Name: Trixia Dale P.

Jimeno Section: 2BSMA - B1

Activity No. 1 ( FITTP AND RED FLAGS TABULATION )

Medical Conditions Effects of Frequency Intensity Time Type Progression Red Flags or Special
Exercise Considerations

• Hypertension - Exercise - On most, - Moderate - The - Primarily - Progression - People using antihypertensive
programs that preferably all, intensity exercise recommendation aerobic activity should be medications should be educated
primarily involve days of the week. training appears is for 30-60 supplemented individualized to on the signs/symptoms of heat
effective in by resistance the patient’s illness, the role of adequate
endurance - Training minutes of
lowering BP exercise. tolerance. hydration, proper clothing to
activity prevent frequencies acutely and continuous or facilitate evaporative cooling, the
the development between 3 and 7 chronically. intermittent - Any activity that - Gradually optimal times of the day to
of HTN in adults exercise per day. uses large increase the exercise, the importance of
days per weeks
with normal or Thus, the muscle groups, frequency and decreasing the exercise dosage
are effective in recommendation can be
high normal duration of the (time and intensity) during
reducing BP. for those with maintained
blood pressure, exercises to the periods of increased heat or
HTN is regular continuously, humidity, and methods to prevent
and lower blood participation in and is rhythmical patient’s
hypoglycemia.
pressure in moderate and aerobic in tolerance.
established intensity nature is - Extending the cool-down period
hypertensive endurance recommended is generally recommended.
exercise. for those with
individuals.
HTN.
- This intensity
- Exercise training
range - Resistance
has been shown
corresponds to training is also an
to increase nitric
 oxide production approximately 12- important
and improve 13 on the Borg component of a
vasodilatory rating of well-rounded
function in health perceived exercise
subjects. exertion (RPE) 6- program.
20 scale; and 3-4
- Exercise
on a scale of 1-10.
decreases plasma
norepinephrine
(NE) levels.
Decreased levels
of NE attenuate
vasoconstriction
and lead to
reductions in BP.

•Cardiac Disease - Recent studies - Exercise - Rate of - The goal of - To promote - Progression - Safety factors. Including clinical
continue to frequency should perceived aerobic whole body should be status, risk-stratification category,
support that include exertion (RPE) of conditioning is physical fitness individualized to exercise capacity, ischemic/angina
participation in threshold, and
regular physical 4-6 on a scale of 1- generally 20-60 conditioning that the patient’s
most days pf the cognitive/psychological
activity using week, 4-7 days 10. minutes per includes upper tolerance. impairment that might result in
large muscle per week. session. and lower non-adherence to exercise
- 40-80% of - Patients may
roups such as extremities, guidelines.
- For limited exercise capacity - Patients may begin with 5-10
walking, running, multiple forms of
exercise fitness, using HR reserve begin with 5-10 minute sessions
or swimming aerobic activities
 produces multiple short (1- of peak oxygen minute sessions and equipment and gradually - Associated factors, including
cardiovascular 10 minutes) daily consumption if and gradually should be increase 1-5 vocational and avocational
adaptations that sessions may be exercise test data increase 1-5 incorporated. minutes per requirements, musculoskeletal
limitations, premorbid activity
increase exercise be prescribed. is available. minutes per session or
- They may level, and personal health/fitness
capacity, session or increase duration goals are important
- Exercise include: cycle
endurance and increase duration by 10-20% per considerations when developing a
intensity should ergometer, arm
skeletal muscle by 10-20% per week. rehabilitation exercise program
be prescribed at a ergometer, for cardiac patients.
strength. week.
heart rate below elliptical, rower
ischemic and treadmill - Patients with pacemakers or
threshold if such walking. implantable defibrillators, or post
cardiac transplantation, should
a threshold is
ideally have their exercise
already pre- recommendations determined by
determined. their regular cardiologist or
physician with a good
understanding of
pacemakers/implantable
defibrillators settings and
knowledge of cardiac transplant
physiology.

