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WITS CPT > Domain 2: Client Assessment > Flashcards

Domain 2: Client Assessment Flashcards

Chapters 1, 2 16% of Written Exam

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1
Q

CRF

A

Cardiorespiratory Fitness

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2
Q

FITT for avoidance of disease

A

F: 5 days/week
I: Moderate
T: 0.5 hours per day
T: Walk ~6-12 miles per week

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3
Q

FITT

A

Frequency
Intensity
Time
Type

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4
Q

FITT for Fitness

A

F: 3-4 days/week
I: Vigorous/hard
T: 0.5-0.75 hours per day
T: Jog ~10 mi per wk

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5
Q

FITT for Performance

A

F: 7 days/week
I: Very Hard
T: 2 hours per day
T: Run ~100 mi per week

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6
Q

Health

A

the state of complete physical, mental, social well being, and not merely the absence of disease or infirmity.

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7
Q

Factors Affecting Health and Disease

Major Risk Factor Categories

A

Inherited/Biological
Environmental
Behavioral

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8
Q

Inherited/Biological Factors Affecting Health and Disease

A

Age
Gender/Sex
Race
Genetic susceptibility to disease (Genetics)

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9
Q

Positive health

A

Associated with capacity to enjoy life and withstand challenges

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10
Q

Negative Health

A

Associated with morbidity (incidence of disease) and premature mortality

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11
Q

USA five leading causes of death

A 
Heart Disease
Cancer
Lower respiratory disease (e.g COPD)
Stroke
Accidents
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12
Q

Environmental Factors Affecting Health and Disease

A

Physical
Socioeconomic
Family

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13
Q

Behavioral Factors Affecting Health and Disease

A 
Smoking
Inactivity/poor Nutrition
Drinking Alcohol
Overuse of medications
Fast Driving / no seat belt
Pressure to succeed (stress)
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14
Q

Physical Activity

A

Any bodily movement produced by skeletal muscle that results in energy expenditure. It is associated with occupation, leisure time, household chores, and sport

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15
Q

Exercise

A

A subset of physical activity that is planned, structured, and repetitive and has the objective of improving or maintaining physical fitness

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16
Q

Physical Fitness

A

A set of health or skill-related attributes that can be measured by specific tests

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17
Q

Health Related Fitness

A

muscular strength and endurance, CRF, flexibility, and body composition (relative leanness)

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18
Q

Skill-Related / Performance-Related fitness

A

Agility, balance, coordination, speed, power, and reaction time that are linked to games, sport, dance and other activities

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19
Q

Absolute Intensity

A

Describes the rate of work (i.e. how much energy is expended per minute) and can be expressed by:
Kilocalories of energy produced / min (kcal/min)
Milliliters of oxygen consumed per kg of body weight per minute (mL O2/kg/min)
Metabolic Equivalents (METS) where 1 MET is taken at RMR and is equal to 3.5 mL/kg/min and exercise intensity is given as a multiple of MET (e.g. 3 METS, 6 METS)

20
Q

Relative Intensity

A

Describes the degree of effort requried to expend energy and is influced by CRF or maximal aerobic power.

A person with a CRF of 10 METS who is working at 6 METS is at a relative intensity of 60% VO2 max (6/10x100= 60%)

21
Q

Moderate Intensity

A

An absolute intensity of 3 TO 5.9 METS and a relative intensity of 40-59% VO2max

22
Q

Vigorous Intensity

A

An absolute intensity of 6 OR MORE METS and a relative intensity of 60 TO 84% VO2max

Tends to produce better results for reducing risk factors in most individuals
Improves BG, yields higher CRF values than moderate exercise
Not considered safe/appropriate for all clients

23
Q

Frequency

A

Refers to the number of days per week physical activity is done

24
Q

Duration

A

Refers to the amount of time (minutes, hours)a physical activity is done)

25
Q

Volume

A

The total amount of energy expended or work accomplished in an activity, and it is equal to the product of absolute intensity, frequency and time:
10 METS x 3 days/week x 20 min/day = 600 MET-min/week
5 kcal/min x 20 min per day x 3 days/week = 300 kcal/week

26
Q

Effects of Physical Activity on Cardiorespiratory Fitness

A

Reduces risk of heart disease
Lowers BP
Improves lipid profile (cholesterol, TG)
Improves CRF

27
Q

Effects of Physical Activity on Metabolic Health

A

Reduces risk of T2DM

Helps control BG in those with T2DM

28
Q

Effects of Physical Activity on Musculoskeletal health

A

Increased Bone Density
Increased muscle mass and strength
Improves pain mgmt for RA/OA

