Week 3 Tutorial.pdf

EHR522: Exercise for Metabolic and Renal Conditions Tutorial Three: Hyperlipidaemia and Dyslipidaemia Question 1: Hyperlipidaemia in itself does not significantly limit the range of treatment options available to you as an Accredited Exercise Physiologist. It does, however, increase the likelihood t...

EHR522: Exercise for Metabolic and Renal Conditions Tutorial Three: Hyperlipidaemia and Dyslipidaemia Question 1: Hyperlipidaemia in itself does not significantly limit the range of treatment options available to you as an Accredited Exercise Physiologist. It does, however, increase the likelihood that a patient may present with underlying cardiovascular disease. a) In the space below, explain the signs and symptoms of cardiovascular disease and what these signs and symptoms usually mean. b) What are some of the factors that may impact upon how CVD symptoms present? That is, why do some people present with different CVD symptoms to others? Angina, shortness of breath, dizziness, ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ 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Brett’s GP wants him to try three months of exercise and dietary intervention prior to commencing medication. Brett presents with the following data: Total cholesterol: 5.4 mmol/L LDLc: 3.8 mmol/L HDLc: 0.8 mmol/L Body mass: 98kg Height: 1.77cm Waist circumference: 108cm Brett has not exercised for many years, but works in a somewhat active job as a Concreter. Though, by his own admission, he has done more supervising and less physical work in recent years. Brett doesn’t understand why his GP won’t just put him on medication and “be done with.” After a Google search, Brett believes his cholesterol “isn’t that bad anyway” and he reports to knowing lots of people with high cholesterol to which “nothing bad has ever happened.” a) Explain to Brett why his GP has not just put him straight on lipid-lowering medication. b) Using the data above, respond to Brett’s comment that his cholesterol “isn’t that bad anyway.” c) Explain to Brett the long-term risks associated with sustained hypercholesterolaemia. d) Explain how exercise may be beneficial to Brett. e) After listening to your above answers, Brett decides he’ll “give this exercise thing a go.” Provide a brief summary of what your initial exercise intervention would involve. f) Provide the clinical reasoning behind your initial exercise intervention. g) In 3 months’ time, what changes can Brett expect to see if he is consistent with your prescribed exercise program? h) Having answered the above questions, use the Exercise Program Development Table to provide your program for Brett. ................................................................................................................................................................ Just under 5.5 in total cholesterol HDL - less than 1 for male and less than 1.3 for males is a risk factor ................................................................................................................................................................ BMI 31.3 - class 1 obesity (30-35 bmi wait circumferece - want under 94 ................................................................................................................................................................ ................................................................................................................................................................ Long term risk associated with sustained hypercholesterolaemia - increased risk of CVD which is associated with a stroke and can increase change of diabetes ................................................................................................................................................................ Text ................................................................................................................................................................ ................................................................................................................................................................ exercise benefits benefits for Brett - improve the good cholesterol ................................................................................................................................................................ - reduced CVD risk regardless of changes in HDLc or bodyweight - reduce weight and central obesity which can have a positive effect on all cholesterol parameters and CVD risk ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ 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