Chapter 13: Health Belief Model, Protection Motivation Theory, and Physical Activity.
Motivation for Physical Activity and Special …Motivation for Physical Activity and Special...
Transcript of Motivation for Physical Activity and Special …Motivation for Physical Activity and Special...
![Page 1: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/1.jpg)
Motivation for PhysicalActivity and Special
Populations
Sheri R. Colberg, PhD, FACSM
Professor Emerita, Exercise Science
Old Dominion University
![Page 2: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/2.jpg)
Topics for Discussion
Motivating patients with diabetes to exercise
Prescribing exercise regimens for PWD
Considerations for special populations
![Page 3: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/3.jpg)
Motivating Patients with Diabetes to Exercise
![Page 4: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/4.jpg)
Every Little Bit Counts!
![Page 5: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/5.jpg)
More SPA Time for Everyone
More spontaneous physical activity (SPA), or daily movement
Break up sedentary time
Adding in little bits of exercise during the day easier for many
Fitness gains less, but still bestows health benefits
![Page 6: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/6.jpg)
Easy Ways to Be More Active
Walk or bike instead of drive
Take the stairs (up or down)
Park farther away
Do house or yard work
Walk the dog
Play with kids/grandkids
Stand up while on phone
Get up more often
![Page 7: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/7.jpg)
Break Up Prolonged Sitting
Dunstan DW et al. Diab Care, 35(5): 976-83, 2012
2-min walk breaks every 20 minutes
![Page 8: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/8.jpg)
T2D Break Up Prolonged Sitting
Dempsey PC et al. Diab Care, 39(6): 964-72, 2016
3-min ex. breaks every 30 min
![Page 9: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/9.jpg)
“I don’t have time to exercise 30 min a day”
Break up exercise time throughout the day
Start with 10 minutes a day
Work up to 10 min at a time, 3 times a day
“I’m too tired after work to exercise”
Be active before work or during the day instead
Overcome Exercise Barriers
![Page 10: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/10.jpg)
“I can’t afford a fitness center or equipment”
Pick an activity that doesn’t require equipment, such as walking
Use cans of food or water bottles for weights
Buy some inexpensive resistance bands
Overcome Exercise Barriers
![Page 11: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/11.jpg)
“I don’t have access to childcare”
Walk or bike with the kids
Find a rec center that offers childcare
Get a group to take turns watching the kids
“It’s too hot/cold outside”
Walk inside (at a mall, at work, at school, etc.)
Overcome Exercise Barriers
![Page 12: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/12.jpg)
“I don’t feel safe in my neighborhood”
Form a walking group
Do classes on video or at a gym
Be active near work or school
Overcome Exercise Barriers
![Page 13: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/13.jpg)
Prescribing Exercise Regimens to PWD
![Page 14: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/14.jpg)
Mode: walk, swim/aquatic, cycle, run, chair exercise, dance (depends on preferences, skill level, limitations, etc.)
Intensity: moderate (ability to carry on a conversation without struggling to breathe) to vigorous
Frequency: spread over at least 3 days, with no more than 2 consecutive days without aerobic activity
Duration: 150 minutes of moderate or 60−75 minutes of vigorous activity a week
Progression: initially 10−15 minutes; increase over time to 30+ min; increase intensity last (or include faster intervals)
General Aerobic Exercise Rx
![Page 15: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/15.jpg)
Aerobic Activities
Aim for 150 min/wk moderate to vigorous
Min. of every other day
Walking at any speed (w/ good socks/shoes)
“Cardio” machines, stationary cycling, aquatic/pool or chair exercises, upper body
Colberg et al., Med Sci Sports Exerc, Dec. 2010
![Page 16: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/16.jpg)
Alternate Aerobic Activities
![Page 17: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/17.jpg)
Mode: free weights, weight or resistance machines, resistance bands, isometric ex, calisthenics; at least 8–10 ex. for major muscle groups (upper and lower body, core)
Intensity: moderate to vigorous (i.e., 60–80% of 1-rep max)
Frequency: at least 2x weekly on nonconsecutive days, but more ideally 3 days per week
Duration: minimum of 1 set of repetitions to near fatigue, but as many as 3–4 sets per exercise, 8–15 reps per set
Progression: increase wt. when target # of reps per set met/exceeded, then # of sets, and lastly training frequency
General Resistance Exercise Rx
![Page 18: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/18.jpg)
Resistance Activities
At least 2 days per week, preferably 3 (nonconsecutive)
Any intensity (15 reps moderate, 10 reps high)
2-3 sets per ex
Work large muscle groups & “core”
Bands, machines, free wts, body wt as resistance
Colberg et al., Diabetes Care, Dec. 2010
![Page 19: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/19.jpg)
Try to Get Your Patients to:
Be regularly physically active and move more to keep insulin action enhanced
