Exercise and Disease Management: 2nd Edition (Paperback) book cover

Exercise and Disease Management

2nd Edition

By Brian C. Leutholtz, Ignacio Ripoll

CRC Press

256 pages | 9 B/W Illus.

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Exercise and Disease Management is designed to help managed care physicians, their patients, other health care professionals, and interested readers integrate current exercise guidelines into their practices. This extraordinary book is accompanied by a series of 11 workbooks, each one for a chronic disease, designed specifically for physicians to give to their patients. These workbooks make it convenient for physicians to prescribe physical activity to their patients in a ready-to-use format. Each book chapter and workbook contains a section on the background, medical management, and exercise guidelines, accompanied by self-care instructions for patients, encouraging them to take a proactive role in their health and disease management.

New and Updated in the Second Edition:

  • A ready-to-use "Exercise Prescription Page," which follows each chapter on a specific disease, enables health care professionals, especially physicians in managed care, to prescribe exercise quickly to clients with specific medical conditions
  • The "Rate Pressure Product" method for prescribing exercise helps health care providers individualize exercise prescriptions for patients with heart disease by accounting for the amount of oxygen the heart uses
  • Individual companion workbooks on CD provide patient health maintenance information about diabetes, AIDS, obesity, golden years (age 65 and older), heart, kidney, peripheral arterial, and lung disease. Workbooks for physical inactivity, osteoporosis, arthritis and high blood pressure also are included on the CD
  • Common question-and-answer sections that help patients understand the diseases from which they suffer and encourages them to take responsibility for their health

Exercise and Disease Management, Second Edition consolidates the current knowledge base on exercise and chronic disease, providing a ready-made format for health care providers to use when prescribing exercise programs for their clients. Using guidelines set forth by the American College of Sports Medicine and the American Association of Cardiovascular and Pulmonary Rehabilitation, this book helps physicians, other health care providers, and health enthusiasts respond to the challenge to keep patients healthier and active and reduce recurrent hospitalizations and health care costs.


Praise for the First Edition

"…a well-written resource for medical and health-care professionals who treat individuals with specific exercise needs."

—A.H. Goldfarb, CHOICE, December 1999

Table of Contents

"Postmodern" Medicine: Teaching Patients to Be Responsible for Their Health

Adherence to Exercise

The Exercise Prescription and Adherence

Curing, Healing, and Maintaining Health

High Blood Pressure: The Silent Killer


Classification of Hypertension according to Cause

Evaluation of Individuals with High Blood Pressure

Complications of Hypertension

Classification of Hypertension


Follow-up of Persons with Hypertension

Non-pharmacological Treatment of Hypertension

Exercise Issues

Exercise Prescription for Patients with High Blood Pressure

Weight Training Guidelines for High Blood Pressure

Recommended Reading

Exercise Prescription for High Blood Pressure

Common Questions on High Blood Pressure (a Patient’s Perspective)



Classification of Diabetes


A Brief History of Treatment Strategies for Patients with Type 2 Diabetes

Initiation of Treatment

Exercise Issues

Weight Training Guidelines for Diabetics

Recommended Reading

Exercise Prescription for Diabetes

Common Questions on Diabetes (a Patient’s Perspective)

Kidney Disease



Exercise Issues

Benefits of Exercise

Weight Training Guidelines in Kidney Disease

Recommended Reading

Exercise Prescription for Kidney Disease

Common Questions on Kidney Disease (a Patient’s Perspective)

Heart Diseases

Coronary Artery Disease: The Number One Killer

Weight Training Guidelines for Heart Disease

Recommended Reading

Exercise Prescription for Heart Disease

Common Questions on Heart Disease (a Patient’s Perspective)

Congestive Heart Failure

Recommended Reading

Exercise Prescription for Congestive Heart Failure

Valvular Disease

Recommended Reading

Exercise Prescription for Valvular Disease.

Hypertrophic Cardiomyopathy

Recommended Reading

Exercise Prescription for Hypertrophic Cardiomyopathy

Cardiac Arrhythmias and Pacemakers

Recommended Reading

Exercise Prescription for Arrhythmias.

Exercise Prescription for Patients with Pacemakers.

Lung Diseases

Chronic Lung Disease

Restrictive Disease


Cystic Fibrosis



Weight Training Guidelines for Lung Disease

Recommended Reading

Exercise Prescription for Chronic Lung Disease and Asthma

Common Questions on Lung Disease (a Patient’s Perspective)



Defining the Metabolic Syndrome

Weight Training Guidelines for Obesity

Recommended Reading

Exercise Prescription for Obesity.

Common Questions on Obesity (a Patient’s Perspective)

Vascular Disease



Pharmacological Treatment

Diet and Exercise Management

Peripheral Vascular Disease

Exercise Issues.

