resting assessments Flashcards
a resting battery of an assessment can include (5)
RHR and resting BP, body comp, height/weight/BMI, postural evaluation, possible referral for blood lipid profile
a combination of the following can allow the heart to run at reduced workloads
high stroke volume, (a-v)O2 difference, adequate hydration for proper hematocrit, adequate electrolyte intake, low body mass
low cardiovascular fitness results in ____ RHR
higher
RHR for deconditioned clients can exceed ___bpm
80
factors that can alter normal RHR
lack of sleep, hydration, medications, stimulants, alcohol, previous exercise, smoking, stress
____, ____, ____ and ____ all reduce RHR
aerobic exercise, weight reduction, proper hydration, routine physical activity
assessing the radial pulse
- have client seated for 2-5 min
- palpate the radial artery at the wrist with the index and middle fingers
- measure for 60 sec (or 30s x 2)
if radial pulse value is consistently over ____bpm medical referral is required
100
High BP can result in numerous health issues such as
vascular damage, stroke, kidney damage, congestive heart failure
if elevated BP values are consistently measured
refer client to physician
systolic values over ____ or diastolic values over ____ require medical referral
160, 100
normal BP
<120/<80
elevated BP
120-129/<80
hypertension stage 1
130-139/80-89
hypertension stage 2
> 140/>90
hypertensive crisis
> 180/>120
_______ can perform a blood lipid and chemistry profile
qualified healthcare professional
___,_____,and ____ combine to treat hyperlipidemia and dyslipidemia
diet, routine aerobic exercise, weight loss
potential medical referral values for cholesterol and triglyceride
colesterol ratio >5, total cholesterol >240
total triglycerides >200
obesity is a ____ disorder that increases the risk for many health problems
comorbid
obesity increases the risk for
type 2 diabetes, hypertension, heart disease, sleep apnea, gout, osteoarthritis, cancer
in addition to direct body composition assessments, ___ and ____ scores are used even though they do not take body fat into account
BMI, stature-weight index scores
normal body fat males
<20%
normal body fat females
<26%
stage 1 obesity
males >25%, females >32%, old age >38%
stage 2 obesity
males >30%, females >40%
stage 3 obesity
males >35%, females >45%
high risk obesity
males >40in waist, females >35in waist
underweight BMI
<18.5
normal BMI
18.5-24.9
overweight BMI
25-29.9
obesity BMI
30-34.9
35-39.9
extreme obesity BMI
> 40
BMI is used in research to investigate ____, but personal trainers should not use
disease risk
waist circumference strongly predicts
risk for developing metabolic and cardiovascular disease
waist circumference: males >___, females >____ = high risk for disease
40, 35
____ measurements are the preferred method for obese clients
girth
why re girth measurements preferred
skinfolds will be inaccurate and psychologically invasive
2-3 girth body fat estimation:
men:
abdominal - neck = circumference value
2-3 girth body fat estimation:
women:
(upper abdominal + hip) - neck = circumference value
2-3 girth body fat estimation:
match ____ with ____ for estimated body fat
circumference value, height (in)
skinfold assessments are preferred for
leaner clients
skinfold assessment
- locate sex-specific skin fold locations
- perform skinfold measures at locations and record values
- assess each skinfold 2x with at least 15s in between measures
- total the values for use in an equation
male skinfold sites
abdominal (2 in to the right of belly button), chest (between armpit and nipple), thighs (over the quad on the midline)
female skinfold measurement
triceps, thigh (above quad on midline), supra iliac (natural line of iliac crest)
postural assessments can provide useful programming data like
risk for pain and injury, performance limitations, corrective exercise options
common postural deviations include
forward head positions, abducted scapula, hyperlordotic lumbar spine, knee/ankle deviations, rounded shoulders, thoracic kyphosis, lateral pelvic tilt
poorly aligned joints and anatomical segments increase the risk for
chronic pain, injury, faulty movement patterns
static posture assessments commonly include the use of
plump line from anterior, lateral, posterior view to expose bilateral asymmetries
dynamic everyday actions such as ___, ____, ____ should also be visually assessed for asymmetries
walking, squatting, stepping up stairs
Which of the following would have a negative impact on a client’s resting heart rate?
a. A higher relative body mass
b. Coffee intake
c. Dehydration
d. All the above
d
Stage 1 hypertension is indicated by a resting diastolic blood pressure reading of at least:
a. 80 mmHg
b. 100 mmHg
c. 120 mmHg
d. 130 mmHg
a
Total cholesterol greater than which of the following values is considered a high risk value, and needs medical consideration for treatment options?
a. 180 mg/dl
b. 205 mg/dl
c. 220 mg/dl
d. 240 mg/dl
d
A waist circumference of ____ (inches) for males is considered a major risk factor for metabolic and cardiovascular disease.
a. >25
b. >32
c. >35
d. >40
d
what artery is palpated at the wrist during RHR measurement? ____
radial
the standard estimate of error during girth/circumference measurements with a skilled trainer is ___%
3.5
true or false: deconditioned clients tend to have resting heart rate values lower than athletes due to inactivity
false
true or false: BMI values can be used to examine risk for disease but do not accurately asses body composition
true
true or false: skinfold body fat assessment is preferred for obese clients to maximize accuracy
false
identify the common sex-specific sites used for males during the 3-site skinfold body composition assessment
abdominal, chest, quadriceps
identify the sex-specific sites used for female clients during the 3-site skinfold body composition assessment
triceps, quadriceps, suprailiac
