1. Pre-participation Health Screening and Risk Stratifciaton KINE 4315 Lab

3. 1. Age: Men > 45, Women > 55 2. Family history: MI, coronary revascularization, or sudden death before 55 yrs in father or other male first-degree relative, or before 65 yrs in mother or other female first degree relative. 3. Cigarette smoking: Current cigarette smoker or those who quit within the previous 6 months or exposure to environmental tobacco smoke. 4. Sedentary lifestyle: Not participating in at least 30 minutes of moderate physical activity (40-60% VO 2 R) on or at lest 3 days of the week for at least 3 months. 5. Obesity: Body mass index of ≥30 kg/m 2, or waist girth of >102 cm (40 inches) for men and >88 cm (35 inches) for women. 2.4. Hypercholesterolemia (Dislipidemia) (serum cholesterol of >200 mg/dl or HDL cholesterol of 130 mg/dl rather than the total cholesterol of >200 mg/dl). If HDL cholesterol is >60 mg/dl, subtract one risk factor from the sum of positive risk factors (negative risk factor).

4. 6. Hypertension: SBP ≥140 mm Hg or DBP ≥90 mm Hg, confirmed on at least 2 separate occasions, or on antihypertensive medication. 7. Dislipidemia: LDL > 130 mg/dl or HDL 200 mg/dl. 8. Prediabetes: Impaired fasting glucose = fasting blood glucose of ≥100 mg/dl but 140 but < 200 mg/dl. All confirmed by measurements on at least 2 separate occasions. **If HDL cholesterol is >60 mg/dl, subtract one risk factor from the sum of positive risk factors (negative risk factor). OTHER CONSIDERATIONS: Musculoskeletal injuries such as knee, back, shoulder joint injuries that will effect the exercise prescription.

5. Secondary Risk Factors Alcohol – 1 drink = 12 oz beer, 1.5 oz hard liquor, 5 oz. wine – >1 drink/day women – >2 drinks/day men – Risk vs Benefit

6. Secondary Risk Factors Hypertriglyceridemia - > 200 mg/dL Stress – Type A Personality – sudden, frequent outbursts of anger, impatient, time conscious – Repressed feelings – High Stress High Fat Diet

7. ACSM: Check for these major signs or symptoms 1. Pain, discomfort (or other anginal equivalent) in the chest, neck, jaw, arms, or other areas that may be due to ischemia. 2. Shortness of breath at rest or mild exertion. 3. Dizziness or syncope. 4. Orthopnea (discomfort in breathing which is brought on or aggravated by lying flat) or paroxysmal nocturnal dyspnea (acute difficulty in breathing appearing suddenly at night, usually waking the patient after an hour or two of sleep). 5. Ankle edema.

8. ACSM: Check for these major signs or symptoms (cont) 6. Palpitations (forcible or irregular pulsation of the heart, perceptible to the individual, usually with an increase in frequency or force, with or without irregularity in rhythm) or tachycardia (rapid beating of the heart, typically over 100 beats per minute at rest). 7. Intermittent claudication (a condition caused by lack of blood flow and oxygen to the leg muscles, characterized by attacks of lameness and pain, brought on by walking). 8. Known heart murmur. 9. Unusual fatigue or shortness of breath with usual activities.