Cardiac, Diabetic and Weight Loss Programs

Cardiac, Diabetic and Weight Loss Programs

Cardiac Rehabilitation program

Specifically designed for patients with cardiac disease, hypertension and hypercholesterolemia, our cardiac rehabilitation program caters for groups up to 6 patients.

Supervised by a Biokineticist, our cardiac program takes place in a controlled environment where heart rate is closely monitored during each session.

Prior to starting the program, a stress ECG is conducted on each patient to establish exercise capacity following which an individual program is prescribed.

Diabetic & Weight Loss program

Our Diabetic and Weight Loss programs are aimed specifically at patients who need to manage their insulin levels through supervised cardiovascular exercise. The sessions aim to work within your capacity so that the correct workload is achieved to decrease both blood sugar levels sustainably and reduce body fat.

Our programs are all heart rate monitored and are supervised by a Biokineticist. Both weight and blood sugar is checked on a regular basis to ensure progression.

All programs include an initial assessment and goal setting session.

Please mail us at bio@kinetics.co.za to make an appointment or call 011 807 9877

Information for participants

Welcome to our cardiac rehabilitation, diabetic & weight loss exercise programs. No matter the state of your health, every individual will benefit from regular physical activity. A study conducted by the Centre for Disease Control and Prevention determined that a sedentary lifestyle was the leading cause of approximately 9 million cardiovascular disease reported cases, as well as associated obesity and diabetes. Not only will exercise improve your overall medical condition and limit various associated symptoms, it plays a vital role in recovery and ultimately betters your quality of life.

Definitions
  • Heart rate: is the average number of times the heart will beat per minute
  • Rating of perceived exertion (RPE): is a subjective scale used to measure your level of exertion at a certain level of exercise intensity
  • Cardiovascular exercise: is any form of physical activity that results in increased heart rate and improves overall cardiovascular capacity and fitness e.g. running and cycling
  • Strength Exercises: aim to improve one’s general skeletal muscle strength by use of gradual increases in resistance using equipment or one’s own body weight
  • Prescribed heart rate zone: is the specific heart rate prescribed to an individual determined as a percentage of one’s maximum heart rate.
The benefits of physical activity

Exercise is a planned and structured activity that involves the movement of limbs and results in the conditioning of various body parts and physical fitness characteristics. It functions as a drug-free approach to tackle a wide range of health conditions such as cardiovascular disease, diabetes, obesity and cancer and aids in overall physical functioning. Health related benefits of exercise is extensive and is especially beneficial for individuals suffering from above mentioned medical conditions.

Among many others, benefits include:
 
  • Decreased blood pressure 
  • Improved cholesterol levels 
  • Improved blood sugar levels 
  • Weight management 
  • Improved exercise thresholds for the onset of chest pain 
  • Increases in physical function and ability 
  • Alleviates feelings of anxiety and depression 
  • Improved self-confidence 
  • Improved sleeping patterns 
  • Decreased dependence on prescribed medical drugs 
  • Increased blood flow and energy levels 
  • Increased bone and muscle strength Exercise recommendations
Exercise recommendations

Many people spend their free time on the couch thus putting themselves at higher risk of developing health related problems. Thus The World Health Organization has set guidelines and recommendations for physical activity.

What types of exercise should I do?

A combination of strength and cardiovascular exercise should be performed on most days of the week.

Strength training can be performed at home or in the gym and includes:
  • Lifting weights
  • Using resistance bands
  • Using your own body weight such as push-ups and sit-ups
  • Gardening such as digging and housework that requires lifting
Cardiovascular / aerobic training can also be performed at home or in the gym and includes:
  • Walking, jogging and running
  • Swimming
  • Cycling
  • Skipping
  • Climbing stairs
Take care not to aggravate your joints by choosing activities that are too advanced or place to much stress on your body. It is better to start with slower, controlled movements such as walking and resistance band exercises.

How often should I be exercising?

Every individual should participate in regular physical activity for a minimum of 150 minutes of moderate intensity cardiovascular activity and 120 minutes of strength training per week.

Class schedule and program compliance

All participants are required to undergo and initial consultation to assess functional capacity and tolerance to exercise. 

Following the initial consultation a number of individual (one on one) sessions may be prescribed.
Thereafter, the participant may be referred into the group program

The program runs for 12 weeks. In order for the participant to gain maximal benefit, it is advised that one attends the classes at least 2-3 times per week.

What to bring?
  • Comfortable exercise clothing such as tracksuit pants, shorts and a t-shirt
  • Exercise shoes
  • A sweat towel
  • A bottle of water
  • Any necessary medication
  • Glucometer and strips (if part of the diabetic program)
Precautions

It is important for the participant to take the following into consideration:
  • Do not exercise if you are feeling unwell or sick.
  • Do not exercise on a full stomach; however make sure you eat a light meal at least 1-2 hours prior to exercising.
  • Start off slowly and know your limitations. Do not exceed your recommendations.
  • Wear the appropriate exercise attire in order to prevent over-heating and injury due to incorrect footwear
  • If you forget to take your medication, please advise your Biokineticist before beginning the class.
  • If at any time you are experiencing chest pain, STOP exercising IMMEDIATELY and advise your Biokineticist. You should not experience any chest pain during or after exercise.
  • STOP exercising if you experience tightness in the chest, breathlessness, feelings of faintness, pain in the joints, feelings of nausea, palpitations and excessive sweating.
Safety:

What should you do if you experience chest pain whilst exercising on your own?

If you are experiencing a tightness of the chest and radiating pain into the neck, face, jaw, arm, back or stomach, STOP exercising. Use your prescribed medication to alleviate the discomfort and contact or visit your doctor immediately.

Basic session structure

Warm up: 10 minutes and is performed before the main exercise. It serves to increase blood flow, warm up muscles and slowly increase heart workload to prepare the body and heart for increased exertion. It consists of any low-level intensity exercise such as a light cycle or walk as well as a few basic stretches.

Session: 30 minutes in duration (unless individually scaled down for specific patients). The main body of the exercise session is to increase the heart rate and physical exertion and comprises of a combination of both aerobic and resistance training exercises.

Cool down: 10 minutes and functions to lower your pace and return the body back to its resting values. It gradually reduces your heart rate and blood pressure and decreases feelings of dizziness and muscle soreness.

How hard should I be working?

It is important that you follow the recommended exercise guidelines and know your exercise limitations. An easy way of measuring your level of exertion is using an effort scale or an RPE scale (rate of perceived exertion), where 1 is rated as easy and 10 is rated as your maximum effort.

Another way of measuring your level of exertion is by using the Talk test. If you are able to carry out a conversation with a slight loss of breath, whilst exercising, then you are exerting yourself at the correct level. If you feel that you are short of breath and battle to talk, then you are working too hard.

Structured eating plan

Diet forms an integral part of achieving one’s health target. We encourage you to fill out a food diary that can be monitored throughout the program. We will issue an eating diary on the program

Exercise diary

Every participant will receive an exercise diary in which the following will be recorded for each session.

Please feel free to make an appointment at any stage to discuss the program or any changes that we need to make to better suit your needs.

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