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The Impact of Clinical Exercise Physiologists on Health and Wellbeing
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The Impact of Clinical Exercise Physiologists on Health and Wellbeing

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Exercise and Health".

Deadline for manuscript submissions: closed (28 February 2021) | Viewed by 23813

Special Issue Editor

Dr. Lynette Hodges

E-Mail Website
Guest Editor
School of Sport, Exercise and Nutrition, Massey University, Palmerston North 4442, New Zealand
Interests: clinical exercise physiology

Special Issue Information

Dear Colleagues,

The clinical exercise physiologist is an allied health profession that uses structured, evidence-based, and supervised exercise to treat patients with a wide range of long-term medical conditions. The health gains for many patients are hugely significant. It is important to ensure that clinical exercise physiologists are applying the best practice to those with chronic conditions that enables patients to have a significant shift in improving and managing their health. This editorial will examine exercise as an important aspect of staying well and managing individuals’ health and well-being. Important articles in this area will address the cost–benefit of services that clinical exercise physiologists may offer.

Dr. Lynette Hodges
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • clinical exercise physiology
  • chronic conditions
  • health and wellbeing

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Published Papers (3 papers)

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Research

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10 pages, 2519 KiB  
Article
Effects of Post-Exertional Malaise on Markers of Arterial Stiffness in Individuals with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
by Joshua Bond, Tessa Nielsen and Lynette Hodges
Int. J. Environ. Res. Public Health 2021, 18(5), 2366; https://doi.org/10.3390/ijerph18052366 - 28 Feb 2021
Cited by 13 | Viewed by 9436
Abstract
Background: Evidence is emerging that individuals with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) may suffer from chronic vascular dysfunction as a result of illness-related oxidative stress and vascular inflammation. The study aimed to examine the impact of maximal-intensity aerobic exercise on vascular function 48 [...] Read more.
Background: Evidence is emerging that individuals with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) may suffer from chronic vascular dysfunction as a result of illness-related oxidative stress and vascular inflammation. The study aimed to examine the impact of maximal-intensity aerobic exercise on vascular function 48 and 72 h into recovery. Methods: ME/CFS (n = 11) with gender and age-matched controls (n = 11) were randomly assigned to either a 48 h or 72 h protocol. Each participant had measures of brachial blood pressure, augmentation index (AIx75, standardized to 75 bpm) and carotid-radial pulse wave velocity (crPWV) taken. This was followed by a maximal incremental cycle exercise test. Resting measures were repeated 48 or 72 h later (depending on group allocation). Results: No significant differences were found when ME/CFS were directly compared to controls at baseline. During recovery, the 48 h control group experienced a significant 7.2% reduction in AIx75 from baseline measures (p < 0.05), while the matched ME/CFS experienced no change in AIx75. The 72 h ME/CFS group experienced a non-significant increase of 1.4% from baseline measures. The 48 h and 72 h ME/CFS groups both experienced non-significant improvements in crPWV (0.56 ms−1 and 1.55 ms−1, respectively). Conclusions: The findings suggest that those with ME/CFS may not experience exercise-induced vasodilation due to chronic vascular damage, which may be a contributor to the onset of post-exertional malaise (PEM). Full article
(This article belongs to the Special Issue The Impact of Clinical Exercise Physiologists on Health and Wellbeing)
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11 pages, 334 KiB  
Article
The Effect of the COVID-19 Pandemic Movement Restrictions on Self-Reported Physical Activity and Health in New Zealand: A Cross-Sectional Survey
by Rebecca M. Meiring, Silmara Gusso, Eloise McCullough and Lynley Bradnam
Int. J. Environ. Res. Public Health 2021, 18(4), 1719; https://doi.org/10.3390/ijerph18041719 - 10 Feb 2021
Cited by 29 | Viewed by 6004
Abstract
This study describes self-reported physical activity (PA), motivation to exercise, physical and mental health and feelings towards PA during the March-May 2020 COVID-19 lockdown in New Zealand. Adults over the age of 18 years (n = 238; 80.2% female) completed the International Physical [...] Read more.
This study describes self-reported physical activity (PA), motivation to exercise, physical and mental health and feelings towards PA during the March-May 2020 COVID-19 lockdown in New Zealand. Adults over the age of 18 years (n = 238; 80.2% female) completed the International Physical Activity Questionnaire (IPAQ), the Behavioural Regulation in Exercise Questionnaire 3, the Short Form-36 and open-ended questions about PA through an anonymous online survey. Regular exercise was undertaken by 85% of respondents prior to lockdown, but only 49.8% were able to maintain their usual level of PA. Although respondents were considered sufficiently physically active from the IPAQ, 51.5% reported not being able to maintain their usual level of PA primarily due to the closure of their gym facilities. Sixty percent of respondents reported that PA had a positive effect on their overall wellbeing. When asked to specify which aspects of wellbeing were affected, the effect on mental health was reported the most while the effect on body image or fitness was reported the least. Strategies to increase or maintain engagement in physical activity during lockdowns should be encouraged to promote positive mental health during the COVID-19 pandemic. Full article
(This article belongs to the Special Issue The Impact of Clinical Exercise Physiologists on Health and Wellbeing)

Review

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13 pages, 346 KiB  
Review
The Role of the Clinical Exercise Physiologist in Reducing the Burden of Chronic Disease in New Zealand
by Amy Pearce and Glynis Longhurst
Int. J. Environ. Res. Public Health 2021, 18(3), 859; https://doi.org/10.3390/ijerph18030859 - 20 Jan 2021
Cited by 6 | Viewed by 7615
Abstract
Clinical exercise physiologists (CEPs) specialize in managing long-term, non-communicable health conditions using scientific rehabilitative exercise prescription, which alleviates the burden of these conditions on health care systems. This is evident, particularly in Australia (AUS), where they are registered as health care workers. CEPs [...] Read more.
Clinical exercise physiologists (CEPs) specialize in managing long-term, non-communicable health conditions using scientific rehabilitative exercise prescription, which alleviates the burden of these conditions on health care systems. This is evident, particularly in Australia (AUS), where they are registered as health care workers. CEPs have been shown to reduce the physical burden of long-term conditions on populations and the economic load that these place on national health departments. This article aims to evidence the effectiveness of CEPs in Noncommunicable Disease (NCD) rehabilitation, the cost-effectiveness of supervised exercise prescription for various NCDs by CEPs in AUS, and related cost-effectiveness New Zealand (NZ) burden of disease. This article highlights the important role NZ. CEPs can play in reducing chronic disease cost if given the same opportunities as Australian CEPs within NZ’s health care system. Full article
(This article belongs to the Special Issue The Impact of Clinical Exercise Physiologists on Health and Wellbeing)
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