In an effort to reduce deaths and serious injuries among bicyclists, physicians and bicycling organizations are promoting safety skill classes. Children are at especially high risk of accidents and need proper training and education. Helmets and other protective gear are considered crucial equipment, and common sense and alertness are important.…

Disability-related conditions such as bladder problems or pressure sores need not keep people from activity. Although active individuals with disabilities require some specialized management, they mainly need medical care for sports-related cuts, sprains, and strains. Physicians can help remove medical barriers to participation for active…

Reviews possible mechanisms by which exercise lowers blood pressure and discusses research which indicates exercise is an effective therapy for hypertension. The article presents information to help physicians counsel hypertensive patients wanting to start an exercise program and examines the use of exercise testing to predict the onset of…

Exercise can help patients maintain lean body mass during weight loss. Although exercise is not extremely useful in shedding excess pounds, it helps keep off weight lost through calorie restriction. This article discusses the specifics of exercise prescription, types of exercise, motivation to exercise, and special problems such as diabetes. (SM)

Examines the effect of caffeine consumption on fit, healthful lifestyles, discussing its effects on the heart and respiration and noting its psychological effects on some athletes. Moderate caffeine use will not cause problems for most people, but anyone susceptible to its effects (e.g., with arrhythmias) may want to avoid caffeine. (SM)

Discusses the differences between exercise alone and exercise with medication (e.g., diuretics, beta blockers, and ACE inhibitors) for treating hypertensive patients. Guidelines are presented for physicians wanting to change the therapeutic regimen or to step down from medical therapy, noting exercise must always be part of the program. (SM)