- Patients who have undergone

sternotomy should restrict lifting
with upper extremity to 5-8
pounds (2.2-3.6 kg) for about 5-8
weeks after cardiothoracic
surgery.
•Diabetes - The beneficial - Aerobic exercise - Aerobic exercise - Individuals with - Any form of - To avoid injury, - Individuals with angina and T2Dm
effects of should be should be at least T2DM should aerobic exercise progression of classified as moderate or high risk
exercise for T2DM performed at at moderate engage in a that uses large intensity, should preferably exercise in a
can be divided least 3 days per intensity, muscle groups frequency, and supervised cardiac rehabilitation
minumum of 150
into its effects on week with no corresponding and causes duration of program initially.
improving blood more than two approximately to minutes per week sustained training sessions
sugar control consecutive days 64-76% HRmax. of exercise increase in HR is should occur - For individuals with peripheral
(treatment) and between bouts undertaken at likely to be slowly,. vascualr disease with and without
the prevention. of activity - Training shuld be moderate beneficial. intermittent claudication and pain
because of the moderate or - Progression for
intensity or during physical activity, low to
- Both aerobic transient nature vigorous for - Resistance 6 months to
and resistance greater. moderate walking, arm-crank, and
of exercise- optimal gains in machines and thrice-weekly
training improve cycling exercise have all been
induced strength and - Each training free weights can sessions of three
insulin action, shown to enhance mobility,
improvements in session should result in fairly sets of 8-10
blood glucose insulin action. functional capacity, exercise pain
insulin action. equivalent gains
control, and fat minimally include repetitions done
tolerance and quality of life.
oxidation and - Resistance 5-10 exercises in strength and at 75% to 80% of 1-
storage in exercise should involving the mass targeted RM on 8-10
muscle. be undertaken at major muscle muscles. exercises maybe
- Resistance least twice groups and an optimal goal.
exercise weekly on non- involve
enhances skeletal consecutive days, completion of 10-
muscle mass. but more ideally 15 repetitions to
- Observational three times a near fatigue per
studies suggest week. set early in
that greater training,
physical activity progressing over
and fitness are time to heavier
 associated with a repetitions to
lower risk of all- near fatigue, but
cause and CV as many as three
mortality.
to four sets.

•Obesity - Beneficial - 5 days per week - Moderate to - 30 to 60 minutes - Aerobic physical - Eventual - The amount of physical activity
effects include an to maximize vigorous intensity per day to at least activities that progression to that may be required to sustain
improvement in caloric physical activity 150 minutes per involve large more vigorous weight loss and prevent weight
CVD risk factors should be exercise intensity regain exceeds the public health
expenditure. week of moderate muscle groups
such as encouraged. (75-95% HRmax) recommendation for physical
decreased blood physical activity; (brisk walking, may result in activity of 150 minutes per week.
pressure, - Initial exercise 150 minutes of cycling, jogging, further
decreased LDL-C, training intensity vigorous physical swimming, and health/fitness - Overweight and obese adults
increased HDL-C, should be activity; or an sports). benefits. may benefit from progression to
decreased approximately 250-300 minutes
moderate (64- equivalent
triglycerides (TG) - Progressing to per week or 50-60 minutes on 5
76%) HRmax. combination of days per week as this magnitude
and improved 300 minutes per
moderate and of physical activity appears to
glucose week of
tolerance. vigorous physical enhance long-term weight loss
moderate
activity. and maintenance.
- Weight loss has physical activity
- The duration of moderate to
also been
vigorous intensity physical activity
associated with a
should initially progress at least 30
decrease in
minutes per day, and when
inflammatory
appropriate, progress to 50-60
markers, such as
 C-reactive minutes per day or more to
protein, which enhance long-term weight
have also been control.
associated with
the development
of CVD.

•Asthma - The - At least 3-5 days - Sedentary - 20 to 60 minutes - For sedentary - Progressing to - Several minutes of warm-up and
management of per week. patients may per day of patients, walking 300 minutes per cool-down may reduce the
asthma is begin their continuous or is strongly week of likelihood of EIB during the
primarily exercise at low to
intermittent advised because moderate activity itself.
pharmacological moderate
but exercise is an intensity. physical activity. it is involved in physical activity.
- Patients should restrict exercise
important adjunct most activities of
- Another when they have viral infection.
to treatment. daily living.
recommendation
- Patients usually respond best to
- Most studies to help individuals - Sport that
exercise in mid or late morning.
support the idea with asthma involve short,
that individuals regulate exercise intermittent - Extremes in temperature and
with well intensity is to use periods of exert humidity should be avoided.
controlled the Borg CR-10 on such as
asthma who volleyball, tennis, - It is important for the physician
scale to assess
participate in an golf, and cricket to ensure overall medication
the intensity of
average of 20-30 are generally compliance and educate patients
breathlessness
minutes of tolerated by regarding their medications.
associated with
aerobic exercise people with
 2-3 times per physical activity. asthma. - Follow-up care is crucial.
week will
improve maximal
ventilation,
oxygen
consumption,
work capacity,
and heart rate.

