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Email: [email protected] Web: www.sma.org.au Circulation: 5000 ISSN No. 1032-5662 Editors DOPING IN SPORT _________________________________________ 7 John Orchard Kerry Mummery Adam Firth: The new Australian Sports Anti-Doping Authority ___________ 7 Managing Editor Dominic Nagle Chief Executive Officer Adam Firth: The Mark French case ________________________________ 10 Gary Moorhead Subscription Manager Grant Schofield & Geoff Dickson: Ethics and doping: an issue of context __ 11 Joyce McClune Advertising Manager Dominic Feenan Design/Typesetting Levitate Graphic Design ANOTHER GOOD YEAR: Australian Sports Commission annual report _____15 SMA State BRANCHES ACT ACT Sports House 100 Maitland St Hackett ACT 2602 SEASONAL AND GEOGRAPHIC ANALYSIS OF ACL INJURY RISK Tel: (02) 6247 5115 IN AUSTRALIA ___________________________________________20 New South Wales PO Box 724, Glebe NSW 2037 Tel: (02) 9660 4333 John Orchard, Ian Chivers and David Aldous Northern Territory PO Box 2331, Darwin NT 0801 Tel: (08) 8981 5362 Queensland BULLETIN ______________________________________________28 Sports House, 150 Caxton St, Milton QLD 4064 Tel: (07) 3367 2700 South Australia PO Box 219, Brooklyn Park SA 5025 Tel: (08) 8234 6369 Victoria and Tasmania 1st Floor, 120 Jolimont Rd, Jolimont VIC 3002 Tel: (03) 9654 7733 Western Australia Cover photograph: Australian Sports Commission PO Box 57, Claremont WA 6010 Tel: (08) 9285 8033 SUBSCRIPTION Rates 2003 Australia A$35 Overseas A$50 SMA members receive Sport Health as part of their membership fee Single copies and back copies A$15 (includes-postage) PP No. 226480/00028 For subscriptions contact Joyce McClune Phone: (02) 6230 4650 Email: [email protected] F rom the C E O F rom the C E O How have other So back to Professor Bahr. “The research showed that death Roald Bahr’s thesis can be summarised rates were similar for moderate and Sports medicine in the 21st organisations responded? quite simply. He believes that an highly fit men in all BMI categories, essential policy approach is one based and death rates for men with low Unfortunately, our messages appear on keeping ageing populations active fitness levels were higher regardless a little bit mixed and a little bit tinged for as long as possible. This will mean of their BMI category”. (Steven Blair with self-interest. Century: Roald raises the bar that the sports medicine practitioners’ “Fitness, Not Fatness is the Issue” The Australian Medical Association expertise in musculoskeletal WELL newsletter for Wellness, 1, II, Gary Moorehead (AMA) recently released a “Position medicine will become essential in Fall 1999.) Statement on Nutrition” which it pre- both maintenance of the increasingly Sports Medicine Australia has badged with the heading “Nutrition injury-prone ageing population and Chronic disease management by On the state government front, there made a great step forward with the How serious is this trend the Key in Fight Against Obesity also passing this information on to general practitioners with attendant are numerous initiatives, some of recent combined Conference. The Epidemic”. (“Nutrition the key in Fight other health professionals. The AIHW pathology tests and length of time in the increase in chronic which (like the work of the WA importance of the event can be Against Obesity Epidemic – AMA report cites an increase of 1.5 million spent in patient consultation have Premier’s physical activity taskforce measured in a variety of ways: disease? Position Statement on Nutrition” all increased substantially since and the “10,000 steps Rockhampton” in GP consultations giving patients www.ama.com.au/web.nfs/doc education or counselling about their • The enthusiastic response of 1998.(Australian Institute of Health The AIHW report quoted above project) are outstanding and probably 30/11/2005.) weight and nutrition, so there is some delegates (from all areas) who and Welfare (AIHW) “General (covering the years 1998-2004/2005) unique in the world. Other initiatives positive movement in this area, but attended the event. Practice Activity in Australia 2004- cited an increase in the treatment of (and governments) have a more The Dietitians Association of Australia it is probably timely that the DAA is 2005 report”.) chronic disease from 46% to 51%, an patchy effort, with re-inventing of the (DAA) responded with a gentle sledge • The desire of our conference moving to make sure that the GPs get increase in long consultations as a wheel, under-funding of interventions about how encouraging it was to see partners, the National Heart What has this to do with sports these messages