|raniabatayneh||@HopeWarshaw Nutrition information is available online- easily accessible via an app. I always say go for a small. #DiabetesINFL|
|hopewarshaw||I ask how often, what types of restaurants do you eat in or takeout food? Then I ask to tell me sample meals. #DiabetesINFL|
|jackienewgent||It’s important to know not just WHAT someone orders, but the HOWs: How much; How often; how it’s made/served. #DiabetesINFL|
|hopewarshaw||Do you find ppl eat similar foods, similar restaurants (except travel)? How do you advise use this info to advantage? #DiabetesINFL|
|laurenpincusrd||Question the details-butter on bread, salad dressing, oil brushed on fish-many forget about items that add calories & carbs #diabetesINFL|
|rebeccabitzerrd||What’s ur go-to restaurant? Nonjudgemental Qs to determine HOW OFTEN and WHAT they’re choosing #notthefoodpolice #DiabetesINFL|
|hopewarshaw||Ppl can learn impact of similar restaurant meals on glucose. Can create own hx, use learnings when eat same meal again. #DiabetesINFL|
|kathybirkettrdn||Must open dialogue about preparation: who, where, how often. Sometimes surprising answers result! #diabetesINFL|
|jmimsrd||Find out what their favorite place/meal is and work on how to also make it a healthful one. Positive approach. #diabetesinfl|
|hopewarshaw||Helping ppl realize they eat similar restaurant meals & helping find, estimate carb counts can remove some challenge. #DiabetesINFL|
|hopewarshaw||Next step is, if need be, I guide person on healthier choices by asking for their thoughts to make meals healthier. You? #DiabetesINFL|
|rebeccabitzerrd||Quantity and frequency is key. If client says I eat pizza 1/week, dig deeper, most people eat leftover pizza x2 #details #DiabetesINFL|
|kathybirkettrdn||There r many good choices while eating out, we need to provide info to clients/consumers so they can make better choices. #diabetesINFL|
|barbruhsrd||I like to start by asking clients how often they cook or prepare food at home. Then we dive into the dining out #DiabetesINFL|
|rebeccabitzerrd||Yes, so impt to get good idea if #details of who, what, where and when eating. Social aspect is so important for success #diabetesinfl https://t.co/ydv02eMegE|
|fiberfriendly||I am always interested in restaurant frequency, says a lot about #diabetes meal mgmt and also cooking at home practices #DiabetesINFL|
|raniabatayneh||@HopeWarshaw learning about their food preferences: warm, cold, spicy. Then you can discuss ingredients/recipes. #DiabetesINFL|
|hopewarshaw||More fat, including hidden fats from food prep, in restaurant meals than ppl often realize. Especially sit down and order. #DiabetesINFL|
|laurenpincusrd||Portions! An average serving of pasta in a restaurant can be 3 cups! #DiabetesINFL|
|hopewarshaw||Sodium count! From prepared foods used (ex chicken, cold cuts), sauces, gravies, dressings, soups, etc, sodium skyrockets. #DiabetesINFL|
|jackienewgent||Pitfalls for anyone include overly processed (”white”) carbs, added sugars, hidden sodium & portion distortion. #DiabetesINFL|
|hopewarshaw||PORTIONS can be HUGE! Enough for 2+. Do U think getting easier or harder to manage portions? Why? Easier w fast food? Why? #DiabetesINFL|
|rebeccabitzerrd||Ppl choosing restaurant meals high in fried foods and simple carbs, and low in fiber #eatmoreveggies #DiabetesINFL|
|tmcarthur50||preparation – in butter, spices, fried, oil, salt #DiabetesINFL|
|fiberfriendly||portions portions portions! So hard to manage #diabetes w/ avg rest meals. Rec pack up half/take to go or split w/ friend #DiabetesINFL|
|jmimsrd||Assumptions = Pitfalls. There are a lot of healthy options when eating out, but people assume eating out = eating badly #diabetesinfl|
|tmcarthur50||more for your dollar attracts people which means eat more #DiabetesINFL|
|hopewarshaw||For #diabetes challenging to count gm carbohydrate, esp mixed dishes, unfamiliar foods, ingredients, w lack nutrition info #DiabetesINFL|
|barbruhsrd||I believe portion control is one of the biggest issues for peeps w and w/o #diabetes and eating out #DiabetesINFL|
|raniabatayneh||@HopeWarshaw @JJDiabetesInst arriving hungry and diving into the bread basket! Portions, sodium, fats, imbalanced meals. #DiabetesINFL|
