Answer 3 for NRS 434 Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage

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Your response on the essence of regular physical exercise in prevention and management of strokes and coronary heart disease (CHD) in middle aged adults is in-depth and well done. Essentially, stroke is among the leading causes of disability in the US. Stroke survivors often experience physical deconditioning and forced into sedentary lifestyle that negatively impairs conducting of their daily routines, enhance fall risks, and expose them to higher risk of CHDs (Benjamin et al., 2019). However, physical activity and exercise can potentially influence various physical and psychosocial domains following episodes of stroke by improving cardiovascular fitness, upper-extremity muscle strength, and ability to walk (Soares-Miranda et al., 2016). Essentially, it is challenging to maintain regular physical activity and exercise. Therefore, some of the health promotion measures to incorporate physical activity and exercise into the lives of stroke survivors include provision of counseling services on enhancing participation in physical activity and also prescription of suitable exercise training. It is also important to partner with community support groups and health care professionals to facilitate long-term compliance with physical activity (Bailey, 2017). The physical activity should consider individual limitations, resources, preferences, and environment.

References

Bailey, R. R. (2017). Promoting physical activity and nutrition in people with stroke. American Journal of Occupational Therapy, 71(5), 7105360010p1-7105360010p5. https://doi.org/10.5014/ajot.2017.021378

Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C. W., Carson, A. P., … & American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. (2019). Heart disease and stroke statistics—2019 update: a report from the American Heart Association. Circulation, 139(10), e56-e528. https://doi.org/10.1161/CIR.0000000000000659

Soares-Miranda, L., Siscovick, D. S., Psaty, B. M., Longstreth Jr, W. T., & Mozaffarian, D. (2016). Physical activity and risk of coronary heart disease and stroke in older adults: the cardiovascular health study. Circulation, 133(2), 147-155. https://doi.org/10.1161/CIRCULATIONAHA.115.018323

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