Exercise is an effective tool for managing and treating type II diabetes (T2DM) and may be a useful component of a diabetes management program. Both short- or long-term exercise interventions can improve physical fitness, metabolic health, and cardiovascular function in individuals with poor glycemic control. Incorporating aerobic and resistance exercise as part of a comprehensive diabetes management plan can play a vital role in the fight against this chronic metabolic disease. Progression and individualized exercise programming are critical for an effective and enjoyable exercise experience in a gym setting. With respect to safety, exercise professionals should be aware of special considerations and potential complications persons with T2DM can experience when exercising.

Spinal cord injury (SCI) is a result of disease or injury that results in the loss of sensory, motor, and autonomic function, or a combination of these functions below the level of injury. Research suggests that, along with medical treatment, exercise may aid in the maintaining of cardiovascular, muscular, and osteogenic health in individuals with an SCI. Practices, contraindications, special considerations, and general recommendations for whole-body cardiorespiratory and resistance exercise programming and progression for individuals with an SCI are discussed throughout.

RED-S and low energy availability often stay silent — until something happens. Your athletes and clients may be unintentionally underfueling at any training level or body size. Carolyn Stocker, MS, RD, LD, CSCS, brings practical myth-busting to common fears around fueling. Spot signs sooner, understand what’s driving them, and help athletes fuel with confidence.

Join the 2026 NSCA Training for the Endurance Athlete Summit in Tempe, AZ, on March 28. Explore endurance training performance, learn hands-on, + earn 0.8 CEUs.

In today’s digital era, nutritional information, and misinformation, is readily available for most people by media outlets, social media, and on-line streaming videos. Nutrition is of utmost interest because of its role in health, fitness, weight management, and athletic performance. Because of the public interest and information availability, qualified health care providers and exercise professionals can be an excellent source of evidence-based nutrition counseling for appropriate clients to improve overall health and athletic performance. The goal of this article is to provide a source of practitioner and client evidence-based education regarding nutritional strategies to improve athletic performance

Weightlifting is a highly technical sport that is governed by interactions of phases to optimize the load lifted. Given the technicality of the snatch and the clean and jerk, understanding key stable components to identify errors and better prescribe relevant exercises are warranted. The aim of this article is to present an applied method of analysis for coaches that considers the biomechanical underpinnings of optimal technique through stable interactions of the kinetics and kinematics of the lifter and barbell at key phases of the lift. This article will also look to discuss variable components that may differentiate between athletes and therefore provide a foundation in what to identify when coaching weightlifting to optimize load lifted while allowing for individual variances.

Adequate nutrition generally promotes training adaptations and thus optimal performance. Adolescence is characterized by a pubescence growth spurt, increasing energy and nutrient needs. Most team sports literature focuses on male athletes, with little on adolescent female team sports. Adolescent female athletes are at an increased risk of inadequate energy, and micronutrient intakes because of the pursuit of high fitness levels, and society pressures. This may cause hormonal irregularities, delayed development, poor bone health, and increased risk of injury. This review synthesizes information on the nutritional needs of adolescent female team sport players for performance and health.

Todd Miller, PhD, CSCS, TSAC-F, FNSCA and professor at George Washington University discusses body composition measures and techniques and understanding body composition ranges and their effect on health and performance in this session from the NSCA's 2023 Personal Trainer's Conference.

An anterior cruciate ligament (ACL) tear is one of the most frequent injuries experienced by athletes of all levels. Because so many variables are at play, there is a great deal of controversy about how and why this occurs. In addition, there are various suggested appropriate steps to take to return to sport in the fastest and safest possible way. However, a major issue in injury recovery and return to sport practices is the lack of a gold-standard method or a consistent course of action that an athlete should undertake after suffering an ACL injury. Therefore, the purpose of this paper is to review the literature to determine evidence-based methods for return to sport after ACL reconstruction and provide practical recommendations to guide the process.

Various methods of eccentric training that aim to increase muscle mass or reduce ground contact time during a landing task have been extensively researched and practically examined. However, multiple methods to implement eccentric training currently exist; they differ in execution and intended training adaptions. There is a clear differentiation between an eccentric muscle action and an eccentric motion whereby a motion alludes to a downward movement of an exercise. The proposed eccentric motions are dissipating eccentrics, deceleration eccentrics, overcoming eccentrics, maximal eccentrics, and rebound eccentrics. These motions formulate into training methods and cues to allow practitioners to clearly differentiate the various eccentric training methods used in research and practice. This review proposes a new conceptual framework that clearly outlines the different forms of eccentric motions that fall into a desired eccentric training method.