Pre-Activity ScreeningChapter 2

Chapter 2

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

Medical History/Health Habits

• Family history

• History of illness & disease

• Surgical history

• Health behaviors (smoking, alcohol, etc)

• Current medications

• Signs & symptoms suggesting disease

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?

ACSM Risk Stratification

• Low Risk– Younger individuals (M<45, F<55) who are

asymptomatic and meet no more than one risk factor threshold.

• Moderate Risk– Older individuals (M≥45, F≥55) 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

CAD Risk Factors (Box 2-2)

• Family History• Cigarette smoking• Hypertension • Dyslipidemia• Impaired fasting

glucose• Obesity• Sedentary Lifestyle

• High HDL cholesterol

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

Cholesterol Sub-fractions

Total Cholesterol = LDL-C + HDL-C + VLDL-C

Cholesterol Cut Points for Dyslipidemia

•Total Cholesterol > 200 mg/dl

•LDL-C >130 mg/dl

•HDL-C < 40 mg/dl

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

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