right. proportion of visits from 7% to 10% and squabbles over intellectual the AMA taking “a more population- Foundation, the Department of medicine? and 5.6 million more pathology tests property. based public health approach” and Professor Bahr maintains that the skills Health and Ageing and the NSW According to Professor Roald Bahr, than in 2000-2001. (AIHW “General then proceeded to get stuck into Sporting Injuries Committee, to The Federal Government policy and knowledge of the sports medicine a keynote speaker at the recent Practice Activity in Australia”.) numerous errors of fact and detail that continue the partnership into the seems to be led by a back-bencher, and science practitioners will move SMA Conference -- which combined These increases are consistent with it identified in the document. (Claire future. Senator Guy Barnett from Tasmania, to the front line of healthcare. While sports science and medicine, physical other predictions made about the Hewat APD, Executive Director DAA. hardly as glamorous as expectations who seems to be a one-man band in • The speed and enthusiasm of the activity promotion and sports injury likely increase in chronic disease “Initial comments on the AMA Position of working with elite sporting teams, the area and the Government’s solo South Australian Government to prevention Conference – it has in Australia. The recent New South Statement on Nutrition. December 2005”) this work will be both plentiful and policy unit. provide support to sign up the everything to do with sports medicine! Wales Health futures planning project necessary. Could this be interpreted as a message Conference for Adelaide in October estimated an increase in diabetes Certainly what can be said about Professor Bahr, whose background to the doctors to “stay off our turf”? 2007. over the next twenty years of 176%. federal initiatives is that they are as a sports physician, sports injury SMA responded with a media release (Bellew, Bauman. Booth et al. focussed almost exclusively on But it is critical that we get • The fact that all our overseas epidemiologist and chair of Norway’s supporting the thrust of the AMA “Chronic Disease: the sleeping giant children. Federal Health Minister speakers want to come back in physical activity taskforce uniquely statement, but making the point that, the messages right. of health expenditure.” NSW Health Tony Abbott opened a one day forum 2007 (but maybe that was just a qualified him as a plenary speaker with obesity, it takes two to tango futures planning project 2005.) organised by Senator Barnett recently Messages such as: testimony to our partying!!!) at the Conference, made the – poor nutrition habits, but also a lack by stating “two thirds of Australian fundamental assertion that treating All of this is perfectly consistent of physical activity. • Weight control is a function of men and more than half the women the rising tide of chronic disease with the projected changes to the energy balance. When discussing are overweight or obese” - and then The President of the Australian will become an increasing part of all pattern of population in Australia as obesity, we must talk about spent the rest of his discussion on Association of Exercise and Sports sports medicine practice. (Professor the largest cohort of the population, nutrition AND physical activity. children. Increases in overweight and Science (AAESS), Dr David Bishop, Roald Bahr: “Redefining sports the babyboomers, enters old age. obesity in children are alarming, but editorialised in the latest (December • There is health benefit in physical medicine: from sprained ankles to What makes this even more alarming two facts stand out: 2005) edition of the Journal of Science activity WITHOUT any consequent clogged arteries.” Plenary Lecture, for health economists is that the and Medicine Sport (JSAMS) on weight loss. Australian Conference of Science and babyboomers, the largest cohort of 1. The babyboomers are going to be the role of physical activity versus Medicine in Sport, 13 October 2005.) the population, are also the most a crisis for the health system first, This latter point seems to get “specific, targeted, and prescribed and overlooked in the current stampede/ More importantly, Professor Bahr overweight and obese - and the exercise”. (Dr David Bishop. “If reaction to the obesity crisis. All focus asserted that a sports medicine and least physically active - cohort of the 2. The babyboomers also prove you physical activity is the answer, what seems to be on getting or keeping the science background uniquely qualified population. This will make them even cannot obesity-proof people in is the question?” JSAMS 8:4.