plenaire sprekers Dr. Robert Sallis MD Donderdag 27 november – 9.00 uur – Keynote 1: Exercise Is Medicine; Update on a Global Health Initiative Dr. Sallis is a family physician practicing at Kaiser Permanente Medical Center in Fontana, California and serving as CoDirector of their Sports Medicine Fellowship program. He is a Clinical Professor of Family Medicine at the UC Riverside School of Medicine and a Past-President of the American College of Sports Medicine (ACSM). He currently chairs Exercise is Medicine™, a joint initiative of ACSM and the American Medical Association. He also chaired the Healthcare Sector of the U.S. Physical Activity Plan and is the physician spokesperson for the ‘Every Body Walk!’ campaign. Dr. Sallis received his Bachelor of Science degree from the U.S. Air Force Academy (where he played intercollegiate basketball) and his Medical Degree from Texas A&M University. He completed his residency in Family Medicine at Kaiser Permanente Medical Center in Fontana, CA, where he served as chief resident. He is Board Certified in Family Medicine and also holds a Certificate of Added Qualifications in Sports Medicine. He is the head team physician at Pomona College and chairs the Ironman Sports Medicine Conference in Kona, Hawaii. Exercise Is Medicine; Update on a Global Health Initiative Physical inactivity has an astonishing breadth of harmful health effects and the association between an inactive and unfit way of life persists in virtually every subgroup of the population. On the contrary, physical activity has a powerful effect on both the treatment and prevention of most every chronic disease, for mitigating the harmful effects of obesity and for lowering risk for premature mortality. As the costs associated with diseases directly caused by inactivity have soared, it is clear that physical inactivity is the major public health problem of our time. At the conclusion of this lecture, attendees will be able to: 1. Explain the impact of physical activity in terms of: prevention of disease; reduction in mortality rates; positive effects in the elderly and kids; exercise as a clinical intervention for disease; beneficial effect of muscle strength on health outcomes. 2. Outline the key components for exercise prescription in a clinical setting. 3. Understand the common barriers to exercise and strategies to overcome them. 4. Describe the Exercise Is Medicine Global Health Initiative and how it is related to health and disease around the world. If we had a pill that conferred all the benefits of exercise, we would recommend it to every patient. It is time we all started encouraging all patients to take this free medication! Michael Kjær Donderdag 27 november – 16.15 uur – Keynote 2: Tendinopathie Michael Kjær is specialist in Rheumatology, Head of Institute of Sports Medicine, Copenhagen at Bispebjerg Hospital, and Professor in Sports Medicine, Faculty of Health and Medical Sciences, University of Copenhagen. Research area: tendon and muscle adaptation to exercise, age-related muscle loss, and development and treatment of tendon overuse injuries. Tendinopathy The overall turnover of the tendon in humans seems to be taking primarily within the first 17 years of life, indicating that the basic structure remains relatively unchanged through adult life. Nevertheless, mechanical loading of adult human tendon results in an up-regulation of collagen synthesis and collagen degradation relatively independent upon tendon loading intensity, and indicates a ‘fine-tuning’ of e.g. cross link formation in relation to level of physical activity and accompanies the relatively fast change in tendon mechanical properties with either training or immobilization. Development of tendinopathy is suggested to be coupled to a mismatch between loading and adaptation, and results 10 10e Sportmedisch Wetenschappelijk Jaarcongres Pagina 11

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