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Screening for Physical Activity: Importance and Guidelines

Screening is crucial in identifying individuals with health concerns before starting an exercise program. Learn about the reasons to screen, risk factors, medical history, and the ACSM recommendations.

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Screening for Physical Activity: Importance and Guidelines

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  1. Pressessment ScreeningChapter 2

  2. Why Screen for Activity? • To identify those with medical contraindications • To identify those who need medical clearance • To identify those who need medical supervision • To identify those with other health/medical concerns like musculoskeletal issues

  3. Medical History/Health Habits • Family history • History of illness & disease • Surgical history • Health behaviors (smoking, alcohol, etc) • Current medications • Signs & symptoms suggesting disease

  4. PAR-Q Form (Appendix C) • Has you doctor ever said you have a heart condition? • Do you feel pain in your chest when you do physical activity? • Do you have chest pain when not doing activity? • Do you lose balance because of dizziness or do you every lose consciousness?

  5. ACSM Risk Stratification • Low Risk • Younger individuals (M<45, F<55) who are asymptomatic and meet no more than one risk factor threshold. • Moderate Risk • Older individuals (M≥45, F≥55) or those who meet the threshold for 2 or more risk factors. • High Risk • Individuals with one or more signs/symptoms of CV or pulmonary disease or with known disease

  6. CAD Risk Factors (Table 2-2) Positive Risk Factors • Family History • Cigarette smoking • Hypertension • Dyslipidemia • Impaired fasting glucose • Obesity • Sedentary Lifestyle Negative Risk Factors • High HDL cholesterol

  7. Signs/Symptoms Suggestive of CV, Pulmonary or Metabolic Disease • Pain, discomfort in the chest, neck, jaw, arms which may due to ischemia (Angina Pectoris) • Shortness of breath at rest or mild exertion • Dizziness or syncope • Orthopnea or nocturnal dyspnea • Ankle edema • Palpitations or tachycardia • Intermittent claudication • Unusual fatigue or shortness of breath with usual activities

  8. Cholesterol Sub-fractions Total Cholesterol = LDL-C + HDL-C + VLDL-C • Cholesterol Cut Points for Dyslipidemia • Total Cholesterol > 200 mg/dl • LDL-C >130 mg/dl • HDL-C < 40 mg/dl

  9. ACSM Recommendations for Medical Exam and Testing Prior to Exercise (Table 2-1)

  10. Informed Consent • Risks and discomforts • Client informs of any problems they are having • Benefits to be expected • Purpose and Explanation of the assessment/program • Confidential handling of data • Free to withdraw at any time

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