| 27 | 0 | 62 |
| 下载次数 | 被引频次 | 阅读次数 |
通过介绍第72届美国运动医学年会概况和主要热点,以大会主报告和专题报告为思路,重点阐述第72届美国运动医学年会主报告“运动医学的创新”、“运动是良医”(EIM)专题报告“基于证据的老年人运动干预项目”和Steven N.Blair教授致敬报告。主报告系统回顾了近十年来,运动医学领域的创新对健康(大众健康、运动员健康)的深刻改变,对运动损伤的预防、诊断和治疗带来的新理念、新方法和新技术及其对运动表现的影响,以及当前该领域仍存在的性别不平等、代表性不足、群体研究不全面等问题。EIM专题报告以Enhance~®Fitness项目为例重点阐释了基于证据的老年人运动干预项目的实施与成效,讨论了理论转向实践的现实应用问题。Steven N. Blair教授的学术贡献推动了EIM项目的理念推广与实践应用。会议展望了人工智能、可穿戴设备及精准运动营养在未来的应用前景。系统梳理了年会的核心内容与前沿动态,以期为我国竞技体育与大众健康的理论研究与实践推广提供参考。
Abstract:This article provides an overview of the 72nd American College of Sports Medicine Annual Meeting and its highlights. Focusing on the keynote and featured symposiums, it elaborates on the main report titled "Innovations in Sports Medicine," the Exercise is Medicine~®(EIM) lecture on "Evidence-Based Physical Activity Interventions for Older Adults," and the tribute to Professor Steven N. Blair. The keynote speech systematically reviewed the profound changes brought about by innovations in the field of sports medicine over the past decade to health(population health and athlete health), the new concepts, methods, and technologies introduced to the prevention, diagnosis, and treatment of sports injuries, as well as the impact on athletic performance. It also addressed existing issues in the field, such as gender inequality and insufficient research on underrepresented groups. The EIM session presented Enhance®Fitness as a case study to illustrate the implementation and effectiveness of evidence-based exercise intervention programs for the elderly, and examined the practical application of theory in real-world contexts. Professor Steven N. Blair's academic contributions have promoted the practical application of Exercise is Medicine. The conference also explored the future applications of artificial intelligence, wearable devices and precision nutrition. This article systematically reviews the key contents and cutting-edge trends of this annual meeting, aiming to provide references for the theoretical research and practical promotion of competitive sports and public health in China.
[1]PEDERSEN B K, STEENSBERG A, FISCHER C, et al.Searching for the exercise factor:Is IL-6 a candidate?[J].Journal of Muscle Research&Cell Motility, 2003, 24(2):113-119.
[2]PEDERSEN B K, FEBBRAIO M A. Muscles, exercise and obesity:Skeletal muscle as a secretory organ[J].Nature Reviews Endocrinology, 2012, 8(8):457-465.
[3]PEDERSEN B K, FEBBRAIO M A. Muscle as an endocrine organ:Focus on muscle-derived interleukin-6[J].Physiological Reviews, 2008, 88(4):1379-1406.
[4]陈演,邱俊强,于涛,等.肌肉-器官交互作用:运动诱导的肌肉因子研究进展[J].中国运动医学杂志,2022,41(11):887-895.
[5]BOSTRÖM P, WU J, JEDRYCHOWSKI M P, et al. A PGC1-α-dependent myokine that drives brown-fat-like development of white fat and thermogenesis[J]. Nature,2012, 481(7382):463-468.
[6]SAFDAR A, TARNOPOLSKY M A. Exosomes as mediators of the systemic adaptations to endurance exercise[J].Cold Spring Harbor Perspectives in Medicine, 2018, 8(3):a029827.
[7]SAFDAR A, SALEEM A, TARNOPOLSKY M A. The potential of endurance exercise-derived exosomes to treat metabolic diseases[J]. Nature Reviews Endocrinology,2016, 12(9):504-517.
[8]WHITHAM M, PARKER B L, FRIEDRICHSEN M, et al.Extracellular vesicles provide a means for tissue crosstalk during exercise[J]. Cell Metabolism, 2018, 27(1):237-251. e4.
[9]PENG Y, JIA L, HU X, et al. Cellular Feimin enhances exercise performance by suppressing muscle thermogenesis[J]. Nature Metabolism, 2025, 7(1):84-101.
[10]KANG J S, KIM J H, KIM M J, et al. Exercise-induced CLCF1 attenuates age-related muscle and bone decline in mice[J]. Nature Communications, 2025, 16:4743.
