ACSM Exercise Physiologist Exam Study Guide For
ACSM Certification 2022
FITT for Obese - F: ≥5 days/week (max. caloric expenditure)
I: Mod-Vigorous Aerobic activity (Vig-desirable)
T: Min. 30 min -totaling ≥150min/week (Progress to 60 min) intermittent 10 min. bouts OK
**Vigorous activity is encouraged
T: Aerobic physical activity (resistance/flexibility -healthy pop. guidelines)
FITT-P for Hypertensive - F: Aerobic: Most/preferably every day
Resistance: 2-3 days/week
I: Mod-aerobic exercise RPE: 11-13
Resistance: 60-80% 1-RM
T: 30-60 min of continuous or intermittent of 10 min.
Resistance: 8-12 reps; 1 set
T: Aerobic exercise is the main focus (walking, cycling, swimming)
Progression:Guidelines for healthy Pop. Except pay attention to blood pressure and medications
FITT for Coronary Heart Disease - F: 3-4 d/w (5-6 d/w Optimal)
Resistance: 2 d/w
I: 50-60% (75) symp-limited VO2max or HRR
Resistance: 30-50% up to 60-80% of 1-RM
T: 30 minutes
Resistance: 12-15 reps, 1-3 sets
T: Endurance training
FITT for Diabetes mellitus - F: 3-7 days/week
I: RPE: 11-13 (40-60%VO2R)
-Intensity can be modified/increased based on individual
T: Min: ≥150min/week (Moderate) Can be done in bouts of 10 minutes
, Additional Benefits seen with ≥300 min/week (Mod-Vigorous)
T: Emphasis activities using large muscle groups -Rhythmic & continuous exercise
Progression: Increase exercise Duration first. Then increase Intensity. Resistance Training is also
beneficial in absence of contraindication
FITT for Osteoarthritis - F: Aerobic: 3-5 days/week
Resistance: 2-3d/w
Flexibility (ROM)
I: Low-moderate
T: ≥150min/week or 10 min bouts as tolerated
T: Aerobic Exercise -low impact
Progression: Should be gradual and tailored individually as tolerated
FITT for Cancer - F: Aerobic: 3-5 days/week
Resistance: 2-3 d/w
Flexibility: Can be done daily (even during treatment)
I: Highly Variable during treatment; RPE; Slow Progression
T: Aerobic:Short bouts several times/day during treatment
Survivors without exacerbation can follow healthy population guidelines
Resistance: 8-12 reps; 1 set
T: Aerobic -prolonged (walking, cycling swimming)
Progression: Slow; Avoid fatigue
FITT for Dysplidemia - ≥5days/week (maximize caloric expenditure)
I: 40-75%VO2R
T: 30-60 min
50-60 min -to promote weight loss
Can be done in bouts of 10 minutes if necessary
T: Aerobic Activities
ACSM Certification 2022
FITT for Obese - F: ≥5 days/week (max. caloric expenditure)
I: Mod-Vigorous Aerobic activity (Vig-desirable)
T: Min. 30 min -totaling ≥150min/week (Progress to 60 min) intermittent 10 min. bouts OK
**Vigorous activity is encouraged
T: Aerobic physical activity (resistance/flexibility -healthy pop. guidelines)
FITT-P for Hypertensive - F: Aerobic: Most/preferably every day
Resistance: 2-3 days/week
I: Mod-aerobic exercise RPE: 11-13
Resistance: 60-80% 1-RM
T: 30-60 min of continuous or intermittent of 10 min.
Resistance: 8-12 reps; 1 set
T: Aerobic exercise is the main focus (walking, cycling, swimming)
Progression:Guidelines for healthy Pop. Except pay attention to blood pressure and medications
FITT for Coronary Heart Disease - F: 3-4 d/w (5-6 d/w Optimal)
Resistance: 2 d/w
I: 50-60% (75) symp-limited VO2max or HRR
Resistance: 30-50% up to 60-80% of 1-RM
T: 30 minutes
Resistance: 12-15 reps, 1-3 sets
T: Endurance training
FITT for Diabetes mellitus - F: 3-7 days/week
I: RPE: 11-13 (40-60%VO2R)
-Intensity can be modified/increased based on individual
T: Min: ≥150min/week (Moderate) Can be done in bouts of 10 minutes
, Additional Benefits seen with ≥300 min/week (Mod-Vigorous)
T: Emphasis activities using large muscle groups -Rhythmic & continuous exercise
Progression: Increase exercise Duration first. Then increase Intensity. Resistance Training is also
beneficial in absence of contraindication
FITT for Osteoarthritis - F: Aerobic: 3-5 days/week
Resistance: 2-3d/w
Flexibility (ROM)
I: Low-moderate
T: ≥150min/week or 10 min bouts as tolerated
T: Aerobic Exercise -low impact
Progression: Should be gradual and tailored individually as tolerated
FITT for Cancer - F: Aerobic: 3-5 days/week
Resistance: 2-3 d/w
Flexibility: Can be done daily (even during treatment)
I: Highly Variable during treatment; RPE; Slow Progression
T: Aerobic:Short bouts several times/day during treatment
Survivors without exacerbation can follow healthy population guidelines
Resistance: 8-12 reps; 1 set
T: Aerobic -prolonged (walking, cycling swimming)
Progression: Slow; Avoid fatigue
FITT for Dysplidemia - ≥5days/week (maximize caloric expenditure)
I: 40-75%VO2R
T: 30-60 min
50-60 min -to promote weight loss
Can be done in bouts of 10 minutes if necessary
T: Aerobic Activities
