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Exercise prescription--North American experience.

British Journal of Sports Medicine, 1 December 1978, Vol.12(4), p.227 [Peer Reviewed Journal]

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  • Title:
    Exercise prescription--North American experience.
  • Author: Shephard, R. J.
  • Found In: British Journal of Sports Medicine, 1 December 1978, Vol.12(4), p.227 [Peer Reviewed Journal]
  • Subjects: Physical Exertion ; Prescriptions
  • Publication Details: BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
  • Language: English
  • Description: The principles of exercise prescription are reviewed with respect to North American experience. The required regimen must be safe, therapeutically effective, and ensure a high rate of compliance. Precautions to increase the safety of exercise are discussed. Cardiac emergencies are sufficiently rare events (less than 1 in 200,000 hours even in post-coronary classes) that the need for immediate medical supervision of a well-designed programme can be questioned. The prime determinant of the response to training is the intensity of effort relative to the individual's initial fitness. Post-coronary patients often have a great potential for training due to their previous inactivity, but this will not be realised if the prescribed exercise is of insufficient intensity. Exercise programmes are plagued by a high 'drop-out' rate; 50% of normal middle-aged volunteers are lost in 6 months, and even with post-coronary programmes losses can be 60--70% over 4 years. Simple suggestions are made for improving compliance with the required exercise prescription.
  • Identifier: ISSN: 0306-3674 ; E-ISSN: 1473-0480 ; DOI: 10.1136/bjsm.12.4.227 ; PMID: 444812

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