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SENIOREDITORMitchell
H.
Whaley,
PhD,FACSM
Professorand
Chair
School
of
Physical
Education,Sport
and
ExerCIseSCience
Ball
State
University
MunCie,
Indiana
ASSOCIATEEDITOR-CLINICAL
Peter
H.
Brubaker,
PhD,FACSM
AssoCIate
ProfessorandExecutive
DirectorHealthy
Exercise
and
Lifestyle
Programs
DepartmentofHealth
and
Exercise
SCience
Wake
ForestUniverSity
Winston-Salem,NorthCarolina
AMERICAN
COLLEGE
OF
SPORTS
MEDICINE
SEVENTH
EDITION
J ~
lipPICOTTWIWAMS
&
WILKoI
S
•
AWollersKluwerompanyPhiladelphia.Baltimore·
ew
York.
London
Buenos
i'll''''
.
Hong
Kong'
Sydney
•
Tokyo
ACSM's
GUIDELINES
FOREXERCISE
TESTING
AND
PRESCRIPTION
I-Min
Lee,
MD,
FACSM
TimothyMcConnell,
PhD,
FACS
MJonathan
N.
Myers,
PhD,
FACS
M
Frank
X.
Pizza,PhD,
FACSM
Thomas
W
Rowland,
MD,
Kerry
Stewart,
EdD,
FACSM
CSMPaulD.
Thompson,
MD,
F ~ S M
Janet
P.
Wallace,
PhD,
FA
AUTHORS
Lawrence
Armstrong,
PhD,FACSM
Gary
J.
Balady,
MD
Michael
J.
Berry,
PhD,
FACSM
Shala
E.
Davis,
PhD,FACSM
Brenda
M.
Davy,
PhD,
RD,
LC
Kevin
P.
Davy,
PhD,FACSM
Barry
A.
Franklin,
PhD,FACSM
Neil
F.
Gordon,MD,
PhD,
MPH,
FACSM
ASSOCIATEEDITOR-FITNESS
Robert
M.
Dna,
PhD,FACSM
Professorand
DirectorHumanPerformanceLaboratoryDepartment
of
Health,
Physical
Education,
and
HumanPerformance
SCiences
AdelphiUniversity
Garden
City,NewYork
 
xii
CONTRIBUTORS
Contents
onathan
N.
Myers.
PhD.
FACSM
ClinicalAssistantProfessor
of
XI!'dicine
Departnwnt
of
CardiologyStanford
lj
ni\,-rsit)Palo\Ito
\.\
IlealthCareSystemPalo
\110.
California.
Francis
X.
Piua.
PhD
Professor
Dcp,niment
of
Kinesiology
The
Unhc·rsit."
of
ToledoTolt'do,Ohio
Kerry
Stewart.
EdD.FACSM
I\.>sodalcProfessor
of
~ I e d i c i n e
Di\ision
of
CardiologyDirector.Johns
J
lopkins
Ilcart
HealthJohnsIlopldnsBa\Vif'wXledical;ent('rBaltimore,
~ l < l l y l a n d
Paul
D.
Thompson.
MD.FACSM
Director.Preventiv!'CardiologyIIali
tcm]
lJospitalHartford,Connecticut
Section
I
PrefaceNota
Bene
ContributorsAbbreViations
Health
A J l I I ~ i ~ a l B ~ l A s ~ e s s m e n t .
and
Safety
ofExercise
VII
x
xi
xix
Benefits
and
Risks
Associated
With
Physical
Activity
3
Physical
Activityand
Fitness
Terminology3PublicHealthPerspectiveforCurrentRecommendations5
Divergent
Physical
ActivityRecommendations6
Benefits
of
Regular
PhySical
Activityand/or
ExerCise
7
Dose-Response
Relationship
7
Risks
AssociatedWith
ExerCise
10
Sudden
DeathAmong
Young
Individuals
11
ExerciseEvents
in
Those
With
Sickle
CellTrait
12
Exercise-RelatedCardiac
Eventsin
Adults
12
Risks
of
Cardiac
Events
During
Exercise
Testing
12
Risks
of
Cardiac
Events
During
Cardiac
Rehabilitation
13
Prevention
of
ExerCIse-Related
Cardiac
Events
13
1919
21
28
29
30393943
45
46
47
xiii
Preparticipation
Health
Screening
andRisk
Stratification
PreparticipationScreeningAlgOrithm
Risk
StratificationandMedical
Clearance
AdditionalPreparticipation
Assessments
Exercise
Testing
and
TestingSupervision
RecommendatIons
Risk
StratificationforCardiacPatients
Pre-ExerciseEvaluations
MedicalHistory.
PhySical
Examination,andLaboratory
Tests
Blood
Pressure
LIpids
andLipoproteinsBlood
Profile
Analyses
Pulmonary
Function
3
2
Section
II
Exercise
Testing
Janet
P.
Wallace.
PhD.
FACSM
Profc'ssor
and
Dircctor
of
AdultFitnrss
Depmtnwnl
of
KinesiologyIntlianaUnh·rrsit.\·Bloomington,Indiana
Thomas
W.
Rowland.
MD.FACSM
l'rof('ssor,
Department
of
Pf'diatricsTuftsUnhersit)·School
of
XledicineBoston.IvhLssachus!'tlsDirector,PediatricCardiologyBa\Statet-Iedica.l
Center
Splingl1eld,Massachnsetts
of 00

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