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CLINICAL CONDITIONS INFLUENCING EXERCISE PRESCRIPTION

CLINICAL CONDITIONS INFLUENCING EXERCISE PRESCRIPTION. Hypertension PVD Diabetes Obesity. HYPERTENSION.

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CLINICAL CONDITIONS INFLUENCING EXERCISE PRESCRIPTION

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  1. CLINICAL CONDITIONS INFLUENCING EXERCISE PRESCRIPTION • Hypertension • PVD • Diabetes • Obesity

  2. HYPERTENSION • Recommendations include: reduce body fat, limit alcohol, increase activity to 30-45 min most days of week, reduce sodium, and maintain potassium, calcium and magnesium, stop smoking and low dietary fat. • Mass testing of this population not recommended

  3. HYPERTENSION AND EXERCISE PRESCRIPTION • Recommendations are the same as for the low risk pop, just at lower intensities • Resistance training is not recommended with the exception of circuit training

  4. PVD-results from aterial stenosis, Raynaud’s Syndrome and Buerger Disease. • Results can be claudication, especially in the calf and buttock region and radiate down the leg • May need multiple stage protocol using scale for rating of pain • Weight bearing are preferred because improvement in exercise tolerance may unmask ischemia

  5. DIABETES--TYPE I OR TYPE II • Blood sugar must be measured before, during and after exercise • Avoid exercise during peak insulin activity • Unplanned exercise needs to be preceded by extra CHO-20-30 grams per 30 mins • If exercise is planned then insulin must be decreased according to intensity • During exercise CHO must be eaten, followed by post exercise snack

  6. DIABETES • Should be done daily in keeping with a schedule • Type 2 should address maximum caloric expenditure • Know signs and symptoms of hypoglycemia • Always workout with a partner • Proper footwear and hygiene • Recognize problems with heat and issues with retinopathy

  7. OBESITY • Use low impact activities with initial emphasis on duration • Strength training will be helpful • Involve in activities where there is lowest risk of injury, greatest amount of enjoyment, with the great chance of compliance accompanied by caloric expenditures

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