Comment (1) 150 words references and citation
Health Issues of Middle Age that Exercise can Prevent
Prevalence of the Problem in the US
Health promotion measures you would introduce/ physical exercise you would suggest/ Approach to gain cooperation
Obesity- Obesity is defined by the CDC as having a body mass index of 30 or more. Those with a body mass index of 25.0 to <30 are considered overweight and at-risk for obesity (CDC, 2019).
42.8% of middle-aged adults in the U.S. are obese.
For patients who are already obese, the likelihood that they are getting enough physical activity is low. When developing a health promotion plan, the nurse should include the patient in formulating that plan. Activities should be based upon patient’s current level of fitness. It is not realistic that someone who is already obese would be able to go out and run a mile every day. The Physical Activity Guidelines for Americans recommends starting with low expectations and slowly increasing physical activity as tolerance is built (Department of Health and Human Services, 2018). Activities such as swimming, biking, walking, playing sports and even gardening are good ways to start. If someone’s current health state or physical fitness does not allow for much exercise, it is important to remind them that any activity is better than none. They can start as low as they need to, once their small goals are attained, they move on to bigger ones. They should continue doing this until they can meet the recommendations for physical activity. 150 minutes per week of moderate-intensity aerobic activity is the recommended amount of physical activity for adults (CDC, 2020). Moderate-intensity aerobic activity is any activity that causes an increase in heart rate. Allowing for patient to slowly increase activity over time is a good approach to increase their cooperation.
Diabetes Mellitus Type II- Diabetes is a chronic disease in which your body either does not produce enough insulin which is Type I, or your body’s cells have become resistant to insulin which is Type II. The most common form of Diabetes is Type II. 90-95% of Diabetics are Type II (CDC, 2019).
9.4% of people in the U.S. have Diabetes, 33.9% have prediabetes.
One of the leading risk factors for Type II Diabetes is Obesity. Given that, recommendations the nurse should make for activity to prevent Diabetes Type II are the same as those to someone who is obese. One difference would be the education needed regarding blood sugars. Patient’s with diabetes need to be educated on the effects exercise can have on blood sugar levels and the need to monitor levels more closely when increasing activity levels in order to prevent hypoglycemic episodes. This is extremely important if the patient is utilizing insulin. They may need to plan to exercise during specific times of day depending on how it effects their blood sugar levels (Colberg, 2008).
ReferencesCenters for Disease Control (CDC). (2019, December 23). Diabetes. Retrieved from Centers for Disease Control and Prevention:
Centers for Disease Control and Prevention (CDC). (2019, November 21). Overweight and Obesity. Retrieved from Centers for Disease Control and Prevention:
Centers for Disease Control and Prevention (CDC). (2020, January 9). Physical Activity. Retrieved from Centers for Disease Control and Prevention:
Colberg, S. (2008, December 30). Timing of Exercise and Your Insulin Levels. Retrieved from Diabetes in Control:
Department of Health and Human Services. (2018). Physical Activity Guidelines for Americans. Retrieved from Department of Health and Human Services:
 comment (2) 150 words references citationHealth Issues of Middle Age that Exercise can Prevent
Prevalence of the Problem in the US
Health promotion measures you would introduce/ physical exercise you would suggest/ Approach to gain cooperation
 Type 2 Diabetes Diabetes  have increased as well. In 2017, the CDC reported that more than 100 million Americans have diabetes (CDC, 2017d).
 Type 2 diabetes can be reversed with weight loss and diet modification.
Develop a healthy eating and activity plan
Drinking more water and fewer sugary drinks
Eating more fruits and vegetables
Making favorite foods healthier
Making physical activity more fun
 Hypertension (HTN) Per centre of disease control the prevalence of hypertension has been increased in middle age from 18 to 39 from 7.2% to 33.2%, also the report says that 74 millian people is suffering from hypertension (2020), it is overall 54% that means 1 out of 3 adult does hav HTN
For health promotion and prevention of hypertension i will suggesst my patient that  High blood pressure increases your risk for heart disease and stroke, two leading causes of death in the United States. No matter your age, you can take steps each day to keep your blood pressure in a healthy range.
By living a healthy lifestyle, you can help keep your blood pressure in a healthy range and lower your risk for heart disease and stroke. A healthy lifestyle includes:
Eating a healthy diet.
Maintaining a healthy weight.
Getting enough physical activity.
Not smoking.
Limiting alcohol use.
As an example of health eating habit considers prevent salt on top of the food, try to follow ‘ B ‘ diet that mean baked, boiled, broiled, Also help to eucatate the patient by adding green vegetable, fruit, fibers,in regular basis 
we sould encourage patients to maintain healthy weight by having a healthy choice in eating, early habits of eating, avoid junk food, soda, sweets, oily food.
I would also introduce to manage or prevent HTN is 30-60 minutes of aerobic activity, specifically a brisk walk, 3-4 times a week with a long-term goal of 60 minutes, four time a week.start going to the gym do cardio exercise, running.
quit smoking is also very healpfull in decreasing hypertension rate
Centers for Disease Control and Prevention. (2017d). New CDC report: More than 100 million Americans have diabetes or prediabetes. Retrieved from
center of disease contro and prevention(october 2018) nach data 
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