Sacramone began gymnastics at the age of eight, began competing in the elite ranks in 2002 and joined the U.S. national team in 2003. At US National Championships from 2004 to 2008, she won twelve medals, including four golds on vault and two golds on floor exercise. At World Championships from 2005 to 2007, she won seven medals, including a floor exercise gold in 2005 and a team gold in 2007. At the 2008 Beijing Olympics, she won a team silver medal.
Sacramone has become noteworthy for supportive leadership of her teammates as well as outspoken remarks in interviews.
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