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1. PA: any bodily movement produced by skeletal muscles that results in energy expenditure
2. Exercise: planned, structured, repetitive movement intended to improve or maintain physical fitness
3. Physical Fitness: outcome that directly relates to the quantity and type of PA an individual can perform
4. Health-related fitness: cardiorespiratory, muscular endurance, muscular strength, flexibility, body com-
position
5. Skill related fitness: agility, balance, coordination, power, reaction time, speed
6. Physical inactivity guidelines: not meeting 30mins at least 5 days a wk over 3 months
7. Recommended PA for children: 60min at least 3 days a wk
8. Recommended PA for adults: at least 150 to 300 mins per wk moderate intensity
9. Recommended PA for older adults: as much as possible without pain, PA should include balance
10. Recommended PA for pregnant women: at least 150 mins per wk
11. Recommended PA for adults with chronic conditions/disabilites: at leas 150 mins
per wk, muscle strengthen activities at least twice a wk
12. Importance Preparticipation screening: -ID those w/ contraindications to PA participation
-ID those who should receive a formal evaluation & clearance
-ID those who should participate in a medically supervised PA program
-ID those w/ other/significant health or medical concerns
13. Medical clearance is needed if:: -known CV/metabolic/renal disease and asymptomatic
-any s/s suggested CV/metabolic/renal disease
-PA history and have s/s
-No PA history and have s/s
14. CMR disease s/s:: -pain/discomfort in chest, neck, jaw, arms, or other areas due to ischemia
-pain is constricting, squeezing or burning
-pain comes with exercise or exertion or excitement
-dyspnea
-syncope
-orthopnea
-ankle edema
-palpitations
-intermittent claudication
-heart murmurs
-unusual fatigue
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15. Contradiction: clinical characteristic that may increase the risk associated with the participation in PA or
exercise testing
16. Absolute: individuals with biomarkers absolutely cannot participate
17. Relative: PA may be accepted or allowed if deemed benefits outweigh the risk
18. Dyspnea: shortness of breathe
19. Syncope: fainting
20. Orthopnea: difficulty breathing when lying down
21. Ankle Edema: swelling of the ankle
22. Intermittent Claudication: pain and discomfort in calf muscles while walking
23. CVD Risk Factors: - Age (>45 men, >55 women)
- Family history/history of premature CVD (prior age 65 for female, prior to age 55 for males)
- Cigarette smoking
- Hypertension
- Diabetes
- Low HDL (<40) >60 = risk reducing
24. Gellish Equation: 207 - (0.7 x age)
25. BMI equation: weight (kg) / height (m^2)
26. Transtheoretical Model: mix of all theories: precontemplation, contemplation, preparation, action,
maintenance
27. Precontemplation: no intention to change
28. Contemplation: aware but not ready to commit
29. Preparation: taking some action but not enough
30. Action: modifies behavior for less then 6 months
31. Maintenance: modifies behavior for more then 6 months
32. Health belief model: addresses the relationship between a person's beliefs and behaviors
33. Theory of Planned behavior: intention to make behavior change leads to change: enhances self
efficacy
34. Social Cognitive Theory: states behavior is determined by the interaction of interdependent factors and
confidence in change
35. Self-efficacy: one's belief about his or hers capabilities and is influenced by mastery/vicarious experiences,
verbal persuasion, and inferences from physiological feedback
36. Mastery experiences: have person successfully perform behavior
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