Weight Training Guidelines for Peripheral Vascular Disease

Recommended Reading

Exercise Prescription for Peripheral Vascular Disease

Common Questions on Peripheral Vascular Disease (a Patient’s Perspective)

Osteoporosis and Arthritis



Weight Training Guidelines for Osteoporosis and Arthritis

Recommended Reading

Exercise Prescription for Osteoporosis and Arthritis

Common Questions on Osteoporosis (a Patient’s Perspective)

Cancer, the Immune System, and AIDS



Anxiety and Depression in Patients with Cancer and HIV Infections

Exercise and Cancer

Exercise and the Immune System


Weight Training Guidelines in Chronic Infections


Recommended Reading

Exercise Prescription for Chronic Infections: Cachexia, AIDS, and Cancer

Common Questions on Diseases of the Immune System (Chronic Infections, Cachexia, and AIDS) (a Patient’s Perspective)

The "Golden Years"

Exercise in the Healthy Elderly

Weight Training Guidelines during the Golden Years

Recommended Reading

Exercise Prescription during the Golden Years

The Physically Inactive

Exercise Recommendations for Healthy but Physically Inactive Individuals

Weight Training Guidelines for Physically Inactive Individuals without Disease

Recommended Reading

Exercise Prescription for Physically Inactive Individuals without Disease




Managing the Pregnant Athlete

Exercise Issues

Weight Training Guidelines during Pregnancy

Recommended Reading

Exercise Prescription during Pregnancy

Wheelchair-Dependent Patients


Exercise Issues

Weight Training Guidelines for Wheelchair-Dependent Patients

Recommended Reading

Exercise Prescription for Wheelchair Dependency

(Quadriplegia) Functional Electrical Stimulation

Exercise Prescription for Wheelchair Dependency (Paraplegics)

Prepubescent Children

Healthy Children

Weight Training Guidelines for Children


Recommended Reading

Exercise Prescription for Prepubescent Children


Appendix A: Exercise Prescriptions and "the Charts"

Method 1: The Age-Predicted Method

Method 2: Heart Rate Reserve, or Karvonen Method

Method 3: The Rate Pressure Product Method

Method 4: Systolic Blood Pressure Method

Method 5: The Charts

Method 6: Maximal Oxygen Consumption (the VO2 max or Maximal Functional Capacity)

Method 7: The Anaerobic Threshold

Method 8: Ventilation

Method 9: The VO2 Reserve

Method : Weight-Lifting Formula

Appendix B: Exercise Testing

Medical Screening Prior to Exercise

Cardiac Stress Testing

Cardiopulmonary Stress Testing

Exercise Testing for People with Common Cardiopulmonary Problems


Exercise Prescription

Appendix C: Training Injuries

Cardiocirculatory System.

Endocrine System


Gastrointestinal System

Hematologic System

Muscular Pain or Injury

Musculoskeletal System

Overuse Injuries


Nerve Entrapment



Urinary System

Thermal Injuries

Recommended Reading


About the Authors

Brian C. Leutholtz, PhD, FACSM, received his BS in dietetics from Michigan State University in 1985, his MS in exercise physiology from Michigan State University in 1987, and his PhD in clinical exercise physiology from Michigan State University in 1992. Dr. Leutholtz completed a 4-year clinical fellowship in clinical cardiology at Butterworth Hospital in Grand Rapids, Michigan. As a fellow of the American College of Sports Medicine (ACSM), he has earned the highest certification given by the ACSM as a clinical program director. Dr. Leutholtz is a professor at Baylor University in Waco, Texas. He was recruited by Baylor to improve their graduate curriculum and begin the development of a PhD program by teaching and creating new courses at the graduate level in sports nutrition and exercise prescription for special populations.

Dr. Leutholtz has past experience as the director and founder of the Old Dominion University Therapeutic Exercise Program for Chronic Disease (TEMPO) in Norfolk, Virginia, and has served as a consultant for an aggressive managed care team providing exercise and diet evaluation/education in Virginia Beach, Virginia. He is currently the coordinator for the exercise physiology graduate program at Baylor University. Dr. Leutholtz has recently added a coauthored second edition book, Exercise Prescription: A Case Study Approach to the ACSM Guidelines, to his list of book publications. The book has been translated into Japanese, Korean, and Chinese. In this book, the long-standing ACSM equations were enhanced and a new term, "VO2 reserve," was adopted by the ACSM.

Ignacio Ripoll, MD, FACP, FACCP, is associate professor of internal medicine at Eastern Virginia Medical School and medical director of the Respiratory Therapy and School of Polysomnography Technology at Tidewater Community College. He is also an adjunct professor of exercise physiology at Old Dominion University in Norfolk Virginia. He is a member of Bayview Physicians, a multidisciplinary medical group, and practices pulmonary, sleep, and bariatric medicine in Virginia Beach, Virginia. He has a particular interest in the fields of cardiopulmonary physiology, sleep medicine, and the evaluation and management of the metabolic syndrome.

Subject Categories

BISAC Subject Codes/Headings:
MEDICAL / Nutrition
MEDICAL / Public Health