Health & Safety Journey

September 30, 2014

The Michigan High school Athletic Association is a bit more than halfway through an eight-year effort to shine the light on, and provide leadership for, four health and safety issues for school sports.
Four and five years ago our health and safety focus was adding more health history to the preparticipation physical examination process and printed forms. With the essential assistance of the Michigan Department of Community Health, this was done, and it earned widespread, positive reaction from Michigan’s diverse medical community.
Two and three years ago our focus was the head; and our early adoption of an all-sports return-to-play protocol after concussion symptoms became a national model.
Last year and this, heat and hydration has been the focus. The MHSAA imposed on its own tournaments, and recommended for member schools’ practices and contests, policies to manage heat and humidity that include a reduction or modification of activities when the heat index reaches a certain level and cessation of all activities when the heat index reaches an even higher level.
Next school year and in 2016-17 the focus will be the fourth “H”: hearts. Tests for heart defects are expensive and results are often misleading, and the triggers of sudden cardiac arrest are unpredictable. Therefore, we will be pointing to the two actions medical authorities appear to agree upon most: (1) the need for planned and practiced emergency procedures, and (2) the need to have AEDs nearby, in good working order.
We urge MHSAA member schools not to wait for the MHSAA focus to make this a local school focus, and we recommend the MI HEARTSafe Schools initiative. See the HeartSafe Action Plan or the HeartSafe School information for details.

Inactivity Epidemic

May 27, 2016

The Aspen Institute conducted its third “Project Play” Summit in Washington, D.C., on May 17. The sold-out event was both a stimulating and frustrating experience.

There are very many people doing marvelous things to increase the quantity and quality of sport participation among youth, especially focusing on ages 6 to 12 and underserved populations. However, intriguing local initiatives do not appear to be easily scalable, and the platitudes of national organizations do not appear to be reaching their local affiliates where youth coaches pressure parents and kids into year-around specialization and promise college scholarships.

We cannot expect that those whose business is winning medals (NGBs and USOC) or those whose business is making money (major college and professional sports) will be thought or action leaders who effectively increase participation rates and frequency or reduce obesity in adolescents. These goals will be good for PSAs and niche initiatives, but will never be a part of the DNA and daily mission of these entities.

We need to seek leadership of thought and action among adults who work with youth every day and who see sport not as an end in itself but as a means to help prepare the whole child for later life. And to be more precise, we need to seek leadership where the kids are and where facilities already exist. In our nation’s schools.

When recess and physical education programs with ample opportunities for free play and sports sampling are restored to elementary schools, and broad and deep programs of interscholastic athletic programs are adequately funded in junior high/middle schools and high schools, then and only then will we begin to reverse obesity in youth and their future burden on society as adults.

The epidemic isn’t obesity; it’s inactivity.

This nation must awaken to the reality that physical literacy is as important to our future as reading and writing have been in our past. Science, technology, engineering and math are important to our nation, of course, but possibly less essential to an individual’s health and happiness than physical literacy – developing the ability, confidence and desire to be physically active and, as an intentional consequence, much more likely to live healthier and longer.