NASM FINAL EXAM part 3 Flashcards
considerations for hypertensive
avoid heavy lifting and vasalva breathe normal not overgrip or clench fists modify tempo to avoid extended iso and conc actions no prone - stand and progress slow
resistance improves bone mineral density no more than
5%
After 12 weeks, pregnant women should avoid
supine
Considerations for pregnant women
clothing should dissipate heat
start with phase 1 and 2 (2-3xwk, light, 12-15 reps, 1-3set)
ONLY PHASE 1 after 1st trimester, no supine/ prone twists after 1st low impact, no plyo in 2nd and 3rd trimesters
3-5x wk, 15-30 mins (stage 1 intensity, 2 with doc’s ok)
start with 5 mins/day - no SMR on vericose/swollen areas
can the growth of the fetus alter posture of pregnant woman?
yes
what is the best style of training for pregnant women
circuit training - reduce activity 3rd trimester
diabetics - training variable
resistance 2-3x wk (1-3 sets) 10-15 reps
what % of people over 20 are overweight
66 — 34% are obese
OBESE - variables
2-3x wk 1-3 sets 10-15 reps 60-80% max hr (or 40-70) cardio 5x wk - focus on cal expenditure (200-300/session)
OSTEOPOROSIS
sit to stand
avoid squats and leg press
no plyo
decrease in bone mass and density and space btw bones
3-5x wk, 40-70%, 20-30 mins
water exercise if severe
static and active stretch (smr may not be good)
cardio - stage 1 if tolerated; 2 w/doc’s ok
incline or standing abs (don’t want lots of spinal flexion)
ARHTRITIS
start w/5 mins; 3-5x wk, 30 mins Stage 1 (2-3 if doc’s ok)
60-80%; circuit over hiit; use pain as guide; start slow; have decreased balance; smr if tolerated; avoid heavy and hi-reps
Osteopenia
precursor to osteoporosis; resistance 75% 1rm, circuit fashion, 8-10 ex,, 1 set, 8-12 reps
degeneration of cartilage at joints
osteoarthritis
altered air flow thru lungs, bronch/emphysema
Chronic Obst. Lung Disease - adequate rest; pha is ideal
super low calorie diet must be monitored by
medical professionals
degenerative joint disease
rheumatoid arthritis - body attacks own tissues
avoid early morning exercise
What does RDA stand for?
Recommended Dietary Allowance - average intake sufficient to meet nutrient requirement of nearly all people in a certain age/group/gender
Even ______% of water loss adversely affects performance
2%
obesity, fatty diet and sedentary life
metabolic syndrome
how much carbs during long training?
30-60g every hour
completes/adds to daily intake
dietary supplements
recommended daily nutrient intake level
adequate intake - used when RDA can’t be determined
meet half the healthy people in an age group
EAR - Est. Average Daily Nutrient
highest average daily level likely to pose no risk
tolerable upper limit
take this vitamin with meals, spaced throughout the day
calcium
excess _______ can cause kidney stones
calcium
excess_________can cause nerve damage
B6
protein breaks down in _______first
stomach
where are protein strands denatured and cleave to peptides
stomach
small intestine further splits
peptides into tripeptides, dipeptides and aminos
where are aminos absorbed
small intestine
creatine dosage
2-5g/day 5-7 days at 20g to start rapidly regenerates ATP increases muscle mass and anaerobic perf 4-5lb water gain
how much caffeine for sprints?
NONE for sprinting!
caffeine dosage
1 hour before exercise
3-6mg/kg
stimulant effects CNS, heart and skeletal
ergogenic effects (enhances performance, stamina, recovery)
Vitamins w/potential for excess dosage
D, A, Iron, Zinc (dosage for “Daiz”)
these people won’t even think about exercising
precontemplation (educate)
thinking about exercising in the next 6 mos
contemplation (educate)
work out occasionally but thinking abou tmore serious
preparation (increase social network)
started to workout but haven’t done 6 mos yet
action (educate, discuss barriers)
maintenance phase
people who have been exercising 6mos+
build a relationship / genuine interest
active listening
reflecting
express what you’ve heard
time barrier solution
use a journal
someone with unrealistic goals
discuss realistic ones
lack social support?
define type and amount which helps adherence
daily written record
self monitoring
created to produce internalized experiences to support or enhance participation
imagery
asking questions to uncover initial cause of fail
root cause analysis
how many seconds to make a good impression
20
what does SMART stand for
specific measurable attainable realistic timely
4 types of support
instrumental
emotional
informational
companionship
what type of support - babysitter / spotter ; transportation
instrumental (tangible support)
affirmations, caring, empathy
emotional support
directions, advice, suggestions
informational support
people you can exercise with is an example of
companionship support
10 steps
annual weekly sessions per wk closing % time frame # clients to interact with # clients daily # clients hourly contact info follow up
independent contractor
no FT benefits
fee to gym to train there
marketing not supported
club may take % session fees
4 P’s of marketing
Product (specific product/service)
Price - $ for service including discount bundles
Place - channels to reach customer
Promotion - communication about a product (social media)
most buying decisions are based on
emotion
client records should be kept
4 years
recert nasm every
2 yrs - 2 CEUs
Obesity - what phase
1, 2
avoid supine as most have HBP
Max o2 is usually reduced; no greater than 60-80%
5xwk, low impact (talk test)
stage 1 40-60 mins (or 2x20); progress to stage 2.
resist - 1-3 sets, 10-15 reps, 2-3x wk, as high as 20 reps
Push/Pull - shoulders elevate - lower traps are
underactive
seated cable row
strength
feet turn out OHS - medial gastroc is
underactive
upper crossed - scalenes are
overactive
shoulder extension, adduction and internal rotation
lat dorsi
S/L Plyo power step-up
plyo power
s/l knees in - adductor is
overactive
arms fall forward - teres major is
overactive
dynamic eccentric, concentric movement of balance leg thru full ROM -
balance strength
hypertrophy stretch
SMR and active isolated
narrowing of arteries supplying blood to lower body/legs; leg pain
peripheral arterial disease - 20-30 mins, 3-5x wk, circuit and walking are good phase 1 dont' exceed upper HR cause leg pain