|rebeccabitzerrd||Cobb salad or caesar salad without thinking of the food prep or components of building these salads, knowledge is key #DiabetesINFL|
|tmcarthur50||Agree – provide list of best choices vs. avoid – more receptive #DiabetesINFL|
|laurenpincusrd||Seemingly healthy foods like salads can be sugar bombs with dried fruit, candied nuts and sugar laden dressings. #DiabetesINFL|
|laurenpincusrd||Learn to visualize portions and keep food simple. Steamed veggies, grilled proteins, simple sides vs mixed dishes #diabetesINFL|
|jackienewgent||To curb carb gms, do DIY plating: Create meal based on menu offerings, filling 1/2 plate w/side non-starchy veg or salad. #DiabetesINFL|
|tmcarthur50||Have the restaurant place 1/2 in togo container before bringing to table #DiabetesINFL|
|jmimsrd||Get comfortable talking to the chef. If options aren’t on the menu, they may be able to do something special #diabetesinfl|
|hopewarshaw||Portion control! How to split, share menu items. How to order/combine salad, app, soup +/or side dishes 4 portion control #DiabetesINFL|
|raniabatayneh||@HopeWarshaw @JJDiabetesInst split the meal, look at the ingredients, use #OneOneOneDiet formula- 1 protein, 1 carb, 1 fat. #DiabetesINFL|
|kathybirkettrdn||Important to look at portions before you eat out, take off plate into to-go box so don’t eat all while talking. #diabetesINFL|
|hopewarshaw||Choose restaurant wisely. I’m delighted to see more small plate spots. Makes portion control easier, but choose wisely. #DiabetesINFL|
|hopewarshaw||Estimate portions for carb counts. I encourage ppl to weigh, measure foods at home to train eyes for use when dining out #DiabetesINFL|
|jmimsrd||Be a voice for healthy! Restaurants want to serve what people want to eat. Find a delicious healthy meal? Tell people! #diabetesinfl|
|hopewarshaw||Where find, how use restaurant nutrition info from carb counts to fat gm, sodium counts. See = believe. A lesson in itself #DiabetesINFL|
|barbruhsrd||Increasing awareness of portions is a biggie, but the #halfplatehealthy guideline can also help-fill 1/2 your plate w vegs #DiabetesINFL|
|rebeccabitzerrd||#MyPlate is PERFECT for eye-balling portions #halfplateveggies & don’t forget #mindfuleating for assessing satiety #DiabetesINFL|
|barbruhsrd||Offering suggestions on how to make the same meal at home, on a budget and tasty, can also help. Frozen meals are option #DiabetesINFL|
|hopewarshaw||Sandwiches: Opt for whole grain bread, flatbread, eat open face. Instead of croissant, large sub roll. @jjdiabetesInst #DiabetesINFL|
|laurenpincusrd||Order sauces and dressings on the side and fork dip. Ask what is added to grilled/broiled meats, butter in the omelet pan? #diabetesinfl|
|jackienewgent||I first encourage good fat. Do SWAPS: avocado instead of cheese for lean burger; a little EVOO instead butter for ww toast #DiabetesINFL|
|hopewarshaw||Sandwich fillers: Skip tuna, egg, seafood salad. Opt: lean meat or vegetarian. Use mustard vs. mayonnaise, special” sauce. #DiabetesINFL|
|jackienewgent||Be a proactive diner. Make (polite!) requests… “May I please have the seasonal steamed veggies instead of fries w/that?” #DiabetesINFL|
|hopewarshaw||Minimize fried items from entrée to side dish. Request healthier substitutions: vegetable side, side salad, baked potato. #DiabetesINFL|
|fiberfriendly||not sure focus on fat is most important concept for my #diabetes pts at restaurants. Portion/cals/carb come first #DiabetesINFL|
|hopewarshaw||Salad dressing on the side. Using your favorite is OK. Got to enjoy! Order lemon wedges or vinegar to dilute and spread. #DiabetesINFL|
|hopewarshaw||Easier to make substitutions or special requests that don’t feel deprivational and those most doable in restaurants. #DiabetesINFL|
|jmimsrd||Build your own has become very popular and an easy way to customize to what you need. #diabetesinfl|
|fiberfriendly||For pts w/ #diabetes eating at restaurants, I always suggest using “dry” when ordering veggies – so no added butter/fat #DiabetesINFL|
|raniabatayneh||@HopeWarshaw @JJDiabetesInst Stick to the rule of ONE. Pick the fat you want (on your sandwich/burrito/salad). it works! #DiabetesINFL|
