HEALTH APPRAISAL

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HEALTH APPRAISAL

• EVALUATION OF HEALTH STATUS

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Evaluating Health Status
Five Major Categories of Health Status

• Diagnosed Medical Problems
• Characteristics that increase the risk of health
  problems
• Signs or symptoms indicative of health problems
• Lifestyle behaviors related to positive or
  negative health
• Fitness test results

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Evaluating Health Status

• Purpose of health status evaluation
• Provide person with information concerning health
  status and healthy and unhealthy behaviors
• Used to make decisions concerning appropriate
  physical activity recommendations for health and
  fitness improvement
• Evaluation of health status can include both a
  Health Status Questionnaire and Fitness Testing

See Health Status Questionnaire on page 28 of
Textbook.
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Health Status Questionnaire

• Health Status Questionnaire includes
• Personal and Emergency Information about the
  individual
• Medical History of the participant and her or his
  family
• Behaviors known to be related to safety and
  health
• Health Related attitudes

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Components of Fitness Test
Minimum components
Additional components

• Resting HR, BP, body fat, waist circumference,
  sit and reach
• Submaximal HR, BP, RPE
• Maximal BP, RPE, Time to max (min), Functional
  capacity (METS), curl ups

• 12 lead ECG, blood profile, specific joint
  flexibility, pulmonary function
• Submaximal ECG, blood profile
• Maximal VO2, blood profile, ECG, modified pull-ups

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Preparticipation Screeningand Risk Stratification

• Purposes
• Identification and exclusion of individuals with
  medical contraindications to exercise.
• Identification of individuals at increased risk
  for disease because of age, symptoms, and/or
  risk factors who should undergo a medical
  evaluation and exercise testing before starting
  an exercise program.
• Identification of persons with clinically
  significant disease who should participate in a
  medically supervised exercise
  program.Identification of individuals with other
  special needs.

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Preparticipation Screeningand Risk Stratification
Many sedentary individuals may encouraged to
begin Low (lt40 VO2R) to moderate (40-59 VO2R )
activities without Medical clearance or fitness
testing. (apparently healthy)
The Physical Activity Readiness Questionnaire
(PAR-Q) or the AHA/ACSM Health Fitness
Preparticipation Screening Questionnaire should
be used to screen individuals beginning moderate
intensity programs.
ACSM risk stratification guidelines can be
applied to individuals beginning moderate or
vigorous programs.
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Making Fitness Program decisions Health Status
and Fitness Assessment

• Denial of entry/refer to doctor
• Admit to medically supervised program, supervised
  by exercise leader, Vigorous intensity program,
  Unsupervised activity (see page 35 for guidelines
  Table 3.4)
• Educational information, workshops or
  professional help

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Change of Health/Fitness Status

• Participants may have a change in status that
  requires a modification of their program
• Periodic testing is needed to check for
  improvements or negative changes
• Unsupervised participant may develop symptoms
• Environmental factors may cause exercise habits
  to be modified (heat, humidity, pollution, etc.)

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Health Risk Appraisal (HRA)

• Smoking History
• Nutrition and Weight History
• Exercise Habits
• Substance Use and Abuse
• Psychosocial - stressors, emotional disorder