Pre-Activity Screening Chapter 2

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Pre-Activity ScreeningChapter 2

• Chapter 2

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Why Screen for Activity?

• To identify those with medical contraindications
• To identify those who need medical clearance
• To identify those who need medical supervision
• To identify those with other health/medical
  concerns

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Medical History/Health Habits

• Family history
• History of illness disease
• Surgical history
• Health behaviors (smoking, alcohol, etc)
• Current medications
• Signs symptoms suggesting disease

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PAR-Q Form (Appendix C)

• Has you doctor ever said you have a heart
  condition?
• Do you feel pain in your chest when you do
  physical activity?
• Do you have chest pain when not doing activity?
• Do you lose balance because of dizziness or do
  you every lose consciousness?

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ACSM Risk Stratification

• Low Risk
• Younger individuals (Mlt45, Flt55) who are
  asymptomatic and meet no more than one risk
  factor threshold.
• Moderate Risk
• Older individuals (M45, F55) or those who meet
  the threshold for 2 or more risk factors.
• High Risk
• Individuals with one or more signs/symptoms of CV
  or pulmonary disease or with known disease

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CAD Risk Factors (Box 2-2)

• Family History
• Cigarette smoking
• Hypertension
• Dyslipidemia
• Impaired fasting glucose
• Obesity
• Sedentary Lifestyle

• High HDL cholesterol

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Signs/Symptoms Suggestive of CV Pulmonary
Disease

• Pain, discomfort in the chest, neck, jaw, arms
  which may due to ischemia
• Shortness of breath at rest or mild exertion
• Dizziness or syncope
• Ankle edema
• Palpitations or tachycardia
• Intermittent claudication
• Unusual fatigue or shortness of breath with usual
  activities

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Cholesterol Sub-fractions
Total Cholesterol LDL-C HDL-C VLDL-C

• Cholesterol Cut Points for Dyslipidemia
• Total Cholesterol gt 200 mg/dl
• LDL-C gt130 mg/dl
• HDL-C lt 40 mg/dl

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ACSM Recommendations for Medical Exam and Testing
Prior to Exercise (Table 2-1)
Low Risk Moderate Risk High Risk
Moderate Exercise Not Necessary Not Necessary Recommended
Vigorous Exercise Not Necessary Recommended Recommended
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Informed Consent

• Description and benefits of the
  assessment/program
• Risks
• Voluntary participation
• Client informs of any problems they are having
• Free to withdraw at any time