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