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SSE 259: Thermoregulatory Challenges in Para-Sport: Current Perspectives  

Spinal cord injuries (SCI) are often caused by trauma or congenital disorders, leading to varying degrees of motor, sensory and autonomic function loss. The extent of these losses depends on the lesion level and completeness which also influences the autonomic nervous system function that is essential for understanding altered cardiovascular and respiratory responses to exercise. Athletes with SCI face heightened thermoregulatory challenges due to a reduction in afferent input to and efferent control of the thermoregulatory system, making these athletes more susceptible to heat illness. Consequently, managing heat stress in athletes with SCI is crucial for their safety and performance during sports.

Reference Article

SSE 259: Thermoregulatory Challenges in Para-Sport: Current Perspectives  

Course Objectives

  • Explain how impaired sweating and altered blood flow can contribute to thermoregulatory challenges in athletes with SCI
  • Analyze the impact of lesion level and the autonomic nervous system’s role in thermoregulation among athletes with SCI
  • Evaluate the effectiveness of various cooling strategies in managing core temperatures during athletic performance in athletes with SCI

Course

Credits

Course Expiration

ACSM

1

03/21/2028

BOC

1

03/21/2028

CSCCa

1

03/21/2028

Reference Article

https://www.gssiweb.org/docs/default-source/sse-docs/sse_259.pdf?sfvrsn=2

SSE 256: Continuous Glucose Monitoring and the Athlete with Type 1 Diabetes

The management of fluctuating blood glucose levels in athletes with type 1 diabetes (T1D) is crucial for both safety and performance during training, sport and competition. Low blood glucose (hypoglycemia) is a major barrier to most forms of exercise, but activity-related high blood glucose levels (hyperglycemia) can also occur with some forms of intense exercise and when insulin dose adjustments are suboptimal for exercise. Continuous glucose monitors (CGM) offer real-time insights into interstitial glucose levels, as a proxy for circulating blood glucose concentrations, for these individuals and their coaching and support teams. Endurance and resistance training present unique challenges in glucose self-management for physically active individuals with T1D, as aerobic exercise generally decreases glucose levels while anaerobic exercise keeps glucose more stable or can increase it. With competition, glucose levels may rise because of stress hormones, but then glucose levels can drop into the hypoglycemic range (low blood glucose levels) in recovery. Proactive blood glucose measures guided by CGM are critical. CGM data helps to inform carbohydrate intake strategies for training and competition, and to help guide more appropriate insulin adjustments for different forms of activity (e.g., aerobic, anaerobic, mixed), with the primary goal of reducing the occurrence of both hypo- and hyperglycemia.

Reference Article

SSE 256: Continuous Glucose Monitoring and the Athlete with Type 1 Diabetes

Course Objectives

  • Identify the key challenges that athletes with T1D face in managing blood glucose levels during exercise
  • Demonstrate how an athlete with T1D can adjust their insulin and carbohydrate intake based on CGM trend data before, during, and after exercise
  • Assess the limitations of CGM technology in athletic settings and purpose potential solutions for improving accuracy and usability 

Course

Credits

Course Expiration

ACSM

1

02/25/2028

BOC

1

02/25/2028

Commission on Dietetic Registration

1.25

03/03/2028

CSCCa

1

02/25/2028

Reference Article

https://www.gssiweb.org/docs/default-source/sse-docs/sse_256.pdf?sfvrsn=2

SSE 254: History, Ovarian Hormones and Female Athletes

Sexual reproduction is one of the most notable sex differences. During puberty girls experience menarche, which signals the ‘official start’ of the menstrual cycle and persists until menopause. During the menstrual cycle, the ovarian hormones oestrogen and progesterone fluctuate in a predictable repeating pattern, although it should be noted that there is large inter- and intra-individual variability in cycle length and hormone levels. Aside from their paradigmatic roles, oestrogen and progesterone have been shown to have non-reproductive functions. As such, the menstrual cycle has developed - over the last century - into a topic of interest for female athletes from a health and performance perspective.

Reference Article

SSE 254: History, Ovarian Hormones and Female Athletes

Course Objectives

  • Articulate the evolution of research into the menstrual cycle and exercise/sport
  • Discuss some of the possible effects of the menstrual cycle on aspects of exercise/sport
  • Detail some of the possible effects of exercise/sport on female health and performance

Course

Credits

Course Expiration

ACSM

1

02/13/2028

BOC

1

02/13/2028

Commission on Dietetic Registration

1

02/10/2028

CSCCa

1

02/13/2028

Reference Article

https://www.gssiweb.org/docs/default-source/sse-docs/sse_254.pdf?sfvrsn=2