By Steven Jonas MD, Edward M. Phillips MD

Workout is drugs™ is an American university of activities drugs initiative to "make actual job and workout a typical a part of a disorder prevention and remedy scientific paradigm." This booklet will train practitioners how you can inspire and show sufferers at the value of workout and the way to layout sensible workout courses for sufferers of every age and health degrees, in addition to people with detailed stipulations similar to being pregnant, weight problems, and melanoma. assurance contains in-depth discussions of either the approach to life workout method of workout frequently and the dependent workout process.

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Additional resources for ACSM's Exercise is Medicine™: A Clinician's Guide to Exercise Prescription

Sample text

1 • Lifestyle Changes: From Sedentary to Active From there the more challenging aspects of mobilizing your patient’s motivation will follow. 1). The process of making lifestyle changes from sedentary to active is a slow, but important aspect of your patient’s health. It is our hope that you will play an effective role in this healthy transformation. As you progress through this book, you will see that the process of prescribing exercise to your patient involves numerous stages before actually giving your patient the exercise prescription.

Please see the section on cardiovascular disease in Chapter 13 for further discussion of exercise testing results and absolute and relative contraindications to exercise. Levels of Supervision for Exercise Once your patient’s risk level has been determined, you will have a better sense of the intensity of the exercise in which she should participate. A second variable to consider is whether your patient will require supervision during his initial exercise sessions, and the level of training that the supervisor should have.

Note that this algorithm provides a guideline that may be modified at the discretion of the physician. Moreover, the patient’s risk level may change over time. For example, if your patient’s signs and symptoms (Fig. , resolution of ischemic chest pain or shortness of breath with exertion), the patient may be advanced from HIGH RISK to MODERATE RISK. Similarly, if your patient’s disease (Fig. , stable CVD, well controlled metabolic or pulmonary disease such as asthma, and other stable chronic diseases or conditions) she will remain at HIGH RISK; however, the intensity of her exercise may be increased at the discretion of her physician or after consultation with a cardiologist or other specialist.

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