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16 Cards in this Set
- Front
- Back
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Exercise Testing and test supervision rec |
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Why Screen? |
-Exercise can increase the risk of sudden cardiac death and heart attack -Cardiovascular events usually only occur in clients with preexisting condistions -Many clients are unaware of their risk |
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Purposes of Screening Client Screening should identify: |
-Medical contraindications to exercise -Need for medical evaluation and exercise -Clinically significant disease and the need for medically supervised exercise -Other special needs |
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Purposes of Screening |
-The Personal Trainer is in the best position to evaluate the client's risk factors or medical conditions |
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Risk Factor: Age |
Men >= to 45 yr
Women >= to 55 yr |
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Risk Factor: Family History |
-Myocardial infarction -Coronary revascularization -Sudden death before 55 yr in father or other male 1st degree relative -Sudden death before 65 yr in mother or other female 1st degree relative |
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Risk Factor: Cigarette Smoking |
-current cigarette smoker -those who quit within the previous 6 months -or exposure to environmental tobacco smoke |
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Risk Factor: Sedentary Lifestyle |
-Not participating in at least 30 min of moderate intensity physical activity (40% - <60% VO2R) on least 3 days of the week for at least 3 months |
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Risk Factor: Obesity |
-Body mass index >= to 30 kg/m^-2 -or waist girth >102 cm (40 in) for men - >88 cm (35 in) for women |
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Risk Factor: Hypertension |
-Systolic blood pressure >= to140mm Hg - Diastolic >=to 90 mm Hg -Confirmed by measurements on at least two separate occasions -or on antihypertensive medication |
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Risk Factor: Dyslipidemia |
- Low density lipoprotein cholesterol >= to 130 mg/dL (3.37 mmol/L) -High density lipoprotein cholestrol <40 mg/dL (1.04 mmol/L) -On lipid lowering medication -If total serum choleterol is all that is available, use >= to 200 mg/dL (5.18 mmol/L) |
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Risk Factor: Prediabetes |
-Impaired fasting glucose= fasting plasma glucose >= to 100 mg/dL (5.55mmol/L) and <=to 125 mg/dL (6.94 mmol/L)
-Impaired glucose tolerance = 2 h values in oral glucose tolerance test >=to 140 mg/dL (7.77 mmol/L) and <=199 mg/dL (11.04 mmol/L) confirmed by measurements on at least two separate occasions |
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Negative Risk Factor: High-density lipoprotein cholesterol |
>= to 60 mg/dL (1.55mmol/L) |
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The Screening Process: Signs and Symptoms ( Major signs or symptoms suggestive of cardiovascular, pulmonary, or metabolic disease) |
-Pain, discomfort (or other anginal equivalen) in the chest, neck, jaw, arms, or other areas that might result from ischemia
-Shortness of breath at rest or with mild exertion
-Dizziness or syncope
- Palpitations or tachycardia
-Intermittent claudication
- Known heart murmur
- Unusual fatigue or shortness of breath with usual activities -Orthopnea or paroxysmal nocturnal dyspnea
-Ankle edema |
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Clearance/ Referral: Medical clearance or referral: |
- Obtain medical clearance if indicated
-Complete informed consent
-Conduct appropriate assessments
-Refer to physician or other health care provider if warranted |
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Figure 11.5 Risk Strat |
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