YOUR FITNESS YOUR HEALTH

Exercise Prescription For End-Stage Renal Disease Treated with Dialysis.                             Cardiovascular Exercise         The Exercise clinicians should use the following guidelines in prescribing cardiovascular exercise for dialysis patients :                     Mode :walking, cycling, swimming, low -level aerobics, mild stepping.         Frequency :4 to 5 days per week.                                       Intensity :RPE of 12 to 15 (on 6 to 20 point scale)            Duration :work up to 30 min of continuous exercise.          Progression :start with intervals of intermittent exercise and gradually increase the work intervals until continuous exercise is tolerated. Strengthening Exercise . Following are guidelines for prescribing strengthening exercise for dialysis patients :                                 Mode :Theraband, isometric, very low hand /ankle weights, body weight resistance.                             Frequency :

Obesity is a chronic disease for which short term intervention has limited effectiveness and long term success is rare and primarily limited to surgical treatment. Clinicians should approach obesity as a disease in itself as well as managing its co morbidities. Exercise has an important contribution in the management of obesity as a vital adjunct to diet, drugs, and surgical treatment.                                        An Exercise prescription for weight loss requires manipulating intensity and duration to benefit caloric expenditure and may not provide cardiovascular improvements in those patients with comorbidities that require associated fitness benefits. Medical History and Diagnosis                                         Mr x is a 52 years old banker     with 36% fat and he was told to reduce his weight because of his obesity, his boss believes he is unable to perform duties.He has 60 pack per year history of smoking but quit 5 years ago.  He has progressively