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Exercise for Specific Health Conditions
Exercise as Preventative Therapy

Regular physical activity can help people of all ages live longer. It can also help prevent chronic diseases, like arthritis, asthma, heart disease, cancer and diabetes.

To improve your health, the minimum recommended amount of activity is 30-60 minutes on most days of the week. The activity should be something you enjoy and can include activities you'd normally do in daily living. You don't have to do 30-60 minutes all at once. Instead, you can do 10 minute sessions several times per day. Over time, you can gradually increase the length of time you're active, how often you're active and how much effort you're putting out.

The more effort you put into an activity, the less time it'll take to get the health benefits. A general guideline is to do activities during the week that add up to about the same effort required to walk fast for 60 minutes 5 days a week. Walking fast means:

  • you're working hard enough to raise your heart rate and break a sweat

  • you're breathing faster

  • you're still able to talk comfortably

 

Here are some examples of activity levels that can improve your health:

  • A 70 kilogram woman walks for 30 minutes per day, weeds the garden for 30 minutes twice a week, and cleans the house for 20 minutes twice a week.

  • A 70 kilogram man walks for 30 minutes 5 days a week, swims for 30 minutes twice a week. and plays tennis for 60 minutes once a week.

 

If you're inactive or elderly, doing lower levels of activity will still provide you with health benefits. You can gradually progress to higher levels to achieve even greater benefits.

 

This information was summarized from Warburton, D., Whitney Nicol, C., & Bredin, S. (2006). Prescribing exercise as preventive therapy. Canadian Medical Association Journal. 174(7), 961-974.

Click to view the PDF version of this document:PDF File

Last Updated on Friday, 19 February 2010 12:18
 
Primary Prevention

Regular physical activity can improve your health and help prevent chronic diseases, like arthritis, asthma, heart disease, cancer and diabetes. There are 3 levels of disease prevention:

  1. Primary Prevention. Trying to prevent yourself from getting a disease. That’s what this sheet is about.
  2. Secondary Prevention. Trying to detect a disease early and prevent it from getting worse.
  3. Tertiary Prevention. Trying to improve your quality of life and reduce the symptoms of a disease you already have.

 

Primary prevention.

At the primary prevention level, we try to avoid getting a disease by leading a healthy lifestyle. This can include physical activity, good nutrition, getting enough rest, reducing stress, having regular medical check-ups and trying to stay away environmental risks and harmful substances.

Here are some steps to take if you’d like to use physical activity as a form of primary prevention.

How to decide if physical activity is right for you.

  • Call the Physical Activity Line and fill out a Physical Activity Readiness Questionnaire (PAR-Q).

How to overcome barriers to physical activity.

  • See the Barriers to being physically active and Overcoming barriers pages, on this site.

What types of activities to do.

There are 3 types of activities to keep your body healthy:

  1. Activities for strong bones and muscles.
  2. Activities for safe and healthy joints and muscles.
  3. Activities for healthy and strong heart and lungs.

Adults should do 30 or more minutes of moderate activity 5-7 days per week. Children and youth should do 90 minutes of moderate activity on most days of the week. Remember, activity doesn’t have to be done all at once. It can be done 10-15 minutes at a time.

 

Last Updated on Friday, 19 February 2010 12:23
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Secondary Prevention

Regular physical activity can improve your health and help prevent chronic diseases, like arthritis, asthma, heart disease, cancer and diabetes. There are 3 levels of disease prevention:

  1. Primary Prevention. Trying to prevent yourself from getting a disease.
  2. Secondary Prevention. Trying to detect a disease early and prevent it from getting worse. That’s what this sheet is about.
  3. Tertiary Prevention. Trying to improve your quality of life and reduce the symptoms of a disease you already have.

At the secondary prevention level, we try to detect a disease early, identify risks and try to prevent the disease and its symptoms from progressing. Some of the assessments used to identify risks include blood pressure tests, blood glucose tests, cholesterol tests, bone density tests, body mass index or waist-to-hip ratio calculations, and fitness assessments.

The Canadian Physical Activity, Fitness and Lifestyle Approach (CPAFLA) is a specialized assessment that points out ways to improve health-related physical fitness. Health-related fitness includes the parts of physical fitness that are related to your health condition. It focuses on how healthy, strong and safe your heart, bones, muscles, joints and lungs are.

Here are some steps to take if you’d like to use physical activity as a form of secondary prevention:

 

How to decide if physical activity is right for you.

  • Call the Physical Activity Line and fill out a Physical Activity Readiness Questionnaire (PAR-Q). If you answer yes to any of the PAR-Q questions, you should see your doctor for a PARmed-X exam.
  • Have a fitness assessment and/ or lifestyle appraisal by a qualified exercise professional.
  • If you have a family history of health problems, are overweight or obese, or haven’t been physically active for several years, you should talk to your doctor before becoming more active.

