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Exercise Dosing and Prescription-Playing It Safe: Dangers and Prescription

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Exercise for Cardiovascular Disease Prevention and Treatment

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1000))

Abstract

Cardiac rehabilitation is a comprehensive and multidisciplinary program, and exercise training is extremely crucial in the whole program. In the past decades, many researches have shown the beneficial effects of exercise for cardiovascular disease (CVD) is indisputable Nevertheless, only a well-designed exercise prescription may achieve the ideal benefits. In this chapter, we will have a discussion of what is exercise prescription and how to establish a scientific and appropriate exercise prescription for CVD patients depending on the current scientific evidence and recommendations.

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References

  1. Garber CE, Blissmer B, Deschenes MR et al (2011) American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43(7):1334–1359

    Article  PubMed  Google Scholar 

  2. Nugent AM, Riley M, Megarry J et al (1998) Cardiopulmonary exercise testing in the pre-operative assessment of patients for repair of abdominal aortic aneurysm. Ir J Med Sci 167(4):238–241

    Article  CAS  PubMed  Google Scholar 

  3. Dean E, Ross J (1993) Movement energetics of individuals with a history of poliomyelitis. Arch Phys Med Rehabil 74(5):478–483

    Article  CAS  PubMed  Google Scholar 

  4. Physical Activity Guidelines for Americans (2008) Internet, Washington (DC)

    Google Scholar 

  5. Physical Activity Guidelines Advisory Committee Report (2008) Internet, Washington (DC)

    Google Scholar 

  6. Haskell WL, Lee IM, Pate RR et al (2007) Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 39(8):1423–1434

    Article  PubMed  Google Scholar 

  7. Nelson ME, Rejeski WJ, Blair SN et al (2007) Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 39(8):1435–1445

    Article  PubMed  Google Scholar 

  8. Swain DP, Leutholtz BC (1997) Heart rate reserve is equivalent to %VO2 reserve, not to %VO2max. Med Sci Sports Exerc 29(3):410–414

    Article  CAS  PubMed  Google Scholar 

  9. Swain DP, Franklin BA (2002) VO(2) reserve and the minimal intensity for improving cardiorespiratory fitness. Med Sci Sports Exerc 34(1):152–157

    Article  PubMed  Google Scholar 

  10. Borg GA (1982) Psychophysical bases of perceived exertion. Med Sci Sports Exerc 14(5):377–381

    Article  CAS  PubMed  Google Scholar 

  11. Church TS, Earnest CP, Skinner JS et al (2007) Effects of different doses of physical activity on cardiorespiratory fitness among sedentary, overweight or obese postmenopausal women with elevated blood pressure: a randomized controlled trial. JAMA 297(19):2081–2091

    Article  CAS  PubMed  Google Scholar 

  12. Donnelly JE, Blair SN, Jakicic JM et al (2009) American College of Sports Medicine position stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc 41(2):459–471

    Article  PubMed  Google Scholar 

  13. Pescatello LS, Franklin BA, Fagard R et al (2004) American College of Sports Medicine position stand. Exercise and hypertension. Med Sci Sports Exerc 36(3):533–553

    Article  PubMed  Google Scholar 

  14. Slemenda C, Heilman DK, Brandt KD et al (1998) Reduced quadriceps strength relative to body weight: a risk factor for knee osteoarthritis in women? Arthritis Rheum 41(11):1951–1959

    Article  CAS  PubMed  Google Scholar 

  15. Bonnefoy M, Jauffret M, Jusot JF (2007) Muscle power of lower extremities in relation to functional ability and nutritional status in very elderly people. J Nutr Health Aging 11(3):223–228

    CAS  PubMed  Google Scholar 

  16. Chan BKS, Marshall LM, Winters KM et al (2007) Incident fall risk and physical activity and physical performance among older men the osteoporotic fractures in men study. Am J Epidemiol 165(6):696

    Article  PubMed  Google Scholar 

  17. Messier SP (2009) Obesity and osteoarthritis: disease genesis and nonpharmacologic weight management. Med Clin North Am 93(1):145–159, xi–xii

    Article  PubMed  Google Scholar 

  18. Peterson MD, Rhea MR, Alvar BA (2005) Applications of the dose-response for muscular strength development: a review of meta-analytic efficacy and reliability for designing training prescription. J Strength Cond Res 19(4):950–958

    PubMed  Google Scholar 

  19. Woolstenhulme MT, Griffiths CM, Woolstenhulme EM et al (2006) Ballistic stretching increases flexibility and acute vertical jump height when combined with basketball activity. J Strength Cond Res 20(4):799–803

