JOURNAL OF THE AMERICAN MEDICAL ATHLETIC ASSOCIATION Volume 29, Number 2 Summer 2016 Division of the American Running Association AMAA JOURNAL FOUNDER Ronald M. Lawrence, MD, PhD BOARD OF DIRECTORS THE MILE: A STARTING POINT FOR Cathy Fieseler, MD, President Charles L. Schulman, MD, Immediate Past-President Douglas J. Casa, PhD, ATC, FACSM FITNESS IN OUR YOUTH S. Mark Courtney, PA-C Mark Cucuzzella, MD, FAAFP Running a mile in under 15 minutes struggled in PE classes due to being out of Ronald S. Dubin, MD sounds easy to all of us. It is almost a fast shape and overweight. The MILE event pre- Ronald M. Lawrence, MD, PhD, Member Emeritus walking pace. Yet when I witness overweight sented a challenge. It turns out that the PE Noel D. Nequin, MD, FACSM, FAACVPR, middle school students struggling to break teacher at this particular school added a Member Emeritus 15 minutes in a mile, I know we are on the twist to how they were going to stage the RUN COL Francis G. O’Connor, MD, FACSM correct path. That is a path to help improve A MILE event. To earn or receive the special Chris Troyanos, ATC the fitness level of our kids before they hit t-shirt, every boy and girl had to break 15 HONORARY DIRECTORS high school. It’s at that point in a youth’s life, minutes in the mile. I paused. This teacher Marv Adner, MD Judi Babb the high school years and beyond, where we must have felt the same way as many of us Walter M. Bortz II, MD lose the advantage of direct influence. We who believe this is the minimum standard Ken Cooper, MD have all experienced it, even with our own pace any boy or girl should run, although EXECUTIVE DIRECTOR kids. Sure, we are leaned upon for advice we never wrote it in our sales pitch when David Watt and counsel once our kids mature and real- promoting the concept of NATIONAL RUN A MANAGING EDITOR ize that the stuff we urged or preached when MILE DAYS to a new school’s principal or Barbara Baldwin, MPH they were younger may now be the answer. lead PE teacher. TALKING ABOUT TRAINING EDITOR The home-field advantage held by parents is This middle school PE teacher, on her Douglas F. Munch, PhD one big reason that we as outside influenc- own, set the bar to reach. The value of wear- BOOK REVIEW EDITORS ers have our best shot to affect change in ing that “Are You A Miler?” tee just went up a Paul J. Kiell, MD kids’ daily lives in the elementary and mid- notch. The mom continued telling her son’s Douglas F. Munch, PhD dle school years. story. He started running during the period CONTRIBUTING WRITER I have told one story that came to my at- in PE class set aside for training for the mile. Jeff Venables tention in the form of an email forwarded to She said it had been hard for her son as he MEETING COORDINATORS me from a PE teacher in Washington State. had let his being overweight be the reason Judi Babb In the note a mom reached out to thank the to not run. When RUN A MILE DAY arrived Barbara Baldwin, MPH organizers at her son’s middle school and at his school, however, her son focused on EDITORIAL ADVISORY BOARD our organization, ARA and AMAA, for put- that 15-minute time limit to receive the free Brian B. Adams, MD Donald B. Ardell, PhD ting on the RUN A MILE event. She admitted t-shirt. He ran the day of the event and broke Robert Bice, Jr., MD, FACS upfront that her son was overweight. He had 15 minutes. The mom concluded the email Paul E. Casinelli, MD George M. Dallam, PhD Edward R. Feller, MD Lawrence A. Golding, PhD, FACSM Steven J. Karageanes, DO Paul J. Kiell, MD John M. Levey, MD Steve Morrow, DDS Douglas L. Noordsy, MD Edward R. Sauter, MD, PhD Walter R. Thompson, PhD Bruce Wilk, PT, OCS The American Medical Athletic Association (AMAA), professional division of the American Running Association, was founded in 1969 by Ronald M. Lawrence, MD, PhD, to educate and motivate fellow physicians to disseminate information about exercise and nutrition to their patients, thereby enhancing their quality of life. The AMAA Journal is a peer-reviewed publication. Opinions expressed in the AMAA Journal are not necessarily endorsed by AMAA. Address editorial, membership, advertising and change of address information to AMAA, 4405 East-West Highway, Suite 405, Bethesda, MD 20814-4535, TEL: 301-913-9517, FAX: 301-913-9520, E-mail: [email protected], www.amaasportsmed.org. 2 AMAA Journal Summer 2016 CONTENTS by writing that her son told her “getting the at a sports medicine meeting. We also are ‘Are You A Miler?’ tee was his gold medal.” looking for a national sponsor (or two) for Messages to Remember..