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
Q

Stage 2 hypertension

A

160 or greater / 100 or greater

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25
Q

Orthostatic hypotension

A

Move or change position and the BP drops

Low BP- be careful with meds bc drops BP

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26
Q

Diabetes BP

A

130/80—– stage 1

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27
Q

LDL

OPTIMAL LEVEL

A

<100

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28
Q

LDL

Near optimal level

A

100-129

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29
Q

Borderline high LDL

A

130-159

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30
Q

High LDL

A

160-189

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31
Q

Very high LDL

A

190 or greater

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32
Q

ABOUT LDL

A

Very indicative with the foods you eat/ body produces naturally

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33
Q

Aerobic exercise effect on BP

A

Causes heart to contract faster, less work, VASODILATION.— BP DROPS

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34
Q

Total cholesterol :: DESIRABLE

A

< 200

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35
Q

Borderline high total cholesterol

A

200-239

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36
Q

HIGH cholesterol

A

240 or greater

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37
Q

HDL LEVELS— if you can get higher, better

Low HDL

A

<40

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38
Q

HIGH HDL

A

> 60

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39
Q

Things that can help increase HDL

A

Estrogen and exercise

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40
Q

Normal triglyceride levels

A

<150

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41
Q

Borderline high triglyceride levels

A

150-199

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42
Q

High triglyceride levels

A

200-499

43
Q

Very high triglyceride levels

A

500 or greater

44
Q

Metabolic syndrome:: body weight/waist circumference

Men:
Women:

A

M: >102 cm or 40in

W: >88 cm or 35in

45
Q

Metabolic syndrome::

Glucose levels

A

100 or greater

46
Q

Metabolic syndrome::

Dyslipidemia 
HDL 
Men: 
Women:
Triglycerides:
A

Men: HDL 150

47
Q

Metabolic syndrome:: BP

A

130/85 or greater

48
Q

HTN FOR

diabetes:
Metabolic syndrome:
HTN:

A

D: 130/80

Ms: 130/85

HTN: 140/90

49
Q

Primary prevention program

A

Befor symptoms occur

50
Q

Secondary prevention program

A

After diagnosed

51
Q

Anthropometric methods of body comp

A

Bmi

Circumference

Skin folds

52
Q

Densitometry body comp methods

A

Hydro density
Underwater weighing
Plethysmograph
Bodpod

53
Q

Underweight BMI

A

<18.5

54
Q

Normal weight BMI

A

18.5-24.9

55
Q

Overweight BMI

A

25-29.9

56
Q

Obese 1 BMI

A

40-34.9

57
Q

Obese 2 BMI

A

35-39.9

58
Q

Morbidly obese BMI

A

40 or greater

59
Q

Android circumference

A

Apple shaped

More at risk for CVD bc visceral fat surrounding organs

60
Q

Gynoid circumference

A

Pear shaped- less of a risk for CVD but still a risk

61
Q

For circumference measurement, if off by how many mm should you repeat a third measurement?

A

5mm

62
Q

Sites for circumference (8)

A
Abdomen 
Arms 
Buttocks/hips
Calf
Forearm 
Hips/thighs 
Mid thigh 
Waist
63
Q

Hips to waist ratio::

A

Circumference of hip/waist

Higher ratio/ higher the risk

64
Q

With circumference, risk for

Men:
Women:

A

M: >0.95
W: >0.86

65
Q

For individuals 60-69, WHR cutoff values are

Men:
women:

A

M- >1.03

W- >.90

66
Q

Health risk is very high for young MEN with waist to hip ratio of?

A

> 0.95

67
Q

Health risk is very high for young WOMEN with waist to hip ratio of?

A

> 0.86

68
Q

For individuals 60-69, waist to hip ratio cutoffs are

MEN-
WOMEN-

A

Men- >1.03

Women- >.90

69
Q

Stop exercise test if SBP drops ____ with an increasing work rate

A

10 or more

70
Q

Stop exercise test if SBP decreases below value obtained when

A

Prior to test

71
Q

Stop exercise test if there is an excessive rise in BP—–

SBP
DBP

A

> 250/>115

72
Q

Muscular strength

A

Pure force

73
Q

Muscular endurance

A

Successive exertions or reps

74
Q

Power

A

Ability to exert force over time

75
Q

Uncontrolled HTN is classified as

Also, don’t strength train because

A

> 180/110

Too much pressure when contracting. Weight train after BP is regulated

76
Q

Men skin fold range

A

10-22%

77
Q

Women skin fold range

A

20-32%

78
Q

Error for skin fold

A

+- 3.5%

79
Q

Error for bod pod

A

1.7%

80
Q

1/3 of body fat held is held where

A

Subcutaneously

81
Q

For skin folds, repeat a 3rd measurement if off by how many mm

A

2mm

82
Q

Waist circumference risk for men

A

> 40”

83
Q

Waist circumference risk for women

A

> 35”

84
Q

Purpose of skin folds

A

Look at subcutaneous fat

85
Q

BP for HTN

A

140/90

86
Q

Metabolic syndrome BP

A

130/85

87
Q

Diabetes HTN

A

130/80

88
Q

Stop exercise test if SBP drops ____ with an increasing work rate

A

10 or more

89
Q

Stop exercise test if SBP decreases below value obtained when

A

Prior to test

90
Q

Stop exercise test if there is an excessive rise in BP—–

SBP
DBP

A

> 250/>115

91
Q

Muscular strength

A

Pure force

92
Q

Muscular endurance

A

Successive exertions or reps

93
Q

Power

A

Ability to exert force over time

94
Q

Uncontrolled HTN is classified as

Also, don’t strength train because

A

> 180/110

Too much pressure when contracting. Weight train after BP is regulated

95
Q

Men skin fold range

A

10-22%

96
Q

Women skin fold range

A

20-32%

97
Q

Error for skin fold

A

+- 3.5%

98
Q

Error for bod pod

A

1.7%

99
Q

1/3 of body fat held is held where

A

Subcutaneously

100
Q

For skin folds, repeat a 3rd measurement if off by how many mm

A

2mm

101
Q

Waist circumference risk for men

A

> 40”

102
Q

Waist circumference risk for women

A

> 35”

103
Q

Purpose of skin folds

A

Look at subcutaneous fat

104
Q

BP for HTN

A

140/90

105
Q

Metabolic syndrome BP

A

130/85

106
Q

Diabetes HTN

A

130/80