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Introduction of a physical activity assessment and exercise prescription to the cardiac risk in the young clinic
Heart ; 108(Suppl 3):A42-A43, 2022.
Article in English | ProQuest Central | ID: covidwho-2064241
ABSTRACT
49 Table 1Exercise Prescription template using the FITT-VP (frequency, intensity, type, time, volume and progress) principle of exercise prescription.Exercise type Frequency (per week) Intensity Time (mins/session) Volume (weekly mins) Progression As always if you develop any concerning symptoms during exercise please stop and seek medical advice 49 Table 2‘How do I estimate exercise intensity?’ patient guide as part of the exercise prescription template and patient information leafletIntensity RPE (Rating of perceived exertion) % of HR max** Talk test 0 Resting 1 2 Very light No noticeable change in breathing or sweating Low 3 Somewhat light <55% Can talk and sing 4 Light Moderate 5 Somewhat moderate 55–74% Can talk, can’t sing Increased breathing and sweating 6 Moderate 7 Somewhat hard Feeling ‘out of breath’ and increased sweating High 8 Very hard 75–90% Can’t talk or sing 9 Extremely hard 10 Maximal exertion **%HR max will not be an accurate measure of exercise intensity if your heart rate is effected by certain medications or conditions 49 Figure 1Levels of self reported physical activity based on the NAPQ-short questionnaire and WHO 2020 physical activity guidelines[Figure omitted. See PDF] 49 Figure 2Variety of patients with a diagnosis of a cardiac condition or a family history of a cardiac condition receiving an exercise prescription. HCM;hypertrophic cardiomyopathy, DCM;dilated cardiomyopathy, ARVC;arrhythmogenic right ventricular cardiomyopathy, LQTS;long QT syndrome, Brugada;brugada Syndrome, CPVT;catecholaminergic polymorphic ventricular tachycardia, SADS;sudden adult death syndrome, Other;Friedreich’s ataxia, ischemic heart disease, supraventricular tachycardia)[Figure omitted. See PDF]ConclusionsCompared to the general adult Irish population, self reported adherence to the WHO PA Guidelines was 6% lower among the CRY Clinic patient cohort (33% vs. 27%). Additionally, reported resistance exercise levels was lower (30%) than aerobic exercise (72%). This is despite resistance exercise being additionally beneficial for many cardiac conditions. During the period of data collection, access to gyms and group exercise was limited due to pandemic government restrictions that likely effected resistance exercise more than aerobic exercise. In fact, a significant increase in recreational walking during covid restrictions was previously reported. Exercise is often discussed during medical consultation but rarely prescribed. In our cohort only 0.5% of patients received an Ex Rx. The reported barriers to Ex Rx are lack of time, perceived lack of patient engagement, complex co-morbidities and clinician education. Attempts were made in the form of education and resource provision to clinicians to challenge perceived barriers. Ex Rx are important in the CRY Clinic not only for the known benefits of PA but as inappropriate exercise can be harmful for some cardiac conditions. The Ex Rx enabled the benefit of PA to be gained by the safe promotion of appropriate exercise to such patients (figure 2). The introduction of this PA assessment and Ex Rx was a successful call to action to incorporate exercise as medicine to the CRY Clinic. ‘Walking is a (wo)mans best medicine’ (Hippocrates 460BC).
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Full text: Available Collection: Databases of international organizations Database: ProQuest Central Type of study: Prognostic study Language: English Journal: Heart Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: ProQuest Central Type of study: Prognostic study Language: English Journal: Heart Year: 2022 Document Type: Article