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Athletes with sickle cell trait deserve special attention to optimize performance and prevent a medical emergency due to the complex nature of the condition. Sickle cell trait is considered benign at rest yet dangerous during exercise. During exertional activities, athletes with sickle cell trait have a reduced oxygen carrying capacity, possibly leading to lactic acid buildup causing red blood cells to sickle. The practitioner should implement pre-calculated work-to-rest ratios or allow athletes to self-pace. Low atmospheric pressure at high altitudes lowers oxygen saturation levels, increasing the risk of red blood cells sickling. If travel to high-altitude areas is necessary for athletes with sickle cell trait, stakeholders (including coaching staff) will need to be educated on the risks, modify activities and set restrictions based on symptoms. Exercising in warm to hot environments raises core body temperature, potentially causing red blood cells to sickle as warmed blood moves from the core of the body to the working muscles. Practitioners should monitor environmental conditions using wet bulb globe temperature and modify activities based on established heat risk zones along with the utilization of heat acclimatization guidelines to promote beneficial adaptations.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
02/28/2028
BOC
1
02/28/2028
Commission on Dietetic Registration
1
03/06/2028
CSCCa
1
02/28/2028
Athletes’ use of supplements is highly prevalent across sport and competitive levels. High prevalence is combined with indiscriminate use. This remains a concern in sport as it can lead to negative health effects and the risk of committing an anti-doping rule violation. Consequences of committing an anti-doping rule violation through supplement use are significant for competitive athletes due to the principle of strict liability. The principle of strict liability interacts with a growing and professionally marketed industry that is poorly regulated. Consequently, competitive athletes can find themselves in a vulnerable and risky position when it comes to consuming supplements. Dr Susan Backhouse discusses adopting a behavioral approach and adherence to RMSUG to help identify what needs to change to protect athletes from unintentionally doping through indiscriminate supplement use.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
12/27/2027
BOC
1
12/27/2027
Commission on Dietetic Registration
0.75
01/03/2028
CSCCa
1
12/27/2027
Daily hydration management for a youth athlete extends beyond just sport performance to also facilitating academic achievement and overall health. Establishing sensible hydration behaviors as a youth athlete can be instrumental in underpinning healthy hydration habits as an adult that enable wellness and help to maintain long-term health. As youth develop and advance through sport, they need to develop personal initiative and autonomy to make healthy and ethical decisions about their involvement in sport, including managing their own hydration needs and strategies. Dr Michael Bergeron discusses contemporary approaches utilizing multi-domain, complex systems, and state-of-the-art tools and methods instrumental in fully recognizing the wide-ranging role and contribution of hydration to youth athletes’ health and sustainable sport participation and performance.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
12/17/2027
BOC
1
12/17/2027
Commission on Dietetic Registration
0.75
12/12/2027
CSCCa
1
12/17/2027
Substantial volumes of fluid can be lost during intense or prolonged exercise as a consequence of thermoregulatory sweating. In these situations, athletes need to drink during and after exercise to replace fluids lost to avoid potential negative effects of dehydration. Fluid replacement is a multi-step process involving a number of physiological systems including fluid intake, fluid delivery to the bloodstream, distribution within the body fluid compartments, and whole-body fluid retention. Adequate fluid replacement is influenced by beverage composition, as certain ingredients can facilitate or hinder one or more steps in the rehydration process. Dr Lindsay Baker reviews the scientific principles of fluid replacement and role of beverage formulation on the rehydration process for athletes.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
11/12/2027
BOC
1
11/12/2027
Commission on Dietetic Registration
1
12/03/2027
CSCCa
1
11/12/2027
A significant amount of research has been conducted to understand body water regulation and the effects of hypohydration on thermoregulation, cardiovascular function, and performance during exercise in heat. However, women have been underrepresented in hydration research, accounting for less than ~30% of subjects tested in recent studies. Women have lower whole body sweating rate (WBSR) and sweat sodium concentrations as a population than men, but in most environments these differences are attributed to lower absolute workloads. Dr Lindsay Baker reviews the state of the literature, the impact of the menstrual cycle on hydration and how hypohydration (≥ 2% body mass loss) can adversely affect athletic performance in women.
Course Objectives
Course
Credits
Course Expiration
BOC
1
11/21/2026
CSCCa
1
11/21/2026
There has been considerable interest recently in the concept of sweat biomarkers, which is generally defined as the use of sweat as a non-invasive alternative to blood analysis to provide insights into human physiology, health, and performance. Despite recent technological advances in wearable devices the application of sweat diagnostics in sports science has been limited to date. This course will discuss the challenges of utilizing sweat biomarkers and wearable technologies as well as where future work is needed.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
02/06/2026
BOC
1
02/06/2026
CSCCa
1
02/06/2026
