Chapter 2- Preexercise evaluation

The ACSM preparticipation and preexercise screening emphasize the public health message of PA for all

TRUE

This self-guided method can be easily accomplished by using the PAR-Q+.

TRUE

The preparticipation health screening identifies those who are ?

at risk for adverse exercise-related CV events and which individuals should be referred for medical clearance.

Preparticipation health screening by self-reported medical history or health risk appraisal should be....

done for all individuals wishing to initiate a physical activity program.

Medical history and CV risk factor analysis are....

not part of the preparticipation health screening procedures for the purpose of reducing acute risk.

Algorithm components:

1. Classifying individuals who do (Yes) or do not (No) currently participate in regular exercise 2. Identifying individuals with known CV, metabolic, or renal diseases or those with signs or symptoms suggestive of cardiac, peripheral vascular, or cerebrovascular disease, Types 1 and 2 diabetes mellitus (DM), and renal disease. 3. Identifying desired exercise intensity

Prior to engaging in physical activity or structured exercise programs:...

1. Informed consent 2. exercise preparticipation health screening 3. health history 4. CVD risk factor analysis.

Preparticipation health screening before initiating PA or an exercise program is a two-stage process:

1. The need for medical clearance before initiating or progressing exercise programming is determined using the ACSM screening algorithm a) Self-guided screenings can be an acceptable substitute for this method. 2. If indicated during screening, medical clearance should be sought from an appropriate health care provider. a) The manner of clearance should be determined by the clinical judgment and discretion of the health care provider.

Medical clearance is defined as ?

approval from a health care professional to engage in exercise.

Major Signs or Symptoms Suggestive of Cardiovascular, Metabolic and Renal disease

Pain in chest, neck, arms, jaw, or other areas tat may result from MI. - shortness of breath at rest or with mild exertion. - Dizziness or syncope. -Orthopnea or paroxysmal nocturnal dyspnea. -ankle edema - palpitations or tachycardia - intermittent claudication -known heart murmur -unusual fatigue or shortness of breath with usual activities.

The ACSM preparticipation screening algorithm is designed to identify individuals at risk for CV complications during or immediately after aerobic exercise.

TRUE

The IC should ensure that individuals know and understand the purpose(s) and risks associated with screening, assessment, and the exercise program.

TRUE

The recommendations are intended to reduce or remove barriers to adopting and maintaining habitual PA or exercise

TRUE

This recommendation better aligns with evidence that exercise testing is a poor predictor of acute cardiac events in asymptomatic individuals.

TRUE

ACSM no longer recommends the inclusion of exercise testing for medical clearance?

That decision is left to the qualified health care provider.

Obtaining informed consent (IC) from individuals....?

is an important ethical and legal consideration and should be completed prior to (a) the collection of any personal and confidential information, (b) any form of fitness testing, or (c) exercise participation

vigorous exercise is associated with a small but measurable acute risk of activity-associated SCD and AMI and those with with underlying CVD who perform unaccustomed vigorous PA are at highest risk.

true

Exercise professionals working with individuals with known CVD in exercise-based cardiac rehabilitation and medical fitness settings are advised to....

use more in-depth risk stratification procedures.

medical and CV screening provides?

valuable information for designing individualized exercise programs to lower or reduce known health risks.

The IC should be ?

verbally described, and the individual be given every chance to ask questions before signing.