Abstract
Medical conditions among athletes and physically active individuals encompass a broad spectrum of problems commonly seen by the family physician. The diagnosis, management, and attitudinal approach toward these patients might reasonably be assumed to be the same as for any other patient; in fact, however, it is not always the case. Some medical conditions are improved with exercise, others may be exacerbated by certain types of activity, and for others the interaction of medication and physical activity may require a tailor-made design for the intensity, duration, and frequency of exercise. The focus of this chapter is to examine in some detail the medical problems associated with asthma, the athlete’s heart, hypertension, diabetes mellitus, anemia and other blood disorders, and gastrointestinal disorders associated with exercise.
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References
Harris SS, Caspersen CJ, DeFriese GH, Estes EH. Physical activity counseling for healthy adults as a primary preventive intervention in the clinical setting: report of the U.S. Preventive Services Task Force. JAMA 1989;261:3590–8.
Powell KE, Thompson PD, Caspersen CJ, Kendrick JS. Physical activity and the incidence of coronary heart disease. Annu Rev Public Health 1987;8:253–87.
Paffenbarger RS Jr, Hyde RT, Wang AL, Hsieh CC. Physical activity, all-cause mortality and longevity of college alumni. N Engl J Med 1986;314:605–13.
Leon AS, Connett J, Jacobs DR Jr, Rauraman R. Leisure-time physical activity levels and risk of coronary heart disease and death: the Multiple Risk Factor Intervention Trial. JAMA 1987; 258:2388–95.
Ekelund RS, Haskell WL, Johnson JL, et al. Physical fitness as a predictor of cardiovascular mortality in North American men. N Engl J Med 1986;314:605–13.
Blair SN, Kohl HW, Paffenbarger RS Jr, et al. Physical fitness and all-cause mortality. JAMA 1989;262:2395–401.
Tanji JL. Sports safety. In: Hudson TW, editor. Clinical preventive medicine. Boston: Little, Brown, 1988:251–9.
Department of Health and Human Services. The national children and youth fitness study. J Phys Educ Recreat Dance 1985;1(6):44–90.
Tanji JL. The preparticipation physical examination for sports. Am Fam Physician 1990;42:397–402.
Paffenbarger RS Jr, Hale WE. Work activity and coronary heart mortality. N Engl J Med 1975;292:545–50.
Paffenbarger RS Jr, Laughlin ME, Gima AS, Black RA. Work activity of longshoremen as related to death from coronary heart disease and stroke. N Engl J Med 1970;282:1109–14.
American College of Sports Medicine. Position statement on the recommended quantity and quality of exercise for developing and maintaining fitness in healthy adults. Med Sci Sports Exerc 1990;22:265–74.
Caspersen CJ, Christensen GM, Pollard RA. Status of the 1990 physical fitness and exercise objectives—evidence from NHIS 1985. Public Health Rep 1986;101:587–92.
McCarthy P. Wheezing or breezing through exercise-induced asthma. Phys Sports Med 1989; 17(7): 125–30.
Varray AL, Mercier JG, Terral CM, et al. Individualized aerobic and high intensity training for asthmatic children in an exercise readaptation program: is training always helpful for better adaptation to exercise? Chest 1991;99:579–86.
McFadden ER Jr. Exercise performance in the asthmatic. Am Rev Respir Dis 1984;129:S84–S87.
Nickerson BG, Bautista DB, Maney MA, et al. Distance running improves fitness in asthmatic children without pulmonary complications or changes in exercise-induced bronchospasm. Pediatrics 1983;71:147–52.
Clark CJ, Cochrane LM. Assessment of work performance in asthma for determination of cardiorespiratory fitness and training capacity. Thorax 1988;43:745–9.
Haas F, Pineda M, Axen K, et al. Effects of physical fitness on respiratory airflow in exercising asthmatic people. Med Sci Sports Exerc 1985;17:585–92.
Ludwick SK, Jones JW, Jones TK, et al. Normalization of cardiopulmonary endurance in severely asthmatic children after bicycle ergometry therapy. J Pediatr 1986;109:446–51.
Huston TP, Puffer JC, Rodney WM. The athletic heart syndrome. N Engl J Med 1985;313:24–32.
Bryan G, Ward A, Rippe JM. Athletic heart syndrome. Clin Sports Med 1992;11:259–72.
Tanji JL. Exercise and the hypertensive athlete. Clin Sports Med 1992;11:291–302.
Joint National Committee on Detection, Evaluation and Treatment of High Blood Pressure. The 1988 report of the Joint National Committee on Detection, Evaluation and Treatment of High Blood Pressure. Arch Intern Med 1988;148:1023–38.
Tipton CM. Exercise, training and hypertension: an update. Exerc Sport Sci Rev 1991;19:447–505.
Kaplan NM. The deadly quartet: upper-body obesity, glucose intolerance, hypertriglyceridemia, and hypertension. Arch Intern Med 1989;149:1514–20.
Tanji JL. Hypertension: how exercise helps. Phys Sports Med 1990;18(7):77–82.
MacDougall JD, Tuxen D, Sale DG, et al. Arterial blood pressure response to heavy resistance exercise. J Appl Physiol 1985;58: 785–90.
Tanji JL. Hypertension: the role of medication. Phys Sports Med 1990;18(8):87–91.
Reaven GM. Insulin resistance, hyperinsulinemia and hypertriglyceridemia in the etiology and clinical course of hypertension. Am J Med 1990;90 (Suppl 2A):7S-12.
Eichner ER. Runner’s macrocytosis: a clue to footstrike hemolysis. Am J Med 1985;78:321–5.
Selly GB, Eichner ER. Endurance swimming, intravascular hemolysis, anemia and iron depletion. Am J Med 1986;81:791–4.
Krauss BB, Sinclair JW, Castell DO. Gastroesophageal reflux in runners. Am Intern Med 1990;112:429–33.
Baska RS, Moses FM, Deuster PA. Cimetidine reduces running-associated gastrointestinal bleeding. Dig Dis Sci 1990;35:956–60.
Green GA. Gastrointestinal disorders in the athlete. Clin Sports Med 1992;11:453–70.
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Tanji, J.L. (1994). Medical Problems of the Athlete. In: Taylor, R.B. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4005-9_49
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DOI: https://doi.org/10.1007/978-1-4757-4005-9_49
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