Exercise Testing and Prescription Flashcards
What are possible risks associated with exercise?
1 in 15k-18k previously asymptomatic individuals have sudden cardiac events
How much does exercise lower your risk for CVD?
physically fit individuals have a 30-40% decreased risk of CVD
Based on a cost benefit analysis of exercise what would you recommend?
There are far more benefits to exercise than risks even for someone who has a some risk factors. I would recommend people exercise for health and feeling good. It affects pretty much every body system.
A patient is asymptomatic and has fewer than 2 risk factors, do they need a medical exam or exercise test to begin exercising?
No, they do not need a medical exam, exercise test, or medical supervision of the test to begin a moderate or vigorous exercise program.
What are some health screening options available?
- questionnaires
- CVD risk factor assessment
- medical evaluation
What is an example of a health screening questionnaire?
PAR-Q
List examples of CVD risk factor assessments
BP and lipid profiles
What are a few types of medical examinations prior to exercising?
Physical exam or stress test
A patient asks why an exercise routine would be beneficial to them. What would you say?
- it benefits almost every system in the body
- it improves the prognosis for almost every disease
- reduces the risk of injury
- improves psychological well-being
- it is fun
A patient has severe cardiovascular disease. Would you prescribe a vigorous exercise routine for them?
No. Cardiovascular disease is a contraindication for exercise. They would need to consult their physician before beginning an exercise regimen.
What diseases are contraindications to exercise?
- Metabolic disease
- Cardiovascular disease
- Pulmonary
- Renal disease
A patient is diagnosed with diabetes. What type of disease is this?
Metabolic disease
Is a patient with thyroid, renal, or liver disease able to exercise?
These are all metabolic diseases which are contraindications to exercise. They would need to consult their physician first; however, mild exercise would probably still benefit them.
A patient asks if they are able to begin a vigorous exercise program. They are asymptomatic but have more than two risk factors. How would you advise them?
They should get a medical exam before beginning a vigorous exercise program. They could start mild and moderate exercise. They probably do not need an exercise test; however, they should get a physical examination before beginning vigorous exercise.
A patient is symptomatic and has known pulmonary disease. What are the steps they should take to begin an exercise program?
Before beginning moderate or vigorous exercise, they should get a medical examination as well as a stress test. If a patient is presenting with known CVD, pulmonary, renal, or metabolic disease, they should have a medical examination and a doctor supervised stress test.
