YOUR FITNESS YOUR HEALTH

Revascularization of the Heart and Exercise Prescription.                          Medical History                  Mr X is a 67 years old who previously had an unremarkable medical history. He is sedentary and has been for most of his adult life. He was admitted within the last month for unstable angina.                 Procedures :progress cardiac catheterization and off-pump two -vessels CABS.                                      Following PTCA   and stent placement at the first admission, he had early recurrence of angina and...

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...

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                   ...

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 perip...

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 l...

Medical History Mrs X is a 30-year-old personnel officer. She has had recurrent back pain since the age of 18.At that time she had an awkward fall while playing basketball in school. She was taken to health center inside the school, where she was given the diagnosis of muscle strain and treated with pain killers and muscle relaxants. Although her back improved very quickly, she feels that the pain never completely resolved. As she continued through her university days she had continuing periods of pain they seemed to be less severe when she was physically active. At age 24 ,she experienced another acute episode of back pain that began suddenly when she sat down on a couch. This time she did not seek medical help but treated herself with over the counter pain medication. The pain slowly resolved over several months and finally joined fitness exercise programme from my side. Diagnosis 6 months ago, she was playing basketball with her husband and she had a sudden onset of severe...

GUIDED EXERCISE PROGRAMME FOR ASTHMATIC PATIENT DURING COVID-19 PANDEMIC Medical History Ms. X is a 18 years old young lady. Throughout secondary school she was active in competitive sports in her school. On occasion throughout secondary school she would develop an increase in shortness of breath and a cough. Her doctor told her that she had bronchitis and that she should not worry about this. After a year she started with another symptoms of chest tightness, abdominal pain and shortness of breath. Her doctor prescribed medication for her and to monitor her to recognise another signs. After two months she was directed to me to give guided regular exercise that can help the lungs to work more efficiently. Diagnosis and Test Results A simple lung test called peak flow measurement and spirometry was conducted immediately measures the amount of air in lungs and how fast they can blow it out. I told her parents to go for X-ray, blood tests, skin test and test for allergies in or...