March 2002 Table of Contents
THE PHYSICIAN AND SPORTSMEDICINE - VOL 30 - NO. 3 - MARCH 2002
NEWS AND ANALYSIS
Best of the Literature
Exercise Can Help Reduce Depression in the Elderly
Editor's Notes
will resume next month.
REVIEW ARTICLES
Exercise in Treating Hypertension
Tailoring Therapies for Active Patients
Not only does exercise reduce blood pressure, it also has several other effects—such as reducing insulin resistance—that can decrease health risks in patients who have hypertension. Practical tools, including a physical assessment algorithm and an overview of related medication issues, make it easier for physicians to elicit adherence for powerful exercise benefits.
Jirayos Chintanadilok, MD; David T. Lowenthal, MD, PhD
Evaluating and Treating Exercise-Related Menstrual Irregularities
Though irregular menses is 20 times more common in female athletes, the condition is never normal. Abnormal menses in active young women should trigger a search for other causes of menstrual-cycle disruption, such as pregnancy or thyroid abnormality. Evaluation for the female athlete triad is warranted, along with bone mineral density screening. Hormone replacement therapy is the treatment of choice if training schedules are inflexible, and all patients should be encouraged to boost their calcium intake.
Kimberly G. Harmon, MD
Exercise Training and Parkinson's Disease
Placebo or Essential Treatment?
Though many research questions about exercise and Parkinson's disease remain, it's clear that there are at least modest benefits for physical function and mood. Clinical experience offers useful guidance about cardiac and medication issues, as well as a general exercise prescription that patients are likely to tolerate well and even enjoy.
Iris Reuter, MD; Martin Engelhardt, MD, PhD
FOR YOUR PATIENTS
Patient Adviser
Banking on Strong Bones for Life: Do You Need Calcium Supplements?
Kimberly G. Harmon, MD
CLINICAL PRACTICE
Pearls
C-Spine Motion off the Top of Your Head
READER SERVICE
CME Self Test
This test has expired, but additional CME credit available at http://www.physsportsmed.com/cme.htm
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In an effort to provide information that is scientifically accurate and consistent with accepted standards of medical practice, the editors and publisher of The Physician and Sportsmedicine routinely consult sources believed to be reliable. However, readers are encouraged to confirm this information with other sources. For example and in particular, physicians are advised to consult the prescribing information in the manufacturer's package insert before prescribing any drug mentioned.