Preliminary Health Screening and Risk Classification

These flashcards cover key concepts from the lecture on preliminary health screening and risk classification, essential for understanding health evaluations related to physical activity.

What is the purpose of a Preliminary Health Evaluation?

To detect the presence of disease and assess the likelihood of unexpected cardiovascular events related to exercise or physical activity.

What should a Pre-screening assess?

Demographic information, past health-related information, basal levels (HR, resting BP, weight, height), and determine needs.

What is the role of Pre-activity Screening?

To exclude individuals from exercise based on contraindications and to ensure medical evaluation before exercise.

What does a Comprehensive Health Evaluation include?

PAR-Q, coronary risk factor profile, medical history questionnaire, lifestyle evaluation, informed consent.

What is the PAR-Q?

A questionnaire with seven yes/no health questions to assess an individual's readiness for physical activity.

What do you analyze during a Preliminary Health Evaluation?

Signs and symptoms of disease, coronary disease risk factors, and determine if medical clearance is needed.

What are some absolute contraindications for exercise testing?

Recent significant change in ECG, unstable angina, uncontrolled cardiac dysrhythmias, and uncontrolled heart failure.

What are major signs/symptoms suggestive of cardiovascular, pulmonary, or metabolic disease?

Chest pain, shortness of breath, dizziness, orthopnea, ankle edema, palpitations, and intermittent claudication.

How does Coronary Risk Factor Analysis categorize risk factors?

It distinguishes between modifiable (e.g., smoking, hypertension) and unmodifiable (e.g., age, family history) risk factors.

What are the three strata of risk classification?

Low risk, moderate risk, and high risk, based on symptoms and number of risk factors.

What is informed consent?

A contract with the client describing procedures, risks, benefits, confidentiality, and voluntary participation.

What is the classification of blood pressure for adults?

Normal: 120 or less/80 or less; Prehypertension: 120-139/80-89; Stage 1 Hypertension: 140-159/90-99; Stage 2 Hypertension: 160 or higher/100 or higher.

What factors increase the risk of sudden cardiac death during exercise?

Increased risk is common among older individuals with cardiovascular disease; however, it's rare in young individuals without prior conditions.

What steps should be taken pre-exercise participation for someone with known risk factors?

A medical examination and possibly supervised exercise testing are recommended based on the risk classification.

What is a negative risk factor for coronary artery disease?

An HDL level greater than 60 mg/dL; a negative risk factor subtracts from positive risk factors.

What recommendations exist for medical examination and exercise testing?

Low risk individuals do not require testing, while moderate to high risk individuals do require medical evaluations before participating in vigorous exercise.