Podcast
Questions and Answers
According to the ACSM risk algorithm, what is the first question one should ask when assessing an individual's risk before exercise?
According to the ACSM risk algorithm, what is the first question one should ask when assessing an individual's risk before exercise?
- Do they have any known cardiovascular, metabolic, or renal diseases?
- What is their family history of heart disease?
- What is their body mass index (BMI)?
- Do they participate in regular exercise? (correct)
A 50-year-old male client's father had a myocardial infarction at age 52. How does this detail factor into the client's CVD risk assessment?
A 50-year-old male client's father had a myocardial infarction at age 52. How does this detail factor into the client's CVD risk assessment?
- It does not contribute to the CVD risk because the client is older than his father was at the time of the event.
- It slightly decreases his CVD risk due to advancements in treatment since his father's event.
- It increases his CVD risk due to a family history of early myocardial infarction. (correct)
- It is only relevant if the client also has high cholesterol.
A 60-year-old woman quit smoking cigarettes 3 months ago. How is this considered in CVD risk assessment?
A 60-year-old woman quit smoking cigarettes 3 months ago. How is this considered in CVD risk assessment?
- She is no longer considered a smoker for CVD risk assessment.
- She is still considered a risk factor due to quitting within the past six months. (correct)
- Her smoking history is irrelevant as long as she maintains a healthy diet now.
- She is considered a lower risk than current smokers but not entirely risk-free until one year after quitting.
Which of the following best describes a 'sedentary lifestyle' according to the criteria for CVD risk factors?
Which of the following best describes a 'sedentary lifestyle' according to the criteria for CVD risk factors?
To meet recommendations, what should you advise an individual who reports being sedentary engage in?
To meet recommendations, what should you advise an individual who reports being sedentary engage in?
For whom would a waist circumference of 95 cm be considered a CVD risk factor?
For whom would a waist circumference of 95 cm be considered a CVD risk factor?
A female client has a BMI of 28 kg/m². How do you rate their obesity risk for CVD development?
A female client has a BMI of 28 kg/m². How do you rate their obesity risk for CVD development?
Which of the following lipid profiles would be considered a positive risk factor for CVD?
Which of the following lipid profiles would be considered a positive risk factor for CVD?
How would you classify a male who has an LDL level of 135 mg/dL, is 40 years old, and exercises regularly?
How would you classify a male who has an LDL level of 135 mg/dL, is 40 years old, and exercises regularly?
Which of the following scenarios requires medical clearance before an individual begins an exercise program?
Which of the following scenarios requires medical clearance before an individual begins an exercise program?
Flashcards
ACSM Risk Algorithm
ACSM Risk Algorithm
A tool to assess the risk of an adverse event during exercise.
Purpose of Risk Algorithm
Purpose of Risk Algorithm
Determines if medical clearance is needed before exercise.
Age (CVD Risk)
Age (CVD Risk)
Men ≥ 45 years, Women ≥ 55 years
Family History (CVD)
Family History (CVD)
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Cigarette Smoking (CVD)
Cigarette Smoking (CVD)
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Sedentary Lifestyle (CVD)
Sedentary Lifestyle (CVD)
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Obesity (CVD)
Obesity (CVD)
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Dyslipidemia (CVD)
Dyslipidemia (CVD)
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Study Notes
- ACSMs Risk Algorithm helps identify the risk of an adverse exercise event.
- Consider participation in regular exercise.
- Note any known signs and symptoms of cardiovascular disease (CVD).
- Determine if medical clearance is needed before exercise.
- If medical clearance is required, obtain it and determine appropriate exercise intensity for the individual.
Risk Factors for Developing CVD
- Age: Men aged 45 years or older and women aged 55 years or older.
- Family history includes myocardial infarction, coronary revascularization, or sudden death before age 55 in a first-degree male relative or before age 65 in a first-degree female relative.
- Cigarette smoking, which includes current smokers or those who quit within the past six months, and exposure to secondhand smoke.
- Sedentary lifestyle means not participating in at least 30 minutes of moderate-intensity physical activity on at least three days per week for at least three months.
- Obesity is defined as a body mass index (BMI) ≥30 kg/m² or a waist girth >102 cm (40 inches) for men and >88 cm (35 inches) for women.
- Dyslipidemia: LDL cholesterol is ≥ 130mg/dL, HDL cholesterol is <40mg/dL, or being on lipid-lowering medication.
- Prediabetes: Fasting plasma glucose is ≥100 mg/dL but <126 mg/dL, impaired glucose tolerance, or being diabetic and taking medication to control blood sugar.
- +1 High HDL Cholesterol: ≥60 mg/dL
Benefits of Exercise
- Cardiovascular health benefits include improved heart health, reduced risk of CVD, and enhanced vascular health.
- Musculoskeletal health benefits include increased muscle strength and endurance, as well as improved bone and joint health.
- Metabolic health benefits of exercise include weight management, improved insulin sensitivity, and better cholesterol levels.
- Mental and emotional wellbeing can be improved, mood can be elevated, stress can be reduced, symptoms of depression can be lessened, and cognitive function can be improved.
- Exercise enhances immune function.
- Exercise improves sleep quality.
- Exercise enhances functional capacity.
- Improved flexibility and balance are benefits of enhanced functional capacity.
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Description
The ACSMs Risk Algorithm helps identify the risk of an adverse exercise event. It considers factors such as age, family history, smoking, sedentary lifestyle, and obesity to determine the need for medical clearance before exercise. Appropriate exercise intensity should be determined for each individual.
