Chapter 2 Flashcards

1
Q

What are co-morbidities?

A

Diseases linked obesity, and are often found in combination with other diseases

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2
Q

Common co-morbidities

A
Diabetes
Heart disease
Hypertension
Stroke
Respiratory complications
Cancer
Dyslipidemia
Syndrome X
Musculoskeletal issues
Depression
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3
Q

Types of diabetes

A

Type 1 - body does not produce insulin to convert glucose into energy
Type 2 - Pancreas does not produce enough insulin or the cells ignore it

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4
Q

Benefits of exercise for diabetes

A

Daily glucose control

insulin sensitivity

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5
Q

Diabetes exercise guidelines

A

Cardiorespiratory:
Frequency - 3-7 days/wk
Intensity - moderate to vigorous(50-80% HRR)
Duration - 20-60mins depending on intensity level
Resistance training:
Include all major muscle groups
sets - 2-3
repetitions - 3-12 reps at 50-80% 1RM
Frequency - 2-3 days/wk with at least 2 days between

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6
Q

Heart Disease

A

term used to refer to a number of conditions involving a diseased heart

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7
Q

Types of heart disease

A

Myocardial Infarction

Coronary Heart disease

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8
Q

Factors that contribute to heart disease

A
Obesity
physical inactivity
family history
high cholesterol
smoking
hypertension
diabetes
high fat diet
emotional stress
Type A personality traits
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9
Q

Hypertension is commonly referred to as

A

High Blood pressure

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10
Q

normal blood pressure

A

<120/80

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11
Q

Hypertension readings

A

> 140/90

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12
Q

pre-hypertension readings

A

130-139/80-89

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13
Q

Exercise guidelines for Heart Disease clients

A
Cardiorespiratory:
Frequency - 3-7 days/wk
intensity - moderate to vigorous(40-60% HRR)
Duration - 30-60 minutes depending on intensity
Resistance Training:
Include all major muscle groups
Sets - 1 set
repetitions - 8-12 reps
frequency - 2-3 days/wk
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14
Q

Respiratory Complications

A

Shortness of breath during mild exercise
Asthma
Sleep apnea

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15
Q

Exercise Guidelines for respiratory complications

A
Cardiorespiratory:
Frequency - 3-5 days/wk
Intensity - one's own tolerance
Duration - 20-60 mins depending on intensity
Resistance Training:
include all major muscle groups
Sets - 1 set
repetitions - 3-20 reps
frequency - 2-3 days/wk, 48hrs rest between
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16
Q

What is Metabolic Syndrome(syndrome X)?

A

3 or more cardiovascular disease risk factors

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17
Q

Risk factors for cardiovascular disease

A
abdominal obesity
high triglycerides
Low HDL-C
elevated blood pressure
elevated fasting glucose
prothrombotic state
proinflammatory state
Age
Hormone imbalances
Physical inactivity
18
Q

Key to managing metabolic syndrome

A

Life style modifications - exercise and diet

19
Q

Exercise guidelines for Syndrome X

A
Cardiorespiratory:
Frequency - 5 days/wk
Intensity - moderate(40-60% HRR)
Duration -20-60 mins depending on intensity
Resistance Training:
include all major muscle groups
Sets - 1 set
repetitions - 10-15 reps
frequency - minimum 2 days/wk
20
Q

Musculoskeletal issues affect?

A

Muscles, joints, tendons, and ligaments

21
Q

symptoms of musculoskeletal issues

A
pain
weakness
stiffness
decreased range of motion
Low back pain(LBP) - second most common condition treated by primary care physicians today
22
Q

Exercise guidelines for Musculoskeletal issues

A
Cardiorespiratory:
Frequency - 3 days/wk
Intensity - low to moderate(40-80% HRR)
Duration - 20-30mins, symptoms dependent
Flexibility - stretch tight muscles, minimum 20 secs each
Resistance Training:
focus on core musculature
Sets - 1-2 sets
repetitions - 10-15 reps
frequency - minimum 2 days/wk
23
Q

It’s important to inquire about medications with obese individuals. Why?

A

The favored approach by physicians is to prescribe medications along with diet and exercise. Medications can influence how the body responds to exercise.

24
Q

Common medications prescribed to overweight/obese clients

A
Beta blockers
calcium channel blockers
diuretics
anti-arrhythmic agents
bronchodilators
anti-depressants
hypoglycemic agents (insulin and oral)
Appetite suppressants (sibutramine)
Lipase inhibitors (Orlistat)
25
Beta blockers
decrease heart rate and blood pressure at rest and during exercise disrupts body's ability to regulate body temp.
26
Calcium channel blockers
Heart rate response depends on specific medication | Blood pressure decreases at rest and exercise
27
diuretics
No effect on heart rate may decrease blood pressure during rest and exercise disrupts body's ability to regulate body temp.
28
Anti-arrhythmic agents
In general, no effect on exercise capacity
29
Bronchodilators
Some may increase heart rate | increase exercise capacity in people limited by bronchospasm
30
anti-depressants
increase or no effect on resting or exercise heart rate | decrease or no effect on resting or exercise blood pressure
31
Insulin (hypoglycemic agents)
no effect on exercise capacity
32
Sibutramine (appetite suppressants)
possible increase in heart rate during exercise
33
Orlistat (lipase inhibitors)
no effect on exercise capacity
34
Specific recommendations should be given for whom?
patients with peripheral neuropathy, diabetic retinopathy, nephropathy.
35
peripheral neuropathy
numbness in hands and feet
36
diabetic retinopathy
damage to blood vessels of the eye
37
nephropathy
kidney disease
38
specific recommendations to patients with peripheral neuropathy, diabetic retinopathy, nephropathy.
avoid extreme enviroments, proper foot care, avoiding the Valsalva maneuver, paying special attention to hydration
39
Dyslipidemia
often referred to as high cholesterol ( actually a disorder of lipoprotein metabolism
40
Causes of Dyslipidemia
Increase in total cholesterol, LDL (low-density lipoprotein) cholesterol, Trigylceride concentrations OR a decrease in HDL(high-density lipoprotein)