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Outlines Course structure requirement Benefits of regular exercise Pre-exercise screening Risk stratification Guidelines for exercise intensity and physician supervised exercise test Course Structure 22 Oct: Introduction Exercise Prescription I 29 Oct: Exercise Prescription II Ex. Pres for HTN DM 5 Nov: Assessment of Fitness (Ex. Attires) Practicum of Ex Training 26 Nov: Ex Pres for Arthritis Obesity Medical Aspect Community Resources Course Requirement Practicum in class – 10% (Ex experience) Practicum outside class – 30% (Ex Presp) Written Test (on-line) – 60% Benefits of Regular Exercise Improvements in Cardiovascular and Respiratory Function Increased maximal oxygen uptake due to both central and peripheral adaptations Lower minute ventilation at a given submaximal intensity Lower myocardial oxygen cost for a given absolute submaximal intensity Lower heart rate and blood pressure at a given submaximal intensity Increased capillary density in skeletal muscle Increased exercise threshold for the accumulation of lactate in the blood Increased exercise threshold for the onset of disease signs or symptoms (e.g., angina pectoris, ischemic ST-segment depression, claudication) Benefits of Regular Exercise Reduction in Coronary Artery Disease Risk Factors Reduced resting systolic/diastolic pressures Increased serum high-density lipoprotein cholesterol and decreased serum triglycerides Reduced total body fat, reduced intra-abdominal fat Reduced insulin needs, improved glucose tolerance Decreased Mortality and Morbidity Primary prevention (I.e.,intervention to prevent an acute cardiac event) 1. Higher activity and/or fitness levels are associated with lower death rates from coronary artery disease 2. Higher activity and/or fitness levels are associated with lower incidence rates for combined cardiovascular diseases, coronary artery disease, cancer of the colon, and type 2 diabetes
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