If you train clients with hypertension, you’ll want to check out the new position stand of the American College of Sports Medicine (ACSM) on “Exercise and Hypertension.” (It replaces ACSM’s 1993 position stand “Physical Activity, Physical Fitness, and Hypertension.”) ACSM’s latest stand views exercise as a cornerstone therapy for the primary prevention, treatment and control of the disease.
Here’s another reason for your clients to maintain a healthy weight: Women who have gained more than 20 pounds since age 18 have a higher risk of developing breast cancer after menopause than women who have maintained their weight, according to research published in the February issue of Cancer Epidemiology Biomarkers and Prevention.
Previous research has found that people who have had heart failure can benefit from exercise in hospital-based programs on equipment such as bicycle ergometers. However, Teresita Corvera-Tindel, RN, PhD, and colleagues note that this equipment might not always be available to patients. To see how patients would benefit from home-based walking regimens, they studied the impact of a progressive 12-week program.
How many times have you heard clients complain about chronic pain in their wrists or hands when performing a certain exercise? Chances are, a majority of these complaints are coming from people diagnosed with carpal tunnel syndrome (CTS). According to the National Institute of Neurological Disorders and Stroke (NINDS), part of the National Institutes of Health, 3 out of every 10,000 workers lost time from work in 1998 because of CTS (NINDS 2004). Half of these workers missed more than 10 days of work due to the condition.
Bart Staal, J., et al. Graded activity for low-back pain in occupational health care: A randomized, controlled trial. 2004. Annals of Internal Medicine, 140 (2), 77-84.
Background. Low-back pain is a common medical and social problem frequently associated with disability and absence from work. However, data on effective
return to work after interventions for low-back pain are scarce.
Now there’s yet another group that benefits from exercise: people with chronic heart failure. Properly supervised exercise programs improve the survival of this population, according to new research in the January 24, 2004, issue of the British Medical Journal.
Now you can give your clients another reason to exercise. A new study supported by the National Heart, Lung, and Blood Institute found that cardiorespiratory fitness in early adulthood significantly decreases the chance of developing high blood pressure and diabetes—both major risk factors for heart disease and stroke—in middle age. Fitness also reduces the risk of metabolic syndrome, a constellation of factors that includes excess abdominal fat, elevated blood pressure and triglycerides, and low levels of high-density lipoprotein (the “good” cholesterol).
Do you have clients with severe osteoarthritis (OA) who want to improve their strength and function? You may want to encourage them to exercise in the pool, according to a study from the December 2003 issue of the Annals of the Rheumatic Diseases (vol. 62, pp. 1162-7). This study’s findings indicate that people with OA can exercise at much higher intensities than popularly believed.
With ArthritisBy Johndavid Maes and Len Kravitz, PhDLearning Objectives
After reading this article, readers should be able to:
Describe what arthritis is and the most common types.
Discuss the nationwide impact of this problem.
Describe the most common symptoms of this disease.
Discuss some of the myths and misunderstandings of arthritis.
State the appropriate exercise approach for those suffering from arthritis.