Exercise Prescription

Kun-Ling Tsai, PT, PhD

Dept. of PT. NCKU

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ž TEE=RMR+TEF+TEE
•  TEE=total energy expenditure
•  RMR=resting metabolic rate
•  TEF=thermic effect of food
•  TEE=thermic effect of exercise
–  Exercise
–  Non-exercise

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ž 預防復胖
•  減少700大卡-intake
•  減少700大卡-exercise
ž 預防肥胖
•  與活動量不足正相關
•  心肺耐力每增一分鐘，體重可降0.6公斤

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ž Assessment
•  Current activity level
•  Type of activity
•  Limitation of activity
ž Risks
•  PAR-Q
ž Physical examination
ž Fitness level

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ž Type
•  Aerobic
–  Non-weight bearing is suggested
•  Anaerobic Exercise
–  Prevention of muscle loss (increasing of muscle mass)
ž Intensity
•  RPE12-13
•  55%-70% HR max

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ž Frequency
•  30min per day
•  150min per week
•  300min per week (if available)
•  2000-2500 kcal per week
ž Time
•  Warm-up
•  Major exercise
•  Cool-down

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ž  以有氧運動為主，無氧運動為輔。
ž  盡量選擇全身性的運動。
ž  選擇可以自我調整運動強度和持續時間的運動。
ž  切勿憑感覺推論身體運動所消耗的能量。
ž  運動團體及同儕壓力對持續運動有幫助。
ž  考慮減肥運動的效果時，持續時間的條件比運
動強度條件更重要。
ž  減肥的運動，效果是可以分次累積的。
ž  提高日常生活之活動度，增加身體能量的消耗。

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Physical Therapy in Translational Medicine

mRNA

translation

protein
•  Molecular
•  Complex/ receptor
•  Singling transduction pathway
•  Disease

Harie et al, 2005

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ž  Translational medicine is a combination within biomedical
and public health research.
ž  Aims to improve the health and the community by
“translational” findings into diagnostic tools, medicines,
procedures, policies and education.

2005

ž  The transformation of translational clinical science.

ž  Bench to bedside and bedside to bench.

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ž From “acute” to “chronic”.
ž The life-span is increased.
ž Low efficiency to develop novel treatments.
ž Basic investigations, treatment developing and
clinical approaches were separate.

Elisa et al, 2005

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 1 2 3
Prevention Treatment Rehabilitation

Physical Physical Therapist

Therapist
Physical Therapist

Physical Physical
Therapist Therapist

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 in vitro in vivo human

•  microRNA •  Clinical assessment

•  DNA/RNA •  Tissues
•  protein •  Biochemical assay
•  organs •  Physical evaluation
•  Singling transduction
pathway
Disease model
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ž Western blotting-protein
ž Reverse Transcription - Polymerase
Chain Reaction (RT-PCR)-mRNA (genes)
ž Activity- enzymes

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Deeply appreciate your attention

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