Benefits of PA/Ex
Which is a better marker of health: BMI or Fitness?
Fitness
Pain, discomfort in chest, neck or jaw associated with ischemia.
Angina
Female 57
Risk factor
Gold standard for assessing body composition
DXA
According the ACSM, what is the weekly recommendation for exercise.
150 min MOD
75 min VIG
The ACSM says that exercise can be performed in bouts as short as _____ min
10
What form can be used to clear large groups of people for exercise?
PARQ+
Father had a heart attack at 62
Not a risk factor
What fold direction is the suprailiac skinfold?
Diagonal
What is the minimum requirement for someone to qualify as physical active?
3 days /wk
3 months
30 minutes per session
The more you do the more benefit you receive.
Dose response
Pain in the lower leg. Typically exaggerated when walking up stairs or a hill.
Intermittent claudication
Tim is currently using metoprolol to manage his blood pressure. During the last two visits these were the blood pressures you recorded.
Visit 1 SBP - 112/64
Visit 1 SBP - 118/64
Risk factor (Metoprolol)
1/3
What is the standard of error when performing waist to hip ratio?
5 mm or 0.5 cm
Who is at the highest risk of AMI/SCD at the local 5k?
Sally - Runs 4 times per week
Ed - Walks 2 days per week lifts 2 days per week
John - Cycles 5 days per week during his lunch break
Judy - Runs 5 miles every Saturday
Judy
Higher frequencies of PA/Ex throughout the week = lower risk of AMI/SCD
Michael, a 62‑year‑old retired teacher, is preparing to begin cardiac rehabilitation after a recent myocardial infarction. He had an uncomplicated stent placement. His evaluation included a modified Bruce‑protocol stress test, during which he exercised for 8 minutes (6 METs), developed transient 1 mm inferolateral ST depressions without chest pain. Resting vitals showed blood pressure of 138/82 mmHg and heart rate of 72 bpm, and an echocardiogram revealed an ejection fraction of 45%. He has also been diagnosis with clinical depression.
What AACVPR risk category is he in?
High risk
clinical depression
HbA1c = 6.2%
Risk factor
DXA is a ____ compartment body composition assessment.
What classification is this BMI?
27.3 kg/m2
Overweight
Someone who meets the ACSM minimum recommendation for exercise but is sedentary the rest of the day.
Active coach potato
A 55 yr old female who wants to stay healthy. For the past 6 months she has walked around the local park 3 days a week for about 30 minutes but she wants some more guidance and variation in her routine. She feels fine while exercising but sometimes when she walks her knee aches and swells. She doesn’t take any medication currently for her type II diabetes or blood pressure. However, she does get an occasional Cortisone shot for her arthritic knee.
Does she need medical clearance?
No medical clearance for moderate exercise
Lipid panel
LDL - 120
HDL - 58
TC - 189
Not a risk factor
BW - 89kg
Tricep- 17, 19
Suprailiac- 42, 44
Thigh- 38, 41, 43
Calculate the absolute amount of fat mass in kg.
33.4 kg FM
Underwater weighing utilizes this principle
Archimedes Principle