Chapter 1: Exercise Preparticipation Health Screening Exam 1 Flashcards
Most active individuals have ____ for exercise-related adverse events
low risk
What intensity should most individuals regularly engage in?
Moderate-to-Vigorous Activity
What role has the change in public health message & social awareness played for health/fitness facilities?
-Interest & participation has increased!
-More populations are regular exercisers
More higher risk individuals are becoming physically active which include:
-Older adults
-Obesity & Type 2 Diabetes
-Cardiovascular Disease
-Beginner exercisers (sedentary)
Growing popularity of vigorous intensity exercise includes:
-HIIT
-Boot Camp-Style Fitness Classes
Sport-Specific Fitness Classes
-Cross-Fit
We must provide an environment that promotes exercise BUT…
We have the ethical & legal challenges of minimizing the risks & chances of an adverse event
What is Exercise Preparticipation Screening?
Method for identifying individuals who may be at an increased risk for adverse event during exercise
-encourage medical clearance prior to exercise regimen
What are the 2 types of Exercise Participation Screening?
-Self-guided
-Professionally guided
Health Screening Questionnaires
- Pre-Activity Screening Questionnaire (PASQ)
- Physical Activity Readiness Questionnaire (Par-Q+)
Health History Questionnaires
-More comprehensive information on client
-Must be read & interpreted by a professional
ACSM Preparticipation Screening Algorithm
Step 1: Determine if individual meets the “Rule of 3”
Step 2: Determine if individual has known CV, Metabolic, or Renal disease
Step 3: Determine if individual has signs/symptoms of CV, Metabolic, or Renal Disease
Step 4: Determine intensity individual wishes to participate in
When utilizing health screening what should you do?
-Use recommended tools (ACSM, NSCA, etc.)
-Avoid creation your own or using documents from unknown sources
Health screening tools should be reviewed by qualified staff & results retained for minimum 1 year from review. Should be private, confidential, & secure. Who is considered qualified staff?
- Individuals w/ a 4-year health/fitness degree from accredited institution
- Fitness professional with appropriate certification
- Licensed Health Care Professional
If known CV, metabolic, or renal disease is present should medical clearance be recommended before beginning exercise?
Yes
Facilities should communicate the value of completing screenings on regular basis (yearly) or if significant health status change occurs. What are some good communication avenues?
-Membership Agreement
-Online Communications
-Staff Communications with Members
-Signage
When is the best time to perform preparticipation screening?
-Initial fitness consultation
-Enrollment in faculty/program
-Yearly or when health status changes
What can information from pre participation screening be valuable for besides clearance to exercise?
-Exercise Goals
-Exercise Programming
-Client Education
ACSM Recommendation for Refusals
Have members sign a waiver/release
Important Components of Refusal Waiver/Release
- Offered a preparticipation screening
- Informed of risks related to participation
- Chose not to follow guidance provided
- Assumes responsibility for their actions
- Release facility from claims/lawsuits due to participation