[11]MAO Y, JIN Z, YANG J, et al. Muscle-bone cross-talk through the FNIP1-TFEB-IGF2 axis is associated with bone metabolism in human and mouse[J]. Science Translational Medicine, 2024, 16(750):eadk9811.
[12]ZUO X, ZHAO R, WU M, et al. Multi-omic profiling of sarcopenia identifies disrupted branched-chain amino acid catabolism as a causal mechanism and therapeutic target[J]. Nature Aging, 2025, 5(3):419-436.
[13]WEDELL-NEERGAARD A S, LANG LEHRSKOV L,CHRISTENSEN R H, et al. Exercise-induced changes in visceral adipose tissue mass are regulated by IL-6 signaling:A randomized controlled trial[J]. Cell Metabolism,2019, 29(4):844-855. e3.
[14]CHRISTENSEN R H, LEHRSKOV L L, WEDELLNEERGAARD A S, et al. Aerobic exercise induces cardiac fat loss and alters cardiac muscle mass through an interleukin-6 receptor-dependent mechanism:Cardiac analysis of a double-blind randomized controlled clinical trial in abdominally obese humans[J]. Circulation, 2019,140(20):1684-1686.
[15]LANG LEHRSKOV L, LYNGBAEK M P, SOEDERLUND L, et al. Interleukin-6 delays gastric emptying in humans with direct effects on glycemic control[J]. Cell Metabolism, 2018, 27(6):1201-1211. e3.
[16]PEDERSEN L, IDORN M, OLOFSSON G H, et al.Voluntary running suppresses tumor growth through epinephrine-and IL-6-dependent NK cell mobilization and redistribution[J]. Cell Metabolism, 2016, 23(3):554-562.
[17]DJURHUUS S S, SIMONSEN C, TOFT B G, et al. Exercise training to increase tumour natural killer-cell infiltration in men with localised prostate cancer:A randomised controlled trial[J]. BJU international, 2023, 131(1):116-124.
[18]KISTNER T M, PEDERSEN B K, LIEBERMAN D E.Interleukin 6 as an energy allocator in muscle tissue[J].Nature Metabolism, 2022, 4(2):170-179.
[19]MCKENZIE D C. Abreast in a Boat:A race against breast cancer[J]. Canadian Medical Association Journal, 1998,159(4):376-378.
[20]SABISTON C M, MCDONOUGH M H, CROCKER P R E. Psychosocial experiences of breast cancer survivors involved in a dragon boat program:Exploring links to positive psychological growth[J]. Journal of Sport&Exercise Psychology, 2007, 29(4):419-438.
[21]MCKENZIE D C, KALDA A L. Effect of upper extremity exercise on secondary lymphedema in breast cancer patients:A pilot study[J]. Journal of Clinical Oncology,2003, 21(3):463-466.
[22]DEL ROSARIO ASENSIO-GARCÍA M, TOMÁSRODRÍGUEZ M I, PALAZÓN-BRU A, et al. Effect of rowing on mobility, functionality, and quality of life in women with and without breast cancer:A 4-month intervention[J]. Supportive Care in Cancer, 2021, 29(5):2639-2644.
[23]HONG B S, LEE K P. A systematic review of the biological mechanisms linking physical activity and breast cancer[J]. Physical Activity and Nutrition, 2020, 24(3):25-31.
[24]Abreast in a boat[EB/OL].(2025-11-11)[2025-11-24].https://www.abreastinaboat.com.
[25]BETTARIGA F, TAAFFE D R, CRESPO-GARCIA C, et al. A single bout of resistance or high-intensity interval training increases anti-cancer myokines and suppresses cancer cell growth in vitro in survivors of breast cancer[J].Breast Cancer Research and Treatment, 2025, 213(1):171-180.
[26]OTIS C L, DRINKWATER B, JOHNSON M, et al.ACSM position stand:The female athlete triad[J].Medicine&Amp Science in Sports&Amp Exercise,1997, 29(5):i-ix.
[27]SAWKA M N, BURKE L M, EICHNER E R, et al. American College of Sports Medicine position stand. Exercise and fluid replacement[J]. Medicine and Science in Sports and Exercise, 2007, 39(2):377-390.
[28]MOUNTJOY M, SUNDGOT-BORGEN J, BURKE L, et al. The IOC consensus statement:Beyond the Female Athlete Triad—Relative Energy Deficiency in Sport(REDS)[J]. British Journal of Sports Medicine, 2014, 48(7):491-497.