|tmcarthur50||Salads are killers on fat – review toppings that add the most fat-croutons, cheese, bacon, dressing, etc #DiabetesINFL|
|kathybirkettrdn||Not sure if ppl realize where fat is, good to review sources/types then talk about how to manage them. #diabetesINFL|
|rebeccabitzerrd||Choose lean meats. Baked instead of fried. Order sauce on the side. Tomato-based sauces vs creamy sauces. #hearthealthy #DiabetesINFL|
|laurenpincusrd||Ask for a takeout container when food is served and divide in half immediately. Built in portion control. #diabetesINFL|
|jackienewgent||Split entrée; save 1/2 for later or share w/partner. AND order leafy salad or non-starchy veggies to fill out plate. #DiabetesINFL|
|hopewarshaw||Use restaurants menus they frequent to talk abt current choices. Get input to tweak these to eat less, lower fat, carbs. #DiabetesINFL|
|hopewarshaw||Play out scenarios. Eating w spouse, friends, family who tend to order too much food for all which leads to overeating. #DiabetesINFL|
|laurenpincusrd||Order an appetizer for dinner, usually a much smaller portion & higher in protein like mussels marinara or grilled calamari #diabetesinfl|
|rebeccabitzerrd||Eat slowly. Savor the flavors. Engage in conversation. Put fork down and pause to assess hunger/fullness. #mindfuleating #DiabetesINFL|
|raniabatayneh||@HopeWarshaw @JJDiabetesInst share a meal, eat 1/2 now, 1/2 later, don’t arrive starved. Drink water w/meal. #DiabetesINFL|
|hopewarshaw||Suggest control portions from start. Order less. Split, share. Order from salads apps, side dishes to compose meal. #DiabetesINFL|
|jmimsrd||Use a smaller plate at self service areas. Choose menu items that are veg-centric, where you get more for your calories #diabetesinfl|
|diabeticfoodie||Order appetizer as meal. #diabetesINFL https://t.co/v3MjoweYWA|
|hopewarshaw||Offer or come up tog w strategies to take home excess food to create another meal. Order take home contain when order meal #DiabetesINFL|
|barbruhsrd||Yes @RebeccaBitzerRD! Mindful eating can really make a difference. Am I hungry? What else is influencing my eating now? #diabetesinfl|
|tmcarthur50||splitting with someone is so helpful and easy to do #DiabetesINFL|
|rebeccabitzerrd||Have you seen our mindful eating placemat/coloring mat? #diabetesINFL #rebeldietitians https://t.co/mu8uDnGJ2B|
|barbruhsrd||Avoid buffet dining at all costs! The bargain isn’t worth the gain or blood sugar spikes! #diabetesinfl|
|fiberfriendly||Good tip for larger restaurants is research menu online before going…what are best bets? Better to know ahead of time! #diabetesINFL|
|rebeccabitzerrd||Restaurant meals are typically at least 2 servings. Eat half and take the rest home, or split an entree! #sharingiscaring #DiabetesINFL|
|barbruhsrd||Even at “healthy” places like Chipotle, always get in takeout container and resist the #cleanplate club #diabetesinfl|
|hopewarshaw||Use avail nutrition info 4 restaurants if avail. Look up common items, meals w client. Show how easy to find. Practice tog #DiabetesINFL|
|laurenpincusrd||If going to national chains check nutrition info beforehand for a better idea what to order and how to count. #DiabetesINFL|
|rebeccabitzerrd||Use your hand to guesstimate portion sizes of carb foods. 1 cupped hand = ½ cup. A fist = 1 cup. #handyportionsizes #DiabetesINFL|
|jackienewgent||Do your homework! Browse restaurant website or app in advance; determine carb-friendly order +check nutritionals if avail. #DiabetesINFL|
|jmimsrd||This is will get easier in May when menu labeling goes into effect. You will have to look for extended info for carbs #diabetesinfl|
|raniabatayneh||@HopeWarshaw @JJDiabetesInst I tell my clients to pick ONE Carb when dining out (bread, pasta, rice, dessert, wine,) #DiabetesINFL|
|hopewarshaw||Use client’s list of common restaurant meals. Look up, add up carb gm counts. Encourage record keeping, using history. #DiabetesINFL|
|jmimsrd||Practice at home. Measure common foods so you have a visual as a reference. Take a pic next to a fork for perspective #diabetesinfl|