•Metabolic Syndrome - Beneficial - 5 days per week - The initial - 30 to 60 minutes - Aerobic physical - When - Because of the likelihood of
effects include an to maximize exercise training per day to at least activities that appropriately overweight and obesity, most
improvement in caloric intensity should 150 minutes per involve large monitored and individuals with metabolic
CVD risk factors
expenditure be performed at a week of moderate muscle groups supervised, syndrome may benefit by
such as
decreased blood moderate physical activity; (brisk walking, patients may gradually increasing their physical
pressure, intensity. 150 minutes of cycling, jogging, progress to more activity levels to approximately
decreased LDL-C, vigorous physical swimming, and vigorous 300 minutes per week or 50-60
increased HDL-C, activity; or an sports). intensity (85-90% minutes on 5 days per week when
decreased equivalent of HRmax in appropriate.
triglycerides (TG) - Resistance
combination of divided dessions
and improved training is also an - Individuals with the metabolic
moderate and of 4 minutes for
glucose important syndrome will likely present with
tolerance. vigorous physical total of 15
component of a multiple CVD risk factors. Special
activity. minutes).
well-rounded considerations should be given to
 exercise the exercise prescription based on
program. the presence of these associated
CVD risk factors and the goals of
the participant and/or healthcare
provider.

•Arthritis - Strengthening - Aerobic exercise - General - For aerobic - Aerobic - The goal of - Avoid strenuous activities during
and maintenance to be performed recommendation exercise, start exercises such as progressing to a acute flares and periods of
of muscle 3-5 days a week. for exercise with short bouts activities that total of 150 inflammation but gentle joint
strength around intensity apply for of 5-10 minutes to have low joint minutes per movements through the full range
- Flexibility and
joints from aerobic exercise accumulate 20-30 stress (walking, week of of motion are encouraged.
range of motion
resistance but may be minutes a day as cycling or moderate
exercises are - More emphasis should be on
training. limited by pain. tolerated. swimming). intensity activity.
recommended progression in frequency and
- Reduced joint too. - Patient may - For resistance - Resistance duration of activity rather than
stiffness. start with a exercise, perform exercises that increased intensity.
relatively low 1 or more sets should include all
- Prevents - Adequate warm-up and cool
amount of weight involving 10-15 major muscle
functional down periods of 5-10 minutes are
and progress at a repetitions per groups.
decline. encouraged to minimize pain.
maximal rate of exercise.
- Flexibility
- Improves mental 10% increase per
exercises that
health as well as week as tolerated
should be
overall quality of to the point of
performed daily.
life. tolerance.
•Depression - Participation in - 3 to 5 days per - Moderate - 30 to 60 minutes - Any exercise - Progression - People using antidepressant
physical activity week for intensity (3-4 RPE preferably that involves should be medications should be educated
programs cardiovascular 1-10), (67-76% continuous large muscle individualized to on the side effects of the
reduces exercise. HRmax) for exercise groups and can the patient’s medication to the patient’s well-
depressive cardiovascular (cardiovascular be maintained tolerance. being.
- Ideally 2-3 times
symptoms in exercise exercise). continuously,
a week on non- - Gradually - Patient education regarding
people diagnosed aerobic in
consecutive days - 2 to 3 sets of 10- - Time needed to increase the importance of regular exercise for
with depression. nature.
for resistance 15 repetitions for execute 2-3 sets frequency and reducing depressive symptoms
- Exercise exercise. resistance of 10-15 reps with - Dynamic duration of the may increase exercise adherence.
improves glucose exercise 1 minute between exercises. exercises to the
tolerance, which set for resistance patient’s
will counter the exercise. tolerance.
side effects of
certain
psychiatric
medications such
as weight gain.