Control Diabetes for Life November, 2013 Terry Nelson, RPT Franciscan Care Services
EFFECTS of EXERCISE in DIABETES MELLITUS
Heart Fitness Level Res...
AHA/ACSM Health/Fitness Facility Pre-participation Screening Questionnaire Assess your health needs by marking all true statements. History You have had: ___A heart attack ___Heart surgery ___Cardiac catheterization ___Coronary angioplasty (PTCA) ___Pacemaker, implantable cardiac defibrillator, or rhythm disturbance. ___Heart valve disease ___Heart failure ___Heart transplantation ___Congenital heart disease
If you marked any of the statements in this section, consult your health care provider before engaging in exercise. You may need to use a facility with a medically qualified staff member to guide your exercise program.
Symptoms ___You experience chest discomfort with exertion. ___You experience unreasonable breathlessness. ___You experience dizziness, fainting, blackouts. ___You take heart medications.
Other health issues: ___You have musculoskeletal problems. ___You have concerns about the safety of exercise. ___You take prescription medication(s) ___You are pregnant.
Cardiovascular risk factors ___You are a man ≥ 55 years. ___You are a woman ≥55 years, you have had a hysterectomy, or you are a postmenopausal. ___You smoke. ___Your BP is ≥ 140/90 mmHg ___You don’t know your BP. ___You take BP medication. ___Your blood cholesterol level is ≥200 mg.dLˉ¹. ___You don’t know your cholesterol level. ___You have a close blood relative who had a heart attack before age 55 (father or brother) or age 65 (mother or sister) ___You are diabetic or take medicine to control your blood sugar. ___You are physically inactive (i.e., you get less 30 minutes of physical activity on at least 3 days per week). ___You are more than 20 pounds overweight.
If you marked two or more of the statements in this section, you should consult your healthcare provider before engaging in exercise. You might benefit by using a facility with a professionally qualified exercise staff member to guide your exercise program.
If you did not mark any of the statement in this section, you should be able to exercise safely without consulting your health care provider in almost any facility that meets your exercise program needs.
___None of the above is true.
ACSM = American College of Sports Medicine; AHA = American Heart Association; PTCA = percutaneous transluminal coronary angioplasty
Has your doctor ever said you have heart trouble? Do you frequently have pains in your heart and chest? Do you often feel faint or have spells or severe dizziness? Has your doctor ever said your blood pressure was too high? Has a doctor ever told you that you have a bone or joint problem, such as arthritis, that has been aggravated by exercise or might be made worse with exercise? 6. Is there a good physical reason not mentioned here why you should not follow an activity program even if you wanted to? 7. Are you over age 65 and not accustomed to vigorous exercise?
Adapted from Thomas S, Reading J, Shephard RJ. Revision of the physical activity readiness questionnaire (PAR-Q) Can J spt Sci. 1992;17(4):338-345.
EXERCISE HEART RATE Maximum Heart Rate X 70-80 percent (166 x (75%-80%) = 116 – 124 beats per/minute (Example) The goal while exercising is to obtain your exercise heart rate 15-20 minutes during exercise at least 3 times a week
DETERMINING HEART RATE Wrist or Neck Record number of heart beats in 10 seconds multiple by 6 to determine heart rate per/minute 10 beats per 10 seconds X 6 = 60 beats per/min
Example
Handouts
RATING OF PERCEIVED EXERTION SCALE (PRE) 6 7
Very, Very Light
8 9
Very Light
10 11
Light
12 13
Somewhat Hard
14 15
Hard
16 17
Very Hard
18 19
Very, Very Hard
20 American College of Sports Medicine. ACSM's Resource manual For Guidelines for Exercise Testing and Prescription 5th ed. Baltimore: Lippincott Williams, and Wilkins 2006.