|raniabatayneh||@HopeWarshaw @JJDiabetesInst Fast food- pick your CARB (bun on burger, fries, milkshake (if you must, order a small) #DiabetesINFL|
|hopewarshaw||We’ll see more restaurant nutrition info May 2017 b/c ACA requirement. See details from @US_FDA: https://t.co/HmstDFtDdL #DiabetesINFL|
|hopewarshaw||Foods/meals w no nutrition info: Find on nutrition app or website, or find/use nutrition facts from similar prepared food. #DiabetesINFL|
|laurenpincusrd||Knowledge is power. The more info available, the more informed our decisions. #DiabetesINFL|
|jackienewgent||More restaurant nutrition info won’t help unless you use it. So, make it a habit … USE IT! @jjdiabetesInst #DiabetesINFL|
|raniabatayneh||@HopeWarshaw @JJDiabetesInst knowledge is key. With that said, you also need to be motivated to change/make better choices. #DiabetesINFL|
|laurenpincusrd||Those who don’t care, still won’t. Those who do will be empowered to make better choices. It’s confusing, even for profs #diabetesinfl|
|rebeccabitzerrd||Most ppl want to choose better options. Label meals lower in fat/sodium as #hearthealthy to help ppl make healthy choices #DiabetesINFL|
|hopewarshaw||Research to date mixed from minor impact on calorie intake to no dent. Link to RWJ report: https://t.co/H4Ik9AjJ0k? #DiabetesINFL|
|barbruhsrd||I bet there’s an “App” for that! #diabetesinfl|
|rebeccabitzerrd||It’s hard for ppl to know out what’s healthy on menus. Restaurants should show facts to help ppl make informed decisions #DiabetesINFL|
|hopewarshaw||Research to date mixed from minor impact on calorie intake to no dent. Link to AJPH 2015 sys rev: https://t.co/3bfGCmdiOA? #DiabetesINFL|
|amparobgonzalez||it will increase awareness. NYC has nutrition info in chain restaurants and I found it valuable #diabetesinfl|
|tmcarthur50||More info is not useful if the person does not understand what to look for – must educate and keep simple #DiabetesINFL|
|fiberfriendly||Nutrition info re restaurant meals can help ppl w #diabetes make smarter choices – and then maybe cook @ home more too #diabetesINFL|
|tmcarthur50||Restaurants need to use more with symbols on their menus- symbols that represent low carb/low fat/healthier options #DiabetesINFL|
|hopewarshaw||I hope more nutrition info in our faces (menu boards, menus) will raise awareness, encourage action. Time will tell. You? #DiabetesINFL|
|jmimsrd||We are working on ways to help customers put calories in context with labeling roll out. #diabetesinfl|
|barbruhsrd||restaurant info can help dietitian educators help clients. I was shocked reviewing Starbucks options to guide choices #diabetesinfl|
|jackienewgent||Just like a diet, it’s individual…it’ll absolutely be helpful for some! I know it’s helpful for me (I’m in NY!) #DiabetesINFL|
|jmimsrd||Remember that taste is still #1 factor in food choice. If lower calorie doesn’t taste good, people won’t choose it #diabetesinfl|
|hopewarshaw||Challenge for restaurants of all types and catch-22. If ppl don’t order healthier items, then can’t continue to provide. #DiabetesINFL|
|jmimsrd||My guess…people will notice at first, and then, like other info it will become like wall paper. Need to keep interest #diabetesinfl|
|barbruhsrd||A good resource on-the-go is a book called the “Portion Teller” by Lisa Young, RD #diabetesinfl|
|tmcarthur50||If it takes time and effort, people won’t do it – needs to be easy to identify and use #DiabetesINFL|
|laurenpincusrd||I like https://t.co/FdoMkiFJzR to find nutrition info for restaurant chains. #DiabetesINFL|
|jackienewgent||For local info: “HealthyOut ” (free!). Use as guide, not 100% exact science. Use logic if info seems too good to be true! #DiabetesINFL|
|raniabatayneh||@HopeWarshaw @JJDiabetesInst most chain restaurants now have their own apps which is helpful. #DiabetesINFL|
|jackienewgent||Ideally, use a restaurant-specific app. For example, if you go to @panerabread a lot, download their app & use their data! #DiabetesINFL|
|rebeccabitzerrd||Fast food chains are required to provide #nutritionfacts. Check their websites for the facts! #diabetesinfl|
|hopewarshaw||For accuracy I refer ppl to restaurant website. Most up to date. Most accurate info. But takes more time, less available. #DiabetesINFL|