[29]MOUNTJOY M, SUNDGOT-BORGEN J K, BURKE L M, et al. IOC consensus statement on relative energy deficiency in sport(RED-S):2018 update[J]. British Journal of Sports Medicine, 2018, 52(11):687-697.
[30]MOUNTJOY M, ACKERMAN K E, BAILEY D M, et al.2023 International Olympic Committee's(IOC)consensus statement on relative energy deficiency in sport(REDs)[J].British Journal of Sports Medicine, 2023, 57(17):1073-1097.
[31]HAMMOND K M, SALE C, FRASER W, et al. Postexercise carbohydrate and energy availability induce independent effects on skeletal muscle cell signalling and bone turnover:Implications for training adaptation[J]. The Journal of Physiology, 2019, 597(18):4779-4796.
[32]FENSHAM N C, HEIKURA I A, MCKAY A K A, et al.Short-term carbohydrate restriction impairs bone formation at rest and during prolonged exercise to a greater degree than low energy availability[J]. Journal of Bone and Mineral Research, 2022, 37(10):1915-1925.
[33]MCKAY A K A, PEELING P, PYNE D B, et al. Six days of low carbohydrate, not energy availability, alters the iron and immune response to exercise in elite athletes[J].Medicine and Science in Sports and Exercise, 2022, 54(3):377-387.
[34]REARDON C L, HAINLINE B, ARON C M, et al.Mental health in elite athletes:International Olympic Committee consensus statement(2019)[J]. British Journal of Sports Medicine, 2019, 53(11):667-699.
[35]高志青,赵之光,胡静,等.自由泳不同训练单元主观体力感觉与心境状态的变化[J].体育科研,2014,35(3):39-43.
[36]李杰,刘智愚,王美玲,等.我国优秀散打运动员心理技能与失败应对策略研究[J].北京体育大学学报,2018,41(5):139-145.
[37]赵国明,肖昊鹏,高志青,等.重大比赛心理服务框架的实践解读:中国飞碟射击队备战巴黎奥运会的启示[J].北京体育大学学报,2025,48(1):34-43.
[38]孙美荣,李梦媛,乐欣,等.基于PERMA模型的心理训练:中国艺术体操队备战巴黎奥运会的启示[J].北京体育大学学报,2025,48(1):15-24.
[39]MOUNTJOY M, BRACKENRIDGE C, ARRINGTON M,et al. International Olympic Committee consensus statement:Harassment and abuse(non-accidental violence)in sport[J]. British Journal of Sports Medicine, 2016, 50(17):1019-1029.
[40]TUAKLI-WOSORNU Y A, BURROWS K, FASTING K,et al. IOC consensus statement:Interpersonal violence and safeguarding in sport[J]. British Journal of Sports Medicine, 2024, 58(22):1322-1344.
[41]WOODWARD J, TOOBY J, TUCKER R, et al. Instrumented mouthguards in elite-level men's and women's rugby union:Characterising tackle-based head acceleration events[J]. BMJ Open Sport&Exercise Medicine,2024, 10(3):e002013.
[42]THORBORG K, KROMMES K K, ESTEVE E, et al.Effect of specific exercise-based football injury prevention programmes on the overall injury rate in football:A systematic review and meta-analysis of the FIFA 11 and11+programmes[J]. British Journal of Sports Medicine,2017, 51(7):562-571.
[43]PETERSEN J, THORBORG K, NIELSEN M B, et al.Preventive effect of eccentric training on acute hamstring injuries in men's soccer:A cluster-randomized controlled trial[J]. The American Journal of Sports Medicine, 2011,39(11):2296-2303.
[44]HARMON K G, ZIGMAN M, DREZNER J A. The effectiveness of screening history, physical exam, and ECG to detect potentially lethal cardiac disorders in athletes:A systematic review/meta-analysis[J]. Journal of Electrocardiology, 2015, 48(3):329-338.
[45]DREZNER J A, SHARMA S, BAGGISH A, et al. International criteria for electrocardiographic interpretation in athletes:Consensus statement[J]. British Journal of Sports Medicine, 2017, 51(9):704-731.
[46]DREZNER J A, COURSON R W, ROBERTS W O, et al.Inter-association task force recommendations on emergency preparedness and management of sudden cardiac arrest in high school and college athletic programs:A consensus statement[J]. Heart Rhythm, 2007, 4(4):549-565.
