Figure 6.3 - Risk Classification

Question 1

Low Risk - Asymptomatic - <2 Risk Factors

Answer 1

Medical exam recommended before exercise?
Moderate Exercise: No
Vigorous Exercise: No

Exercise test recommended before exercise?
Moderate Exercise: No
Vigorous Exercise: No

Doctor supervision of exercise test if done?
Submaximal: No
Maximal: No

Question 2

Moderate Risk - Asymptomatic - > or equal to 2 Risk Factors

Answer 2

Medical exam recommended before exercise?
Moderate Exercise: No
Vigorous Exercise: Yes

Exercise test recommended before exercise?
Moderate Exercise: No
Vigorous Exercise: No

Doctor supervision of exercise test if done?
Submaximal: No
Maximal: No

Question 3

High Risk - Symptomatic, or known cardiovascular, pulmonary, renal, or metabolic disease

Answer 3

Medical exam recommended before exercise?
Moderate Exercise: Yes
Vigorous Exercise: Yes

Exercise test recommended before exercise?
Moderate Exercise: Yes
Vigorous Exercise: Yes

Doctor supervision of exercise test if done?
Submaximal: Yes
Maximal: Yes

Question 4

Moderate Exercise

Answer 4

40 to <60% VO2R

3 to <6 METs

An intensity that causes noticeable increases in heart rate and breathing.

Question 5

Vigorous Exercise

Answer 5

> or equal to 60% VO2R

> or equal to 6 METs

An intensity that causes substantial increase in heart rate and breathing.

Question 6

Not Recommended

Answer 6

Reflects that notion that a medical examination, exercise test, and physician supervision of exercise testing are not recommended in the preparticipation screening; however, they may be considered when there are concerns about risk, more information is needed for the exercise test, and/or are requested by the patient or client.

Question 7

Recommended

Answer 7

Reflects the notion that a medical examination, exercise test, and physician supervision are recommended in the preparticipation health screening process.