YOUR FITNESS YOUR HEALTH

  Swimming is one of the best activities for developing all-round fitness because water supports the body weight of the swimmer, swimming places less stress than weight-bearing activities on joints, ligaments and tendons and tends to cause fewer injuries. Anyone or any combination of common swimming strokes- Front craw/stroke, breast stroke, back stroke, butterfly stroke, side stroke or elementary back stroke can help develop and maintain cardiorespiratory fitness. Swimming may not be as helpful as walking, jogging or cycling for body fat loss. Intensity, duration and frequency: because swimming is not a weight-bearing activity and is not done in an upright position, it elicits a lower heart rate per minute. Therefore, you need to adjust your target heart rate zone. To calculate your target heart rate for swimming, use the formula Maximum swimming heart rate (MSHR)=205-Age Target Heart Rate Zone=65-90% of MSHR For example, a 18-year old would calculate her target heart ra...

Medical History:                   Mrs X, a 28 year -old Caucasian female, was diagnosed with MS 7 years ago. At that time she had problems with ataxia and diplopia. She has had one or two exacerbation of MS per year since that time. An increase in disease stability was noted after she started recombinant interferon 5 years ago. She stopped the interferon therapy briefly during a pregnancy 4 years ago, and after the pregnancy she had three exacerbations during the following year despite being back on Betaseron. With each exacerbation, her symptoms of ataxia, vertigo, and diplopia worsened. These symptoms involve primarily the left side of her body. These extremities also cramp on occasion. After all, she functions reasonably well, taking care of her children at home. She later quit working within a year after her diagnosis because of problems with ataxia and fatigue. An MRI of her   brain demonstrated multiple white matter...

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...