1. Pre-Activity Screening Chapter 2 Chapter 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

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 (Box 2-2) Family History Cigarette smoking Hypertension Dyslipidemia Impaired fasting glucose Obesity Sedentary Lifestyle High HDL cholesterol

7. Signs/Symptoms Suggestive of CV & Pulmonary Disease Pain, discomfort in the chest, neck, jaw, arms which may due to ischemia Shortness of breath at rest or mild exertion Dizziness or syncope 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) Low RiskModerate Risk High Risk Moderate Exercise Not Necessary Recommended Vigorous Exercise Not NecessaryRecommended

10. Informed Consent Description and benefits of the assessment/program Risks Voluntary participation Client informs of any problems they are having Free to withdraw at any time