Questions and Answers
What are the components of the ACSM Screening Process?
What is the purpose of screening?
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?
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What is a cardiovascular disease risk factor for age for women?
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What constitutes a family history risk factor for cardiovascular disease?
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What defines a cardiovascular disease risk factor related to cigarette smoking?
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What is considered a sedentary lifestyle risk factor?
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What is the BMI threshold for obesity as a risk factor?
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What are the blood pressure criteria for hypertension as a risk factor?
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What defines dyslipidemia as a cardiovascular disease risk factor?
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What fasting glucose levels indicate prediabetes?
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What is the threshold for High-Density Lipoprotein cholesterol to be considered a negative risk factor?
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What are major signs of cardiovascular disease?
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What is recommended for clients transitioning out of medically supervised programs?
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What are the risk classifications for cardiovascular disease?
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What constitutes a moderate risk classification?
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What constitutes a low risk classification?
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Exercise testing and test supervision recommendations based on risk classification are outlined in the ______.
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What are key categories of concern for screening and developing an exercise program?
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What is the purpose of obtaining medical clearance?
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What is the role of a medical referral?
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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.