256 Pages 9 B/W Illustrations
    by CRC Press

    256 Pages 9 B/W Illustrations
    by CRC Press

    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 the downloadable resources 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 downloadable resources
    • 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.

    "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
    Background
    Classification of Hypertension according to Cause
    Evaluation of Individuals with High Blood Pressure
    Complications of Hypertension
    Classification of Hypertension
    Management
    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)

    Diabetes
    Background
    Classification of Diabetes
    Management
    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
    Background
    Management
    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
    COPD
    Cystic Fibrosis
    Cor-pulmonale
    Asthma
    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)

    Obesity
    Introduction
    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
    Background
    Pathogenesis
    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
    Osteoporosis
    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
    Cancer
    AIDS
    Anxiety and Depression in Patients with Cancer and HIV Infections
    Exercise and Cancer
    Exercise and the Immune System
    Cachexia.
    Weight Training Guidelines in Chronic Infections
    References
    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

    Pregnancy
    Background
    Management
    Managing the Pregnant Athlete
    Exercise Issues
    Weight Training Guidelines during Pregnancy
    Recommended Reading
    Exercise Prescription during Pregnancy

    Wheelchair-Dependent Patients
    Background
    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
    Reference
    Recommended Reading
    Exercise Prescription for Prepubescent Children

    Appendices
    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
    References
    Exercise Prescription

    Appendix C: Training Injuries
    Cardiocirculatory System.
    Endocrine System
    Eyes
    Gastrointestinal System
    Hematologic System
    Muscular Pain or Injury
    Musculoskeletal System
    Overuse Injuries
    Tendinitis
    Nerve Entrapment
    Pulmonary
    Skin
    Urinary System
    Thermal Injuries
    Recommended Reading

    Index

    Biography

    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.

    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