Transcript Pre-assessment Screening

Pre-participation Health
Screening and Risk Stratifciaton
KINE 4315 Lab
1. Age: Men > 45, Women > 55
2. Family history: MI, coronary revascularization, or sudden
death before 55 yrs in father or other male first-degree
relative, or before 65 yrs in mother or other female first
degree relative.
3. Cigarette smoking: Current cigarette smoker or those who
quit within the previous 6 months or exposure to
environmental tobacco smoke.
4. Sedentary lifestyle: Not participating in at least 30 minutes
of moderate physical activity (40-60% VO2R) on or at lest 3
days of the week for at least 3 months.
5. Obesity: Body mass index of ≥30 kg/m2, or waist girth of
>102 cm (40 inches) for men and >88 cm (35 inches) for
women.
6. Hypertension: SBP ≥140 mm Hg or DBP ≥90 mm Hg, confirmed on
at least 2 separate occasions, or on antihypertensive medication.
7. Dislipidemia: LDL > 130 mg/dl or HDL < 40 mg/dl, or on lipid
lowering medication. If total cholesterol is all that is available then
us > 200 mg/dl.
8. Prediabetes: Impaired fasting glucose = fasting blood glucose of
≥100 mg/dl but <126 mg/dl. Or impaired glucose tolerance = 2
hour values in oral glucose tolerance test > 140 but < 200 mg/dl.
All confirmed by measurements on at least 2 separate occasions.
**If HDL cholesterol is >60 mg/dl, subtract one risk factor from the
sum of positive risk factors (negative risk factor).
OTHER CONSIDERATIONS: Musculoskeletal injuries such as knee, back, shoulder
joint injuries that will effect the exercise prescription.
Secondary Risk Factors
• Alcohol – 1 drink = 12 oz beer, 1.5 oz hard
liquor, 5 oz. wine
– >1 drink/day women
– >2 drinks/day men
– Risk vs Benefit
Secondary Risk Factors
• Hypertriglyceridemia - > 200 mg/dL
• Stress
– Type A Personality – sudden, frequent
outbursts of anger, impatient, time conscious
– Repressed feelings
– High Stress
• High Fat Diet
ACSM: Check for these major signs or symptoms
• 1. Pain, discomfort (or other anginal equivalent)
in the chest, neck, jaw, arms, or other areas that
may be due to ischemia.
• 2. Shortness of breath at rest or mild exertion.
• 3. Dizziness or syncope.
• 4. Orthopnea (discomfort in breathing which is
brought on or aggravated by lying flat) or
paroxysmal nocturnal dyspnea (acute difficulty in
breathing appearing suddenly at night, usually
waking the patient after an hour or two of sleep).
• 5. Ankle edema.
ACSM: Check for these major signs or symptoms
(cont)
• 6. Palpitations (forcible or irregular pulsation of the
heart, perceptible to the individual, usually with an
increase in frequency or force, with or without
irregularity in rhythm) or tachycardia (rapid beating of
the heart, typically over 100 beats per minute at rest).
• 7. Intermittent claudication (a condition caused by lack
of blood flow and oxygen to the leg muscles,
characterized by attacks of lameness and pain, brought
on by walking).
• 8. Known heart murmur.
• 9. Unusual fatigue or shortness of breath with usual
activities.