[47]DREZNER J A, PETERSON D F, SIEBERT D M, et al.Survival after exercise-related sudden cardiac arrest in young athletes:Can we do better?[J]. Sports Health, 2019,11(1):91-98.
[48]PELTO H F, DREZNER J A. Design and implementation of an emergency action plan for sudden cardiac arrest in sport[J]. Journal of Cardiovascular Translational Research,2020, 13(3):331-338.
[49]AYDINGÖZÜ, YILDIZ A E, ERGEN F B. Zero echo time musculoskeletal MRI:Technique, optimization,applications, and pitfalls[J]. Radiographics, 2022, 42(5):1398-1414.
[50]FITZPATRICK J, BULSARA M, ZHENG M H. The effectiveness of platelet-rich plasma in the treatment of tendinopathy:A meta-analysis of randomized controlled clinical trials[J]. The American Journal of Sports Medicine,2017, 45(1):226-233.
[51]CHAHLA J, CINQUE M E, PIUZZI N S, et al. A call for standardization in platelet-rich plasma preparation protocols and composition reporting:A systematic review of the clinical orthopaedic literature[J]. The Journal of Bone and Joint Surgery American Volume, 2017, 99(20):1769-1779.
[52]BARRETO E S R, ANTUNES JÚNIOR C R, SILVA I C,et al. Is platelet-rich plasma effective in treating achilles tendinopathy? A meta-analysis of randomized clinical trials[J]. Clinical Orthopaedics and Related Research,2025, 483(5):779-790.
[53]KYDD A S R, HART D A. Efficacy and safety of plateletrich plasma injections for osteoarthritis[J]. Current Treatment Options in Rheumatology, 2020, 6(2):87-98.
[54]MAUGHAN R J, BURKE L M, DVORAK J, et al. IOC consensus statement:Dietary supplements and the highperformance athlete[J]. British Journal of Sports Medicine,2018, 52(7):439-455.
[55]BEKKER S, AHMED O H, BAKARE U, et al. We need to talk about manels:The problem of implicit gender bias in sport and exercise medicine[J]. British Journal of Sports Medicine, 2018, 52(20):1287-1289.
[56]TANNENBAUM C, BEKKER S. Sex, gender, and sports[J]. BMJ, 2019:l1120.
[57]MUJIKA I, TAIPALE R S. Sport science on women,women in sport science[J]. International Journal of Sports Physiology and Performance, 2019, 14(8):1013-1014.
[58]COSTELLO J T, BIEUZEN F, BLEAKLEY C M. Where are all the female participants in sports and exercise medicine research[J]. European Journal of Sport Science,2014, 14(8):847-851.
[59]COWLEY E S, OLENICK A A, MCNULTY K L, et al."Invisible sportswomen":The sex data gap in sport and exercise science research[J]. Women in Sport and Physical Activity Journal, 2021, 29(2):146-151.
[60]PALMER D, SOLIGARD T, FERNANDES G, et al. IOC Olympian health cohort:A study protocol for a 15-year,prospective, Olympian health study across Summer and Winter Olympic sports[J]. BMJ Open Sport&Exercise Medicine, 2024, 10(2):e002061.
[61]Enhance®Fitness[EB/OL].[2025-09-11]. https://projectenhance.org/enhancefitness/.
[62]Midcourse Report:Implementation strategies for older adults[EB/OL].[2025-09-11]. https://odphp.health.gov/our-work/nutrition-physical-activity/physical-activityguidelines/current-guidelines/midcourse-report.
[63]TOMIOKA M, BRAUN K L, WU Y Y, et al. Twelvemonth retention in and impact of Enhance®Fitness on older adults in hawai'i[J]. Journal of Aging Research, 2019,2019:9836181.
[64]AGMON M, KELLY V E, LOGSDON R G, et al. The Effects of Enhance®Fitness(EF)training on dual-task walking in older adults[J]. Journal of Applied Gerontology,2015, 34(3):NP128-NP142.
[65]PHELAN E A, WILLIAMS B, LEVEILLE S, et al.Outcomes of a community-based dissemination of the health enhancement program[J]. Journal of the American Geriatrics Society, 2002, 50(9):1519-1524.
[66]GREENWOOD-HICKMAN M A, ROSENBERG D E,PHELAN E A, et al. Participation in older adult physical activity programs and risk for falls requiring medical care,Washington state, 2005-2011[J]. Preventing Chronic Disease, 2015, 12:E90.
