Epidemiology

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Exercise rates:

  • 25% exercise regularly
  • 50% occasionally
  • 25% sedentary
  • 1/3 of Canadians watch > 15 hours of TV/week

Management

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  • caution those with coronary artery disease, diabetes and exercise induced asthma
  • assess patient's current level of fitness, motivation and access to exercise
  • encourage warm up and cool down periods to allow transition between rest and activity
  • cousel to avoid injuries

Exercise Plan

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  • balance with all types of exercise

1. Aerobic for 15-60 minutes 4-7x/week

  • improves cardiac function
  • lowers BP
  • increases HDL
  • increases insulin sensitivity
  • maximum HR=220-age
  • target HR = 60-80% of maximum HR

2. Weight-bearing 10=20 minutes 2-4x/week

  • builds muscle strength
  • improves bone density
  • improves posture

3. stretching routine 4-7x/week

  • prevents cramps, stiffness, injuries and back problems

Other benefits:

  • increases feeling of wellbeing and sex drive
  • improves quality of sleep
  • decreases depression/anxiety
  • weight control
  • improves self esteem

References

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Toronto Notes 2005