Page 130 - Petelin, Ana, Nejc Šarabon, Boštjan Žvanut, eds. 2017. Zdravje delovno aktivne populacije ▪︎ Health of the Working-Age Population. Proceedings. Koper: Založba Univerze na Primorskem/University of Primorska Press
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sive screening (i.e. exercise testing) for people who are sedentary, who are older
(> 35ys), who start again with physical activity after long duration of inactivity
and/or with cardiovascular risk factors.
Significant signs of latent diseases are dyspnoea, chest pain, palpitations,
dizziness or even syncope. The current controversy on whether you can do too
much of a good thing (i.e. exercise) should be kept in mind, but recent findings
and many studies clearly show that the adverse effect of regular physical ac-
tivity must be rejected due to many bias in the proposed studies (Sanchis-Go-
mar 2016). For the moment, there is a clear opinion that positive effects of reg-
ular exercise clearly outweigh the small risk, if any, in healthy subjects. Starting
slow and go slow is the best advice to avoid a risk, especially in those subjects,
which are adults or older adults and start again with exercise training. If maxi-
mal stress test is not feasible, a submaximal test such as 6-minutes walking test
may be considered, although the correlation between 2V0O142).pSepaikroa-nEdrgdoimstaentrcye,
zdravje delovno aktivne populacije | health of the working-age population 128 walked are moderate (Pescatello et al., 2014, Liu et al.,
if available, is nowadays not only helpful but the gold standard for diagnosis of
cardiorespiratory fitness and training counsellation.
Exercise as a polypill
Table 1: Evidence based indications for prescribing regular physical activity
(Löllgen et al., 2013).
Diseases Level of Evidence
Coronary artery disease IA
Artery Hypertension (4-8 mmHg) IA
Chronic obstructive lung disease IA
Heart failure IA
Cancer (colon, breast, lung) IA
Osteoporosis IA
Metabolic syndrome and Diabetes Mellitus IA
Chronic kidney disease IA
Peripheral arterial disease IA
Cognitive mental disorder
IB
Dementia IB
M. Alzheimer IB
Depression IA
Stroke IA
Fibromyalgie IB
Parkinson’s disease IA
Chronic bowel disease IIB
Bipolar disease
Exercise prescription for health concept is similar to prescription of medica-
tion during drug therapy. It should also be applied for patients. Exercise as a
drug depends on indications, dosage can be choosen individually, there is a
(non-linear) dose-response relationship, regular exercise has somatic and psy-
(> 35ys), who start again with physical activity after long duration of inactivity
and/or with cardiovascular risk factors.
Significant signs of latent diseases are dyspnoea, chest pain, palpitations,
dizziness or even syncope. The current controversy on whether you can do too
much of a good thing (i.e. exercise) should be kept in mind, but recent findings
and many studies clearly show that the adverse effect of regular physical ac-
tivity must be rejected due to many bias in the proposed studies (Sanchis-Go-
mar 2016). For the moment, there is a clear opinion that positive effects of reg-
ular exercise clearly outweigh the small risk, if any, in healthy subjects. Starting
slow and go slow is the best advice to avoid a risk, especially in those subjects,
which are adults or older adults and start again with exercise training. If maxi-
mal stress test is not feasible, a submaximal test such as 6-minutes walking test
may be considered, although the correlation between 2V0O142).pSepaikroa-nEdrgdoimstaentrcye,
zdravje delovno aktivne populacije | health of the working-age population 128 walked are moderate (Pescatello et al., 2014, Liu et al.,
if available, is nowadays not only helpful but the gold standard for diagnosis of
cardiorespiratory fitness and training counsellation.
Exercise as a polypill
Table 1: Evidence based indications for prescribing regular physical activity
(Löllgen et al., 2013).
Diseases Level of Evidence
Coronary artery disease IA
Artery Hypertension (4-8 mmHg) IA
Chronic obstructive lung disease IA
Heart failure IA
Cancer (colon, breast, lung) IA
Osteoporosis IA
Metabolic syndrome and Diabetes Mellitus IA
Chronic kidney disease IA
Peripheral arterial disease IA
Cognitive mental disorder
IB
Dementia IB
M. Alzheimer IB
Depression IA
Stroke IA
Fibromyalgie IB
Parkinson’s disease IA
Chronic bowel disease IIB
Bipolar disease
Exercise prescription for health concept is similar to prescription of medica-
tion during drug therapy. It should also be applied for patients. Exercise as a
drug depends on indications, dosage can be choosen individually, there is a
(non-linear) dose-response relationship, regular exercise has somatic and psy-
