Week 1- Fitness and Lifestyle

• Who do we fitness test?

  • Athletes (performance)

  • Occupation (performance)

    • Firefighters

    • Police

    • Paramedics

    • Armed forces

    • Astronauts

  • General population (health related)

    • Elderly

    • Children

    • DisAbility

    • Health issues

• Health Challenges from Physical Inactivity (sedentary lifestyle)

  • (CV) CArdiovascular Diseases

  • (Met Dis.) Metabolic Disorders

  • Cancer

  • (MSF Dis.) Musculoskeletal Disorders

  • (Psy Dis.) Psychological Disorders

  • Pulmonary Diseases

• Role of physical activity and exercise in disease prevention and rehabilitation.

  • Vivian Heyward textbook figure 1.1 (p.2)

  CV

Metabolic Diseases     MS Disorders

       Cancer

• Refer to CSEP-PATH Manual – Section 4& Toolkit for information on the following lecture topics

  • 6 A’s – Steps for using Systematic Approach

    • Step 1: ASK - Start Summarizing

1. ASK Client to fill out any/all Pre-Screening Items

   1. ASK for: Mandatory Pre-Screening Related items (for clearance - linked to liability):

• PAQ-Q+ OR Get active questionnaire (GAQ) - NEWER

• Consent form

• Observations

• Resting HR

• Resting BP

2. ASK for: initial gather information items (“nice to have” - not mandatory for liability purposes)

• AAL-Q

• PASB-Q

• Other Documents (e.g. sleep assessment, client goals, medical history, etc.)

• NOTE : Important to inform client to follow preliminary instructions prior to arriving to initial fitness assessment session (not linked to liability but if want accurate results - client needs to adhere)

2. ASSESS: Physical Activity, fitness & lifestyle

• Select assessment options and administer protocols

3. ADVISE: Evaluation report & discussion

• Discuss assessment findings

4. AGREE: devise an action plan

• Set goals and make plans for action

5. ASSIST: increase motivation and overcome barriers

• Provide support

• Increase motivation

6. ARRANGE: providing continuing support

• Meeting wrap-up

• Provide continuing support

• Welcome Letter

• Preliminary Instructions

• AAL-Q

• PARQ+

• GAQ

• Physician PA Clearance

• GAQ for Pregnancy

• Consent Form

• Observations

**Review preliminary instructions

Guidelines for client to follow prior to fitness appraisal

PARQ+ and Informed Consent are MANDATORY

F - 2 hours prior, no food.

A - 6 hours prior, no alcohol

C - 2 hours prior, no caffeine

E - 6 hours prior, no exercise

S - 2 hours prior, no smoking.

Review Observations

B - difficulty breathing at rest

C - persistent cough

P - pregnancy 

I - illness

P - primary instructions

S - Lower extremity swelling

Ways to take Heart rate

• Stethoscope on chest

• radial or carotid artery

• HR monitor

• ECG (Clinical)

Blood pressure celling limits

• Greater than 140 systolic or 90 diastolic