What is the exercise participation health screening process based on? - 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: -
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 - 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? - ANSWER classifies individuals who do or do not
currently participate in regular exercise
1
,- 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? - 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 - ANSWER 30-39% HRR or VO2R
2-2.9 METS
RPE: 9-11
Mod intensity - ANSWER 40-59% HRR or VO2R
3-5.9 METS
RPE 12-13
Vigorous intensity - ANSWER >60% HRR or VO2R
RPE >14
> 6 METS
Risk stratifications for individuals with CVD: LOWEST RISK - ANSWER - functional capacity
> 7 METS
Risk stratifications for individuals with CVD: MODERATE risk - 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
2
, - functional capacity <5 METS
- Rest ejection fraction 40-49%
Risk stratifications for individuals with CVD: HIGHEST risk - 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 - ANSWER Frequency
Intensity
Time
Type
Volume
Progression
Frequency - ANSWER moderate-intensity aerobic exercise 5 days a week OR
vigorous aerobic exercise done at least 3 days a week
Intensity - ANSWER moderate and/or vigorous is recommended for most adults
Time - ANSWER 30-60 min of purposeful moderate exercise OR
20-60 if vigorous
- <20 min of exercise per day can be beneficial
Type - ANSWER Regular, purposeful exercise that involves major muscle groups and is
continuous and rhythmic
3
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: -
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 - 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? - ANSWER classifies individuals who do or do not
currently participate in regular exercise
1
,- 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? - 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 - ANSWER 30-39% HRR or VO2R
2-2.9 METS
RPE: 9-11
Mod intensity - ANSWER 40-59% HRR or VO2R
3-5.9 METS
RPE 12-13
Vigorous intensity - ANSWER >60% HRR or VO2R
RPE >14
> 6 METS
Risk stratifications for individuals with CVD: LOWEST RISK - ANSWER - functional capacity
> 7 METS
Risk stratifications for individuals with CVD: MODERATE risk - 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
2
, - functional capacity <5 METS
- Rest ejection fraction 40-49%
Risk stratifications for individuals with CVD: HIGHEST risk - 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 - ANSWER Frequency
Intensity
Time
Type
Volume
Progression
Frequency - ANSWER moderate-intensity aerobic exercise 5 days a week OR
vigorous aerobic exercise done at least 3 days a week
Intensity - ANSWER moderate and/or vigorous is recommended for most adults
Time - ANSWER 30-60 min of purposeful moderate exercise OR
20-60 if vigorous
- <20 min of exercise per day can be beneficial
Type - ANSWER Regular, purposeful exercise that involves major muscle groups and is
continuous and rhythmic
3
