ACSM Chapter 11 Flashcards

Questions and Answers

What are the components of the ACSM Screening Process?

Risk Classification

Health-History Evaluation and Related Assessments

Medical Clearance or Referral

All of the above (correct)

What is the purpose of screening?

Identify clients with medical contraindications

Identify clients needing medical evaluation or exercise testing

Identify clinically significant diseases

All of the above (correct)

What does the ACSM risk classification process help identify?

Clients who should undergo a medical examination and exercise testing before beginning a moderate to vigorous exercise program.

What is a cardiovascular disease risk factor for age for men?

≥ 45 years old Signup and view all the answers

What is a cardiovascular disease risk factor for age for women?

≥ 55 years old Signup and view all the answers

What constitutes a family history risk factor for cardiovascular disease?

Myocardial Infarction, Coronary Revascularization, or sudden death before 55 in father or male first-degree relative, or before 65 in mother or first-degree relative. Signup and view all the answers

What defines a cardiovascular disease risk factor related to cigarette smoking?

Current smoker, quit in last 6 months, or exposure to smoke. Signup and view all the answers

What is considered a sedentary lifestyle risk factor?

Not participating in at least 30 minutes of moderate-intensity physical activity for 3 days a week, for 3 months. Signup and view all the answers

What is the BMI threshold for obesity as a risk factor?

≥ 30 kg/m² Signup and view all the answers

What are the blood pressure criteria for hypertension as a risk factor?

SBP ≥ 140 mm Hg and/or DBP ≥ 90 mm Hg. Signup and view all the answers

What defines dyslipidemia as a cardiovascular disease risk factor?

LDL cholesterol ≥ 130 mg/dL, HDL cholesterol < 40 mg/dL, or on lipid-lowering medications. Signup and view all the answers

What fasting glucose levels indicate prediabetes?

Fasting glucose is between 100 and 125 mg/dL. Signup and view all the answers

What is the threshold for High-Density Lipoprotein cholesterol to be considered a negative risk factor?

≥ 60 mg/dL. Signup and view all the answers

What are major signs of cardiovascular disease?

All of the above Signup and view all the answers

What is recommended for clients transitioning out of medically supervised programs?

A written medical clearance. Signup and view all the answers

What are the risk classifications for cardiovascular disease?

Low, Moderate, High. Signup and view all the answers

What constitutes a moderate risk classification?

≥ 2 cardiovascular disease risk factors. Signup and view all the answers

What constitutes a low risk classification?

< 2 cardiovascular disease risk factors. Signup and view all the answers

Exercise testing and test supervision recommendations based on risk classification are outlined in the ______.

chart Signup and view all the answers

What are key categories of concern for screening and developing an exercise program?

All of the above Signup and view all the answers

What is the purpose of obtaining medical clearance?

To not allow a client to exercise until the physician approves. Signup and view all the answers

What is the role of a medical referral?

The personal trainer continues to modify and incorporates recommendations from the physician. Signup and view all the answers

Study Notes

ACSM Screening Process

Involves risk classification, health-history evaluation, and possible medical clearance or referral.

Purpose of Screening

Identify clients with medical contraindications.
Recognize clients at increased risk due to age, symptoms, or other risk factors requiring medical evaluation or exercise testing.
Identify those with significant diseases needing medically supervised exercise programs.
Determine special needs for individualized training.
Find suitable alternate personal trainers for clients.

ACSM Risk Classification

A widely used method to identify individuals needing medical examination and exercise testing prior to enrolling in moderate to vigorous exercise programs.

CVD Risk Factors

Age: Men 45 years and older; Women 55 years and older.
Family History: Heart attack, coronary revascularization, or sudden death before age 55 in male first-degree relatives or 65 in female first-degree relatives.
Cigarette Smoking: Current smokers or those who quit within the last six months; includes exposure to secondhand smoke.
Sedentary Lifestyle: Not engaging in at least 30 minutes of moderate-intensity physical activity on 3 days per week for 3 months.
Obesity: BMI of 30 kg/m² or waist circumference over 102 cm (40 in) for men and over 88 cm (35 in) for women.
Hypertension: SBP of 140 mm Hg or more and/or DBP of 90 mm Hg or more, confirmed on two separate occasions or with antihypertensive medication.
Dyslipidemia: LDL cholesterol of 130 mg/dL or more, HDL cholesterol under 40 mg/dL, or on lipid-lowering medications. Total cholesterol of 200 mg/dL or more if only total is measured.
Prediabetes: Fasting glucose levels between 100 mg/dL and 125 mg/dL or 2-hour glucose tolerance test results between 140 mg/dL and 199 mg/dL, confirmed on two occasions.

CVD Negative Risk Factor

High-Density Lipoprotein (HDL) Cholesterol: Levels of at least 60 mg/dL reduce positive risk factors by one.

Major Signs of CVD

Chest pain or discomfort in the neck, jaw, or arms; shortness of breath at rest or during mild exercise; dizziness or syncope; orthopnea or paroxysmal nocturnal dyspnea; ankle edema; palpitations; intermittent claudication; known heart murmur; unusual fatigue or shortness of breath during usual activities.

Medical Clearance

Recommended when clients transition from other supervised programs; necessary even if physician suggests continuation of exercise.

Risk Classifications

Categories include low, moderate, and high risk.
High risk applies for clients with known CV, pulmonary, or metabolic disease or significant signs/symptoms.

Moderate and Low Risk Classification

Moderate risk is indicated by two or more CVD risk factors.
Low risk is indicated by fewer than two CVD risk factors.

Exercise Testing Recommendations

Testing and supervision for exercise are based on the defined risk classification.

Categories for Screening Program Development

Medical history review, medications affecting heart rate or blood pressure, exercise history including preferences and challenges, and nutritional considerations impact health risks and outcomes.

Medical Clearance and Referral

Medical clearance ensures a client does not exercise until cleared by a physician.
Medical referral allows personal trainers to adapt programs based on physician recommendations.

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Description

Test your knowledge on the ACSM Screening Process and the Purpose of Screening with these flashcards. This quiz covers essential concepts related to risk classification and evaluations necessary for client assessments. Perfect for students and professionals in fitness and health fields.