Exercise considerations in coronary artery disease, peripheral vascular disease, and diabetes mellitus.
Physical inactivity is a risk factor for cardiovascular disease. Regular aerobic and resistance training increases exercise capacity and plays a role both in the primary and secondary prevention of cardiovascular disease. Patients with coronary artery disease, peripheral vascular disease, or diabetes mellitus must be considered individually when prescribing exercise because their clinical status can vary greatly. In addition, a majority of these patients have multiple comorbid disorders such as renal, neurologic, and retinal disease that may affect their ability to exercise safely. Therefore, a preparticipation medical evaluation is required. An exercise prescription should be tailored to each person's unique set of circumstances and reflect an effort to maximize the anticipated benefits while minimizing the risks.
Armen
Joseph
J
Student Health Service Building, Campus Box #7470, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7470, USA. Joseph_Armen@med.unc.edu
Smith
Bryan W
BW
D019411:Clinical Laboratory Techniques; D003324:Coronary Artery Disease / Q000503:physiopathology* / Q000517:prevention & control; D003920:Diabetes Mellitus / Q000503:physiopathology* / Q000517:prevention & control; D015444:Exercise / Q000502:physiology*; D006801:Humans; D008487:Medical History Taking; D016491:Peripheral Vascular Diseases / Q000503:physiopathology* / Q000517:prevention & control; D010808:Physical Examination; D012307:Risk Factors