[67]MAYS A M, KIM S, ROSALES K, et al. The leveraging exercise to age in place(LEAP)study:Engaging older adults in community-based exercise classes to impact loneliness and social isolation[J]. The American Journal of Geriatric Psychiatry, 2021, 29(8):777-788.
[68]ACKERMANN R T, WILLIAMS B, NGUYEN H Q, et al.Healthcare cost differences with participation in a community-based group physical activity benefit for medicare managed care health plan members[J]. Journal of the American Geriatrics Society, 2008, 56(8):1459-1465.
[69]KOHN M J, CHADWICK K A, STEINMAN L E. Adapting evidence-based falls prevention programs for remote delivery:Implementation insights through the REAIM evaluation framework to promote health equity[J]. Prevention Science, 2024, 25(1):163-173.
[70]STEINMAN L, CHAVEZ SANTOS E, CHADWICK K,et al. Remote evidence-based health promotion programs during COVID:A national evaluation of reach and implementation for older adult health equity[J]. Health Promotion Practice, 2024, 25(3):15248399231175843.
[71]GELL N, HOFFMAN E, PATEL K. Technology support challenges and recommendations for adapting an evidencebased exercise program for remote delivery to older adults:Exploratory mixed methods study[J]. JMIR Aging, 2021,4(4):e27645.
[72]GELL N M, BAI Y, HERBERT M, et al. Exercise intensity among older adults participating from home in remotely delivered Enhance®Fitness[J]. Journal of Aging and Physical Activity, 2023, 31(6):972-977.
[73]STEINMAN L, CHADWICK K, CHAVEZ SANTOS E,et al. Remote evidence-based programs for health promotion to support older adults during the COVID-19pandemic and beyond:Mixed methods outcome evaluation[J]. JMIR Aging, 2024, 7:e52069.
[74]MORRIS J N, HEADY J A, RAFFLE P A B, et al. Coronary heart-disease and physical activity of work[J]. The Lancet, 1953, 262(6795):1053-1057.
[75]BLAIR S N, KOHL H W 3RD, PAFFENBARGER R S JR, et al. Physical fitness and all-cause mortality. A prospective study of healthy men and women[J]. JAMA,1989, 262(17):2395-2401.
[76]朱为模,秦雄.国外老年人抗阻训练“大事记”的启示[J].体育科研,2021,42(2):50-59,84.
[77]BLAIR S N. Physical inactivity:The biggest public health problem of the 21st century[J]. British Journal of Sports Medicine, 2009, 43(1):1-2.
[78]SUI X, LAMONTE M J, BLAIR S N. Cardiorespiratory fitness as a predictor of nonfatal cardiovascular events in asymptomatic women and men[J]. American Journal of Epidemiology, 2007, 165(12):1413-1423.
[79]SUI X, LEE D C, MATTHEWS C E, et al. Influence of cardiorespiratory fitness on lung cancer mortality[J].Medicine and Science in Sports and Exercise, 2010, 42(5):872-878.
[80]谢敏豪,李红娟,王正珍,等.心肺耐力:体质健康的核心要素——以美国有氧中心纵向研究为例[J].北京体育大学学报,2011,34(2):1-7.
[81]ROSS R, BLAIR S N, ARENA R, et al. Importance of assessing cardiorespiratory fitness in clinical practice:A case for fitness as a clinical vital sign:A scientific statement from the American heart association[J]. Circulation,2016, 134(24):e653-e699.
[82]2008 Physical Activity Guidelines for Americans[EB/OL].[2025-09-26]. https://odphp.health.gov/our-work/nutritionphysical-activity/physical-activity-guidelines/previousguidelines/2008-physical-activity-guidelines.
[83]Physical Activity Guidelines for Americans[EB/OL].[2025-09-26]. https://odphp.health.gov/our-work/nutritionphysical-activity/physical-activity-guidelines.
[84]美国运动医学会. ACSM运动测试与运动处方指南(第十一版)[M].王正珍,译.北京:北京体育大学出版社,2025.
[85]Kenneth H.Cooper,朱为模.有氧运动的历史:历经50年,仍在前进中[J].体育科研,2018,39(6):19-23,64.
[86]李国平,王正珍,郝跃峰.运动处方中国专家共识(2023)[J].中国运动医学杂志,2023,42(1):3-13.
基本信息:
中图分类号:R87;G804
引用信息:
[1]李晓彤,王正珍.创新引领与循证实践——第72届美国运动医学年会综述[J].体育科研,2026,47(01):14-25.
基金信息:
北京市体育局科研项目课题(2025ZDSYS007)
2026-01-15
2026-01-15