exercise training – SEMS-journal

exercise is medicine cardiology respiratory system sports medicine cardiology

From Cardiac Rehabilitation to Ambulatory Preventive Care: The Swiss Way

Over the last years, cardiac rehabilitation services have expanded their indication to include not just patients after myocardial infarction or surgery, but also a variety of non-acute cardiovascular disease (CVD) states like stable coronary artery disease, peripheral artery disease, neurovascular disease as well as asymptomatic patients with no history of CVD but with a constellation of cardiovascular risk factors, especially metabolic syndrome and diabetes mellitus. In 2015, 110 ambulatory cardiovascular prevention and rehabilitation programs existed in Switzerland: 57 for cardiac, 17 for peripheral artery disease and 36 for diabetes rehabilitation.

exercise is medicine cardiology training

Physical activity and exercise training in preventive cardiology

Physical activity (PA) and exercise training (ET) are central and indispensable components for primary and secondary prevention of cardiovascular disease (CVD). In healthy individuals, PA reduces all-cause and CV mortality and has confirmed beneficial effects on the cardiovascular risk profile. In secondary prevention, PA counselling und ET are two of the core components of a multidisciplinary cardiac rehabilitation (CR) program. Exercise-based CR is an established strategy in the secondary prevention of CV disease. It improves survival, reduces hospital admissions, improves cardiorespiratory fitness (CRF), and quality of life (QoL).

exercise is medicine obesity PA promotion sports and youth

Analysis of exercise training for treating obesity in children and adolescents: a review of recent programs

Physical activity is recognized as a basic component of the management of the obese child, but it is not clear which kind of intervention is the most efficient. The aim of this study is to evaluate the effect of prescribed exercise training in obese children. We reviewed 19 studies, 10 RCT and 9 observational studies, published in the last 5 years. In the majority of these studies obese children were treated as ambulatory patient, in tertiary centers. Only 2 studies described a community based program. In half of the studies, drop-out was not reported and the rate of attendance was rarely described. On the other hand, the content of each session was well described, but exercise training intensity was below international recommendations.