Exercise Perscription Flashcards
What are some diseases physical activity can make a positive impact on?
- Overweight
- High BP
- Coronary Heart Disease
- Diabetes (Type 2)
How many minutes a week should someone do aerobic exercise?
- 150 min/wk moderate-intensity OR 75 min/wk vigorous
How many days a week should someone weight train?
2!
How many minutes should someone do aerobic exercise to get ADDITIONAL health benefits?
- 300 min/wk Moderate OR 150 min/wk Vigorous
What is important about this graph?
Biggest bang for buck is having someone who is sedentary to do something active than someone who is moderately active and getting them more active. Change in risk of disease isn’t that much from moderate to high.
What is a client?
- No impairment or disease
- Don’t need a referral for conditioning/physical activity program
What is a patient?
- Someone with a problem/impairment/disability OR person at risk for a disease
- Referred by medical provider
What are the two things you need to ask someone for preparticipation screening?
- If they are a Regular Exerciser or Not a Regular Exerciser
- Known CV, Metabolic or Tenal disease OR Signs and Symptoms of CV, Metabolic or Renal Disease
Is HTN a risk factor for CVD?
Yes not a disease
Signs or Symptoms Suggestive of CV, Metabolic or Renal
- Pain (at rest or during activity)
- Dyspnea
- Dizziness or syncope
- Orthopnea
- Paroxysmal noctural dyspnea
- Ankle edema
- Palpations or tachycardia
- Intermittent claudication
- Known heart murmur
- Ususual fatigue or dysnea with usual activities
CAD Risk Factors (8)
- Age; Men = or greater than 45; Women equal to or greater than 55
- Family had…(MI, CABG, Angioplasty, Sudden Death
- Smoker or Smoked in past 6 months or exposure
- BP equal or greater than 140 or 90; OR take BP meds
- Cholestrol (LDL > 130 mg/dL or HDL < 40 mg/dL or Lipid medication
- Prediabetes (IFG > or equal to 100 but <126 or IGT > or equal to 140 mg/dL but < 200 (on 2 sep occasion)
- BMI > or = 30 OR Ratio
- Sedentary Lifestyle
Negative Risk Factor for CAD
High HDL (> 60 mg/dL)
- Subtract 1 from total risk factors
Someone who is NOT a regular exerciser has no CV, Metabolic, or Renal disease can you start exercise with them?
Yes, no clearance needed. Light to moderate.
Someone who is NOT a regular exerciser has KNOWN CV, Metabolic, or Renal disease and is Asympyomatic can you start exercise with them?
Medical clearance recommended. Following clearance start light to moderate.
Someone who is NOT a regular exerciser has ANY Signs or Symptoms CV, Metabolic, or Renal disease can you start exercise with them?
Medical clearance recommended. Following clearance start light to moderate.
Someone who IS a regular exerciser has No CV, Metabolic, or Renal disease can you start exercise with them?
Yes, Moderate to Vigorous
Someone who IS a regular exerciser has Known CV, Metabolic, or Renal disease and is asymptomatic can you start exercise with them?
NOT recommended for moderate intensity. Additional medical clearance recommended to progress to vigorous.
Someone who IS a regular exerciser has ANY Signs or Symptoms CV, Metabolic, or Renal disease can you start exercise with them?
Discontinue exercise and seek medical clearance
Light intensity MET
2-2.9 MET
Moderate Intensity
3-5.9 MET
Vigorous Intensity MET
6 > or = MET
Guidlines for Components of Exercise Programs include what 3 things?
- Warm Up (5-10 min); Never calculate
- Endurance Phase (20-60 min)
- Cool Down (5-10 min)
FITT
Frequency
Intensity
Time or Duration
Type or Modality
What is the most important principle to training?
OVERLOAD THE SYSTEM
- You will never get physiological adaptations without overload. In both aerobic and anerobic.
- Angeogenisis (Capillaries) show largest change through exercise.
How do you determine recovery time?
- Time needed to replenish energy store
- Length of time is specific to overall stress
Overtraining
Insufficient time between bouts of exercise
Detraining
Too much time between bouts; adaptations will be lost
Aerobic Guidelines for Exercise Prescription
Type: Large Muscle Groups
Frequency: 3-5x (3 = Vig, 5 = Mod)
Duration: 30-60 min Mod; 20-60 Vig
Intensity: 11-14 RPE (40-60%); 14-16 (60-85%) Ventilatory
Exercise ECG [GXT]
Someone with disease gets on treadmill with EKG, BP, etc. To find out what their maximum is at symptom.
Heart Rate Reserve Method - % HRR
Always given in range
THR = [(max HR - rest HR) x desired reserve % + rest HR]
RPE Method
11-14 RPE (40-60%); 14-16 (60-85%) Ventilatory
Why is a cool down so important for a cardiac patient?
Negative occurrence will occur during a cool-down in the first two to three minutes. Due to neuro, cardiac and endocrine of mixed signals.
How many of the specific VO2max criteria must be met to be a true VO2max?
3
What are 5 of the specific criteria for VO2max?
- A peak or plateau in oxygen uptake with increased workload
- A peak or plateau in HR with increased workload
- A RER value of >1.10
- RPE = or > 18 (When they stopped)
- A blood lactate level of >14 mmol (Often not used)
