Beginning the health appraisal process & concepts of exercise programming HW 280.
-
Upload
merilyn-dorsey -
Category
Documents
-
view
221 -
download
1
description
Transcript of Beginning the health appraisal process & concepts of exercise programming HW 280.
![Page 1: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/1.jpg)
Beginning the health appraisal process & concepts of exercise programming
HW 280
![Page 2: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/2.jpg)
Discuss health appraisals for exercise planning
Discuss risk factor evaluation Designing exercise programs Application Wrap-up
![Page 3: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/3.jpg)
ACSM & AHA recommend pre-participation screening to:
Determine current health status Is it appropriate to undergo fitness testing
and/or begin exercise?◦ Identifying risk factors
![Page 4: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/4.jpg)
Standard appraisal items:◦ Medical history review◦ Risk factor assessment and stratification◦ Prescribed medications◦ Level of physical activity◦ Establishing need for physician consent◦ Administration of fitness tests; evaluation results◦ Set up exercise prescription◦ Evaluation of progress
![Page 5: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/5.jpg)
Physical Activity Readiness Questionnaire PAR-Q◦ Light to moderate activity◦ Issues
Health Status Questionnaire (HSQ)◦ More comprehensive◦ Contraindications and risk factors◦ Lifestyle/behaviors◦ Physical activity patterns◦ Current medications◦ Information release form
![Page 6: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/6.jpg)
Privacy issues and protected information◦ Question: What steps should professionals take
to ensure HSQ information is properly protected?
Communication and trust◦ Question: Patients may feel uncomfortable
sharing detailed, personal medical histories. What are some techniques the health professional can use to build comfort?
![Page 7: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/7.jpg)
General Medical History◦ Heart History◦ Symptoms◦ Additional Health Issues
Risk Factor* Assessment CHD◦ Establish and quantify
Low risk: men <45 and women <55 asymptomatic & no more than 1 risk factor
Moderate risk: men >45 and women >55 or people with 2 or more risk factors
High risk: Ind. w/ cardiovascular, pulmonary, metabolic or who show signs or symptoms
![Page 8: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/8.jpg)
Prescribed medications Level of physical activity
◦ Question: What conditions constitute the risk factor of physical inactivity?
◦ Question: How would you explain what constitutes low, moderate, and strenuous physical activity to a participant?
Establishing the need for physician consent to begin exercise
Administer and evaluate standard fitness tests
![Page 9: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/9.jpg)
![Page 10: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/10.jpg)
Appropriate plans consider:◦ Health status◦ Personal goals◦ Fitness test results
Types of programs◦ Supervised, clinic-based◦ Prescribed exercise, professional supervision◦ Vigorous-intensity exercise◦ Any unsupervised physical activity
![Page 11: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/11.jpg)
Timelines Variety Accommodate individual differences Maintain control Monitor progress
![Page 12: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/12.jpg)
Understanding physical activity vs. exercise Elements of balanced work outs
◦ Cardiovascular endurance◦ Muscle strength & endurance◦ Flexibility◦ Body composition
Activity PyramidSedentary activityFlexibility (3+ wk)Muscular strength/endurance (3+ wk)Cardio (3-5 x wk)
Physical Activity - DAILY FITT Guidelines
Frequency
Intensity
Time
Type
![Page 13: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/13.jpg)
Overload Specificity Progression Reversibility Consistency Individual differences Safety Rest
![Page 14: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/14.jpg)
Let’s talk about designing a program for a hypothetical participant . . . ◦ The participant is a 62 year old women, post-
menopausal with high blood pressure and sedentary lifestyle. She is somewhat motivated to tend to her health but has never exercise regularly. She cannot swim and is not likely to regularly attend a gym.
◦ What steps would you take to complete a health appraisal?
◦ What basic exercise routine would you suggest? Use the FITT guidelines. Is there anything else you think is important to discuss with the participant? Why?
![Page 15: Beginning the health appraisal process & concepts of exercise programming HW 280.](https://reader035.fdocuments.us/reader035/viewer/2022070605/5a4d1ad17f8b9ab0599717f9/html5/thumbnails/15.jpg)
Discussed health appraisals for exercise planning
Discussed risk factor evaluation Talked about designing exercise programs Application Wrap-up
Questions?