Week 12- special populations 2

Question 1

obesity - exercise

Answer 1

aerobic - focus on this. use large mm groups
resistance - can help function
flexibility
follow up - important
behaviour change needed
diet just as important
aim for sustainable lifestyle modification

Question 2

Diabetes - complications

Answer 2

nepthropathy
neuropathy
retinopathy
cardiovascular disease
diabetes induced ketoacidosis

Question 3

Diabetes type 1 exercise benefits

Answer 3

aerobic:
lowers mortality
improves endothelial function
improves lipid profile
increases insulin sensitivity
resistance:
reduces risk of hypoglyceamia episode if before aerobic ex
\+ normal benefits

Question 4

Diabetes type 2 exercise benefits

Answer 4

aerobic:
reduces mortality
insulin resistance
triglycerides
BP
A1C levels (blood glucose level)
resistance:
improves glycaemic control
BP
strength
insulin sensitivity
reduces fat mass
\+ normal benefits

Question 5

Diabetes - special considerations

Answer 5

BG before ex at 6-13 mmol/L
low BG occurs several hours after ex
test BG before, during and after ex
after ex during day, BG should be 10-12 mmol/L before bed
Have meal of low GI carbohydrates 1-2 hours before ex
quick release glucose food/drink to be had every 30 min during ex
eat extra carbohydrates after ex

Question 6

Kidney disease - exercise special considerations

Answer 6

perform on non-dilaysis days
if have to, do first 1/2 of dialysis, focus on LL
use RPE not heart rate
dont use limb with fistula (needs to stay in)
dont do ex post dialysis
may need to start I/T then progress to continuous

Question 7

Critical illness (ICU) - exercise recommendations

Answer 7

start within 3 days of admission
nutrition may need to be increased for ex
screening for mental capacity
regular muscle weakness screening