• reduces emphasis on need for medical eval.
• uses risk classification to group individuals as low, moderate or high risk for presence or absence of CVD risk factors
• identifies those with known disease because greatest risk for  exercise related cardiac event
• supports public health message that all individuals should participate in a physically active life style

• Hypertension (high blood pressure)
• Tobacco use
• Raised blood glucose (diabetes)
• Physical inactivity
• Unhealthy diet
• Cholesterol/lipids
• Overweight and obesity

Preparticipation Health Screening

Recommendations

• minimum self reported medical history or health risk appraisal questionnaire
• moderate risk with 2 or more CVD risk factors should be encouraged to consult with physician
• high risk should consult with physician and routine exercise testing is recommended
• exercise testing of those at high risk can be supervised by non-physician if they have training in clinical exercise testing.

pre-exercise eval

Medical History

components

• medical diagnosis
• previous physical examin. findings
• history of symptoms
• recent illness
• medication use
• other habits: caffeine for instance
• orthopedic problems
• exercise history
• work history
• family history of CVD, pulmonary or metabolicdisease