ACSM Pre-Participation Screening

Cardiovascular disease positive risk factors

age

family history

cigarette smoking

physical inactivity

bmi/waist circumference

blood pressure

lipids

blood glucose

cardiovascular disease negative risk factors

HDL

What is the new ACSM Algorithm based on?

-Current level of PA

-Presence of sign/symptoms or known CV, metabolic or renal disease

-Desired exercise intensity

ACSM Algorithm participates in exercise

minimum exercise levels to be considered active

Exercise participation, performing planned, structured physical activity at least 30 min at moderate intensity on at least 3 d/wk for at least the last 3 months

how long have you performed exercise to be considered active?

3 months

how many days per week must you be active to be considered physically active

3 day per week

Signs and symptoms of disease

•Pain, discomfort (or other anginal equivalent) in the chest, neck, jaw, arms or other areas that may result from ischemia (lack of oxygen or blood flow)

•Shortness of breath at rest or with mild exertion

•Dizziness or syncope (fainting)

•Orthopnea or paroxysmal nocturnal dyspnea (shortness of breath during sleep)

•Ankle edema (swelling)

•Palpitations or Tachycardia

•Intermittent Claudication (angina of the leg)

•Known Heart Murmur

•Unusual fatigue or shortness of breath with usual activities

what may individuals confuse angina or ischema as?

heart burn

ischemia

Lack of blood flow

Where can ischemia cause pain?

neck, jaw arm, and back

Syncope

fainting/passing out

ankle edema

swelling of the ankle

intermittent claudication

sharp cramping in back of legs when activity begins

orthopnea

difficulty breathing when lying down

paroxysmal nocturnal dyspnea

Severe shortness of breath, especially at night after several hours of reclining; the person is forced to sit up to breathe.

-trouble breathing at night

heart murmur

an abnormal sound from the heart produced by defects in the chambers or valves

Palpitations or tachycardia

unexplained rapid increase in heart beat

ACSM Algorithm does not participate in exercise

Exercise preparticipation health-screening questionaire

informed consent purpose

Provides client with complete information prior to obtaining agreement by client to accept a course of treatment or procedure

Components of informed consent

-Purpose and Explanation of Procedure

-Risks

-Benefits

-Confidentiality

Questionnaire

-ACSM Exercise Preparticipation Health Screening Questionnaire for Exercise Professionals

-ACSM Health History Questionnaire

-Par-Q+

medical professionals

•Sometimes it's appropriate for the individual to connect you to their medical professional or you can advise your patient to have a check up done by their physician to obtain biochemical markers

•Many individuals may not be aware of their biochemical markers and the numbers associated

Blood Glucose

Lipids

Lipoproteins

•Leave this up to the medical professionals, this is why we ask for medical clearance and do the essential screening

Comprehensive fitness evaluation

•Informed Consent

•Pre-Exercise Evaluation

•Resting Measurements

•Anthropometrics

•Measurement of CRF

•Measurement of Muscular Fitness

•Measurement of Flexibility

Measurement of Body Composition