Podcast
Questions and Answers
According to the ACSM algorithm, what is the initial step in determining the need for medical clearance before an individual begins an exercise program?
According to the ACSM algorithm, what is the initial step in determining the need for medical clearance before an individual begins an exercise program?
- Inquiring whether the individual participates in regular exercise. (correct)
- Evaluating the individual's smoking habits.
- Measuring the individual's BMI to assess obesity risk.
- Assessing the individual's family history of cardiovascular disease.
A 50-year-old woman, whose father had a myocardial infarction at age 52, is a current smoker. She engages in moderate-intensity exercise twice a week for 20 minutes. According to the provided CVD risk factors, which combination does she exhibit?
A 50-year-old woman, whose father had a myocardial infarction at age 52, is a current smoker. She engages in moderate-intensity exercise twice a week for 20 minutes. According to the provided CVD risk factors, which combination does she exhibit?
- Age and sedentary lifestyle.
- Obesity and cigarette smoking.
- Family history and cigarette smoking. (correct)
- Age and dyslipidemia.
Which of the following scenarios would necessitate medical clearance before an individual begins a vigorous-intensity exercise program, according to the ACSM risk stratification?
Which of the following scenarios would necessitate medical clearance before an individual begins a vigorous-intensity exercise program, according to the ACSM risk stratification?
- A 60-year-old female with well-controlled hypertension who occasionally experiences mild chest pain during high-intensity activities. (correct)
- A 50-year-old male with a sedentary lifestyle and no family history of CVD.
- A 48-year-old male who exercises regularly and has no known cardiovascular, metabolic, or renal disease.
- A 40-year-old female smoker with a BMI of 28 kg/m² who participates in regular exercise.
An individual has the following lipid profile: LDL cholesterol of 140 mg/dL, HDL cholesterol of 50 mg/dL, and total cholesterol of 210 mg/dL. Which of the following statements is MOST accurate regarding their dyslipidemia risk factor status?
An individual has the following lipid profile: LDL cholesterol of 140 mg/dL, HDL cholesterol of 50 mg/dL, and total cholesterol of 210 mg/dL. Which of the following statements is MOST accurate regarding their dyslipidemia risk factor status?
A 46-year-old male with a sedentary lifestyle has a Body Mass Index (BMI) of 31 kg/m2, a waist circumference of 104 cm, and no known history or signs of cardiovascular disease. If he wants to start a moderate-intensity exercise program, what is the MOST appropriate recommendation based on ACSM guidelines?
A 46-year-old male with a sedentary lifestyle has a Body Mass Index (BMI) of 31 kg/m2, a waist circumference of 104 cm, and no known history or signs of cardiovascular disease. If he wants to start a moderate-intensity exercise program, what is the MOST appropriate recommendation based on ACSM guidelines?
Flashcards
ACSM Risk Algorithm
ACSM Risk Algorithm
A tool to assess the likelihood of cardiovascular events during exercise.
Age Risk Factor (CVD)
Age Risk Factor (CVD)
Men ≥ 45 years; Women ≥ 55 years.
Family History Risk (CVD)
Family History Risk (CVD)
Heart attack, revascularization, or sudden death before 55 (father/male) or 65 (mother/female) in 1st-degree relative.
Smoking Risk Factor (CVD)
Smoking Risk Factor (CVD)
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Obesity Risk Factor (CVD)
Obesity Risk Factor (CVD)
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Study Notes
- Use the ACSM's Risk Algorithm to determine the risk of an adverse exercise event.
- First establish if the individual participates in regular exercise.
- Ascertain if the individual has known cardiovascular disease (CVD), or any signs/symptoms of it.
- Determine if medical clearance is needed.
- If medical clearance is required, obtain it, and establish the appropriate exercise intensity for the individual.
- **
- Recognize and identify risk factors for developing CVD.
- Age is a risk factor, specifically men ≥ 45 years and women ≥ 55 years.
- A family history of myocardial infarction, coronary revascularization, or sudden death before 55 years of age in a first-degree male relative or before 65 years of age in a first-degree female relative is a risk factor.
- Current cigarette smoking, quitting within the previous six months, or exposure to secondhand smoke constitutes a risk factor.
- A sedentary lifestyle, defined as not participating in at least 30 minutes of moderate-intensity physical activity on at least three days/week for at least three months, is a risk factor.
- Obesity, indicated by a body mass index ≥30 kg/m2 or waist girth >102 cm (40 inches) for men and >88 cm (35 inches) for women, is a risk factor.
- Dyslipidemia, specifically LDL cholesterol ≥ 130mg/dL or HDL cholesterol
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