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abnormal adults aerobic angina arrhythmias assessment associated atherosclerosis atrial behavior beta blockers blood pressure body fat body weight budget cardiac output cardiovascular cell changes cholesterol cise clinical contraction coronary artery disease coronary heart disease crease decrease detraining diabetes diastolic diet dietary effects electrocardiographic endurance training ercise evaluation exer exercise capacity exercise leader exercise prescription exercise program exercise testing exercise training fatigue fibers FIGURE function goals Guidelines heart rate hypertension important increase individual injuries intake intensity ischemia left ventricular levels lipid lipoprotein maximal measure ment metabolic monitoring muscular myocardial infarction normal obesity occur oxygen participants patients performance peripheral person physical activity Physiol physiologic prevention produce protein rehabilitation response rest risk factors skeletal muscle smoking specific staff strength stress stroke volume studies submaximal symptoms systolic Table therapy tion tissue tive treadmill usually values vascular vasodilation Vo2max