    PubMed  Google Scholar 

  20. McMillian DJ, Moore JH, Hatler BS et al (2006) Dynamic vs. static-stretching warm up: the effect on power and agility performance. J Strength Cond Res 20(3):492–499

    PubMed  Google Scholar 

  21. Winters MV, Blake CG, Trost JS et al (2004) Passive versus active stretching of hip flexor muscles in subjects with limited hip extension: a randomized clinical trial. Phys Ther 84(9):800–807

    PubMed  Google Scholar 

  22. Rees SS, Murphy AJ, Watsford ML et al (2007) Effects of proprioceptive neuromuscular facilitation stretching on stiffness and force-producing characteristics of the ankle in active women. J Strength Cond Res 21(2):572–577

    PubMed  Google Scholar 

  23. Sharman MJ, Cresswell AG, Riek S (2006) Proprioceptive neuromuscular facilitation stretching: mechanisms and clinical implications. Sports Med 36(11):929–939

    Article  PubMed  Google Scholar 

  24. McHugh MP, Cosgrave CH (2010) To stretch or not to stretch: the role of stretching in injury prevention and performance. Scand J Med Sci Sports 20(2):169–181

    CAS  PubMed  Google Scholar 

  25. American College of Sports Medicine, Chodzko-Zajko WJ, Proctor DN et al (2009) American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc 41(7):1510–1530

    Article  Google Scholar 

  26. Medicine ACoS (2013) ASCM¡¯s guidelines for exercise testing and prescription, 9th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  27. McParland C, Krishnan B, Wang Y et al (1992) Inspiratory muscle weakness and dyspnea in chronic heart failure. Am Rev Respir Dis 146(2):467–472

    Article  CAS  PubMed  Google Scholar 

  28. Winning AJ, Hamilton RD, Shea SA et al (1985) The effect of airway anaesthesia on the control of breathing and the sensation of breathlessness in man. Clin Sci (Lond) 68(2):215–225

    Article  CAS  Google Scholar 

  29. Bernardi L, Spadacini G, Bellwon J et al (1998) Effect of breathing rate on oxygen saturation and exercise performance in chronic heart failure. Lancet 351(9112):1308–1311

    Article  CAS  PubMed  Google Scholar 

  30. Winkelmann ER, Chiappa GR, Lima CO et al (2009) Addition of inspiratory muscle training to aerobic training improves cardiorespiratory responses to exercise in patients with heart failure and inspiratory muscle weakness. Am Heart J 158(5):768, e761-767

    Article  PubMed  Google Scholar 

  31. Darnley GM, Gray AC, Mcclure SJ et al (1999) Effects of resistive breathing on exercise capacity and diaphragm function in patients with ischaemic heart disease. Eur J Heart Fail 1(3):297

    Article  CAS  PubMed  Google Scholar 

  32. Mancini DM, La Manca J, Donchez L et al (1996) The sensation of dyspnea during exercise is not determined by the work of breathing in patients with heart failure. J Am Coll Cardiol 28(2):391–395

    Article  CAS  PubMed  Google Scholar 

  33. Sargent LA, Seyfer AE, Hollinger J et al (1991) The healing sternum: a comparison of osseous healing with wire versus rigid fixation. Ann Thorac Surg 52(3):490–494

    Article  CAS  PubMed  Google Scholar 

  34. Losanoff JE, Jones JW, Richman BW (2002) Primary closure of median sternotomy: techniques and principles. Cardiovasc Surg 10(2):102–110

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Rehabilitation Medicine, Second Medical School of Nanjing University of Chinese Medicine, Nanjing, China

    Lei Wang

  2. Department of Rehabilitation Medicine, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, China

    Dongmei Ai

  3. Department of Cardiology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, China

    Ning Zhang

Authors
  1. Lei Wang
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  2. Dongmei Ai
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  3. Ning Zhang
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Corresponding author

Correspondence to Lei Wang .

Editor information

Editors and Affiliations

  1. Cardiac Regeneration and Ageing Lab, School of Life Science, Shanghai University, Shanghai, China

    Junjie Xiao

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Wang, L., Ai, D., Zhang, N. (2017). Exercise Dosing and Prescription-Playing It Safe: Dangers and Prescription. In: Xiao, J. (eds) Exercise for Cardiovascular Disease Prevention and Treatment. Advances in Experimental Medicine and Biology, vol 1000. Springer, Singapore. https://doi.org/10.1007/978-981-10-4304-8_19

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