In this podcast James Walsh speaks with Dr Dusty Narducci about ADHD in athletes. Dusty is one of the lead authors on the recent AMSSM ADHD position statement and is an expert in the treatment of ADHD in athletes.

They discuss the different types of ADHD, how they can manifest in athletes, treatment and the implications of stimulant medication for cardiac health and competition.

References and further reading:

https://www.docdusty.com/post/adhd-add-a-superpower-in-athletes

https://journals.lww.com/cjsportsmed/Fulltext/2023/05000/Athletes_With_Attention_Deficit_Hyperactivity.1.aspx

https://bjsm.bmj.com/content/53/12/741

Lakshaajeni Thevapalan, Martyna Stasiak, Lauren Harris, Anand S Pandit, Smart drugs among surgeons: future cause for concern?, British Journal of Surgery, Volume 110, Issue 8, August 2023, Pages 1000–1002, https://doi.org/10.1093/bjs/znad139

Cage S, Warner L, Cook A, Swindall R, Wadle C, Warner BJ. Prevalence of Self-Reported ADHD Symptoms Among Collegiate Athletes. The Internet Journal of Allied Health Sciences and Practice. 2023 Mar 20;21(2), Article 18.

Dikdan, S, Sun, M, Vyas, A. et al. MENTAL HEALTH AND THE YOUTH ATHLETE: AN ANALYSIS OF THE HEARTBYTES DATABASE. J Am Coll Cardiol. 2023 Mar, 81 (8_Supplement) 2173.

Zhang L, Yao H, Li L, et al. Risk of Cardiovascular Diseases Associated With Medications Used in Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-analysis. JAMA Netw Open. 2022;5(11):e2243597. doi:10.1001/jamanetworkopen.2022.43597

Physical activity and exercise is known to be beneficial for individuals with both Type 1 and Type 2 Diabetes. This podcast is another in the BJSM and PACC series which looks to help health care professionals who are looking to have more conversations with patients about physical activity in long term conditions.

Nusrat Kausar is a dietician who sits on the BDA specialist groups for Sports and Exercise Nutrition and Exercise in diabetes. She has a wealth of experience in discussion physical activity with this patient group and in providing education for others to do so. She joins Dr Dan Fitzpatrick, a Sport and Exercise Medicine Registrar, to discuss this crucial area.

The Physical Activity Clinical Champions or PACC programme is a national project delivering physical activity education to professionals working in healthcare to help get patients more physically active. It was previously being led by public health England as part of the moving healthcare professionals programme and funded by the national lottery & Sport England and is now being led by a consortium of The Faculty of Sport and Exercise Medicine, The Advance Wellbeing Research Centre at Sheffield Hallam University and Intelligent Health and is being re-designed with new resources. This podcast forms part of a series to support physical activity education for professionals working in healthcare. For anyone you would like to get involved with PACC project then please do email us at pacc@shu.ac.uk

Resources discussed

https://movingmedicine.ac.uk/pacc/

Type 1 -

Digibete - https://www.digibete.org/sports-page/

Team Type One Style - https://teamtypeonestyle.com/

JDRF - https://jdrf.org.uk/news-and-events/health-care-professional-events/

Diabetes UK - Type 1 events - https://www.diabetes.org.uk/how_we_help/type-1-events/healthcare-professional-volunteering

EXTOD - https://www.extod.org/

The Glucose Never Lies - https://theglucoseneverlies.com/

Diabetes Chat - https://www.diabeteschat.net/

Type 2 -

The 5s - https://www.leicesterdiabetescentre.org.uk/news-blog/ldc-highlights-five-important-health-behaviours-for-diabetes-management

Diabetes UK - https://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/exercise , https://www.diabetes.org.uk/node/1155 , https://www.diabetes.org.uk/for-professionals/supporting-your-patients/information-prescriptions/information-prescriptions-qa#download

NHS exercise links - https://www.nhs.uk/conditions/nhs-fitness-studio/, https://www.nhs.uk/live-well/exercise/

