Show:
Individual risk ractors
Benefits and Risks of
Physical Activity
Risk stratification
Grab Bag
Case Studies
100
Daniel is 46 years of age. How would his age be classified as a cardiovascular risk factor?
What is a positive risk factor?
100
What are the ACSM-AHA physical activity recommendations for healthy adults aged 18-65 years old?
What is a minimum of 30 min on 5 days/week of moderate intensity exercise, OR 20 min on 3 days/week of vigorous intensity exercise?
100
Kathy is asymptomatic, and has 1 risk factor, how is she classified? Low, moderate or high?
What is low risk?
100

This ratio of lung volumes is diminished with obstructive airway diseases.

What is FEV1.0/FVC ratio?

100
What is someone’s BMI if they are 5’10 and 210 lbs?
What is 30.2 kg/m2?
200
Maggie’s mother had breast cancer at age 66. How does one rate her cardiovascular risk factor for family history?
What is absent risk factors for family history?
200
What are the physical activity recommendations from the Physical Activity Guidelines Advisory Committee?
What is 150 min/week of moderate intensity activity, OR 75 min/week of vigorous intensity activity?
200
Lucy works an office job, does not participate in physical activity, and has no signs or symptoms and no known disease. She wants to join a group of long distance trail runners around her area. They avg 12-15 miles a run and aim to run sub 6-minute miles. Would you clear her to join them? Why or why not?
No. She is sedentary yet wants to begin a vigorous activity. She should begin with low to moderate intensity activities.
200
These are the three main items that the ACSM guidelines suggest to take into consideration prior to an ExRx.
What is current PA level, signs/symptoms/disease, and desired exercise intensity?
200
Max does not know his family history because he is adopted. What type of pre-exercise testing would be recommended in his case?
What are a full physical exam and clinical exercise testing?
300
Dan's father died of a heart attack at 67 years of age. His mother is still living. Does he have any family history risk factors? If so, what are they?
What is he as no family risk factors?
300
How often should adults perform activities to increase muscular strength and endurance?
What is a minimum of 2 days/wk?
300
John has a sign/ symptoms of disease, and has 2 risk factors, how is he classified? Low, moderate or high?
What is high risk?
300
A person is exhibiting these, they should only be allowed to undergo a GXT or perform exercise if the benefits outweigh the risks.
What is a relative contraindication?
300
A male client is 25 years old, BP and lipid profiles are normal, 6'3", 210lbs, but his blood glucose information is missing. Does he need medical clearance to perform vigorous exercise?
What is no medical clearance is necessary, but it is recommended that he gradually progress to vigorous exercise?
400
Sam takes medication for his blood pressure but it is currently 118/62 mmHg? How would one rate his cardiovascular risk factor for blood pressure?
What is a positive risk factor?
400
What is the absolute annual risk of exercise-related sudden death among high school and college athletes?
What is one per 133,000 men and 769,000 women?
400
Sarah is a normal weight hypertensive. She is asymptomatic and uses light exercise and medications to control her BP. If she wanted to attempt moderate exercise would she need medical clearance? Vigorous exercise?
What is no medical clearance for moderate exercise? She may need clearance for vigorous activity.
400
This form explains the fact that the exercise test/session is purely on a volunteer level along with explaining the risks/benefits.
What is informed consent?
400

Does this person require medical clearance?

Female, 36 years old

Known disease: type I diabetes

Signs and symptoms: none

Family History=both parents in good health

Cigarette Smoking: nonsmoker

Physical activity: vigorous aerobics 5 days/week for 1 hour

BMI: 18.5 kg/m2

Blood Pressure: 114/62 mmHg

Dyslipidemia: Total cholesterol = 174mg/dL; LDL = N/A; HDL=N/A;

Prediabetes: on insulin

What is medical clearance is not necessary for moderate intensity exercise, but recommended before vigorous intensity exercise?
500
Mary’s HDL cholesterol is 62 mg/dL and her LDL is 135 mg/dL. How would you rate her cardiovascular risk factor for dyslipidemia? Positive, negative, or neutral?
What is neutral?
500
What range of MET levels are considered moderate intensity physical activity?
What is 3-5.9 METs?
500
Becky has recently begun exercising. She has been exercising 3x a week for the past 6 weeks and is looking to increase the intensity. She wants to engage in a vigorous exercise program. What should Becky do before increasing her intensity?
What is undergo a physical exam and laboratory tests?
500
How many MAJOR signs and symptoms of CV, metabolic, pulmonary or renal disease exist? Name two.

What are nine major signs and symptoms?

Pain, discomfort in the chest (angina), neck, jaw, arms, or other areas

Dyspnea at rest or with mild exercise

Dizziness or syncope

Orthopnea or paroxysmal nocturnal dyspnea (shortness of breath or difficulty breathing at night)

Ankle edema

Palpitations or tachycardia

Intermittent claudication (pain that occurs in the lower extremities with an inadequate blood supply)

Known heart murmur

Unusual fatigue or dyspnea with usual activities

500

CASE STUDY: The person below wants to engage in a vigorous exercise program. Can he begin this program with his personal trainer?

Male, 54 years old

Known disease: none

Signs and symptoms: none

Family History: father heart attack age 77

Cigarette Smoking: nonsmoker

Physical activity: runs vigorously 4-7 days/week for 30 minutes

BMI: 22.8 kg/m2;

Blood pressure: 124/78 mmHg

Dyslipidemia: Total cholesterol = 187mg/dL; LDL = 103mg/dL; HDL = 52mg/dL

Blood glucose: 88 mg/dL

What is no medical clearance needed for a vigorous exercise program? He can move forward with the program.