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Exercise Medicine - 1st Edition - ISBN: 9780121197209, 9781483288222

Exercise Medicine

1st Edition

Physiological Principles and Clinical Applications

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Editor: Alfred Bove
eBook ISBN: 9781483288222
Imprint: Academic Press
Published Date: 1st November 1983
Page Count: 426
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Exercise Medicine: Physiological Principles and Clinical Applications provides a wide array of information ranging from basic exercise physiology to how to deal with geriatric patients who exercise. This book presents useful insight into nutritional misconceptions and problems that arise in certain sports. Organized into three parts encompassing 19 chapters, this book begins with an overview of the physiological properties of skeletal muscle during contraction. This text then examines the comparisons made between the trainability and athletic achievements of female performers versus their male counterparts. Other chapters consider the medical disorders in pediatrics that may involve exercise as a component of therapy, including cardiovascular disorder, pulmonary disorder, and obesity. This book discusses as well the adaptation of human body to endurance training and athletic activity. The final chapter deals with regular and individually-prescribed exercise that may contribute to the reduction of the risk of coronary heart disease. This book is a valuable resource for cardiologists, sports medicine specialists, and physicians.

Table of Contents



I Physiological Aspects of Sports and Exercise

1. Structure and Functional Organization of Skeletal Muscle

I. Introduction

II. Mechanical Properties of Skeletal Muscle

III. Gross Morphology and Fiber Architecture

IV. Subcellular Organization of a Typical Muscle Fiber

V. Energy Production in Skeletal Muscle

VI. Organization of Muscle Fibers Into Functional Units

VII. Effects of Altered Muscle Activity on Skeletal Muscle


2. Cardiovascular Physiology of Exercise

I. Overview and Limitations

II. Mechanisms Supporting Substrate Oxidation During Exercise

III. Circulatory Regulation During Exercise

IV. Summary


3. Pulmonary Physiology of Exercise

I. Introduction

II. Resting Pulmonary Physiology

III. Exercise Pulmonary Physiology


4. Exercise Metabolism

I. Energy Metabolism During and following Exercise

II. Carbohydrate and Fat Metabolism During Exercise

III. Concluding Remarks


5. Foods and Nutrition for Exercise

I. Introduction to Nutrients

II. Carbohydrates

III. Proteins

IV. Fats

V. Vitamins

VI. Minerals

VII. The Four Food Groups


II Women, Youth, and the Elderly

6. Physiological Aspects of Women and Exercise

I. Introduction

II. Response to Strength and Endurance Training: Comparison of Females and Males

III. Sports-Related Injuries: Comparison of Females and Males

IV. Performance in Hot and Cold Environments: Comparison of Females and Males

V. Does Exercise Influence Osteoporosis in Aged Women and Men?

VI. Are the Effects of Physical Activity on Blood Lipid Chemistry Different in Women than Men?

VII. Are Female Athletes More Likely to Have Gynecological Problems than Nonathletes? Does Athletic Performance Have an Impact on Female Sexuality?

VIII. Does Physical Training Have Any Effect on Fertility or Pregnancy in Women?

IX. Is Male Sexuality Affected by Athletic Performance?


7. Gynecological and Obstetrical Aspects of Exercise

I. Introduction

II. Basic Review of Menstrual Physiology

III. Menstrual Irregularity and Amenorrhea: Causes, Evaluation, and Treatment

IV. Hormone Changes Related to Exercise

V. Other Menstrual Problems

VI. Other Gynecological Problems

VII. Puberty

VIII. Menopause

IX. Pregnancy

X. Conclusion


8. Exercise in the Young

I. Introduction

II. Asthma

III. Cystic Fibrosis

IV. Cardiac Disease

V. Hypertension

VI. Obesity

VII. Summary


9. Exercise in the Elderly

I. Cardiovascular Responses with Aging

II. Special Considerations in Prescribing Exercise in the Elderly


III Medical Aspects of Sports and Exercise

10. Neurology of Sports and Exercise

I. Introduction

II. Physical Activity and Nervous System Aging

III. Temperature Regulation

IV. Altitude, Performance, and Nervous System Activity

V. Sports and the Peripheral Nervous System


11. Cardiovascular Disorders and Exercise

I. Basic Principles

II. Cardiac Work, Oxygen Consumption, and Blood Flow

III. Coronary Artery Disease

IV. Exercise Programs for Patients with Coronary Disease

V. Cardiovascular Drugs and Exercise

VI. Exercise in Patients with Chronic Heart Failure

VII. Valvular and Congenital Heart Disease

VIII. Cardiac Arrhythmias

IX. Conduction Abnormalities

X. Preexcitation Syndromes

XI. Assessment of Arrhythmias and Conduction System Abnormalities

XII. Cardiac Surgery


12. Pulmonary Disorders and Exercise

I. The Clinical Exercise Test

II. Exercise and Pulmonary Disease


13. Gastrointestinal Disorders and Exercise

I. Physiology: Exercise and Gastrointestinal Function

II. Gastrointestinal Symptoms and Exercise

III. Influence of Exercise on Gastrointestinal Disease

IV. Gastrointestinal Diseases or Disorders Resulting from Participation in Sports

V. Conclusions


14. Exercise in Renal and Hypertensive Disease

I. Hemodynamics and Hypertension

II. Hemodynamics of Hypertension During Exercise

III. Exercise in Patients with End-Stage Renal Disease

IV. Conclusion


15. Metabolic and Endocrine Disorders and Exercise

I. Introduction

II. Metabolic Response to Exercise in Normal Man

III. Exercise and Diabetes

IV. Exercise and Thyroid Disorders

V. Exercise and Menstrual Dysfunction


16. The Effects of Exercise on Genitourinary Function

I. Renal Hemodynamics during Exercise

II. The Renin-Angiotensin System in Exercise

III. Antidiuresis During Exercise

IV. Sodium Balance During Exercise

V. Changes in Total Body Water During Exercise

VI. Potassium Balance in Exercise

VII. Alterations in Other Serum Cations

VIII. Hematuria During Exercise

IX. Exercise Hemoglobinuria

X. Proteinuria Related to Exercise

XI. Rhabdomyolysis and Acute Nephropathy as a Consequence of Severe Exercise

XII. Conclusions


17. Psychological Aspects of Exercise

I. Introduction

II. Depression and Anxiety

III. Previous Studies

IV. Exercise Addiction

V. Phobias

VI. Exercise Euphoria

VII. Exercise Neurosis and Stress Reduction

VIII. Concluding Remarks


18. Medical Aspects of Diving

I. Introduction

II. Physiology of the Underwater Environment

III. Pressure Effects

IV. Common Medical Disorders and Diving

V. Marine Injuries


19. Prescribing Exercise Programs

I. Introduction

II. Medical Screening

III. Quantifying Energy Cost

IV. The Exercise Prescription

V. Summary




No. of pages:
© Academic Press 1983
1st November 1983
Academic Press
eBook ISBN:

About the Editor

Alfred Bove

Affiliations and Expertise

Chief, Section of Cardiology, Temple University Medical School, Philadelphia, PA

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