Other exercise videos -https://www.youtube.com/user/LWRFitnessChannel/videos?app=desktop

General education -

Updating general diabetes knowledge - https://pro.campus.sanofi/uk/type-2-diabetes/education , https://abcd.care/ , https://www.cdep.org.uk/

DSN forum - https://www.diabetesspecialistnurseforumuk.co.uk/hcp-resources

Diabetes NNF - https://www.diabetes-nnf.co.uk/

Diabetes Professional Conference - https://www.diabetesprofessionalcare.com/

Mental Health problems are common and there is good evidence for physical activity as an important role to help prevent and treat mental health conditions. The BJSM has collaborated with the PACC programme to help develop this podcast and has invited Professor Brendon Stubbs, a global expert in this space. Brendon is a clinical-academic physiotherapist and has published more than 800 academic papers and has advised the WHO and the World Psychiatric Association.

“The Physical Activity Clinical Champions or PACC programme is a national project delivering physical activity education to professionals working in healthcare to help get patients more physically active. It was previously being led by public health England as part of the moving healthcare professionals programme and funded by the national lottery & Sport England and is now being led by a consortium of The Faculty of Sport and Exercise Medicine, The Advance Wellbeing Research Centre at Sheffield Hallam University and Intelligent Health and is being re-designed with new resources. This podcast forms part of a series to support physical activity education for professionals working in healthcare. For anyone you would like to get involved with PACC project then please do email us at pacc@shu.ac.uk

PAPERS MENTIONED

Physical activity Prevention of Mental Health Problems

Physical Activity and Incident Depression: A Meta-Analysis of Prospective Cohort Studies - PubMed (nih.gov)

Physical activity protects from incident anxiety: A meta-analysis of prospective cohort studies - PubMed (nih.gov)

Physical activity and sedentary behaviour:

The association between sedentary behaviour and indicators of stress: a systematic review - PubMed (nih.gov)

Testing the causal relationships of physical activity and sedentary behaviour with mental health and substance use disorders: a Mendelian randomisation study - PubMed (nih.gov)

Changes in sedentary time are associated with changes in mental wellbeing over 1 year in young adults - PMC (nih.gov)

Treatment of Mental Health conditions

Exercise and internet-based cognitive-behavioural therapy for depression: multicentre randomised controlled trial with 12-month follow-up - PubMed (nih.gov)

Antidepressants or running therapy: Comparing effects on mental and physical health in patients with depression and anxiety disorders - PubMed (nih.gov)

Other resources mentioned:

https://movingmedicine.ac.uk

Home - Mind

The Oxford Textbook of Children's Sport & Exercise Medicine released it's 4th edition in 2023. Dr. Liam West reached out on behalf of the BJSM community to the two editors, Prof. Neil Armstrong and Prof. Willem Van Mechelen, to discuss the journey that led to the 4th edition and get an insight into a few of the top tips inside the book that can help improve your clinical care for this population today!

Link to book - https://global.oup.com/academic/product/oxford-textbook-of-childrens-sport-and-exercise-medicine-9780192843968?cc=au&lang=en&

Physiotherapist and Lead AHP Physical Activity Clinical Champion Sarah Dewhurst is joined by Dr Lucy Gossage, Clinical Oncologist and co-founder of ‘Move Against Cancer.

They discuss the importance of all healthcare professionals supporting people with cancer to be active through brief interventions in clinical settings. They summarise the evidence and share top tips to overcome some of the reported challenges which can make it difficult to bring up the topic to exercise in oncology. They also highlight some helpful resources to share with patients and promote further learning.

https://www.cancercaremap.org/

https://www.moveagainstcancer.org/5k-your-way/

https://www.canrehab.com/canrehab-trust/

https://www.macmillan.org.uk/in-your-area/choose-location.html

https://movingmedicine.ac.uk/

Behaviour change theory and Motivational Interviewing (MI) principles are often an area cited by healthcare professionals as something they would like more training on. The BJSM has collaborated with the PACC programme to develop this podcast and has invited Dr Tim Anstiss, an expert in this area, to explain some key behaviour change theory and motivational interviewing concepts in this conversation. Tim is a medical doctor specialising in behaviour change and wellbeing improvement. He trained as a trainer in motivational interviewing in the mid 90’s and has trained thousands of health and care professionals, managers and coaches in Motivational Interviewing, health coaching, brief interventions and shared decision making.

