect fatigued athletes. Nutrition plays a significant role in successful training and competition. Key concerns are the specific needs of athletes for carbohydrates before, during, and after exercise. (Author/SM)

Research indicates that increased strength leads to improved balance and functional mobility and that nearly every senior patient can benefit from basic resistance training. The article provides guidelines for physicians on prescribing resistance training and for patients on increasing strength. (SM)

Data collection and analysis helps coaches ensure that they conduct practices and make decisions based on objective and consistently recorded information. The article discusses how, where, and when coaches should collect data on athletes, noting data collection should emphasize include training loads, body weight, sleep, health, and injuries. (SM)