YOUR FITNESS YOUR HEALTH

End-Stage Renal Disease And Exercise       Chronic renal failure results from structural renal damage and progressively diminished renal function. Once initiated, the disease progresses to end-stage renal disease (ESRD), requiring some form of renal replacement therapy such as dialysis or transplantation.     Medical History and Diagnosis/     Mrs. X is a 65 -year -old Lagos female with known ESRD.She has been on hemodialysis for 30 months, and her treatment prescription is for 3 days per week with 3-hr treatment sessions each day. She has a graft in her right upper arm as her access site. She presents with the complaints of lack of energy, weakness, and decreased endurance. Her nephrologist refer her to Exercise Physiologist and she came to me for Exercise Prescription and also reviews. Mrs X's chart to find out that her ESRD is secondary to long-term non-insulin -dependent diabetes (18years). She has also developed severe peripheral neuropathy as a result of her diab

HIV/AIDS and Exercise Prescription     Medical History and diagnosis      Mr. Xy is a banker ,42 years old. He was diagnosed with hypertension about 3 years ago. He has had difficulty adjusting to antihypertensive medications, and thus his hypertension is not well controlled. He was first diagnosed with HIV infection about 2 years ago following repeated bouts of upper respiratory infection, persistent generalized lymphadenopathy, and an unexplained weight loss of 16 Ib in 3 months. Since his HIV diagnosis he has been diagnosed with clinical depression.        At the time of diagnosis his weight was 186 Ib and blood pressure was 168/92,and his laboratory work revealed the following :      207 CD4+cells.mm-3      97,960 HIV RNA. ml-1 Total cholesterol 208mg. dl- High density lipoprotein cholesterol =38mg. dl-1 Triglycerides 146 my. dl-1 He was placed on a HAART regime that included the protease inhibitor lndinavir, plus two NRTIs, AZT and ddl. He was also encouraged to see his i