How to overcome barriers to physical activity.

  • See the Barriers to being physically active and Overcoming barriers sheets, listed below.

What types of activities to do.

  • There are 3 types of activities to keep your body healthy:
  • Activities for strong bones and muscles.
  • Activities for safe and healthy joints and muscles.
  • Activities for healthy and strong heart and lungs.
  • Adults should work toward doing 30 or more minutes of moderate activity 5-7 days per week. Children and youth should do 90 minutes of moderate activity on most days of the week. Remember, activity doesn’t have to be done all at once. It can be done 10-15 minutes at a time.
Last Updated on Friday, 19 February 2010 12:24
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Tertiary Prevention

Senior couple hikingRegular physical activity can improve your  health and help prevent chronic diseases, like arthritis, asthma, heart disease, cancer and diabetes. There are 3 levels of disease prevention:

  1. Primary Prevention. Trying to prevent yourself from getting a disease.

  2. Secondary Prevention. Trying to detect a disease early and prevent it from getting worse.

  3. Tertiary Prevention. Trying to improve your quality of life and reduce the symptoms of a disease you already have. That's what this sheet is about.

Tertiary prevention.

The tertiary prevention level focuses on people who are already affected by a disease. The goal is to improve quality of life by reducing disability, limiting or delaying complications, and restoring function. This is done by treating the disease and providing rehabilitation. Treatment can include several professionals including your doctor, medical specialist, qualified exercise professional, occupational therapist and physiotherapist.

Here are some steps to take if you'd like  to use physical activity as a form of tertiary prevention.

 

How to decide if physical activity is right for you.

  • Call the Physical Activity Line and fill out a Physical Activity Readiness Questionnaire (PAR-Q). If you answer yes to any of the PAR-Q questions, you should see your doctor for a PARmed-X exam.

  • Have a fitness assessment and/or lifestyle appraisal by a qualified exercise professional.

 

How to overcome barriers to physical activity.

Some of the barriers may be caused by your medical condition. Talk to your doctor or a qualified exercise professional about any concerns or barriers you have and how to overcome them. For general information, see the Barriers to being physically active and Overcoming barriers sheets, listed below.

 

What types of activities to do.

  • There are 3 types of activities to keep your body healthy:
    • Activities for strong bones and muscles.
    • Activities for safe and healthy joints and muscles.
    • Activities for healthy and strong heart and lungs.

Click to view the PDF version of this document: PDF File

Last Updated on Friday, 19 February 2010 12:24
 
Precautions for Heart and Lung Activities
Being more physically active can help you feel better, deal with stress more easily, and handle day-to-day activities more comfortably. To get the best results, it's important to understand how to exercise safely so you don't injure yourself.

 

Here are some precautions to keep in mind when you're doing activities that strengthen your heart and lungs, like biking, walking, running, hiking and swimming.

If you have poor balance or fall easily due to a condition like Parkinson's disease or because you're elderly:

  • Pay attention to where you step when walking so you can avoid ankle or knee injuries that happen when you fall or twist.

  • Walk indoors on icy days to avoid falling.

  • Walk in an area that's flat and doesn't have any obstacles.

  • If walking isn't possible, try water aerobics, swimming or stationary bicycling.

If you have diabetes:

  • Wear good quality shoes that fit.

  • Test your blood sugar before and after exercise. Don't exercise if it is too high or too low. Talk to your doctor about safe blood sugar levels before you are physically active.

If you have arthritis or have sore joints after doing an activity:

  • If the discomfort lasts longer than two hours after an activity, try to go a little slower next time and don't work as hard.

  • If a joint feels inflamed or hot, move it gently through its range of movement several times to help reduce stiffness and improve blood flow.

  • If the arthritis is in your knees, it's not a good idea to run on cement. Try running on wood chip trails, grass or a treadmill instead.

If you have cancer or are recovering from cancer treatment:

  • Don't force yourself to be active when you feel exhausted.

  • Don't do strenuous activities right after treatment.

  • Don't do high-impact activities like running and jumping if you have bone cancer. Try taking a short walk instead or doing gentle stretches.

  • Some cancer medications may affect your balance. Check with your doctor if you have any questions.

To prevent injuries that can develop slowly after several months or years of an activity:

  • Wear footwear designed for the activity and don't try to do too much when you're just starting out.

  • Gradually increase the amount of time you're active and how much effort you're using.

  • If you have questions about correct running techniques or your own running style, ask a physiotherapist or exercise professional.

Click to view the PDF version of this document:PDF File

Last Updated on Monday, 22 February 2010 14:20
 
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Copyright © 2010 PAL. All Rights Reserved.
The health information provided on this sheet is only a guide. You also need to rely on your common sense and good judgment. If you receive advice from a doctor or health professional that does not agree with the information provided here, follow the advice of your doctor or health professional since it is based on your specific history and needs
 

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