1. American College of Sports Medicine, (1997). ACSM's exercise management for persons with chronic diseases and disabilities. Champaign, Illinois: Human Kinetics Publishers.


2. Leon AS. Varies per chapter, (1997). National Institutes of Health. Physical activity and cardiovascular health. A national consensus.. Champaign, IL: Human Kinetics.


3. U. S. Department of Health and Human Services., (2000). Healthy People 2010.. Washington , DC:


4. Oja, P., & Tuxworth, B., (1995). Eurofit for Adults. Assessment of Health Related Fitness. Tampere, Finland: Councils of Europe.


5. Rimmer, J.H., (1994). Fitness and Rehabilitation Programs for Persons with Mental Retardation. New York: WCB McGraw-Hill.

1. Rimmer JH, (1992). Cardiovascular Fitness Programming for Adults with Mental Retardation: Translating Research Into Practice Adapted Physical Activity Quarterly. 9(3), 237-248.


2. Rimmer JH, Kelly LE, (1991). Effects of a Resistance Training Program on Adults with Mental Retardation Adapted Physical Activity Quarterly. 8(2), 146-153.


3. Rimmer J.H., Braddock, D., & Fujiura, G., (1992). Blood lipid and percent body fat levels in down syndrome versus non-DS persons with mental retardation Adapted Physical Activity Quarterly. 9(2), 123-129.


4. Huang Y, Macera CA, Blair SN, Brill PA, Kohl HW, Kronenfeld JJ, (1998). Physical fitness, physical activity, and functional limitation in adults aged 40 and older Medicine and Science in Sports and Exercise. 9(30), 1430.


5. Fernhall B, Pitetti KH, Vukovich MD, Stubbs N, Hensen T, Winnick JP, Short FX, (1998). Validation of cardiovascular fitness field tests in children with mental retardation American Journal on Mental Retardation. 102(6),


6. Felix M, (1998). Bone mineral density, body composition, and muscle strength in premenopausal women with mental retardation Adapted Physical Activity Quarterly. 15(4), 345-356.


7. Fernhall B, Pitetti KH, Rimmer JH, McCubbin JA, Rintala P, Millar AL, Kittredge J, Burkett LN, (1996). Cardiorespiratory capacity of individuals with mental retardation including Down syndrome Medicine and Science in Sports and Exercise. 28(3), 366-371.


8. Anchuthengil, J.D., Nielsen, D.H., Schulenburg, J., Hurst, R., & Davis, M.J., (1992). Effects of an individualized treadmill exercise training program on cardiovascular fitness of adults with mental retardation JOSPT: Journal of Orthopaedic and Sports Physical Therapy. 16(5), 220-228.


9. Frey B., & Rimmer, J.H., (1995). Comparison of body composition between German and American adults with mental retardation Medicine and Science in Sports and Exercise. 27(10), 1439-1443.


10. Croce RV, (1990). Effects of exercise and diet on body composition and cardiovascular fitness in adults with severe mental retardation Education & Training in Mental Retardation. 25(2),


11. Lakka T.A., Venalainen, J.M., Rauramaa, R., Salonen, R., Tuomilehto, J., & Salonen, J.T., (1994). Relation of Leisure-Time Physical Activity and Cardiorespiratory Fitness to the Risk of Acute Myocardial Infarction New England Journal of Medicine. 330, 1549-1554.


12. Pitetti KH, Campbell KD, (1991). Mentally retarded individuals--a population at risk? Medicine and Science in Sports and Exercise. 23(5), 586-593.


13. Pitetti K.H., & Boneh, S., (1995). Cardiovascular fitness as related to leg strength in adults with mental retardation Medicine and Science in Sports and Exercise. 27(3), 423-428.


14. Pitetti, K.H., Rimmer, J.H., Fernhall, B., (1993). Physical fitness and adults with mental retardation. An overview of current research and future directions Sports Medicine. 16(1), 23-56.


15. Taylor, W.C., Baranowski, T., & Young, D.R., (1998). Physical Activity Interventions in Low-Income, Ethnic Minority, and Populations with Disability American Journal of Preventative Medicine. 15(4), 334-343.


16. Borg, G.A., (1982). Psychophysical Bases of Perceived Exertion Medicine and Science in Sports and Exercise. 14, 377-381.


17. Caspersen, C.J., Powell, K.E., & Christenson, G.M., (1985). Physical Activity, Exercise, and Physical Fitness: Definitions and Distinctions for Health-Related Research. Public Health Reports. 100, 126-131.


18. Center, J., Beange, H., & McElduff, A., (1998). People with Mental Retardation Have an Increased Prevalence of Osteoporosis: A Population Study American Journal of Mental Retardation. 103, 19-28.


19. Hoge, G., & Dattilo, J., (1995). Recreation Participation Patterns of Adults with and without Mental Retardation Education and Training in Mental Retardation and Developmental Disabilities. 30, 283-298.


20. Kuczmarski, R.J., (1992). Prevalence of Overweight and Weight Gain in the United States. American Journal of Clinical Nutrition. 55, 495S-502S.


21. Paffenbarger, R.S., Wing, A.L., & Hyde, R.T., (1978). Physical Activity as an Index of Heart Attach Risk in College Alumni American Journal of Epidemiology. 108, 161-175.


22. Pate, R.R., (1988). The Evolving Definition of Physical Fitness Quest. 40, 174-179.


23. Pate, R.R., Blair, S.N., Pratt, M., (1995). Physical Activity and Public Health. A Recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine Journal of the American Medical Association. 273, 402-407.


24. Rimmer, J.H., Braddock, D., & Fujiura, G., (1994). Cardiovascular Risk Factor Levels in Adults with Mental Retardation American Journal of Mental Retardation. 98, 510-518.


25. Rimmer, J.H., Braddock, D., & Marks, B., (1995). Health Characteristics and Behaviors of Adults with Mental Retardation Residing in Three Living Arrangments Research in Developmental Disabilities. 16, 489-499.


26. Rubin, S.S., Rimmer, J.H., Chicoine, B., Braddock, D., & McGuire, D.E., (1998). Overweight Prevalence in Persons with Down Syndrome Mental Retardation. 36, 175-181.


27. Sandvik, L., Erikssen, J., Thaulow, E., Erickssen, G., Mundal, R., & Rodahl, K., (1993). Physical Fitness as a Predictor of Mortality Among Healthy Middle-Aged Norwegian Men. New England Journal of Medicine. 228, 533-537.

1. U.S. Department of Health and Human Services, (1996). Physical Activity and Health. A Report of the Surgeon General.