…….. 4 We are life influencers. The NATIONAL the RUN A MILE program and events. We are Mark Cucuzzella, MD, FAAFP RUN A MILE DAYS event is part of our main also going explore a “kickstarter” campaign Fitness is Not Exclusively push or cause to “simply get more kids fit for NATIONAL RUN A MILE DAYS. Physical …………..................... 7 one step at a time.” We have momentum We can make the mile be much more than Laurel Mehler, MD with a sustainable program and people just 26.2 parts to a marathon. Each of us can who believe in our cause, as evidenced by either raise funds, start a MILE program at Boston Friendships, Teachings, the success in our fundraisers at the Boston a school where our kids or grandkids at- and Athletic Achievements........ 8 Marathon. Yet we are at a precarious point tend, or get others to help us. Together we Barbara Baldwin, MPH; Dexter when it comes to raising funds for ARA- can make the 15-minute mile the minimum Emoto, RN; and Katie Powers, RN AMAA. We do not control our position to standard in all schools. We now know that provide charity slots in Boston. We now are the “Are You A Miler” t-shirt can mean as AMAA 2016 Finishers ………. 13 competing with many other charities for the much as a gold medal, and overweight kids right to sell x-number of invitational entries can be motivated to win! On the Road with into the 2017 marathon. We must look be- Dave and Dan ………….......... 14 yond Boston and create opportunities for Enjoy the run! supporters to raise funds and experience a Dave Watt, Executive Director Book Review: half or full marathon and obtain CME credits First Ladies of Running…….. 18 John L. Zinkel, MD NATIONAL RUN A MILE DAYS YOUTH FUND 2016: TOP 10 FUNDRAISERS Keyon Vafa Chestnut Hill, MA $7,772 Catherine Rubinstein Charleston, SC $5,475 Carolyn Bruckmann Cambridge, MA $6,077 Tori Machado Baintree, MA $5,462 Sherry Braheny La Mesa, CA $5,941 Paul Thur Bala Cynwyd, PA $5,443 Jessica Drescher Glencoe, IL $5,901 Ashley Thompson Cambridge, MA $5,183 Jennifer Kizza Cambridge, MA $5,522 Billy Porter Kenova, WV $5,181 Photo Credits: Austin Dickey and Dexter Emoto. Cover: “Doc Bill” Paronish at his ninth consecutive Boston Marathon finish. AMAA Journal Summer 2016 3 AMAA SPORTS MEDICINE SYMPOSIUM MESSAGES TO REMEMBER By Mark Cucuzzella, MD, FAAFP It was a privilege to be one of the co-chairs of the American Medical Athletic Association’s 45th Annual Sports Medicine Symposium at the Boston Marathon. This year we hosted an amazingly diverse and experienced group of clinicians. I always learn a ton but often for- get some of the key messages; therefore, I am pleased to share with you thoughts and key mes- sages I have gathered from some of the speakers. I also want to give a huge thanks to all the speak- ers and meeting organizers Dave Watt, Barbara Michael Silva, PT explains how the whole body approach to training yields optimal results. Baldwin, Judi Babb, and Maria Kolanowski for making this event a continued success. Year after year, when the symposium has improvement than their peers who have been Jeffrey Brown, PsyD (The Runner’s Brain: commenced and it’s time to drop the doctor hats running since childhood or early adulthood. Deciphering the Most Unique Organ to Cross for a day, I always have fun enjoying the people a Finish Line) of Boston and running the Boston Marathon. Fred H. Brennan, Jr., DO (MASCAL Response • From my 15-plus years with the Boston Congratulations to all who challenged them- at Endurance Events: Lessons Learned from Marathon, it’s clear that a runner’s brain is selves in the 2016 race; it was a warm day, but Baghdad to Boston) the single most utilized organ, yet often re- one filled with crowds and excitement. We hope • If covering an event, unlikely as it may seem, ceives little attention. to see you next year! be prepared to triage and basically stabilize • Fine tuning a runner’s thinking can improve patients in a MASCAL situation. Remember, if performance, reduce pain, increase resil- Elisabeth Beyer Nolen, MD (Menopause & you are the only provider covering an event, ience, and solidify athletic identity, among Exercise) two seriously injured athletes could be a other fine points of the sport. • Exercise has been shown to at least subjec- MASCAL for you. • Many runners admit they almost obsessively tively decrease menopausal symptoms both • Effective communication is often your big- desire information about their brains and op- in runners and non-runners.