Chronic degenerative diseases constitute one of the main causes of death at a global level, and their significant increase has alerted many countries, which are taking measures to reduce risk factors, some of which are modifiable; being the regular exercise a means of prevention and rehabilitation of these diseases. The objective of this revision is to analyze the necessary parameters to take into account for the prescription of an exercise program in patients with obesity, high blood pressure dyslipidemia and diabetes mellitus type 2.273379386Kandula, N.R., Lauderdale, D.S., Leisure time, non-leisure time, and occupational physical activity in Asian Americans (2005) Ann Epidemiol., 15 (4), pp. 257-265Abegunde, D.O., Mathers, C.D., Adam, T., Ortegon, M., Strong, K., The burden and costs of chronic diseases in low-income and middle-income countries (2007) Lancet., 370 (9603), pp. 1929-1938Yach, D., Hawkes, C., Gould, C.L., Hofman, K.J., The global burden of chronic diseases: Overcoming impediments to prevention and control (2004) JAMA., 291 (21), pp. 2616-2622Primary prevention of coronary heart disease (1984) Euro Reports and Studies, 98. , World Health Organization (WHO), Anacapri: WHOLim, S.S., Gaziano, T.A., Gakidou, E., Reddy, K.S., Farzadfar, F., Lozano, R., Prevention of cardiovascular disease in highrisk individuals in low-income and middle-income countries: Health effects and costs (2007) Lancet., 370 (9604), pp. 2054-2062Lawes, C.M., Vander, H.S., Rodgers, A., International Society of Hypertension. Global burden of blood-pressurerelated disease, 2001 (2008) Lancet., 371 (9623), pp. 1513-1518Kanavos, P., The rising burden of cancer in the developing world (2006) Ann Oncol., 17 (SUPPL. 8), pp. viii15-viii23van Dieren, S., Beulens, J.W., van der Schouw, Y.T., Grobbee, D.E., Neal, B., The global burden of diabetes and its complications: An emerging pandemic (2010) Eur J Cardiovasc Prev Rehabil., 17 (SUPPL. 1), pp. S3-S8Pauwels, R.A., Rabe, K.F., Burden and clinical features of chronic obstructive pulmonary disease (COPD) (2004) Lancet., 364 (9434), pp. 613-620Mathers, C.D., Loncar, D., Projections of global mortality and burden of disease from 2002 to 2030 (2006) PLoS Med., 3 (11), pp. e442New criteria for 'obesity disease' in Japan (2002) Circ J., 66 (11), pp. 987-992. , E xamination Committee of Criteria for 'Obesity Disease' in Japan, Japan Society for the Study of Obesity(2000) Guidelines for Exercise Testing and Prescription., , American College of Sports Medicine (ACSM), 6th ed. Philadelphia: Lippincort Willians & WilkinsWatson, L., Ellis, B., Leng, G.C., Exercise for intermittent claudication (2008) Cochrane Database Syst Rev., (4), pp. CD000990Gardener, A.W., Poehlman, E.T., Exercise rehabilitation programs for the treatment of claudication pain. A metaanalysis (1995) JAMA., 274 (12), pp. 975-980Mannarino, E., Pasqualini, L., Menna, M., Maragoni, G., Orlandi, U., Effects of physical training on peripheral vascular disease: A controlled study (1989) Angiology., 40 (1), pp. 5-10Pena, C.S., McCauley, T.R., Price, T.B., Sumpio, B., Gusberg, R.J., Gore, J.C., Quantitative blood flow measurements with cine phase-contrast MR imaging of subjects at rest and after exercise to assess peripheral vascular disease (1996) AJR., 167 (1), pp. 153-157Gillison, F.B., Skevington, S.M., Sato, A., Standage, M., Evangelidoud, S., The effects of exercise interventions on quality of life in clinical and healthy populations: A metaanalysis (2009) Soc Sci Med., 68 (9), pp. 1700-1710Stopka, C., Wolper, R., Scott, K., Seeger, J., Ballinger, R., Graves, J., Pain-free exercise training for people with peripheral vascular disease? (1998) Spring., 14 (2), pp. 20-24Pate, R.R., Pratt, M., Blair, S.N., Haskell, W.L., Macera, C.A., Bouchard, C., Physical activity and public