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Objectives
By studying this chapter, you should be able to do the following:
Contrast exercise with physical activity; explain how both relate to a lower risk of CHD and improvement in cardiorespiratory fitness (CRF).
Describe the current public health physical activity recommendation from the U.S. Physical Activity Guidelines to improve the health status of sedentary U.S. adults.
Explain what screening and progression mean for a person wanting to initiate an exercise program.
Identify low-, moderate-, and vigorous-intensity activities, and describe the volume of physical activity (by time, MET-min, and if appropriate, steps) needed to achieve these thresholds.
Identify the optimal range of frequency, intensity, time (duration), and type (FITT) of activity associated with improvements in CRF.
Calculate a target heart rate range by either the heart rate reserve or percent of maximal HR method.
Discuss guidelines related to progression that facilitate the transition from easy to more demanding exercise programs.
Explain how the target heart rate (THR) helps adjust exercise intensity in times of high heat, humidity, or while at altitude.
Describe the health benefits of resistance training and summarize recommended resistance-training and stretching programs for adults.
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Outline
Prescription of Exercise
Dose-Response
Physical Activity and Health
Physical Activity Guidelines to Improve Health
Physical Activity Volume
Physical Activity Intensity Thresholds
Light-intensity Physical Activity, Step Counts, and Health
General Guidelines for Improving Fitness
Exercise Prescription for CRF
Frequency
Intensity
Time (Duration)
Monitoring Heart Rate
Sequence of Physical Activity
Walking
Jogging
Games and Sports
Strength and Flexibility Training
Environmental Concerns
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Key Terms
dose
effect (response)
exercise
low-intensity physical activity
moderate-intensity physical
activity
physical activity (PA)
physical fitness
step counts
target heart rate (THR) range
vigorous-intensity physical
activity
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In Chap. 15, we discussed a variety of risk factors related to cardiovascular and other diseases. As explained in Chap. 15, numerous studies (74, 76, 87, 93) confirm that physical inactivity is a primary risk factor for coronary heart disease (CHD), similar to smoking, hypertension, and high serum cholesterol. These studies also show that regular vigorous physical activity reduces the risk of CHD in those who smoke or are hypertensive (64, 75). Based on this growing body of evidence, the American Heart Association (AHA) recognized physical inactivity as a major CHD risk factor (8). Finally, epidemiological studies show that increases in physical activity (77) and fitness (14) reduce the death rate from all causes, including cancer and CHD. Based on this understanding, there is now consensus within the scientific and medical communities that physical activity is a necessary part of a healthy lifestyle, both for disease prevention and recurrence. The recently released 2018 Physical Activity Guidelines Advisory Committee Scientific Report overviews the most up-to-date research supporting the importance of physical ...