Smiles abound in the Midwest and throughout the country as things green up and warm up outdoors. Warm weather invites people to be more active, delighting in options that winter weather doesn't afford. While playing and moving outside are enjoyable in themselves, recent research gives even more reasons. Here's a glimpse of what participants learned from the many topics covered at the recent ACSM Health & Fitness Summit & Exposition. You might keep these in mind as you make plans to enjoy May, with the complementary themes of Physical Activity Month and Exercise is Medicine Month.

Sitting still is hazardous to your health

The new science of sedentary behavior, or "inactivity physiology," provides sobering evidence that merely sitting can be hazardous to your health. Len Kravitz, Ph.D., reported on research by Dr. Steven Blair and others, showing that adults and children who spend 70 percent or more of each waking day working at a desk, riding in a car, watching TV or working at a computer are particularly at risk. He explained that sitting results in dramatic drops in lipoprotein lipase, which captures fat from blood and uses it as fuel. This leads to soaring levels of triglycerides, elevated risk of cardiovascular disease and lower levels of good cholesterol. I've seen how exercise improves all those conditions in my patients.

"Miracle-Gro for the brain"

Many of us love to garden, whether for exercise, aesthetics or nutrition. At the summit, Dr. Terry Eckmann appealed to that interest with a vivid simile for the boost that exercise gives to cognitive functioning, saying it's "like Miracle-Gro for the brain." A protein known as brain-derived neurotrophic factor (BDNF) is behind the phenomenon. BDNF increases the growth of brain cells and improves brain functioning. The brain uses about 20 percent of the body's supplies of oxygen and glucose, and exercise boosts the cardiovascular system's ability to deliver them.

Worksite wellness pays off

Employers must tend to the bottom line. Those who implement worksite wellness programs are seeing healthy returns in terms of dollars saved, worker productivity, reduced absenteeism, and other measures. George J. Pfeiffer, president of the WorkCare Group, said most companies see a net return on investment in three to five years. For some, the ROI is as high as six-to-one. Pfeiffer and other panelists reviewed case studies from Target, Chevron, Northrop Grumman and Clark Security Products. Their key suggestions include:

• Value worksite wellness. Understand and communicate all the benefits of worksite wellness - financial and otherwise.
• Communicate a culture of health. Using formal and informal communication channels, develop a transparent brand for your health management strategy. Focus on vitality and well-being.
• Engage your organization from the top down and from the bottom up. Encourage employee engagement by getting buy-in from top and middle management. Also allow for employee volunteers to be your wellness champions within the company.

How can you observe Physical Activity Month at home, at work and elsewhere?

Resource: International Association for Worksite Health Promotion

Antronette Yancey, MD-Creator of Instant Recess™, Meb Keflezighi-American marathon champion, Robert Sallis, MD, FACSM-Chair of Exercise is Medicine™

This is my last post as president of the American College of Sports Medicine (Tom Best, M.D.,  Ph.D., takes office at the conclusion of our 57^th Annual Meeting, June 2-5 in Baltimore). One special satisfaction of this remarkable year has been the opportunity for the College to play a role in the development and launch of the National Physical Activity Plan.

ACSM has contributed in several ways, all in keeping with our mission. Many of our member/experts served on the working groups that identified strategies and tactics for each of the Plan's eight sectors. Robert Sallis, M.D., led the Health Care working group. What could be more appropriate for the chair of the Exercise is Medicine^TM initiative than helping all Americans enjoy optimum health by ensuring they have opportunities for physical activity?

As the Plan now moves into implementation, I urge all ACSM members to become involved. As experts in an array of disciplines from education and research to clinical medicine and health/fitness, ACSM members have the skills and connections to carry the Plan's strategies to policy makers and others who can make them a reality.

We each have a personal stake in bringing about the kinds of changes called for in the Plan. Our children need to be more active at school. Our neighborhoods need sidewalks and pocket parks. Our roads need bike lanes. Our employers need to encourage workplace wellness, and so on.

The National Physical Activity Plan, like ACSM, is comprehensive, diverse and rich with opportunities. Helping implement the Plan embodies our role of translating knowledge into practice. Nothing could be more appropriate—and nothing could have a more profound impact on so many individuals and communities.

What opportunities does your professional role offer to help implement the National Physical Activity Plan?

What can you do as a member of your community to help bring opportunities for appropriate physical activity to each of your fellow citizens?