Exam 1 Fitness Assessment and Exercise Prescription

Walking, running, swimming, biking, elliptical, rowing, etc. are all forms of ______. Check all words used to describe this in our class.

"modes" of aerobic exercise "types" of aerobic exercise

There are multiple reasons to perform cardiorespiratory fitness testing. Check all that we discussed in class

- Test - Train - Test again to determine the effects of an exercise training program. -Screen for cardiovascular diseases in a clinical setting. -Provide a base level of fitness that can be used for exercise prescriptions.

A MET is ____. Check all that apply.

-The amount of energy the average person uses at rest. -Metabolic Equivalent - 3.5 mL/kg/min

What is the minimal calorie intake that is recommended for someone attempting to lose body weight without doctor supervision?

1200 kcal for women and 1800 kcal for men

At rest, how much oxygen does the average person use.

3.5 mL/kg/min

Adam is a client of yours who is obese and needs to lose weight. He tells you about a diet a friend of his who is using to lose weight and asks what you think of it. It requires decreasing calorie intake to 1000kcal/day for the first week and adding 100kcal/day each week until 2000kcal/day is reached. Then you stay at that calorie intake until weight loss goals are achieved. What do you think about this diet?

A man needs to consume at least 1800kcal per day to avoid negative health affects. I do not recommend any diet that goes below that level without physician supervision.

Sammy has been sitting in class all morning. As soon as he gets out he goes to the recreation center and uses the treadmill. While running on the treadmill his blood pressure increases. What is this an example of?

Acute effect

Sue is a long distance runner. Given every pound of body weight she has is one more pound she needs to carry during the race, she tells you her goal is to diet to reduce her body fat as low as possible. How would you respond to her? Pick the best response.

Although having a lower body weight is beneficial for some sports, it is crucial not to go to low. Typically for women it is not good to go below 10-13% body fat and men should not go below 3% body fat.

Which type of obesity is more dangerous for your health

Android

Eating disorder associated with severe caloric restriction

Anorexia nervosa

Sammy goes to the recreation center everyday for six months and uses the treadmill. While running on the treadmill at 7 miles per hour his heart rate used to increase to 145bpm, but now it only increases to 138bpm. What is this an example of?

Chronic effect of exercise

What a professional is supposed to do in a given situation. During a legal battle this is decided on by a judge.

Duty

During a graded exercise test it is NOT common to measure heart rate, blood pressure and ratings of perceived exertion.

False

Exercise prescription does not need to be altered when exercising outside on very hot or very cold days.

False

Informed consent is just a form. Once that form is signed your responsibility to inform your client is fulfilled.

False

It is generally accepted that you should increase both intensity and duration of exercise in the same week.

False

Record keeping (documenting) of things that happen is not important in the exercise professionals job.

False

Stretching will likely result in fewer injuries during an exercise bout.

False

A type of fitness test that requires minimal equipment and can be done in a variety of settings

Field Test

The F in FITT-VP stands for:

Frequency

What are the components of the FITT-VP principle? Check all that apply.

Frequency Intensity Type Time Volume Progression

What is so special about being between 110bpm and 85% HRmax that makes this the ideal HR zone for many other submaximal tests?

Heart rates in this zone increase in a linear and predictable way

Shane has noticed he becomes short of breath doing things he normally has no issues with. He also has severely swelled ankles. He is 49 years old, has no family history of disease, does not smoke, does not exercise, is normal weight, has good blood pressure, has good cholesterol levels, and has good blood sugar levels. What is his coronary artery disease risk? Can he start a moderate intensity exercise program under your guidance without medical clearance?

High. He needs medical clearance prior to starting.

John has exercised his whole life. One year ago he had a mild heart attack, and he fully recovered. He is 43 years old, has no family history of disease, does not smoke, runs 30 minutes a day 7 days a week, is normal weight, has good blood pressure, has good cholesterol levels, and has good blood sugar levels. What is his level of coronary artery disease risk? Does he need clearance prior to CONTINUING a moderate intensity exercise program under your guidance?

High. No clearance needed to continue at a moderate intensity.

You work at a prestigious fitness facility with a lot of equipment. Every member that pays for the "Gold package" gets their body fat measured through hydrostatic weighing, skinfolds, and bioelectrical impedance analysis. Which test is the most accurate.

Hydrostatic weighing

Tommy's blood pressure is 132/78. What is his blood pressure classification?

Hypertension Stage 1

Roseanne is currently walking 20 minutes per day at 40 percent of her VO2 reserve 5 days per week. Tell her what she should do next week that would be a proper recommendation for progressing her cardiorespiratory fitness.

