Exercise programs

Obesity is a difficult condition to treat. Dietary restriction of caloric intake is the first line therapy and is optimally combined with an exercise program to promote loss of fat relative to lean body mass (17). For the grossly obese (BMI > 40), invasive mechanical measures such as jaw wiring, gastric banding, and gastric by-pass have been attempted with at least limited success (18). 

Reinforces prescribed dietary and exercise program for weight reduction, both verbally and in writing. 

Avoid alcohol, dieting, commercial weight-loss products, and strenuous exercise programs unless use or participation has been approved by the health care provider. 

Educate the patient on lifestyle modifications such as salt restriction (maximum 2 to 4 grams per day), fluid restriction if appropriate, limitation of alcohol, tobacco cessation, participation in a cardiac rehabilitation and exercise program, and proper immunizations such as the pneumococcal vaccine and yearly influenza vaccine. 

Smokes 1/2 to 1 pack per day Denies alcohol and illicit drug use No regular exercise program... 

Appropriate therapy necessitates adequate patient education about the disease, development of a meal plan to which patients can comply and integration of a regular exercise program. 

The starting dose of sibutramine is usually 10 to 15 mg once a day. The drawback of this drug is that, as with all medications used to treat obesity, the lost weight eventually reappears unless the patient continues to engage in healthy eating habits and an exercise program. 

Aerobic exercise can improve insulin resistance and glycemic control in most patients and may reduce cardiovascular risk factors, contribute to weight loss or maintenance, and improve well-being. Exercise should be started slowly in previously sedentary patients. Older patients and those with atherosclerotic disease should have a cardiovascular evaluation prior to beginning a substantial exercise program. 

Insomnia includes a wide variety of sleep disturbances, such as difficulty in falling asleep, early or frequent awakenings, and remaining unrefreshed after sleep. Use of sedative-hypnotic drugs is one approach to the therapy of insomnia. Other measures include advice to avoid stimulants before retiring, maintenance of a proper diet, initiation of an exercise program, and avoidance of stressful or anxiety-provoking situations. 

Maintain a healthy diet and exercise program to prevent weight gain... 

Adhere to dietary instructions, a regular exercise program, and regular testing of urine or blood glucose... 

The Candidate Physical Ability Test is one area where advance preparation is almost guaranteed to pay off. No matter how good the shape you are in, start an exercise program now. You can design your program... 

NOTE Consult a doctor for a full medical examination prior to beginning any serious exercise program. 

Weight loss aids Orlistat, 60 mg with each meal containing fat (not to exceed 180 mg/d) Alii Approved for weight loss in overweight adults > 18 years of age when used in combination with a reduced-calorie, low-fat diet and exercise program. Orlistat is a nonsystemically absorbed inhibitor of gastrointestinal lipase that blocks the absorption of dietary fat. OTC formulation is a half-strength version of the prescription product (Xenical). 

For example, if you decide you want to retire in a home by a lake, this may be the time to buy the land. If you want to live in a protected community with a golf course, you can buy now, use it as a vacation home or rental, and make a permanent move later. This is also an excellent time to plan vacations with your retirement location in mind. Also, if you have not had a solid physical exercise program and a good diet, now is the time to act. You don t want to approach or enter retirement out of shape. 

Tip 2 Look as healthy as possible. Follow an exercise program avoid stooping walk with as much spring in your step as possible watch your weight and diet and make the most of your mature figure. 

I l.A good physical exercise program will help you transmit a better image to others. You will project a more trim silhouette because exercising helps you stand straighten This will enhance your personal pride and give you more confidence to take charge of your life. 

You can add interest to your exercise program by engaging in more than one form of exercise. Machines are available that provide aerobic workouts either at a health club or in your home. These, too, can be alternated with outdoor exercise or reserved for inclement weather. Here are the most popular machines. 

A well-rounded exercise program addresses three separate physical needs. Aerobic exercise develops the legs, heart, body composition, and stamina. Strength exercise develops the arms, upper and lower torso, and improves body appearance. 

As you continue your exercise program, you will begin to notice several changes. Here are the most common. 

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