Personal Training Sacramento

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5120 J Street
Sacramento, CA
(916) 744-1090

Couture Medical Fitness - Personal Training & Weight Loss
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The following is a brief introduction to some of the medical conditions for which research has demonstrated physical fitness to improve patient outcomes.

Cancer
Several large observational studies have now linked reports of regular post-treatment physical activity with superior morbidity and mortality outcomes compared with patients who remained sedentary after treatment. Initial studies focusing on quality of life outcomes clearly demonstrated exercise to be an effective intervention to improve cardiorespiratory fitness, physical functioning, fatigue, and emotional state in cancer patients and survivors; while further research indicated a prophylactic effect of exercise on breast and colorectal cancer. Now, more recent studies have indicated that exercise may also significantly decreased the likelihood of cancer recurrence and mortality by up to 50 percent in colorectal cancer; as well as, increase survivability in breast cancer. Additional research is needed to determine optimal exercise regiments, effects of exercise on outcomes in other forms of cancer, and the underlying mechanism by which physical activity may affect morbidity and mortality in cancer. Indications from recent studies clearly suggest that cancer patients would benefit from improved morbidity and mortality with incorporation of moderate exercise in an overall treatment regiment.

Cardiovascular Disease
Regular physical activity has repeatedly been proven to have multiple cardiovascular benefits that can reduce both the frequency and severity of cardiovascular disease including stroke and trans-ischemic attack as well as, cardiac events such as myocardial infarction (heart attack), coronary artery bypass, angioplasty. In addition, exercise has been shown to decrease all cause and cardiac mortality as well as reduce total cholesterol, LDL cholesterol and triglycerides. As a result, correctly prescribe exercise can be a safe and effective adjuvant treatment strategy for care of patients with cardiovascular disease.

Diabetes
Exercise can play a major role in prevention and management of diabetes. Regular aerobic exercise improves blood lipid profiles, blood pressure, and resting heart rates, body composition and glycemic control; as well as, reduces cholesterol. In addition, because regular exercise assists in maintaining good blood glucose control, it helps to decrease the risk of developing diabetes complications such as neuropathy and nephropathy. For all of these reasons, physical activity in patients with diabetes, has been demonstrated to lowers rates of all cause mortality and cardiovascular heart disease; as a result, correctly prescribe exercise can be an extremely safe and effective adjuvant treatment strategy for diabetes care.

Geriatric Populations
Exercise in geriatric populations has been show to significantly improve quality of life and reduce the incidence of accident/injury leading to long term nursing care. Regular activity can significantly increase muscular strength and endurance, flexibility, and balance, as well as, overall cardiovascular fitness and bone density. In addition, research has shown that aerobic exercise improves executive functions such as planning and decision making in elderly who normally don't exercise. Correctly prescribed exercise is a safe and effective means to significantly improve quality of life and reduce long term care expenses in elderly populations.

Obesity
Obesity is a major health concern for adults, children, and adolescents. The prevalence of obesity has continued to increase to approximately 36% of the adult population and 16% of children and adolescents. These rates are of significant concern due to an increased risk for disease and mortality in obese individuals. Health conditions affected by obesity include:

Cardiovascular Disease (heart attack and stroke)
Cancers (endometrial, breast, and colon)
Diabetes (neuropathy, renal disease, retinopathy, CVD)
Dyslipidemia (high total cholesterol and/or triglyceride levels)
Hypertension (high blood pressure)
Liver and Gallbladder disease
Sleep Apnea (increased risk of blood clot formation)
Osteoarthritis (degeneration of cartilage and bone)
Gynecological problems (abnormal menses, infertility)

Properly prescribed exercise and nutritional modifications are highly effective means of preventing and correcting obesity. Health centered weight loss programs typically seek to establish a 3500-7000 weekly calorie deficit through a combination of increased exercise caloric burn and decreased caloric intake leading to a 1-2 pound weekly weight loss.

Osteoporosis
Osteoporosis is a major health problem particularly in populations over the age of sixty where it affects roughly 60% of women and 30% of men. Its grdatest impact is on quality of life with ¼ of women and 1/3 of men requiring long term nursing care or dying as a consequence of osteoporotic hip fracture. Exercise and nutrition including calcium (1.0–1.5 g) and Vitamin D (400-800 IU) play an important role in the prevention of osteoporosis particularly in post-menopausal women where estrogen deficiency leads to an accelerated decline in skeletal mass. A formal exercise and nutritional program can significantly retard and even stop bone mineral loss while improving strength, balance, motor skills which leads to a significant long-term reduction in fracture rates.

Parkinson’s Disease
Aerobic exercise has the potential to become an effective and easily accessible adjuvant treatment for Parkinson's disease (PD) that can improve both cognitive and motor dysfunction. Preliminary findings indicate a correlation between improved cardiac fitness and increased mental and motor functions. These studies have been supported by MRI data indicating greater brain volumes in regions important for cognition. In addition, exercise has been shown to stimulate neural growth factor and has demonstrated in primate studies to have a significant protective effect on dopaminergic neurons. Moderate aerobic exercise is well tolerated and can be a safe and effective adjuvant treatment str`tegy for care of patients with cardiovascular disease.

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Couture Medical Fitness Exercise & Weight Loss Clinic
5120 J Street, Sacramento, CA
(916) 744-1090