Exam 1 Flashcards
What are the major signs or symptoms suggestive of cardiovascular, pulmonary, or metabolic disease?
Pain; discomfort in chest, arms, neck, jaw, or other areas that result from ischemia
Shortness of breath at rest it mild exertion
Dizziness or syncope
Orthopnea, nocturnal dyspnea
Ankle edema
Tachycardia
Intermittent claudication
Heart murmur
Unusual fatigue or shortness of breath
What are the 5 components of physical fitness?
Cardiovascular Flexibility Muscle endurance Muscle strength Body composition
Positive risk factors
Age, family history, smoking, sedentary life, obesity, hypertension, dyslipidemia, prediabetes
Age (positive risk)
Men 45 or older
Women 55 or older
Smoking
Current smoker or quit within 6mo
Sedentary life
Less than 30 min pa
3 days per week
Obesity
Bmi 30 or greater
Waist: men- 40” women- 35”
Hypertension
Sbp: 140 or greater
Dbp: 90 or greater
Dyslipidemia
LDL: 130 or greater
HDL: less than 40
Total: 200 or greater
Prediabetes
IFG: 100 or greater
IGT: 140 or greater and 199 or less
HDL (negative risk factor)
60 or greater
High risk- acsm
Known CV, pulmonary, metabolic disease. Or signs of one
Moderate risk
2 or more risk factors
Low risk acsm
Less than 2 risk factors
What is autonomic neuropathy?
Nerve damage which delays the ANS. (diabetics get numbness in fingers and toes)
What causes abnormal hemodynamics?
Autonomic neuropathy
Who uses AACVPR
High risk ACSM
Blood pressure- positioning
Should be seated for 5 minutes, feet on floor, arm supported at heart level
No caffeine or smoking 30 min prior
Where to wrap cuff for bp
Firmly around upper arm at heart level align with brachial artery
When taking RHR, how long should you count?
30 sec
Exercise HR- how long
Around 10 seconds
Normal bp
120/80
Prehyertension
120-139 / 80-90
Stage 1 hypertension
140-159 / 90-99
Stage 2 hypertension
160 or greater / 100 or greater
Orthostatic hypotension
Move or change position and the BP drops
Low BP- be careful with meds bc drops BP
Diabetes BP
130/80—– stage 1
LDL
OPTIMAL LEVEL
<100
LDL
Near optimal level
100-129
Borderline high LDL
130-159
High LDL
160-189
Very high LDL
190 or greater
ABOUT LDL
Very indicative with the foods you eat/ body produces naturally
Aerobic exercise effect on BP
Causes heart to contract faster, less work, VASODILATION.— BP DROPS
Total cholesterol :: DESIRABLE
< 200
Borderline high total cholesterol
200-239
HIGH cholesterol
240 or greater
HDL LEVELS— if you can get higher, better
Low HDL
<40
HIGH HDL
> 60
Things that can help increase HDL
Estrogen and exercise
Normal triglyceride levels
<150
Borderline high triglyceride levels
150-199
High triglyceride levels
200-499
Very high triglyceride levels
500 or greater
Metabolic syndrome:: body weight/waist circumference
Men:
Women:
M: >102 cm or 40in
W: >88 cm or 35in
Metabolic syndrome::
Glucose levels
100 or greater
Metabolic syndrome::
Dyslipidemia HDL Men: Women: Triglycerides:
Men: HDL 150
Metabolic syndrome:: BP
130/85 or greater
HTN FOR
diabetes:
Metabolic syndrome:
HTN:
D: 130/80
Ms: 130/85
HTN: 140/90
Primary prevention program
Befor symptoms occur
Secondary prevention program
After diagnosed
Anthropometric methods of body comp
Bmi
Circumference
Skin folds
Densitometry body comp methods
Hydro density
Underwater weighing
Plethysmograph
Bodpod
Underweight BMI
<18.5
Normal weight BMI
18.5-24.9
Overweight BMI
25-29.9
Obese 1 BMI
40-34.9
Obese 2 BMI
35-39.9
Morbidly obese BMI
40 or greater
Android circumference
Apple shaped
More at risk for CVD bc visceral fat surrounding organs
Gynoid circumference
Pear shaped- less of a risk for CVD but still a risk
For circumference measurement, if off by how many mm should you repeat a third measurement?
5mm
Sites for circumference (8)
Abdomen Arms Buttocks/hips Calf Forearm Hips/thighs Mid thigh Waist
Hips to waist ratio::
Circumference of hip/waist
Higher ratio/ higher the risk
With circumference, risk for
Men:
Women:
M: >0.95
W: >0.86
For individuals 60-69, WHR cutoff values are
Men:
women:
M- >1.03
W- >.90
Health risk is very high for young MEN with waist to hip ratio of?
> 0.95
Health risk is very high for young WOMEN with waist to hip ratio of?
> 0.86
For individuals 60-69, waist to hip ratio cutoffs are
MEN-
WOMEN-
Men- >1.03
Women- >.90
Stop exercise test if SBP drops ____ with an increasing work rate
10 or more
Stop exercise test if SBP decreases below value obtained when
Prior to test
Stop exercise test if there is an excessive rise in BP—–
SBP
DBP
> 250/>115
Muscular strength
Pure force
Muscular endurance
Successive exertions or reps
Power
Ability to exert force over time
Uncontrolled HTN is classified as
Also, don’t strength train because
> 180/110
Too much pressure when contracting. Weight train after BP is regulated
Men skin fold range
10-22%
Women skin fold range
20-32%
Error for skin fold
+- 3.5%
Error for bod pod
1.7%
1/3 of body fat held is held where
Subcutaneously
For skin folds, repeat a 3rd measurement if off by how many mm
2mm
Waist circumference risk for men
> 40”
Waist circumference risk for women
> 35”
Purpose of skin folds
Look at subcutaneous fat
BP for HTN
140/90
Metabolic syndrome BP
130/85
Diabetes HTN
130/80
Stop exercise test if SBP drops ____ with an increasing work rate
10 or more
Stop exercise test if SBP decreases below value obtained when
Prior to test
Stop exercise test if there is an excessive rise in BP—–
SBP
DBP
> 250/>115
Muscular strength
Pure force
Muscular endurance
Successive exertions or reps
Power
Ability to exert force over time
Uncontrolled HTN is classified as
Also, don’t strength train because
> 180/110
Too much pressure when contracting. Weight train after BP is regulated
Men skin fold range
10-22%
Women skin fold range
20-32%
Error for skin fold
+- 3.5%
Error for bod pod
1.7%
1/3 of body fat held is held where
Subcutaneously
For skin folds, repeat a 3rd measurement if off by how many mm
2mm
Waist circumference risk for men
> 40”
Waist circumference risk for women
> 35”
Purpose of skin folds
Look at subcutaneous fat
BP for HTN
140/90
Metabolic syndrome BP
130/85
Diabetes HTN
130/80