health: A recommendation from the centers for disease control and prevention and the American College of Sports Medicine (1995) JAMA., 273 (5), pp. 402-407Shephard, R.J., Physical activity, fitness and health: The current consensus (1995) Quest., 47 (3), pp. 288-303Blair, S.N., C.H. McCloy Research Lecture: Physical activity, physical fitness, and health (1993) Res Q Exerc Sport., 64 (4), pp. 365-376Berlin, J.A., Colditz, G.A., A meta-analysis of physical activity in the prevention of coronary heart disease (1990) Am J Epidemiol., 132 (4), pp. 612-628Ignarro, L.J., Balestrieri, M.L., Napoli, C., Nutrition, physical activity, and cardiovascular disease: An update (2007) Cardiovasc Res., 73 (2), pp. 326-340Topp, R., Morgan, A.L., Fahlman, M., McNevin, N., Exercise and functional tasks among adults who area functionally limited (2005) West J Nurs Res., 27 (3), pp. 252-270Blair, S.N., Horton, E., Leon, A.S., Lee, I.M., Drinkwater, B.L., Dishman, R.K., Physical activity, nutrition, and chronic disease (1996) Med Sci Sports Exerc., 28 (3), pp. 335-349III Diretrizes brasileiras sobre dislipidemias e diretriz de prevenção da aterosclerose do departamento de aterosclerose da Sociedade Brasileira de Cardiologia (2001) Arq Bras Cardiol., 77 (SUPPL. 3), pp. 1-48. , de Cardiologia Sociedade BrasileiraLerario, D.D.G., Gimeno, S.G., Franco, L.J., Lunes, M., Ferreira, S.R., Grupo de Estudo de Diabetes na Comunidade Nipo- Brasileira. Excesso de peso e gordura abdominal para a síndrome metabólica em nipo-brasileiros (2002) Rev Saúde Pública., 36 (1), pp. 4-11Monteiro, C.A., Conde, W.L., Matsudo, S.M., Matsudo, V.R., Bonseñor, I.M., Lotufo, P.A., A descriptive epidemiology of leisure-time physical activity in Brazil, 1996-1997 (2003) Rev Panam Salud Publica., 14 (4), pp. 246-253Ramos-Gordillo, A., (2003) Actividad Física E Higiene Para La Salud., , Gran Canaria: Universidad Las PalmasMcArdle, W.D., Katch, F.I., Katch, V.L., (1998) Fisiologia Do Exercício: Energia, Nutrição E Desempenho Humano., , 4ta ed. Rio de Janeiro: Ed. Guanabara KooganPollock, M.L., Wilmore, J.H., (1993) Exercício Na Saúde E Na Doença: Avaliação E Prescrição Para Prevenção E Reabilitação., , 2da ed. São Paulo: MEDSIAshe, M.C., Khan, K.M., Exercise prescription (2004) J Am Acad Orthop Surg., 12 (1), pp. 21-27Guedes, D., Guedes, J., (1998) Controle do peso corporal: Composição corporal, atividade física e nutrição., , Londrina: MidiografVasconcelos-Raposo, A., Planificación y organización del entrenamiento deportivo (2005) Barcelona: Editorial PaidotriboGeorge, J., Fisher, A., Vehrs, P., (1996) Test y pruebas físicas, , Barcelona: Editorial PaidotriboEgusa, G., Watanabe, H., Ohshita, K., Fujikawa, R., Yamane, K., Okubo, M., Influence of the extent of westernization of lifestyle on the progression of preclinical atherosclerosis in Japanese subjects (2002) J Atheroscler Thromb., 9 (6), pp. 299-304Fujita, K., Takahashi, H., Miura, C., Ohkubo, T., Sato, Y., Ugajun, T., Walking and mortality in Japan: The Miyagi Cohort Study (2004) J Epidemiol., 14 (SUPPL. 1), pp. S26-S32Thompson, P.D., Buchner, D., Pina, I.L., Balady, G.J., Williams, M.A., Marcus, B.H., Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: A statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity) (2003) Circulation., 107 (24), pp. 3109-3116. , Jun 24(1987) Guía para teste de esforco e prescricao de ejercicio, , Rio De JaneiroACSM, 3ra ed, American College of Sports Medicine (ACSM)Madureira, A., Madureira, J., Prescrição do exercício físico e combate ao estresse (2000) Caderno De Educação., 1 (2), pp. 67-85Williams, M.A., Haskell, W.L., Ades, P.A., Amsterda, E.A., Bittner, V., Franklin, B.A., Resistance exercise in individuals with and without cardiovascular disease: 2007 update: A scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism (2007) Circulation., 116 (5), pp. 572-584Guedes, D., Guedes, J., (1995) Exercício físico na promoção da saúde., , Londrina: MidiografHouston, M.E., Froese, E.A., Valeriote, S.P., Green, H.J., Ranney, D.A., Muscle performance, morphology and metabolic capacity during strength training and detraining: A one leg model (1983) Eur J Appl Physiol Occup Physiol., 51 (1), pp. 25-35Feigenbaum, M.S., Pollock, M.L., Strength training: Rationale for current guidelines for adult fitness programs (1997) Phys Sportsmed., 25 (2), pp. 44-63Shrier, I., Stretching before exercise does nor reduce the risk of local muscle injury: A critical review of the clinical and basic science literature (1999) Clin J Sport Med., 9 (4), pp. 221-227Rennie, K.L., McCarthy, N., Yazdgerdi, S., Marmot, M., Brunner, E., Association of the metabolic syndrome with both vigorous and moderate physical activity (2003) Int J Epidemiol., 32 (4), pp. 600-606Lakka, T.A., Laaksonem, D.E., Laaka, H.M., Männikö, N., Niskanen, L.K., Raumramaa, R., Sedentary lifestyle, poor cardiorespiratory fitness, and the metabolic syndrome (2003) Med Sci Sports Exerc., 35 (8), pp. 1279-1286Paffenbarger, R.S., Jung, D.L., Leung, R.W., Hyde, R.T., Physical activity and hypertension: An epidemiological view (1991) Ann Med., 23 (3), pp. 319-327Jakicic, J.M., Clark, K., Coleman, E., Donnelly, J.E., Foreyt, J., Melanson, E., American College of Sports Medicine position stand. Appropriate intervention strategies for weight loss and prevention of weight regain for adults (2001) Med Sci Sports Exerc., 33 (12), pp. 2145-2156Bessesen, D., Update on obesity (2008) J. Clin Endocrinol Metab., 93 (6), pp. 2027-2034Gustat, J., Srinivasan, S.R., Elkasabany, A., Berenson, G.S., Relation of self-rated measures of physical activity to multiple risk factors of insulin resistance syndrome in young adults: The Bogalusa Heart study (2002) J Clin Epidemiol., 55 (10), pp. 997-1006Grundy, S.M., Nutrition and diet in the management of hyperlipidemia and atherosclerosis (1998) Modern Nutrition in Health and Disease., pp. 1199-1216. , In: Shils ME, Olson JA, Shike M, Ross AC, 9th ed. Baltimore: Williams & WilkinsKris-Etherton, P.M., Yu-Poth, S., Sabaté, J., Ratcliffe, H.E., Zhao, G., Etherton, T.D., Nuts and their bioactive constituents: Effects on serum lipids and other factors that affect disease risk (1999) Am J Clin Nutr., (3 SUPPL.), pp. 504S-511SCastelli, W.P., Epidemiology of coronary heart disease: The Framingham study (1984) Am J Med., 76 (2 A), pp. 4-12Scarsella, C., Después, J.P., Tratamiento de la obesidad: Necesidad de centrar la atención en los pacientes de alto riesgo caracterizados por la obesidad abdominal (2003) Cad Saúde Pública., 19 (SUPPL. 1), pp. 57-59Thomas, T.R., la Fontaine, T., Exercise and lipoproteins (1998) ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription., pp. 294-301. , American College of Sports Medicine, 3rd ed. Baltimore: Williams & WilkinsEvans, W.J., Cyr-Campbell, D., Nutrition, exercise, and healthy aging (1997) J Am Diet Assoc., 97 (6), pp. 632-638Durstine, J.L., Haskell, W.L., Effects of exercise training on plasma lipids and lipoproteins (1994) Exerc Sport Sci Rev., 22, pp. 477-521Eriksson, J., Taimela, S., Koivisto, V.A., Exercise and the metabolic syndrome (1997) Diabetologia., 40 (2), pp. 125-135Physical activity/exercise and diabetes mellitus (2003) Diabetes Care., 26 (SUPPL. 