Exercise physiology for chronic disease management

Dr Natalie Saunders1, Prof Steve  Selig1, Ms Niamh Mundell1, Mr  Steve Foulkes1, Mr Dan Van Den Hoek1

1Deakin University, Burwood, Australia

Aim: This symposium aims to showcase the importance of a multi-disciplinary approach to the management of chronic disease with the integration of an Accredited Exercise Physiologist (AEP) exercise intervention.

Significance of the findings to allied health: Exercise intervention is a critical component in the management of chronic disease. The cases presented demonstrate the role of exercise intervention for managing chronic and complex conditions and the importance of AEP led exercise prescription, in the multi-disciplinary setting. Case studies include:

  1. Establishing safe exercise for severe labile hypertension and hypotension
    Exercise physiology for a 56 year male with severe labile hypertension and hypotension. The challenge of prescribing exercise in this case was that exercise increases blood pressure (BP) and the client experiences episodes of unpredictable excursions of BP daily. With high BP small bursts of moderate intensity exercise as a warmup engendered rapid onset hypotensive responses that provided a window to prescribe interval training; low BP and asymptomatic, allowed for continuous exercise to raise BP.
  2. Multimodal exercise for advanced prostate cancer
    Multimodal exercise for a 76 year old man with castrate resistant prostate cancer: Prostate cancer treatments are associated with a number of comorbidities. A multimodal exercise training program was implemented to preserve bone mineral density, lean mass and cognitive function with considerations for fatigue, T2D, depression and multiple metastases.
  3. Exercise during very low calorie diet: Body composition, strength and function changes
    Exercise in conjunction with diet restrictions for a 40 year old obese female with PCOS: Rapid weight loss is associated with a significant decline in lean mass and in turn, functional capacity. An exercise program was implemented to preserve lean mass during rapid weight loss and to improve functional capacity.