“The Physical Activity Clinical Champions or PACC programme is a national project delivering physical activity education to professionals working in healthcare to help get patients more physically active. It was previously being led by public health England as part of the moving healthcare professionals programme and funded by the national lottery & Sport England and is now being led by a consortium of The Faculty of Sport and Exercise Medicine, The Advance Wellbeing Research Centre at Sheffield Hallam University and Intelligent Health and is being re-designed with new resources. This podcast forms part of a series to support physical activity education for professionals working in healthcare. For anyone you would like to get involved with PACC project then please do email us at pacc@shu.ac.uk

For further information on behaviour change and MI please go to the moving medicine website:

https://movingmedicine.ac.uk

A great course run by Moving Medicine that you can sign up to improve understanding in behaviour change and up skill on principles of motivational interviewing is Active Conversations.

Books mentioned:

Motivational Interviewing in Health Care, Second Edition. Helping Patients Change Behaviour

By Stephen Rollnick, William R. Miller, Christopher C. Butler

Motivational Interviewing, Fourth Edition. Helping People Change and Grow. William R. Miller & Stephen Rollnick

Tiny Habits, Big Results: Your method for success, BJ Fogg

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jake Wessels, MD, is joined by Dr. Marcia Faustin (X: @FaustinMarcia) to discuss her main stage presentation about Mental Health and Shared Decision-Making during the 2024 AMSSM Annual Meeting.

Dr. Faustin is an Associate Professor in the Department of Family and Community Medicine and Physical Medicine & Rehabilitation at the University of California – Davis. She is the Associate Team Physician for the UC Davis Division I Collegiate Athletics team and the co-Head Team Physician for the USA Gymnastics Women's National Team.

In this conversation, Dr. Faustin discusses aspects of her upcoming talk in Baltimore, MD, and address the following topics:

• Her journey to becoming a Division I athlete and working with elite level athletes
• The factors that led her to work with the US Women’s Gymnastics Team
• What shaped her shared decision-making process when caring for athletes – even at the highest levels of competition
• How her personal experiences impact the way she practices medicine
• The importance of mental health and why it should be a priority for providers
• Trends she has noticed in mental health care for athletes

In-person and virtual attendance options are still available for the conference. Register to attend the 2024 AMSSM Annual Meeting at annualmeeting.amssm.org.

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Peter Brukner, MBBS, DSc (T: @DrPeterBrukner), to discuss his upcoming lectures on the placebo effect and fueling endurance athletes during the 2024 AMSSM Annual Meeting in Baltimore, MD.

In this conversation, Dr. Brukner shares some background on both of his upcoming main stage talks at the AMSSM Annual Meeting, which are titled:

• Placebo Effect or Something More? How Nontangible Factors May Influence Perceived Outcomes with Injection Therapies
• Fueling the Endurance Athlete

Dr. Brukner is a specialist sports and exercise physician and Professor of Sports Medicine at LaTrobe University. A former President of the Australasian College of Sports Physicians, he played a key role in establishing sports medicine as a medical specialty in Australia. He is the co-author of the widely used text book, Clinical Sports Medicine, and has been a team physician for professional football clubs as well as national athletics, swimming, soccer and cricket teams including Olympic and Commonwealth Games.

Learn more about his work and publications on his website (www.peterbrukner.com), and register to attend the 2024 AMSSM Annual Meeting in person or virtually at annualmeeting.amssm.org.