Scope of Practice
True or false
A CPT can give general guidance on the importance of nutrition for health and performance
True
What are the three macronutriens
Carbohydrates, Lipids, Protein
You are working with a new client who recently started a low-carbohydrate diet for weight loss. However, she complains of being tired and lacking energy for her training sessions. What might be the reason for her low energy?
inadequate carbohydrate intake
Approximately what percentage of the human body (in male and female adults) is comprised of water?
60%
A client who is training with you to improve his body composition states that he only sleeps 4 or 5 hours a night because he thinks that any more is a waste of time. How might you respond to him in view of his body composition goals?
Explain that adequate sleep is important in regulating hunger and satiety hormones, and that chronic sleep deprivation is detrimental for weight management.
A client asks for a specific amount of calories to eat in a day, can a CPT give that to them if they use the NASM calorie calculator?
Yes
What are the three micronutrients?
Vitamins, Minerals, Phytonutrients
A client reports that he was recently told by his doctor that he has high blood sugar and that he should try to reduce it through dietary changes before considering medication. He asks you for advice. What would be the most appropriate course of action?
Explain that medical nutrition therapy is outside your scope of practice, then refer him to a registered dietitian for nutrition counseling.
What would be the recommended source of hydration after 40 to 45 minutes of exercise with minimal perspiration?
Water
What is the optimal amount of protein per meal for muscle protein synthesis?
20 to 40 g
Nutrition professionals that are nationally recognized by the Commission on Dietetic Registration to provide clinical, community, food service, and nutrition education?
Registered dietitian nutritionist
How many calories are in each macronutrient?
Carbs : 4
Lipids : 9
Protein : 4
A client asks you how she could lose fat as quickly as possible for a beach vacation next weekend. Which of the following is the best way to respond to her question?
Explain that fat loss takes time and is best achieved with a moderate calorie deficit sustained over a period of time. Rapid weight loss usually results in loss of water weight and lean muscle mass, and it is not advisable.
Which of the following hydration options would be most appropriate for exercise lasting over 90 minutes, or shorter-duration exercise in warm temperatures with heavy perspiration?
Sports drink or electrolyte tablets mixed with water
Current sports nutrition guidelines from the International Society of Sports Nutrition recommend what range of protein for most exercising individuals?
1.4 to 2.0 g/kg of body weight
A client asks you to provide her with a meal plan specifying how many calories and grams of protein, carbohydrates, and fat she should eat for weight loss. What is the best way to respond to her request to stay within scope of practice?
Explain that providing specific nutrient recommendations is outside your scope of practice,
Extra points (+100) if you said: refer the client to a registered dietitian or licensed nutritionist for nutrition counseling.
What are the three categories within the lipid family?
Triglycerides, phospholipids, and sterols
A client looking to add muscle and bulk over the next few months asks for advice on how to consume extra calories. Which of the following would be the most appropriate advice, while remaining within scope of practice?
Suggest she increase meal frequency and portion sizes at meals.
After exercising, what percentage of weight lost should you consume in water?
125%
According to current research, what is the optimal range of daily protein intake to maximize muscle protein synthesis?
1.6 to 2.2 g/kg of body weight
A client tells a CPT their doctor wants them to partake in a lower calorie diet. The CPT then tells the client that they should not follow a low calorie diet and just start exercising more. Is this in the CPT's scope of practice?
nope
What is the acceptable macronutrient distribution range (AMDR) for carbohydrate in the diet?
45% to 65% of total calories
A client reports that he is following a limited diet of chicken and rice every day to avoid eating extra calories from other foods in order to lose weight. What would be an appropriate response within your scope of practice as a fitness professional?
A varied diet of whole foods provides important micronutrients, and this limited diet may be lacking adequate amounts of them.
What are 5 negative effects of inadequate hydration?
Increased heart rate
Higher body temperature
Higher rate of perceived exertion
Increased use of muscle glycogen
Lower blood volume
Decreased cardiac output
Decreased blood flow
Lower rate of perspiration (and temperature regulation)
What would be a helpful and sustainable strategy for achieving a moderate calorie deficit for fat loss?
Replacing high-calorie foods with leaner substitutes