Ch. 1 Health screening and risk assessment

Why would a health questionnaire be useful?

Questionnaires help to collect data and create a basis for clients prior physical activity history

Preliminary Health screening forms

Informed consent
Par-Q
Medical History Questionnaire
Lifestyle evaluation
Exercise pre participation health screening form

Preliminary minimum health screening

Administer Par-Q+
Detects presence/suggestion of disease
Assesses likelihood of an unexpected cardiovascular problem from PA
Evaluates exercise pattern the past 3 months
Identifies signs and symptoms of key disease classifications
Figures out if we need medical clearance

informed consent

"Contract" made with client
Requires signature from client or client's parent/guardian
May become legal document

What does an informed consent form describe

Procedures
Risks
Benefits
Confidentiality
Voluntary Participation

Par-Q+

Seven yes/no health questions
Yes answers require follow up questions
Yes answers to follow up questions require medical professional help

Eparmed-X+

May be completed individually or with exercise professional
Results determine clearance to participate or suggestions while waiting for medical clearance

Medical History Questionnaire

Helps understand personal and family medical histories
Identifies previous diagnoses and symptoms of diseases within the past year
Determines need for medical clearance
Identifies contraindications of exercise testing

Contraindications

Reasons why one shouldn't exercise

Absolute contraindications

No exercise at all "ABSOLUTELY not"

Relative contraindications

Red flag or grey area, proceed with caution when moving into PA

What to look for on medical history questionnaires

Clients history of illness, surgery, and hospitalization
Identifies signs and symptoms of disease or previous diagnosis
Notes family history of CHD risk factors
Drugs that might affect exercise capacity (medications that control heart rate)
Contraindications to exercise testing

Lifestyle evaluation

Clients living habits
Daily behavior patterns
Barriers to physical activity

Lifestyle barriers

Smoking
Drinking
Nutrition
Occupation
Sleeping patterns
PA enjoyment
Family
Stress levels
Travel

Modifiable Coronary risk factors

Cigarette smoking
Hypertension
Diabetes
Dyslipidemia
Obesity
Sedentary lifestyle

Unchangeable coronary risk factors

Age
Family history

Disease risk classification

Low: Asymptomatic and

Who should take a medical exam before starting an exercise program?

Men >45 Y or women >55 Y
Anyone with >2 risk factors
Anyone with symptoms of disease
Anyone with known disease

Disease risk classification

Based on current exercise habits and signs of 3 diseases
- Cardiovascular
- Renal
- Metabolic

New guidelines of disease risk classification

Individuals current level of structured physical activity
Any known disease
The presence of major signs or symptoms suggest of cv, metabolic, or renal diseases
The desired exercise intensity

Steps to evaluate client for PA

1. Current exercise (3 months)
2. Known disease
3. Signs and symptoms
4. Exercise intensity

Signs and symptoms

Pain/discomfort in the chest, neck, jaw, arms, or other areas that may result from ischemia
Shortness of breath at rest or with mild exertion
Dizziness or syncope
Orthopnea (difficulty breathing while lying down)
Ankle edema
Palpations or tachycardia
Intermittent claudication (pain in legs)
Known heart murmur
Unusual fatigue or shortness of breath with usual activities (walking, going up stairs, etc.)