|hopewarshaw||I advise ppl not just go blindly. Use info as base. Look at item eating, particularly for carb counts. Portions differ! #DiabetesINFL|
|hopewarshaw||How do you encourage ppl w #diabetes to find, use carb counts from apps? Practical advise? #DiabetesINFL|
|fiberfriendly||I recommend @USDA nutrient database 4 most up to date nutr info. Most foods I rec my pt w #diabetes eat don’t have labels #diabetesINFL|
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Constance Brown-Riggs, MSEd, RD, CDE, CDN—an award-winning RD, certified diabetes educator, and past national spokesperson for the Academy of Nutrition and Dietetics, is the author of The African American Guide to Living Well With Diabetes, which received the Favorably Reviewed designation from the American Association of Diabetes Educators, and Eating Soulfully and Healthfully with Diabetes.
Dr. Lori Shemek, PhD, CNC, CLC, the best-selling author of “Fire-Up Your Fat Burn! and leading health and weight loss expert, is also known as “The Inflammation Terminator.” She has made it her mission to educate the public on the toxic effects of certain foods and lifestyle choices and how they create inflammation in the body. She is a leading authority on inflammation and its role in weight loss, preventing disease and optimizing health.
Rebecca Bitzer – MS, RD/LD, CEDRD is an award-winning Registered Dietitian, writer, speaker, blogger, and REBEL Dietitian business owner. Rebecca and her team of six Registered Dietitians have counseled thousands of clients struggling with diabetes for over twenty-five years. They work closely with each other along with internists, endocrinologists, therapists, and families.
Maureen Sullivan – RN, CDE has worked for many years as a Registered Nurse, most of them in emergency and trauma services. She is a Certified Emergency Nurse, Certified Diabetes Educator, and the former manager of a hospital stroke program. Maureen’s wealth of knowledge, passion for nursing and education, and ability to engage people makes her an excellent teacher and a captivating lecturer. Recently, Maureen has been concentrating on writing, speaking and teaching, as well as working on her award-winning weekly podcast, “The Health and Humor Show.”
Lauren Harris-Pincus, MS, RDN is a nutrition communications specialist, registered dietitian in private practice, social media consultant, speaker, spokesperson and corporate consultant. She is currently the owner of Nutrition Starring YOU, LLC and www.NutritionStarringYOU.com. Lauren strongly believes that we should “Think Healthy, not Skinny”, and “EveryBODY is unique, your diet should be too”. Lauren was co-host of the Family Food Experts Kitchen radio show, available for listening on iHeart Radio and iTunes. Also known as one of the “NutritionBabes”, Lauren co-founded NutritionBabes.com, a popular Health and Wellness website in 2009. NutritionBabes.com was voted one of Healthline’s Top 100 Health Blogs in 2011, 2012 and 2013.
Mark Heyman, PhD, CDE is a clinical health psychologist and the director of the Center for Diabetes and Mental Health (CDMH). In addition to treating patients with type 1 and type 2 diabetes, Dr. Heyman provides training for health care providers on how to identify and address the emotional and behavioral aspects of diabetes in their patients. He also works with pharmaceutical and medical device companies to help them understand these issues and incorporate this information into their sales, marketing, and patient education materials. He is particularly interested in empirically supported behavioral interventions that promote behavior change and improve physical and mental health in people with diabetes.
Katie Ferraro, MPH, RD, CDE is a nationally-recognized registered dietitian, certified diabetes educator and author with an expertise in nutrition communications and curriculum development. She is the co-author of “Diet Therapy in Advanced Practice Nursing” (McGraw Hill, 2014) and an Assistant Clinical Professor of Nutrition at the University of California San Francisco and University of San Diego’s graduate schools of nursing.
