Questions and CORRECT Answers
What is the exercise participation health screening process based on? - CORRECT
ANSWER -- the individual's current level of physical activity
- the presence of signs or symptoms and/or known CV, metabolic, or renal disease
- desired exercise intensity
Goals of the ACSM participation health screening process is to identify individuals who: -
CORRECT ANSWER -- who should receive medical clearance before initiating an
exercise program or increasing the frequency, intensity, and/or volume of their current program
- individuals with clinically significant disease(s) who may benefit from participating in a
medically supervised exercise program
- individuals with medical conditions that may require exclusion from exercise programs until
those conditions are better controlled
2 stage process of screening - CORRECT ANSWER -- need for medical clearance before
initiating or progressing exercise programming is determined using the updated and revised
ACSM screening algorithm--> in presence of health care professional
- if indicated during screening, medical clearance should be sought from the appropriate health
care provider
What does the screening algorithm do? - CORRECT ANSWER -classifies individuals who
do or do not currently participate in regular exercise
,- GOAL: identify those unaccustomed to regular physical exertion b/c exercise may place
disproportionate demands on the CV system and increase risk of complications
what is exercise participation? - CORRECT ANSWER -performing planned, structured
PA at least 30 min at moderate intensity on at least 3 days a week for at least the last 3 months
light intensity exercise - CORRECT ANSWER -30-39% HRR or VO2R
2-2.9 METS
RPE: 9-11
Mod intensity - CORRECT ANSWER -40-59% HRR or VO2R
3-5.9 METS
RPE 12-13
Vigorous intensity - CORRECT ANSWER ->60% HRR or VO2R
RPE >14
> 6 METS
Risk stratifications for individuals with CVD: LOWEST RISK - CORRECT ANSWER --
functional capacity > 7 METS
Risk stratifications for individuals with CVD: MODERATE risk - CORRECT ANSWER -
- presence of angina or other significant symptoms (unusual SOB, lightheadedness, or dizziness
occurring only at high levels of exercise (> 7 METS)
- mild to mod ischemia during exercise testing or ST segment depression < 2 mm from baseline
- functional capacity <5 METS
, - Rest ejection fraction 40-49%
Risk stratifications for individuals with CVD: HIGHEST risk - CORRECT ANSWER --
presence of complex ventricular dysrhythmias during exercise testing or recovery
- presence of angina or other significant symptoms (unusual SOB, light-headedness, dizziness at
low levels of exertion ( < 5 METS during recovery)
FITT-VP - CORRECT ANSWER -Frequency
Intensity
Time
Type
Volume
Progression
Frequency - CORRECT ANSWER -moderate-intensity aerobic exercise 5 days a week OR
vigorous aerobic exercise done at least 3 days a week
Intensity - CORRECT ANSWER -moderate and/or vigorous is recommended for most
adults
Time - CORRECT ANSWER -30-60 min of purposeful moderate exercise OR
20-60 if vigorous
- <20 min of exercise per day can be beneficial
Type - CORRECT ANSWER -Regular, purposeful exercise that involves major muscle
groups and is continuous and rhythmic
Volume - CORRECT ANSWER -> 500-1,000 MET-min a week