1), pp. s73-s77. , American Diabetes AssociationLampman, R.M., Schteingart, D.E., Effects of exercise training on glucose control, lipid metabolism, and insulin sensitive in hypertriglyceridemia and non-insulin dependent diabetes mellitus (1991) Med Sci Sports Exerc., 23 (6), pp. 703-712Silva, J.L.L., Souza, S.L., Fatores de risco para hipertensão arterial sistêmica versus estilo de vida docente (2004) Revista Eletrônica De Enfermagem., 6 (3), pp. 330-335Dickinson, H.O., Mason, J.M., Nicolson, D.J., Campbell, F., Beyer, F.R., Cook, J.V., Lifestyle interventions to reduce raised blood pressure: A systematic review of randomized controlled trials (2006) J Hypertens., 24 (2), pp. 215-233Ciolac, E., Guimaraes, G., Exercício físico e síndrome metabólica (2004) Rev Bras Med Esporte., 10 (4), pp. 319-324Whelton, S.P., Chin, A., Xin, X., He, J., Effects of aerobic exercise on blood pressure: A meta-analysis of randomized, controlled trials (2002) Ann Intern Med., 136 (7), pp. 493-503Ciolac, E.G., Morgado, C.O., Bortoloto, L.A., Doria, E., Bernik, M., Lotufo, P.A., Exercício intervalado é melhor que exercício contínuo para diminuir pressão arterial 24 horas pós-exercício em hipertensos (2003) Rev Soc Cardiol Est São Paulo., 13 (2 SUPPL.), p. 48Kelley, D.E., Goodpaster, B.R., Effects of physical activity on insulin action and glucose tolerance in obesity (1999) Med Sci Sports Exerc., 31 (11 SUPPL.), pp. S619-S623Stewart, K.J., Exercise and hypertension (1998) ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription, pp. 275-287. , American College of Sports Medicine, 3rd ed. Baltimore: Williams & WilkinsDiagnosis and classification of diabetes mellitus (2005) Diabetes Care., 28 (SUPPL. 1), pp. S37-S42. , American Diabetes AssociationRibeiro, R.A., Soares, E., Meirelles, C., Nutrição e exercício na prevenção e controle das doenças cardiovasculares (2002) Rev Bras Med Esporte., 8 (6), pp. 244-254Manson, J.E., Nathan, D.M., Krolewski, A.S., Stampfer, M.J., Willett, W.C., Hennekens, C.H., A prospective study of exercise and incidence of diabetes among US male physicians (1992) JAMA., 268 (1), pp. 63-67Tuomilehto, J., Lindström, J., Eriksson, J.G., Valle, T.T., Hämäläinen, H., Ilanne-Parikka, P., Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose intolerance (2001) N Engl J Med., 344 (18), pp. 1343-1350Hanson, P., Pathophysiology of chronic diseases and exercise training (1993) ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription., pp. 187-196. , American College of Sports Medicine, 2nd ed. Philadelphia: Lea & Febiger(2002) The Scientific Basis for Diet, Nutrition and The Prevention of Type 2 Diabetes., pp. 1-53. , World Health Organization, Geneva: WHO/FAOZinman, B., Ruderman, N., Campaigne, B.N., Devlin, J.T., Schneider, S.H., Diabetes mellitus and exercise (1997) Med Sci Sports Exerc., 29 (12), pp. 1-6Hootman, J.M., Macera, C.A., Ainsworth, B.E., Addy, C.L., Martin, M., Blair, S.N., Epidemiology of muscleskeletal injuries among sedentary and physically active adults (2002) Med Sci Sports Exerc., 34 (5), pp. 838-844Sutton, A., Muir, K., Mockett, S., Fentem, P., A case-control study to investigate the relation between low and moderate levels of physical activity and osteoarthritis of the knee using data collected as part of the Allied Dunbar National Fitness Survey (2001) Ann Rheum Dis., 60 (8), pp. 756-764Thompson, P.D., Funk, E.J., Carleton, R.A., Sturner, W.Q., Incidence of death during jogging in Rhode Island from 1975 through 1980 (1982) JAMA., 247 (18), pp. 2535-2538Siscovick, D., Weiss, N.S., Fletcher, R.H., Lasky, T., The incidence of primary cardiac arrest during vigorous exercise (1984) N Engl J Med., 311 (14), pp. 874-877Mittleman, M.A., Maclure, M., Tofler, G.H., Sherwood, J.B., Goldberg, R.J., Muller, J.E., Triggering of acute myocardial infarction by heavy physical exertion. Protection against triggering by regular exertion. Determinants of Myocardial Infarction Onset Study Investigators (1993) N Engl J Med., 329 (23), pp. 1677-1683Giri, S., Thompson, P.D., Kiernan, F.J., Clive, J., Fram, D.B., Mitchel, J.F., Clinical and angiographic characteristics of exertion-related acute myocardial infarction (1999) JAMA., 282 (18), pp. 1731-1736