Increase the time to 30 minutes per day.

40% VO2R, 46% VO2max, 40% METreserve, 40% HRR, 64% HRmax etc. are all example recommendations for what part of the FITT-VP principle.

Intensity

The I in FITT-VP stands for:

Intensity of exercise

A type of fitness test that must be done in a laboratory setting because of the equipment needed.

Lab Test

Beth is 55 years old, has no family history of disease, does not smoke, exercises daily, is normal weight, has good blood pressure, has good cholesterol levels, and has good blood sugar levels. What is her coronary arterial disease risk? Can she exercise without medical clearance. If yes, at what intensity?

Low. She does not need clearance to exercise up to a vigorous intensity.

Diabetes mellitus, thyroid disorders, renal (kidney) disease, and liver disorders are lumped into what type of chronic disease.

Metabolic Disease

Pete is 40 years old, has a father who died of a heart attack at 50 years old, does not smoke, exercises daily at a moderate intensity, has a BMI of 24, blood pressure is 119/78, has good cholesterol levels, and has good blood sugar levels. You notice on his medical history form he takes medication for high blood pressure. What is his coronary arterial disease risk? Can he exercise without medical clearance. If yes, at what intensity?

Moderate. No medical clearance is needed to exercise at low to moderate intensity and can progress to vigorous intensity.

Jen is 49 years old, has no family history of disease, smokes, does not exercise, is overweight, has good blood pressure, has good cholesterol levels, and has good blood sugar levels. What is her coronary artery disease risk? Can she exercise without medical clearance. If yes, at what intensity?

Moderate. No medical clearance is needed to exercise at low to moderate intensity.

Ashley walks at a moderate intensity 25 minutes per day 5 days per week. Does she meet the minimal recommendation for time spent performing cardiorespiratory fitness related exercise?

No

Cool-downs are good because they ______. Check all that apply.

Reduce the risk of a cardiovascular event

A client comes in for fitness testing and their resting blood pressure is 202/94mmHg. What kind of contraindication is this?

Relative

You perform an informed consent process and the client signs the form. A few days later they start to ask more questions about the tests you plan on doing with them. How should you view this?

The informed consent process is much more than a form. You should answer their questions regardless of when they come up.

The first T in FITT-VP stands for:

Time (duration of exercise)

150-300 minutes of moderate intensity physical activity is a good range for increasing health and fitness.

True

5 days per week of moderate intensity exercise or 3 days per week of vigorous intensity exercise is a generally recommended for improving health and fitness.

True

A key step towards minimizing legal liability is performing a pre-activity screening for all clients.

True

Field test require minimal equipment, require VO2max to be estimated, and rarely measure blood pressure or VO2 during testing.

True

Graded exercise tests increase exercise intensity in stages (e.g. increase intensity every 3 minutes) rather than constantly increasing intensity.

True

Heart rate max can be estimated from the equation: HRmax = 220 - age

True

In a graded exercise test the VO2 and HR should increase as exercise intensity increases.

True

Insurance should be the last line of defense to prevent yourself (as an exercise professional) from being harmed by a lawsuit.

True

It is unacceptable to do even the easiest of physical tasks prior to undergoing an informed consent and/or waiver form process.

True

Peripheral Arterial disease is a type of cardiovascular disease, and chronic obstructive pulmonary disease (COPD) is a type of pulmonary disease.

True

The Siri equation can be used to determine body fat percentage when body density is known.

True

The idea that not everyone will respond the same to exercise (even if starting from a similar fitness level).

Variability

The V in FITT-VP stands for:

Volume of exercise per week

Anthropomorphic measurement used to screen for android obesity.

Waist-to-hip ratio

You fail to perform a risk assessment and someone has a heart attack the first day of training due to excessive workload intensity. You are at risk for a lawsuit. Why?

You didn't do what a prudent exercise professional would have done (risk assessment). So you may be deemed professionally negligent.

You perform a BMI calculation on a new female client and get a score of 27. What do you tell the client.

Your body weight is above what would be considered normal for your height, and it is likely beneficial for you to consider losing some weight so you can no longer be considered "overweight".

All exercise professionals working with clients or groups of people should purchase __________ insurance.

professional liability

If an exercise professional starts designing meal plans to correct weight issues, or diagnosis an injury or disease, they are guilty of _________. This can result in _________ charges.

violating scope of practice; criminal

If someone has an absolute contraindication to exercise testing ________.

you should not test them