More male than female physicians practice sports medicine, though women are an increasing presence. The article examines reasons for the discrepancy (e.g., lack of interest or lack of opportunity) and discusses ways to work for change and create opportunities for women in the field. (SM)

Presents current information on exercise, immunity, and infection in athletes and active people, focusing on well-established immunologic changes and practical clinical aspects of common infections. The article also guides physicians on what to advise active and athletic patients. (SM)

Discusses chronic fatigue syndrome as it affects elite athletes, noting that overtraining may mimic it. In some cases, athletes who have it perform exceedingly well in the face of debilitating fatigue. Among athletes and nonathletes, the cause and the mind-body connection are areas of controversy and research. (Author/SM)

Examines whether prepubescents are trainable in competitive sports, noting trainability differences between prepubescents and older groups. Changes in maximal aerobic power, metabolic cost of walking and running, muscle strength and power, and local muscle endurance are examined. Strength training is recommended only for rehabilitation or…

Precamp physical examinations for children should be more than just cursory checks for routine problems. They should be complete health maintenance exams tailored to the needs of each child and to the rigors of the camp being attended. (Author/SM)

Discusses management of common overuse disorders, which are often a result of repetitive stress. Reducing inflammation through icing, rest, and use of nonsteroidal anti-inflammatory agents is the primary treatment goal. Patients taking anti-inflammatories must be cautioned against returning to activity too soon because the medication's analgesic…

Secondary level physical educators must be sure to instruct their weight lifters in proper spotting and lifting procedures, because weight training carries a high risk of injury. The article explains how to check the equipment, spot properly for specific exercises, and take general safety precautions in the weight room. (SM)

Exercise can help decrease pain and improve function in people with rheumatoid arthritis or osteoarthritis. Physicians must provide individualized, realistic, enjoyable exercise programs that help affected joints, build fitness, and maximize patient compliance. Physicians must also provide appropriate follow-up care, adjusting the exercise program…

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…

Active investigative student-directed experiences in laboratory science are being encouraged by national science organizations. A growing body of evidence from classroom assessment supports their effectiveness. This study describes four years of implementation and assessment of an investigative laboratory course in human physiology for 65…

The interests of the student athlete are best served when their medical care is managed by professionals who understand their unique needs. Most often, that is under the umbrella of the student health service, regardless of who performs direct clinical care. Unfortunately, in practice, this is too often the exception rather than the rule. A close…

This conference was convened to develop guidelines for programs to monitor the rates and costs of youth sports injuries. Following the Preface (L. E. Shulman), Introduction (D. G. Murray), and Summary (D. G. Murray), "Subjects for Further Research or Implementation" are listed. The 19 papers presented at the conference were: (1)…

This book paints a broad picture of the role of exercise in children's health and provides information for the physician and other health care providers on healthful forms of physical activity for children. The book is divided into three parts: (1) "Developmental Exercise Physiology: The Physiological Basis of Physical Fitness in Children"; (2)…

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)

Cites statistics on death and injury from high school sports. Offers advice to coaches and athletic directors about safety consciousness, how to assess sports safety programs, and the advantages of employing certified athletic trainers. (MLF)