EXERCISE PRESCRIPTION FOR HYPERLIPIDEMIA AND DYSLIPIDEMIA PATIENT DURING COVID-19

EXERCISE PRESCRIPTION FOR HYPERLIPIDEMIA AND DYSLIPIDEMIA PATIENT DURING COVID-19

Hello my dear students, hope the ease of lockdown is having positive effect on your life and while carrying out your legitimate business or work, please ensure that you keep to the NCDC guidelines on COVID-19 in order to keep safe. 

    Medical History and Diagnosis 

     Mr. X, a 47- year old banker, has been referred to an exercise programme for cardio vascular disease risk reduction following a recent medical examination. He has a family history of heart disease and stroke. His Parent had a nonfatal myocardial infarction at 55 and his grandmother a fatal stroke at 72.

He is 5 ft 9 in. and weighs 202lb,  and his medical history is unremarkable. He currently lack exercise but he was involved in exercise some years ago.

He smokes and drinks a lot and self report of moderate amount of stress on the job. A fasting blood lipid profile was obtained during his medical examination and revealed the following :

   Total cholesterol =222mg. dl-1

    HDL =30mg. dl-1

     LDL =168mg. dl-1

      Triglycerides =301mg. dl-

  He has resting heart rate of 72 beats per minute and resting blood pressure of 132/90.

 

Exercise prescription 

     Initial Exercise program.

Frequency =5 days per week

Intensity -126-138beats/min

Perceived exertion =12-14

Duration =15 to 20min

Mode =aerobic 

 

Exercise progression 

Frequency =5 days/week

Intensity =patient tolerates 

Duration =move to 30min 

   

Exercise progression 

       After 3-months 

Frequency =3-4day /week 

Intensity =142-165bt/min

Perceived exertion=13-16

Duration =30-50min

My patient was educated on the signs and symptoms of exercise intolerance. Patient were placed on diet to control saturated fat intake. 

        Hyperlipidemia is any condition that elevates fasting blood Triglyceride or cholesterol levels. 

     However, when genetic, environmental, and pathological factors combine to abnormally alter blood lipid and lipoprotein concentrations, the condition is better termed dyslipidemia. Although severe forms of dyslipidemia are linked to genetic defects in cholesterol metabolism, less severe forms may result secondarily either because of other diseases e. g diabetes or as a result of combining one's specific genetic pattern with various environmental exposures such as diet, exercise, body composition, and smoking. 

    Secondary dyslipidemia may result from diabetes mellitus, hypothyroidism, renal insufficiency, nephrotic      kidney disease or biliary obstruction. 

 

Question for today 

 

Do you have anybody with this kind of challenge?

Yes

No

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