Researchers are only gradually becoming aware of the gravity of the risk that overweight and obesity pose for children's health. In this article Stephen Daniels documents the heavy toll that the obesity epidemic is taking on the health of the nation's children. He discusses both the immediate risks associated with childhood obesity and the…

Objective: Despite the fact that autonomic nervous system (ANS) abnormalities are commonly found in adults and predict increased cardiovascular mortality, no studies have assessed ANS function in adults with attention-deficit/hyperactivity disorder (ADHD) taking stimulants. Method: This pilot study evaluated ANS function in adults with ADHD in…

The Cardiovascular Fitness and Rehabilitation Program of Sinai Hospital of Detroit implemented an exercise compliance data documentation system in 1984 which is used in its outpatient gymnasium cardiac fitness and rehabilitation program. This documentation system is described. (MT)

Saunas, steam baths, and whirlpools--popular fixtures at health clubs--are safe means of relaxation if used properly. Ignoring the recommendations for moderate, commonsense enjoyment of these baths may expose users to health risks, including sudden death, arrhythmias, and skin infections. A guide to safe use of such baths is presented. (Author/CB)

A 12-week structured rehabilitation program featuring warm-up exercises, increased aerobic exercise, cool down, and home-based continuation of exercise helped 12 children with surgically corrected congenital heart disease improve lower extremity strength and flexibility. (Author/CB)

Followed eight male smokers with chronic pulmonary or cardiac disease through a smoking cessation program of gradual nicotine withdrawal, self-management, and relapse prevention. At one year, half remained abstinent, while relapsers smoked substantially less than before treatment. Reductions in carbon monoxide and thiocyanate levels were…

Tested 73 male inpatients with coronary heart disease on the Defense Mechanisms Inventory, State-Trait Anxiety Inventory, and a perception of health measure. Subjects were followed for five years. Principalization was discovered to be the most successful and projection the least successful defense. (JAC)

Most weight loss among wrestlers is accomplished by a combination of fasting, induced sweating, and reduced fluid intake resulting in dehydration in the final days prior to competition. The effects of acute thermal dehydration on cardiovascular dynamics are related to a reduction in plasma volume. (JN)

Descriptions of the seven most common congenital heart defects occurring in school-age children are offered followed by general precautions and restrictions necessary because of the condition. (JMF)

Runner Jim Fixx wrote a book about running and died young of a heart attack while running. Fixx and other authors believed heart disease resulted from overcivilization and recommended running as a way of life and cure, advising readers to listen to their bodies instead of their doctors. Fixx's adherence to that philosophy explains his behavior…

This article summarizes the current knowledge on the effects of beta-adrenergic blocking drugs, used widely for treatment of cardiovascular diseases, on exercise performance, training benefits, and exercise prescription. (IAH)

A medical model is used to examine liability issues related to cardiac rehabilitation programs. Obtaining effective informed consent from patients, standardizing policies and procedures, and exercise prescription and monitoring are among the proposed elements of a risk management model for developing safe and legally defensible programs. (IAH)

As more and more patients survive a coronary event, the need for cardiac rehabilitation will increase. The author reviews the history and current status of this field and predicts what lies ahead. (JD)

The Patient Learning Styles Questionnaire derived from Canfield and administered to 134 elderly coronary artery disease patients revealed the following order of learning preferences: structure, iconics, listening, direct experience, reading, achievement, affiliation, and eminence. Level of education significantly influenced preferred learning…

Evaluated self-management education program based on self-regulation principles in which older adults (n=324) were randomly assigned to program and control groups. Outcomes were measured using the Sickness Impact Profile. Twelve months after baseline data collection, psychosocial functioning of program participants was significantly better than…