Exam 1 Flashcards

0
Q

What are the major signs or symptoms suggestive of cardiovascular, pulmonary, or metabolic disease?

A

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

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1
Q

What are the 5 components of physical fitness?

A
Cardiovascular
Flexibility 
Muscle endurance 
Muscle strength 
Body composition
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2
Q

Positive risk factors

A

Age, family history, smoking, sedentary life, obesity, hypertension, dyslipidemia, prediabetes

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3
Q

Age (positive risk)

A

Men 45 or older

Women 55 or older

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4
Q

Smoking

A

Current smoker or quit within 6mo

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5
Q

Sedentary life

A

Less than 30 min pa

3 days per week

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6
Q

Obesity

A

Bmi 30 or greater

Waist: men- 40” women- 35”

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7
Q

Hypertension

A

Sbp: 140 or greater

Dbp: 90 or greater

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8
Q

Dyslipidemia

A

LDL: 130 or greater

HDL: less than 40

Total: 200 or greater

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9
Q

Prediabetes

A

IFG: 100 or greater

IGT: 140 or greater and 199 or less

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10
Q

HDL (negative risk factor)

A

60 or greater

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11
Q

High risk- acsm

A

Known CV, pulmonary, metabolic disease. Or signs of one

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12
Q

Moderate risk

A

2 or more risk factors

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13
Q

Low risk acsm

A

Less than 2 risk factors

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14
Q

What is autonomic neuropathy?

A

Nerve damage which delays the ANS. (diabetics get numbness in fingers and toes)

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15
Q

What causes abnormal hemodynamics?

A

Autonomic neuropathy

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16
Q

Who uses AACVPR

A

High risk ACSM

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17
Q

Blood pressure- positioning

A

Should be seated for 5 minutes, feet on floor, arm supported at heart level

No caffeine or smoking 30 min prior

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18
Q

Where to wrap cuff for bp

A

Firmly around upper arm at heart level align with brachial artery

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19
Q

When taking RHR, how long should you count?

A

30 sec

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20
Q

Exercise HR- how long

A

Around 10 seconds

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21
Q

Normal bp

A

120/80

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22
Q

Prehyertension

A

120-139 / 80-90

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23
Q

Stage 1 hypertension

A

140-159 / 90-99

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24
Stage 2 hypertension
160 or greater / 100 or greater
25
Orthostatic hypotension
Move or change position and the BP drops Low BP- be careful with meds bc drops BP
26
Diabetes BP
130/80----- stage 1
27
LDL OPTIMAL LEVEL
<100
28
LDL Near optimal level
100-129
29
Borderline high LDL
130-159
30
High LDL
160-189
31
Very high LDL
190 or greater
32
ABOUT LDL
Very indicative with the foods you eat/ body produces naturally
33
Aerobic exercise effect on BP
Causes heart to contract faster, less work, VASODILATION.--- BP DROPS
34
Total cholesterol :: DESIRABLE
< 200
35
Borderline high total cholesterol
200-239
36
HIGH cholesterol
240 or greater
37
HDL LEVELS--- if you can get higher, better Low HDL
<40
38
HIGH HDL
>60
39
Things that can help increase HDL
Estrogen and exercise
40
Normal triglyceride levels
<150
41
Borderline high triglyceride levels
150-199
42
High triglyceride levels
200-499
43
Very high triglyceride levels
500 or greater
44
Metabolic syndrome:: body weight/waist circumference Men: Women:
M: >102 cm or 40in W: >88 cm or 35in
45
Metabolic syndrome:: Glucose levels
100 or greater
46
Metabolic syndrome:: ``` Dyslipidemia HDL Men: Women: Triglycerides: ```
Men: HDL 150
47
Metabolic syndrome:: BP
130/85 or greater
48
HTN FOR diabetes: Metabolic syndrome: HTN:
D: 130/80 Ms: 130/85 HTN: 140/90
49
Primary prevention program
Befor symptoms occur
50
Secondary prevention program
After diagnosed
51
Anthropometric methods of body comp
Bmi Circumference Skin folds
52
Densitometry body comp methods
Hydro density Underwater weighing Plethysmograph Bodpod
53
Underweight BMI
<18.5
54
Normal weight BMI
18.5-24.9
55
Overweight BMI
25-29.9
56
Obese 1 BMI
40-34.9
57
Obese 2 BMI
35-39.9
58
Morbidly obese BMI
40 or greater
59
Android circumference
Apple shaped More at risk for CVD bc visceral fat surrounding organs
60
Gynoid circumference
Pear shaped- less of a risk for CVD but still a risk
61
For circumference measurement, if off by how many mm should you repeat a third measurement?
5mm
62
Sites for circumference (8)
``` Abdomen Arms Buttocks/hips Calf Forearm Hips/thighs Mid thigh Waist ```
63
Hips to waist ratio::
Circumference of hip/waist Higher ratio/ higher the risk
64
With circumference, risk for Men: Women:
M: >0.95 W: >0.86
65
For individuals 60-69, WHR cutoff values are Men: women:
M- >1.03 | W- >.90
66
Health risk is very high for young MEN with waist to hip ratio of?
>0.95
67
Health risk is very high for young WOMEN with waist to hip ratio of?
>0.86
68
For individuals 60-69, waist to hip ratio cutoffs are MEN- WOMEN-
Men- >1.03 Women- >.90
69
Stop exercise test if SBP drops ____ with an increasing work rate
10 or more
70
Stop exercise test if SBP decreases below value obtained when
Prior to test
71
Stop exercise test if there is an excessive rise in BP----- SBP DBP
>250/>115
72
Muscular strength
Pure force
73
Muscular endurance
Successive exertions or reps
74
Power
Ability to exert force over time
75
Uncontrolled HTN is classified as Also, don't strength train because
>180/110 Too much pressure when contracting. Weight train after BP is regulated
76
Men skin fold range
10-22%
77
Women skin fold range
20-32%
78
Error for skin fold
+- 3.5%
79
Error for bod pod
1.7%
80
1/3 of body fat held is held where
Subcutaneously
81
For skin folds, repeat a 3rd measurement if off by how many mm
2mm
82
Waist circumference risk for men
>40"
83
Waist circumference risk for women
>35"
84
Purpose of skin folds
Look at subcutaneous fat
85
BP for HTN
140/90
86
Metabolic syndrome BP
130/85
87
Diabetes HTN
130/80
88
Stop exercise test if SBP drops ____ with an increasing work rate
10 or more
89
Stop exercise test if SBP decreases below value obtained when
Prior to test
90
Stop exercise test if there is an excessive rise in BP----- SBP DBP
>250/>115
91
Muscular strength
Pure force
92
Muscular endurance
Successive exertions or reps
93
Power
Ability to exert force over time
94
Uncontrolled HTN is classified as Also, don't strength train because
>180/110 Too much pressure when contracting. Weight train after BP is regulated
95
Men skin fold range
10-22%
96
Women skin fold range
20-32%
97
Error for skin fold
+- 3.5%
98
Error for bod pod
1.7%
99
1/3 of body fat held is held where
Subcutaneously
100
For skin folds, repeat a 3rd measurement if off by how many mm
2mm
101
Waist circumference risk for men
>40"
102
Waist circumference risk for women
>35"
103
Purpose of skin folds
Look at subcutaneous fat
104
BP for HTN
140/90
105
Metabolic syndrome BP
130/85
106
Diabetes HTN
130/80