Podcast
Questions and Answers
A 50-year-old woman reports exercising at moderate intensity 4 times a week for 30 minutes each session. She denies any known cardiovascular disease but mentions experiencing occasional chest discomfort during strenuous activity. According to the ACSM risk algorithm, does she require medical clearance before beginning a vigorous exercise program?
A 50-year-old woman reports exercising at moderate intensity 4 times a week for 30 minutes each session. She denies any known cardiovascular disease but mentions experiencing occasional chest discomfort during strenuous activity. According to the ACSM risk algorithm, does she require medical clearance before beginning a vigorous exercise program?
- Yes, because she has signs or symptoms suggestive of cardiovascular disease. (correct)
- No, because her age is not a primary risk factor according to ACSM.
- Yes, because women over 55 automatically require medical clearance.
- No, because she already participates in regular moderate-intensity exercise.
Which age criterion is recognized by the ACSM guidelines as an independent risk factor for cardiovascular disease?
Which age criterion is recognized by the ACSM guidelines as an independent risk factor for cardiovascular disease?
- Men ≥ 45 years and Women ≥ 55 years (correct)
- Men ≥ 40 years and Women ≥ 40 years
- Men ≥ 60 years and Women ≥ 70 years
- Men ≥ 50 years and Women ≥ 60 years
A 60-year-old woman's father suffered a myocardial infarction at the age of 62. Her mother is healthy, and she has no siblings. Does her family history qualify as a cardiovascular disease risk factor according to ACSM guidelines?
A 60-year-old woman's father suffered a myocardial infarction at the age of 62. Her mother is healthy, and she has no siblings. Does her family history qualify as a cardiovascular disease risk factor according to ACSM guidelines?
- Yes, because myocardial infarction in a male first-degree relative before age 65 is a risk factor.
- No, because the father's myocardial infarction occurred after the age of 55. (correct)
- Yes, because any history of myocardial infarction in a parent is considered a risk factor.
- No, because only maternal family history is considered for women.
A 48-year-old male has a BMI of 32 kg/m², waist circumference of 105 cm, smokes cigarettes, and engages in moderate exercise twice a week for 20 minutes. How many CVD risk factors does he present according to ACSM guidelines?
A 48-year-old male has a BMI of 32 kg/m², waist circumference of 105 cm, smokes cigarettes, and engages in moderate exercise twice a week for 20 minutes. How many CVD risk factors does he present according to ACSM guidelines?
Which of the following lipid profiles would NOT be classified as dyslipidemia, a risk factor for cardiovascular disease, according to ACSM guidelines?
Which of the following lipid profiles would NOT be classified as dyslipidemia, a risk factor for cardiovascular disease, according to ACSM guidelines?
Flashcards
ACSM's Risk Algorithm
ACSM's Risk Algorithm
A tool to assess the likelihood of an adverse event during exercise.
CVD Risk Factors
CVD Risk Factors
Age, family history, smoking, inactivity, obesity, dyslipidemia, hypertension and diabetes.
Age (CVD Risk Factor)
Age (CVD Risk Factor)
Men ≥ 45 years, Women ≥ 55 years
Family History (CVD Risk)
Family History (CVD Risk)
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Obesity (CVD Risk)
Obesity (CVD Risk)
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Study Notes
- Use the ACSM's (American College of Sports Medicine) Risk Algorithm to assess the likelihood of an adverse event during exercise.
Risk Assessment and Medical Clearance
- First determine if the individual participates in regular exercise.
- Then determine if they have known cardiovascular disease (CVD) or signs and symptoms suggestive of CVD.
- Medical clearance is required if the individual does not participate in regular exercise, has known CVD, or exhibits CVD signs/symptoms.
- If medical clearance is needed, obtain it before determining the appropriate exercise intensity for the individual.
CVD Risk Factors
- Age is a risk factor: Men ≥ 45 years, Women ≥ 55 years.
- Family history of myocardial infarction, coronary revascularization, or sudden death before 55 years in a male first-degree relative or before 65 years in a female first-degree relative is a risk factor.
- Current cigarette smoking, quitting within the previous six months, or exposure to secondhand smoke are risk factors.
- 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, characterized by LDL cholesterol ≥ 130mg/dL or HDL cholesterol < 40mg/dL, or being on lipid-lowering medication, is a risk factor.
- Hypertension, defined as systolic blood pressure ≥ 130 mm Hg or diastolic blood pressure ≥ 80 mm Hg, or being on antihypertensive medication, is a risk factor.
- Diabetes, indicated by fasting plasma glucose ≥ 126 mg/dL, 2-h plasma glucose values in oral glucose tolerance test ≥ 200 mg/dL, or HbA1C ≥ 6.5%, is a risk factor.
- Uncorrected medical conditions like significant anemia, electrolyte imbalance, and hyperthyroidism contribute to CVD risk.
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Description
Learn how to use the ACSM algorithm to assess cardiovascular risk during exercise. Determine risk factors like age, family history, and smoking status to ascertain the need for medical clearance before starting an exercise program. This ensures participant safety and guides exercise intensity.
