Part I. Foundations of Exercise in Chronic Disease and Disability

Geoffrey E. Moore, J. Larry Durstine, and Patricia L. Painter

Chapter 1. Exercise Is Medicine in Chronic Care

Robert Sallis and Geoffrey E. Moore

Exercise Is Medicine

Take-Home Message

Suggested Readings

Chapter 2. Basic Physical Activity and Exercise Recommendations for Persons With Chronic Conditions

Benjamin T. Gordon, J. Larry Durstine, Patricia L. Painter, and Geoffrey E. Moore

Definitions Used in This Book

Basic CDD4 Recommendations for Physical Activity or Exercise in Chronic Conditions

How to Prescribe Physical Activity or Exercise in Chronic Care

Graded Exercise Testing

Minimum Exercise Recommendations When an Exercise Test Is Not Available

Clinically Supervised Exercise Programming

ACSM's Exercise Personnel Certifications

Suggested Readings

Chapter 3. Art of Clinical Exercise Programming

Patricia L. Painter and Geoffrey E. Moore

Step 1: Assess Current Health Status

Step 2: Assess Current Level of Physical Activity

Step 3: Identify Exertional Symptoms That Limit Physical Activity

Step 4: Evaluate Physical Function and Performance

Step 5: Selecting Physical Performance Assessments

Activities of Daily Living and Instrumental Activities of Daily Living

Commonly Used Tests of Physical Functioning

Step 6: Considerations for Formal Exercise Tolerance Testing

Step 7: Considerations for Program Referral

Step 8: Develop a Strategy for Monitoring Progress

Take-Home Message

Suggested Readings

Additional Resources

Chapter 4. Art of Exercise Medicine: Counseling and Socioecological Factors

Geoffrey E. Moore, Michael Costello, and Patricia L. Painter

Common Behavioral Techniques Used in Exercise Counseling

Other Aspects of Exercise Counseling

Socioecological Disparities and Exercise in Chronic Conditions

Integration Into a Medical Home Model

Suggested Readings

Additional Resource

Part II. Common Chronic Conditions and Comorbidities

Geoffrey E. Moore and J. Larry Durstine

Chapter 5. Approach to the Common Chronic Conditions

Geoffrey E. Moore, Patricia L. Painter, J. Larry Durstine, and Benjamin T. Gordon

Nature of Multiple Conditions and Related Comorbidities

General Recommendations for Exercise

Recommendations for Exercise Assessment

Recommendations for Exercise Programming

CDD4 Alternative Recommendation: The Functional Exercise Trial

General Solutions for Common Chronic Conditions

Integration Into a Medical Home Model

Suggested Readings

Chapter 6. Chronic Conditions Strongly Associated With Physical Inactivity

J. Larry Durstine, Geoffrey E. Moore, Patricia L. Painter, Richard Macko, Benjamin T. Gordon, and William E. Kraus

Hypertension and Dyslipidemia

Overweight, Obesity, Prediabetes, and Type 2 Diabetes Mellitus

Arthritis and Back Pain

Osteoporosis

Suggested Readings

Additional Resources

Web Resources

Chapter 7. Chronic Conditions Very Strongly Associated With Tobacco

Christopher B. Cooper, Brett A. Dolezal, J. Larry Durstine, Benjamin T. Gordon, Sherry O. Pinkstaff, Abraham S. Babu, and Shane A. Phillips

Chronic Obstructive Pulmonary Disease

Coronary Artery Disease and Atherosclerosis

Angina and Silent Ischemia

Peripheral Arterial Disease

Suggested Readings

Additional Resources

Chapter 8. Cancer

Kathryn Schmitz

Basic Pathophysiology

Management and Medications

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Integration Into a Medical Home Model

Suggested Readings

Additional Resources

Chapter 9. Significant Sequelae Related to Common Chronic Conditions

Jessica S. Oldham, Patricia L. Painter, Elizabeth J. Protas, Geoffrey E. Moore, and Richard Macko

Depression as a Comorbidity

Lower-Limb Amputation

Frailty

Suggested Readings

Additional Resource

Part III. Cardiovascular Diseases

Jonathan N. Myers and Peter H. Burbaker

Chapter 10. Chronic Heart Failure

Peter H. Brubaker and Jonathan N. Myers

Basic Pathophysiology

Management and Medications

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Integration Into a Medical Home Model

Take-Home Message

Suggested Readings

Additional Resources

Chapter 11. Atrial Fibrillation

Jonathan N. Myers and J. Edwin Atwood

Basic Pathophysiology

Management and Medications

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Integration Into a Medical Home Model

Take-Home Message

Suggested Readings

Additional Resources

Chapter 12. Pacemakers and Implantable Cardioverter-Defibrillators

Clinton A. Brawner and Barry Lewis

Permanent Pacemakers

Implantable Cardioverter-Defibrillators

Combination Pacemaker-Defibrillator Devices

Management and Medications

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Integration Into a Medical Home Model

Suggested Readings

Additional Resources

Chapter 13. Valvular Heart Disease

Matthew W. Parker

Basic Pathophysiology

Mitral Valve Disease

Aortic Valve Disease

Right-Sided Valvular Heart Disease

Management and Medications

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Integration Into a Medical Home Model

Take-Home Message

Suggested Readings

Additional Resources

Chapter 14. Heart Transplantation

Audrey B. Silva and Gerson Cipriano Jr.

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Training

Integration Into a Medical Home Model

Take-Home Message

Suggested Readings

Additional Resources

Chapter 15. Aneurysms

Holly Fonda and Jonathan N. Myers

Management and Medications

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Integration Into a Medical Home Model

Take-Home Message

Suggested Readings

Additional Resources

Part IV. Pulmonary Diseases

Tony Babb

Chapter 16. Chronic Restrictive Pulmonary Disease

Connie C. W. Hsia

Basic Pathophysiology

Management and Medications

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Integration Into a Medical Home Model

Take-Home Message

Suggested Readings

Chapter 17. Asthma

Kenneth W. Rundell

Basic Pathophysiology

Management and Medications

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Integration Into a Medical Home Model

Take-Home Message

Suggested Readings

Additional Resources

Chapter 18. Cystic Fibrosis

Erik Hulzebos, Maarten S. Werkman, Bart C. Bongers, and Tim Takken

Management and Medications

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Integration into a Medical Home Model

Take-Home Message

Suggested Readings

Additional Resources

Chapter 19. Pulmonary Hypertension

Kelly Chin

Management and Medications

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Integration Into a Medical Home Model

Take-Home Message

Suggested Readings

Additional Resource

Part V. Immunological, Hematological, and Organ Failure

David C. Nieman

Chapter 20. Chronic Kidney and Liver Disease

Patricia L. Painter

Renal Disease

Liver Disease

Management and Medications for Kidney Disease

Management and Medications for Liver Disease

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Integration Into a Medical Home Model

Take-Home Message

Suggested Readings

Additional Resources

Chapter 21. Acquired Immune Deficiency Syndrome

David C. Nieman, Gregory A. Hand, G. William Lyerly, and Wesley D. Dudgeon

Basic Pathophysiology

Management and Medications

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise...