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Details

ACSM REP CH 2
Physical Activity Preparticipation Screening Guidelines
19
Fitness
Undergraduate 4
05/27/2018

Additional Fitness Flashcards

 


 

Cards

Term
List of reasons for conducting an initial screening for clients interested in a fitness assessment or PA program
Definition
1. to identify those of medical contradictions, exclusion criteria to PA participation
2. to identify those who should receive medical, physical a valuation, examination prior to PA or assessments
3. to identify those who should participate in a medically supervised PA program
4. to identify those with significant but not limiting health and medical concerns
5. to provide benchmark data as an effective motivational tool for a client goal setting
6. To provide normative data for screening assessments and to determine meaningful fitness assessment choices
Term
what are the two basic approaches to pre-PA a participation screening according to ACSM
Definition
Self guided and professional
Term
Examples of self guided screenings
Definition
Physical act of readiness questionnaire, AHA and ACSM health and fitness facility pre-participation screening questionnaire
Term
The seven questions in a PAR-Q
Definition
1, Has your doctor ever said that you have a heart condition and that usually only do physical activity recommended by a doctor?
2. do you feel pain in your chest when you do physical activity?
3. In the past month have you had chest pain when you’re not doing physical activity?
4. Do You lose your balance because of dizziness or do you ever lose consciousness?
5. do you have a bone or joint problem that could be made worse by change in your physical activity?
6. is your doctor currently prescribing drugs for your blood pressure or heart condition?
7. do you know of any other reason why you should not do physical activity?
Term
Health status history questions
Definition
Have you had?
- A heart attack
- heart surgery
- cardiac catheterization
- coronary angioplasty
-Pacemaker or implantable cardiac defibrillator rhythm disturbance
- heart valve disease
- heart failure
- heart transplantation
- congenital heart disease
Term
Health status symptom questions
Definition
- you experienced chest discomfort with exertion
- you experience unreasonable breathlessness
- your experience dizziness, fainting, or black out
- you experience ankle swelling
- your experience and unpleasant awareness of a forceful or rapid heart rate
- you take heart medication
Term
Health status other health issues questions
Definition
- you have diabetes
- you have asthma or lung disease
- you have burning or cramping sensation in lower legs when walking short distance
- you have musculoskeletal problems that limit your physical activity
- you have concerns about the safety of Exercise
- you take prescription medications
- you are pregnant
Term
Health status other health issues questions
Definition
- you have diabetes
- you have asthma or lung disease
- you have burning or cramping sensation in lower legs when walking short distance
- you have musculoskeletal problems that limit your physical activity
- you have concerns about the safety of Exercise
- you take prescription medications
- you are pregnant
Term
cardiovascular risk factors (PAR-Q)
Definition
-you’re a man > or equal to 45yr
-you’re a woman > or equal equal to 55yr
- you smoke or quit smoking within the previous 6 mo
- your blood pressure is above or equal to 140/90 mm/Hg
- you do not know your blood pressure
- you take by pressure medication
- your blood cholesterol level is over or equal to 200 mg*dL ^-1
- you do not know your cholesterol level
- You have a close blood relative who had a heart attack or heart surgery before the age of 55 if they’re male or 65 if they. are female
- You are physically inactive
- you have a body mass index of above or equal to 30kg*m^-2
- you have prediabetes
- you do not know if you are prediabetes
Term
What does the HHQ asses?
Definition
- Family history
- history of various diseases analysis, including CVD
- surgical history
- past and present health behaviors and habits such as smoking and PA
- current use of various drugs and medications
-Specific history of various signs and symptoms suggestive of a cardiovascular and other chronic or metabolic disease
Term
Name the ACSM coronary artery disease risk factor thresholds
Definition
1. Clients edge of raid or equal to 45 for men and greater or equal to 55 for women
2. I am at the story of specific cardiovascular and vents, including myocardial infarction, coronary we vascularization, or sudden cardiac death. This applies to first-degree relatives only who is male realitive was great or equal to 55 year or female relative greater or equal to 65 years
2. current cigarette smoker or having quit smoking in the past six months or regular exposure to secondhand smoke
3. a sedentary lifestyle
4. obesity as defined by BMI greater than 30 or waist circumference >102 cm 40 in in men or >88cm 35in in women
5. hypertension, which is defined as resting blood pressure equal or above 140/94 currently taking antihypertensive medication
6. Dyslipidemia defined as elevated low density lipoprotein cholesterol LDL>or = 130mg*dL depressed high density type of lipoprotein cholesterol HDL< or= 40
5. pre-diabetes which is defined as having a fasting blood glucose between 100 and 125 mg*dL^—1
6. Only negative factor used in a CSM risk classification is High serum on HDL- C, which is defined as greater or equal to 60
Term
What are the major signs and symptoms of CPM disease
Definition
1. pain or discomfort in the neck chest and your arms are other areas that may be due to ischemia or lack of oxygenated blood flow
2. dyspnea or shortness of breath
3. Syncope or fainting and dizziness during exercise
4. orthopnea which refers to trouble breathing while laying down and paroxysmal nocturnal dyspnea which is difficult breathing while asleep
5. Ankle Adema or swelling
6. Palpitations and tachycardia
7. Intermittent claudication or severe calf been when walking
8. heart murmurs
9. Unusual fatigue or shortness of breath that occurs during light exertion or normal activity
Term
What are the three issues concerning exercise testing and training that help the process of risk classification
Definition
1. when a client should have medical examination prior to exercise testing or training
2. When an exercise test is recommended prior to exercise training
3. when a physician or non physiiciaian healthcare professional need to supervise the exercise test
Term
individuals are determined to be at low moderate or high risk of CVD on the basis of the answers to the following three types of questions?
Definition
1. How many a CSM risk factor thresholds for future CBD does the client need or have?
2. does the client have any signs or symptoms indicators of ongoing, current, CVD?
3. has the client already been diagnosed with CPM disease?
Term
ACSM recommend a diagnostic exercise test for clients with?
Definition
- previously diagnosed CVD
-New or changing symptoms suggestive of CVD
-Diabetes mellitus and at least one of the following
1, age older than 35 years
2. type two diabetes mellitus greater than 10 years duration
3. Type one diabetes mellitus greater than 15 years duration
4. any additional atherosclerotic CVD risk factor
5. Microvascular disease evidence by vision impairment and poor renal function
6. I don’t know how much dysfunction and appropriate heart rate and blood pressure response
- end stage renal disease
- patients with pulmonary disease
Term
Absolute contraindication definition
Definition
Refers to the work criteria that are nonnegotiable; individuals with those biomarkers should not be allowed to participate in any form of PA program and/or assessment, and should instead consult with his or her position directly fro refers to the work criteria that are non-negotiable; individuals with those biomarkers should not be allowed to participate in any form of PA program and/or assessment, and should instead consult with his or her position directly for medical care
Term
Relative contraindication definition
Definition
maybe accepted or allowed into a fitness assessment and or PA program if it is deemed that the individual benefits outweigh the potential risks
Term
Absolute contraindications
Definition
-A recent significant change in the resting ECG suggesting significant ischemia, recent myocardial infarction within two days, or other acute cardiac events
- unstable angina
- uncontrolled cardiac dysrhythmias causing symptoms or hemodynamic compromise
- symptomatic severe aortic stenosis
- uncontrolled symptomatic heart failure
-Acute pulmonary embolus or pulmonary infarction
-Acute myocarditis or pericarditis
- suspected or known dissecting aneurysm
-Cute systemic infection, accompanied by fever, body aches, or swollen lymph glands
Term
Relative contraindications
Definition
- left main coronary stenosis
- moderate stenotic valvular heart disease
- electrolyte abnormalities example hypokalemia or hypomagnesemia
- severe atrial hypertension at rest. Systolic greater than 200mm Hg and the diastolic greater than 110mm Hg
-Tachydysrhymia or bradydysrhythmia
- hypertrophic cardio myopathy and other forms of outflow tract obstruction
-Neuromotor, musculoskeletal, or rheumatoid disorders that are exacerbated by exercise
-Uncontrolled metabolic diseases such as diabetes, thyrotoxicosis, myxedema
- chronic infectious disease such as HIV
- mental or physical impairment leading to inability to exercise adequately
- High degree atrioventricular block ventricular aneurysm
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