Hypertension and dyslipidemia are separate independent risk factors for coronary artery disease (CAD), and in the United States, 33% of Americans have dyslipidemia and 29% have hypertension. These diseases frequently occur together, however, and the combination speeds the process of atherosclerosis.
A Closer Look at Basic CDD4 Recommendations for Physical Activity or Exercise in Chronic Conditions
After four editions of the CDD series, with many decades of clinical experience on the part of the contributors to CDD4, the main working group of authors concluded that it is confusing and unnecessary to sustain disease-specific recommendations, for these reasons: There are thousands of chronic conditions and causes of disability.
Case Study: Diabetes and Obesity with Osteoarthrosis
"I intend to live into my 90s but I can’t get there unless I’m dancing." A 52-year-old woman with type 2 diabetes was referred for help on lifestyle. She had a family history of diabetes and tended toward a centripetal/abdominal fat distribution pattern associated with high CV risk.
Permanent Pacemakers and Implantable Cardioverter-Defibrillators
A variety of factors contribute to optimal cardiac functioning, including atrioventricular (AV) synchronization and the chronotropic and inotropic responses to neurohormonal stimuli. Alterations in the normal sequence of atrial and ventricular filling and contraction can result in deterioration of hemodynamics and subsequent symptoms at rest, during exercise, or both.
Developed by ACSM, this text presents a framework for optimizing patients’ and clients’ functionality by keeping them physically active. It provides evidence-informed guidance on devising individualized exercise programs for persons with chronic and comorbid conditions.
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The fourth edition of ACSM’s Exercise Management for Persons With Chronic Diseases and Disabilities reveals common ground between medical and exercise professionals, creating a more collaborative approach to patient care. Developed by the American College of Sports Medicine (ACSM) with contributions from a specialized team of experts, this text presents a framework for optimizing patients’ and clients’ functionality by keeping them physically active. Featuring new content on common comorbid conditions, this edition is streamlined and updated to better suit chronic populations.
This fourth edition of ACSM’s Exercise Management for Persons With Chronic Diseases and Disabilities outlines why exercise is significant in the treatment and prevention of disease, advises medical and exercise professionals in considering proper exercise prescription protocols, and provides evidence-informed guidance on devising individualized exercise programs.
Major advancements and features of the fourth edition include the following:
Current evidence on exercise management for persons with multiple conditions, providing guidance on working with these common yet complex populations
A refocused goal of using physical activity to optimize patients’ and clients’ functionality and participation in life activities rather than only to treat and prevent disease
Specific content to help physicians prescribe physical activity and exercise to patients for promotion of health, well-being, and longevity
Reorganization of case studies into one streamlined chapter along with commentary from the senior editor to encourage critical thinking and recognize the unique needs of each patient
The case studies in the text are real-life scenarios that help professionals and clinicians combine scientific knowledge with experience to find appropriate solutions for each individual. Commentary on the case studies from the senior editor illustrates when improvisation may be appropriate and where further research is needed. Tables are highlighted throughout the text to help readers quickly reference important clinical information. Evidence-informed guidelines, suggested websites, and additional readings further encourage practical use of information and identify further learning opportunities. For instructors, an ancillary PowerPoint presentation package aids in classroom discussion.
The critical element that distinguishes the fourth edition of ACSM’s Exercise Management for Persons With Chronic Diseases and Disabilities is its unifying mission to incorporate physical activity and exercise in both disease treatment and prevention. Its emphasis on assisting people with multiple conditions, which is ever present in health care today, moves beyond primary and secondary prevention to focus on how patients and clients can be kept physically active and functionally fit.
Foreword Preface Acknowledgments Notice and DisclaimerPart I. Foundations of Exercise in Chronic Disease and Disability
Geoffrey E. Moore, J. Larry Durstine, and Patricia L. Painter
Chapter 1. Exercise Is Medicine in Chronic Care
Robert Sallis and Geoffrey E. Moore
Exercise Is Medicine
Chapter 2. Basic Physical Activity and Exercise Recommendations for Persons With Chronic Conditions
Benjamin T. Gordon, J. Larry Durstine, Patricia L. Painter, and Geoffrey E. Moore
Definitions Used in This Book
Basic CDD4 Recommendations for Physical Activity or Exercise in Chronic Conditions
How to Prescribe Physical Activity or Exercise in Chronic Care
Graded Exercise Testing
Minimum Exercise Recommendations When an Exercise Test Is Not Available
Clinically Supervised Exercise Programming
ACSM’s Exercise Personnel Certifications
Chapter 3. Art of Clinical Exercise Programming
Patricia L. Painter and Geoffrey E. Moore
Step 1: Assess Current Health Status
Step 2: Assess Current Level of Physical Activity
Step 3: Identify Exertional Symptoms That Limit Physical Activity
Step 4: Evaluate Physical Function and Performance
Type 2 Diabetes and Disability From Morbid Obesity With Multiple Chronic Conditions
Type 2 Diabetes and Obesity With Osteoarthrosis
Valvular Heart Disease
Appendix A. Common Medications Appendix B. Basic CDD4 Recommendations Index About the ACSM Contributors
A reference for physical therapists, rehabilitation specialists, nurses,
physicians, health and fitness instructors, exercise physiologists, and
clinical program directors; also a textbook for exercise management
courses covering chronic disease and disabilities.
The American College of Sports Medicine (ACSM), founded in 1954, is a professional membership society with more than 50,000 national, regional, and international members in more than 90 countries dedicated to improving health through science, education, and medicine. ACSM members work in a range of medical specialties, allied health professions, and scientific disciplines. Members are committed to the diagnosis, treatment, and prevention of sport-related injuries and the advancement of the science of exercise.
The ACSM promotes and integrates scientific research, education, and practical applications of sports medicine and exercise science to maintain and enhance physical performance, fitness, health, and quality of life.