Make physical activity fun to increase compliance (i.e., try new activities)
Pick activities that avoid injury
Include both aerobic and resistance workouts to maximize muscle gains
Exercise more vigorously (at least on occasion) to muscle glycogen use (some intervals okay)
![Page 20: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/20.jpg)
Core Training Exercises
Colberg S. The 7 Step Diabetes Fitness Plan, 2006
Chair Sit-Ups
“Superman” Exercise
![Page 21: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/21.jpg)
Include Flexibility Training
Stretches best done at least 2−3 days per week or after any exercise session
Include all major muscle groups
Hold static stretches for 10−30 seconds or do dynamic stretching
Especially critical with diabetes
![Page 22: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/22.jpg)
Do Balance Training, Too
Any balance exercises may help prevent falls
All lower-body strength exercises improve balance
Stand on one leg, holding on with 1−2 hands
Try with eyes open and closed
![Page 23: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/23.jpg)
Morrison S, Colberg SR, et al. Diab Care, 33(4):748-50, 2010
*
Low-Intensity Balance Training
Pre-Training Post-Training
Falls
Ris
k Sc
ore
-1.0
-0.5
0.0
0.5
1.0
1.5
2.0
Controls
T2DM
Mild Falls Risk
Low Falls Risk
Moderate Falls Risk
![Page 24: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/24.jpg)
Key Exercise Behaviors
Check blood glucose often to learn to predict responses and establish patterns
Be regularly physically active to enhance insulin action and metabolic health
Include both aerobic and resistance exercise to maximize insulin action (and muscle mass)
Include balance and flexibility training, too, especially for older adults
Break up sedentary time with frequent movement
![Page 25: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/25.jpg)
Considerations for Special Populations
![Page 26: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/26.jpg)
Older Adults
Older adults often with comorbid health conditions, including overweight/obesity, hypertension, etc.
Joint or other physical limitations
Encourage them to be as active as possible, given their constraints
Include resistance, balance, and flexibility training
Activities to help reduce risk of falling
![Page 27: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/27.jpg)
Overweight/Obese Adults
Overweight/obese often with health issues
Joint or other physical limitations
Pick activities that are easier to do with excess weight (aquatic, stationary cycling, seated)
If self-conscious in groups, pick home-based or other activities that can be done alone
Start out slowly and progress slowly
![Page 28: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/28.jpg)
Osteoarthritis
Overweight/obese often have arthritic joints
Regular activity possible and encouraged
Moderate activity may actually alleviate joint pain
Low, moderate, and/or non-weight-bearing best
Range of motion activities
Resistance training to strengthen muscles around jts.
Avoid activities with potential for joint trauma
![Page 29: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/29.jpg)
Orthopedic/Joint Limitations
Do regular stretching and flexibility exercise
Progress slowly to manage joint changes and limitations
Avoid activities that aggravate joints, worsen symptoms
Individuals with diabetes more prone to structural changes to joints that can limit movement
Shoulder adhesive capsulitis, carpal tunnel syndrome, trigger finger, metatarsal fractures, and neuropathy-related joint disorders (Charcot foot)
![Page 30: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/30.jpg)
Osteoporosis/Osteopenia
Decreased bone mineral density, higher fracture risk
Aerobic weight-bearing activities (walking, standing)
Avoid excessive twisting, bending, compression of spine during certain activities (e.g., yoga, Pilates)
No explosive movements or high-impact loading
Resistance training to prevent falls: lower extremity, core, and high-velocity resistance exercises
![Page 31: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/31.jpg)
Hypertension
Aerobic and resistance training may lower resting BP
Hypertensive responses exaggerated during activity
Avoid Valsalva maneuver during resistance training
BP meds and exercise-related hypotension (e.g., diuretics)
![Page 32: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/32.jpg)
Vascular Diseases (General)
Exercise safe with precautions
Coronary perfusion may be enhanced during higher-intensity aerobic or resistance exercise
Watch for signs of myocardial infarction, such as chest pain, radiating pain, shortness of breath
![Page 33: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/33.jpg)
Heart Disease/Chest Pain
Possible to be physically active with diagnosed heart disease or post-myocardial infarction
All types of activities are encouraged
Resistance, high-intensity aerobic may enhance cardiac blood flow during the activity
Recommend supervised exercise training initially
If chest pain on exertion, keep heart rate at least 10 beats per minute below onset of angina
![Page 34: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/34.jpg)
Peripheral Artery Disease
People with heart disease frequently have other arterial plaque formation around the body
Lower-extremity resistance training helps improve overall function, even if painful during
