Ch 2 Learning Objectives

List the four specific components of the preparticipation evaluation, recommended by the American College of Sports Medicine

• informed consent

• exercise preparticipation screening

• health history

• cardiovascular risk factor analysis

Describe the required components of an informed consent document

Required components:

• purpose and risk associated

• participant may ask questions

• withdrawal at anytime

• efforts made to ensure privacy is protected

Describe the delivery of an informed consent document

Delivery:

• should be completed prior to the collection of any personal or confidential information

• before any form of fitness testing

• exercise participation

Identify signs and symptoms of cardiometabolic diseases

• pain

• shortness of breath

• dizziness or syncope

• tachycardia

Determine if someone requires medical clearance before participating in an exercise program using the ACSM preparticipation screening algorithm

• For individuals who do not participate in regular exercise with no known CV, metabolic, or renal disease medical clearance is not needed. But if there are known CV, metabolic, or renal disease or sign and symptoms of disease medical clearance in recommended

• For individuals who do participate in regular exercise with no known CV, metabolic, or renal disease medical clearance is not needed. Medical clearance if only need if there are any sign or symptoms of CV, metabolic, or renal disease.

Define light PA in terms of METs, %HRR and %VO2R, and RPE

2-2.9METs, 30-39% of %HHR or %VO2R, RPE 9-11

Define moderate PA in terms of METs, %HRR and %VO2R, and RPE

3-5.9METs, 40-59% of %HHR or %VO2R, RPE 12-13

Define vigorous PA in terms of METs, %HRR and %VO2R, and RPE

>6 METS, >60% of %HHR or %VO2R, RPE >14

Positive cardiovascular disease (CVD) risk factor: AGE

Men > 45 and women >55

Positive cardiovascular disease (CVD) risk factor: BLOOD GLUCOSE

Fasting plasma glucose >100mg

Positive cardiovascular disease (CVD) risk factor: LIPIDS

LDL-C >130mg, HDL-C <40mg, Total cholesterol >200mg

Positive cardiovascular disease (CVD) risk factor: BLOOD PRESSURE

systolic blood pressure >130mmHg or diastolic > 80 mmHg

Positive cardiovascular disease (CVD) risk factor: BMI / WAIST CIRCUFERENCE

BMI of >30kg or men waist >40in and female >35in

Positive cardiovascular disease (CVD) risk factor: PHYSICAL INACTIVITY

not meeting 150-300 moderate or 75 -150 vigorous

Positive cardiovascular disease (CVD) risk factor: FAMILY HISTORY

myocardial infarction, or sudden death before 55 in father or male first-degree relative or before 65 in mother or first degree relative

Positive cardiovascular disease (CVD) risk factor: CIGARETTE SMOKING

Current smoking or who have quite within the last 6 months or environmental tobacco exposure

List and describe the negative cardiovascular disease (CVD) risk factors

HDL-C: >60mg

Classify blood pressure as normal on the ACC/AHA criteria for adults

<120/<80

Classify blood pressure as elevated on the ACC/AHA criteria for adults

SBP:120-129 and DBP: <80

Classify blood pressure as stage 1 hypertension on the ACC/AHA criteria for adults

SBP: 130-139 and DBP: 80-89

Classify blood pressure as stage 2 hypertension on the ACC/AHA criteria for adults

>140/>90

Health screening finds individuals at risk for exercise-related CV events are:

• individuals that need

  • clearance for moderate to vigorous exercise or increases in intensity

  • require participation in a supervised exercise program

  • cannot participate in an exercise program until condition improves

How to identify higher-risk individuals using ACSM preparation screening algorithm by:

• current PA participation level

• presence of sign or symptom and known CV, metabolic, or renal disease

• anticipated or desired exercise intensity