29
Q

Effects of Physical Activity on Cancer

A

Reduce risk of breast, colon, lung and endometrial cancer

30
Q

Effects of Physical Activity on Mental Health

A

Reduces risk of depression and cognitive decline

31
Q

ACSM/AHA Guidelines for PHYSICAL ACTIVITY to reduce risk of chronic disease

A

30- 60minutes of MODERATE INTENSITY activity 5 DAYS PER WEEK (>= 150 min/week)
20-60 minutes of VIGOROUS INTENSITY activity 3 DAYS PER WEEK (>=75 min/week)
OR
a combination of both

More is better

32
Q

ACSM/AHA Guidelines for STREGTH TRAINING

A

Perform 8-10 exercises for the major muscle groups (legs, hips, back, chest, shoulders, arms)
Select a resistance that produces muscular fatigue after 8-12 reps
One set is sufficient, although more gains can be achieved with 2-3 sets

Participate in resistance training activities at least 2 non-consecutive days per week

33
Q

Effect of Fitness and Fatness on CVD risk

A

PA yields improved health benefits regardless of body weight

BW s/b a secondary concern. Primary concern should include the establishment of PA

34
Q

Basic level of Performance (Functional Fitness)

A 
Completing Daily Tasks Efficiently
CRF
Musclular strength and endurance
Flexibility
Body Leanness
Task-Specific Needs
35
Q

Sport-Related Performance

A 
Agility
Balance
Coordination
Power 
Speed
36
Q

Purpose of Pre-Activity Screening

A

Identification of High Risk Participants
Determine who should seek medical clearance prior to fitness testing or exercise participation
Initiates new participants
Provides a forum too build rapport and trust
Provides the trainer with information and tools for exercise Rx and programming

37
Q

The first step in a fitness professionals health risk appraisal of exercise participants

A

Pre-participation Screening

MR. PLEASE

38
Q

MR. PLEASE

A

M - Make a classification on current activity level
R - Review medical hx for Cardio, Metabolic or Renal Disease
P - Pertinent signs/symptoms of CV, metabolic or Renal disease
L - Level of desired activity intensity
E - Establish if medical clearance is necessary
A- Administration of fitness tests & eval results
S - Set up of Exercise Rx
E - Evaluation of progress with follow-up tests

39
Q

PAR-Q+

A

Physical Activity Readiness Questionnaire for Everyone (+)
Self administered evaluation that helps an individual determine whether they should seek a physician’s clearance before beginning a low-to-moderate intensity exercise program
Consists of 7 questions, and 10 follow up questions for anyone that answers yes to any of the 7 primary questions

40
Q

HSQ

A

Thorough health analysis administered by a health pro to ID risk factors, lifestyle behaviors, exercise hx, medications, and red flags that may require program modifications of physician’s consent
Includes HIPAA patient release info

41
Q

Atherosclerotic Cardiovascular Disease Risk-Factor Thresholds for Risk Classification

A

Age: Men >=45, Women >=55
Fam Hx: MI, coronary revascularization or sudden death before age 55 in father/male first-degree relative OR before age 65 in mother/female first-degree relative
Cigarette Smoking: current, quit in last 6 mo, or exposure to second hand
Sedentary Lifestyle
Obesity: BMI >=30 or waist >40” for men, 35” for women
HTN: Systolic >=140 or Diastolic >=90 measured x2
Dyslipidemia: LDL >=130, HDL <40, Total Cholesterol >=200, or on lipid lowering meds
Pre-diabetes: Impaired fasting glucose >=100 mg/dl, impaired OGTT >=140

42
Q

Risk Factor Stratification: Low Risk

A

Asymptomatic men and women with <=1 risk factor

43
Q

Risk Factor Stratification: Moderate Risk

A

Asymptomatic men and women with >= 2 risk factors

44
Q

Risk Factor Stratification: High Risk

A 
Men and women with known CVD, Metabolic or Renal disease
OR
w/ major signs and symptoms of these diseases:
Angina
SOB
Dizziness
LOC
Edema
Heart Palpitations
Tachycardia
Heart murmur
Intermittent Claudication
45
Q

Purpose of Cardiovascular and Muscular Fitness Assessments

A 
Assess Essential Components of Fitness:
Cardiovascular Endurance
Muscular Strength
Muscular Endurance
Flexibility
Body Composition

WITS CPT (8 decks)

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