Medical Conditions Information

Several medical conditions can be improved through exercise, but most require a physician's clearance. Here you will find a list of some medical conditions and possible recommendations. Anyone experiencing any of these listed should not begin an exercise program until there is a physician's clearance and is highly suggested to be working with a fitness and/ or health professional.

Positive Risk Factors for heat disease

Age
Blood pressure equal or greater than 130/90 mmHg
Cigarette smoking
Diabetes
Elevated Cholesterol

Total equal to or greater than 200
HDL 35 mg/dl

Family History

First degree Male died of heart problems 55 or earlier.
First degree Female died of heart problem 65 or earlier.

Gross Inactivity

Secondary Risk Factors

Obesity
Gender
Stress

Conjective Heart Failure

Heart is failing.
Muscle tissue not strong enough to force blood through body.
Fluid begins to build up in areas of body such as lungs.
Not curable.

Physician's Clearnance

Risk for CAD - 2 risk factors
Pulmonary problems

Bronchitis, Asthma, and COPD

 
Metabolic disorders

Diabetes and Thyroid

Musculoseletal

Persistent problem or more serious injury.

National Cholesteral Education Program (NCEP) Guidelines

HDL below 35 - above 60 risk factor
LDL

130 and below - desirable
131-159 - borderline
160 and above - high

Total

200 and below - desirable
201-230 - borderline
240 and above - high

Ratio less than or = to 3.5

Cerebral Vascular accident/Stroke

Area of brain that becomes deprived of O2.

Pregnancy Physiological Changes

Cardiorespiratory

By 3rd trimester total blood volume increases about 40-50%
Cardiac ouput increases by 30-50%
Gradual increases in heart rate

Respiratory

Ventalations increase 50% more

 
Musculoskeletal

Lordsis posture (exaggerated lower back inward curve)
Weight gain
Bones soften as due date approaches
No quick sharp turns because of balance problems

Exercise Concerns During Pregnancy

Uterine Blood Flow

Down 23%
Factors Affecting

Intensity and duration
Exercise posture
Pregnancy complications

Thermoregulation

Fetal Temperature 1.5 degrees higher
Physiological Adaptions

Shifting of blood flow to skin
Sweating at lower core temp.
Higher ventilation

Recommendations

Avoid exercise in hot humid environment
Avoid exercise in warm water

Carbohydrate Utilization

Research suggests to increase 300 kcals per pound only on recommendations by qualified health professional (doctor, nurse practioner, registered dietition, lisenced nutritionist).
Eat carbohydrate snack 15-20 minutes before exercise
Fetal glucose uptake considered by physician
Recomendations

Diet should contain sufficient calories
Eat small frequent meals
Recognize symptoms of hypoglycemia - ask your doctor what to look for
Reduce duration and intensity

Pregnancy Recommended Exercises

Kegel - hold for 10 seconds perform 10 repetions

Neutal Pelvis Location

Pelvic Tilt - Hands & knees position cat stretch

Bridging - no supine (on back) more than 5 minutes.

Alternate Leg Extension - supine, knees 90 degrees

Alternate Arm & Leg Extension - Hands & knees position

Wall Squat - Knees 90 degrees keeping toes behind front of knee

Abdominal Exercises - Performed by physicians clearance

Contraindications to exercise during Pregnancy

Pregnancy-induced Hypertension
Pretern Rupture of Membranes
Preterm Labor During Current or past pregnancy
Incomplete Cervix - opening premature/bleeding

Postpartum

Lactation - Baby may reject nursing after exercise, lactic acid (byproduct of exercising) changes taste

When to resume Exercise

Vaginal birth 4-6 weeks after bleeding stops and good idea to have physician clearance.
Cycerian - Must have physician's clearance

Exercise Program - individual choice of lower frequency, intensity and duration

Exercise and aging

Flexibility - Watch forjoint pain
Strength - Lighter resistance, 1-3, 10-15 repetions, emphasize aligment and balance
Cardiorespiratory - May require medical clearance & or graded exercise test, slower progression, lower intensity, watch for signs of distress

Exercise and Aging (above age 45 men & 55 women) - must have physician's clearance

Exercise for asthmatics - Must have physician's clearance

Must be controlled
Take medications
Extended warm-up
Lower intensity, increased duration
Pursed lipped breathing
Be well hydrated
Avoid cold, pollution, and high pollen
Warm humid environment is best

Recommendations for arthritics

Non-weight bearing exercises - avoid activities with quick movement
Focus on range of motion and strengthening
Exercise intensity varies with disease activity and pain level

Diabetics and Exercise - Must have physician's cleareance

Reduce insulin (only by physician's directions)
Predictable & consistent in duration, intensity and frequency
Type I (childhood onset) daily exercise for regulation & shorter duration (20-30 minutes of cardiorespiratory)
Type II - 3-5 times per week, lower intensity, longer duration (20-60 minutes of cardiorespiratory)
Inject in non-exercising limbs
Carbohydrated snack
Hypoglycemia - cold, clammy, pale skin, fatique, memtal confusion, a feeling of shakiness
Foot care - Check for blisters, sores
Heat Illness

Obesity

Overweight - refers to pounds
Obese - refers to body fat %

Men 25% or above Women 32% or above

Avoid weight loss schemes
Lower intensity - 60 -70% max heart rate
Longer duration - 60 minutes goal
3-5 times per week gradual to 4-6
Low impact activities

[Check Your Fat] [Diet Information] [Medical Conditions] [Sample Routine] [Flexibility Testing] [Strength Testing] [Cardiovascular Testing] [Release Forms]

Contact Mark Harris