Dr. Beverly S. Adler, PhD, CDE (aka “Dr. Bev”) is a clinical psychologist and certified diabetes educator, author and speaker. She specializes treating the emotional issues of people with diabetes. In her private practice, she provides individual, family and/or group therapy utilizing a cognitive behavior therapy orientation, combined with a spiritual approach. Her goal is to empower her patients to manage their diabetes.
Dr. Bev is the author of two self-help diabetes books. She has written numerous articles which are published in print and online – always focused on diabetes from the emotional perspective. She also speaks to audiences of people living with diabetes, as well as, to audiences of healthcare professionals and diabetes educators. Dr. Bev, herself, has been living successfully with type 1 diabetes for 40+ years.
In August 2016, Dr. Bev was honored to receive the “CDE Entrepreneur of the Year” Award from her Metropolitan NY Association of Diabetes Educators.
Jill Weisenberger, MS, RDN, CDE, FAND is an internationally recognized nutrition and diabetes expert with more than two decades experience. Through writing, speaking and one-on-one coaching, Jill empowers people to grab control of their health. She has worked as both a nutrition counselor and a diabetes educator in the hospital and research settings, and now in private practice in Newport News, VA. Jill is known for her practical approach and caring attitude. Her no-nonsense strategies to eating well include foods that both taste good and are good for you.
Marlene Koch (pronounced ‘cook’) is a nationally recognized nutritionist, popular TV personality and New York Times bestselling author. She graduated Magna Cum Laude from UCLA with a Bachelor’s degree in Nutritional Science. She is a registered dietitian and one of a select group of dietitians to hold an advanced certificate in Child and Adolescent Weight Management from the Academy of Nutrition & Dietetics.
Marlene has taught professional chefs from the American Culinary Federation the principles of healthy cooking and eating. She has been adjunct Nutrition professor and cooking instructor for Columbus State College and the Columbus State Culinary Academy, and she is a nationally recognized expert in weight loss, diabetes, child and adolescent nutrition, and sugar substitutes.
Marlene has sold over one million cookbooks, and is a regular guest on QVC.
Barbara Ruhs – MS, RDN is a Registered Dietitian Nutritionist and owner of Neighborhood Nutrition LLC, a consulting firm focused on providing solutions to help food companies and supermarkets improve consumer health & wellness. She’s a former supermarket dietitian and has run a successful business for 17 years. A leader in the field of nutrition, her mission is to help people by impacting the way food is produced, marketed and sold. She’s a strong advocate for supermarket dietitians and believes the retail food industry has the greatest potential to impact public health.
Cheryl Orlansky has over 25 years of experience in health promotion and chronic disease prevention and management. Her first career as a registered dental hygienist led her towards a path of wellness and nutrition! Her expertise is in diabetes, weight management and cardiovascular disease for individuals and groups. She works in a large private practice including endocrinology, internal medicine, rheumatology, neurology and sleep medicine. She is an award winning dietitian with current leadership positions in state and local dietetics organizations.
She has been interviewed and quoted in media outlets for WebMD, Atlanta Sports and Fitness, Georgia Public Broadcasting, and the Atlanta Journal and Constitution. She has partnered with V-103 Radio to lead supermarket tours as part of a community outreach during National Nutrition Month.
Cheryl helps her clients reach balance through lifestyle choices: cooking and eating, activity and purpose in life.
Jackie Newgent, RDN, CDN, is a registered dietitian nutritionist and classically-trained chef. With a passion for helping people (including her father) with diabetes, she’s author of The With or Without Meat Cookbook: The Flexible Approach to Flavorful Diabetes Cooking and the award-winning The All‐Natural Diabetes Cookbook, both published by the American Diabetes Association. Jackie is also author of 1,000 Low-Calorie Recipes and Big Green Cookbook. Her next book, The All-Natural Diabetes Cookbook—2nd Edition, was published in 2015.
Nutritionist Rania Batayneh, MPH is the author of the best-selling book, The One One One Diet. She holds a master’s degree in public health nutrition from the University of Michigan School of Public Health and is also a Wellcoaches Certified Health and Wellness Coach endorsed by the American College of Sports Medicine (ACSM).