Choose low- or moderate-intensity walking, arm ergometer, and leg ergometer as aerobic activities
Doing other activities is usually okay as well
If leg pain too bad, stop activity and try another one
![Page 35: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/35.jpg)
Diabetic Eye Problems
Diabetes related to 8 different chronic eye issues, including diabetic proliferative retinopathy
Don’t exercise vigorously or do any heavy resistance training with advanced or unstable proliferation
Avoid most jumping, jarring, head-down, or breath-holding activities
If cataracts or other eye problems are limiting sight, avoid activities like outdoor cycling
![Page 36: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/36.jpg)
Peripheral Nerve Damage
May be painful or result in loss of sensation in feet
Physical activity okay, but want to avoid trauma
Moderate activity may improve symptoms
Non-weight-bearing activity may be better for many
Wear socks that keep feet dry, appropriate shoes
Check your feet every day for sores, blisters or cuts
Avoid bearing weight on unhealed ulcers
![Page 37: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/37.jpg)
Central Nerve Damage
Autonomic neuropathy may impact ability to exercise safely, depending on what systems impacted
Avoid activities with positional changes if get faint when going from sitting to standing
Use subjective ratings of perceived exertion to monitor intensity if exercise heart rate blunted
Monitor hydration levels carefully (can overheat)
See doctor 1st if have cardiac autonomic neuropathy
![Page 38: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/38.jpg)
Diabetic Kidney Disease
Most can exercise and be physically active without any restrictions with any stage of kidney disease
Dialysis can cause tiredness and make require exercise modifications to accommodate this
Adjust your daily activities based on your energy level and overall condition
Light to moderate activities can be done during dialysis sessions (monitor electrolytes, though)
![Page 39: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/39.jpg)
66 years old, female, type 2 diabetes for over 20 years,
marginal blood glucose control (A1C: 7.8%)
Recent loss of feeling in feet (numb on soles, unable to
feel ground when walking)
On metformin, a sulfonylurea, sitagliptin, lipid-lowering
agent, blood pressure medications, and alpha-lipoic acid
Used to be more physically active, but slacked off lately
and rarely does any planned exercise
Job as chef keeps her on her feet a lot, however
Type 2 Diabetes Case Study (PD)
![Page 40: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/40.jpg)
Which type of aerobic physical activity should PD
focus on, giving the loss of sensation in her feet?
Most common type, distal symmetrical
polyneuropathy, involves small and large nerve fibers;
greater ulcer risk, possible altered gait and balance
With neuropathic feet, PD should engage in a variety
of exercise, such as stationary cycling, limited
walking, conditioning machines, and seated activities
Type 2 Diabetes Case Study (PD)
![Page 41: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/41.jpg)
What intensity, frequency, and duration of aerobic
physical activity would be appropriate for PD to
undertake?
Moderate intensity, 3–5 days per week, 150 minutes
of aerobic activity per week (more moderate
workouts limit potential trauma to feet)
Can add in seated resistance work (2–3 days/week)
and balance training
Type 2 Diabetes Case Study (PD)
![Page 42: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/42.jpg)
How should PD progress with her physical activity to
avoid health complications from arising related to
her peripheral neuropathy?
PD should primarily focus on increasing the duration
of her structured workouts to achieve at least 150
minutes of moderate exercise throughout the week
Type 2 Diabetes Case Study (PD)
![Page 43: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/43.jpg)
What will be PD’s main concern(s) and/or
precautions once she starts doing more planned
physical activity?
Prevention of injury to her insensate feet
Use of proper footwear and socks to keep feet dry
Daily foot inspection for trauma and possible
ulceration
Avoidance of weight-bearing exercise with an
unhealed ulcer (but okay when healed)
Type 2 Diabetes Case Study (PD)
![Page 44: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/44.jpg)
Activity-Specific Information
Diabetic Athlete’s Handbook
© 2009
Over 100 sports and activities
included
![Page 45: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/45.jpg)
Exercise Rx (for Clinicians)
Exercise and Diabetes: A
Clinician’s Guide to Prescribing Physical
Activity
American Diabetes Association © 2013
![Page 46: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/46.jpg)
Keeping Fit (for Dummies)
Diabetes & Keeping Fit for Dummies
Wiley and American Diabetes Association © 2018
![Page 47: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/47.jpg)
Website with Exercise Info
www.DiabetesMotion.com
![Page 48: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/48.jpg)
Good Advice!
![Page 49: Motivation for Physical Activity and Special …Motivation for Physical Activity and Special Populations Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion](https://reader030.fdocuments.net/reader030/viewer/2022040906/5e7c7eb68119504b6106f0c4/html5/thumbnails/49.jpg)
Questions?