8/14/2019 ACSM CPT Webinars 1-2 Flashcards | Quizlet

ACSM CPT Webinars 1-2

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Terms in this set (52)

Coronary Artery Disease Risk
Factor Thresholds
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Positive Risk Factors: Age- Men greater than or equal
to 45 years of age; Women greater than or equal to
55 years of age
Family History- myocardial infarction, coronary
revascularization, or sudden death before 55 years of
age in father or other male first degree relative (ie.
brother or son), or before 65 years of age in mother
or other female first degree relative (i.e. sister or
daughter)
Cigarette Smoking- current cigarette smoker or those
who quit within the previous 6 months or exposure to
enviro tobacco smoke
Sedentary Lifestyle- not participating in at least 30
min of moderate intensity (40-60% VO2 ) physical
activity on at least three days of the week for at least
three months
Obesity-body mass index of greater than or equal to
30 kg/m2, or waist girth of greater than 102 cm (40
inches) for men and greater than 88 cm (35 inches) for
women
Hypertension-systolic bp greater than or equal to 140
mm Hg and or diastolic greater than or equal to
90mmHg, confirmed by measurements on at least two
separate occasions, or on antihypertensive
medication
Dyslipidemia- low-density lipoprotein (LDL-C) greater
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than or equal to 130 mgdL-1 or high density

lipoprotein (HDL-C) cholesterol less than 40 mgdL-1,
or on lipid lowering medication. If total serum
cholesterol is all that is available use greater than or
equal to 200mg*dL-1 rather than low-density
lipoprotein (LDL) greater than 130mg/dL-1
Pre-diabetes- imparied fasting blood glucose greater
than or equal to 100mg/dL-1 but less than 126 mg/dL
or imparied glucose tolerance test (IGT) = 2 hours
values in oral glucose tolerance test (OGTT) greater
than or equal to 140mg/dL-1 but less than 200 mg/dL
confirmed by measurements on at least two separate
occasions

Negative Risk Factors: Coronary High Serum HDL cholesterol: greater than 60mg/dL
Artery Disease Risk Factor
Thresholds

Max Testing -might require physician supervision

-often require participants to reach max effort
-typically used to diagnose
Types of tests-diagnostic stress test- Bruce Test
Protocol
-Cooper 12 min max field test
-1.5 max mile test

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Submax Testing -do not require max effort

-each test has a predetermined end point
-used to estimate cardiovascular fitness
-more appropriate for the gen pop.
Types of tests -cycle ergometer test
-treadmill test
-3 min step test

Antihypertensive medication help lower bp

-overall class of antihypertensive agents lower bp,
although the mechanisms of action very greatly

Antianginal medication counters angina pain

-a drug used to treat angina pectoris, a symptom of
ischemia heart disease

Bronchiodilators medication opens the bronchial tubes

-help open the bronchial tubes of the lungs, allowing
more air flow thro them.

Hypoglycemic medication lowers blood sugar levels

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Antiarrhythmic medication supresses fast rhythms of the heart

Psychotropic medication chem. subst. that crosses the blood brain barrier and
acts primarily upon the CNS where it affects brain fxn,
resulting in changes in perception, mood,
consciousness, cognition, and behavior

Antihistamine medication for treatment of allergic conditions

Vasodilator medication relaxes smooth muscle in blood vessels, causes them

to dialate

Anti-Cholesterol medication lowers cholesterol

Beta-Blockers reduces bp

commonly used medications caffeine, nicotine, alcohol...

include

Indications for Test Termination -onset angina

(low risk) -abnormal bp

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Order of Fitness Assessment
Explanation of the 3 min step
test
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-shortness of breath
-signs of poor perfusion (light headedness, confusion,
cold or clammy hands)
-failure of heart rate to increase w/ increased exercise
intensity
-noticeable change in heart rhythm
-subject requests to stop
-physical or verbal signs of severe fatigue
-failure of the testing equipment
Medical history, risk stratification and, informed
consent
-resting hr, bp, height, weight, BMI, and body comp
-cardiovascular testing
-muscular strength and endurance testing
-flexibility testing
-The purpose of the test: use recovery HR to estimate
cardiovascular fitness level
-The benefits of the test: use this info to design an
appro. cardio program
-The procedure: step up and down on a bench for 3
min
-recovery heart rate will be measured immediately
following the test
***Tell the client that they can stop the test at any time
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3 Min Step Test -12 inch bench, a metronome and a time keeping
device
-96bpm for 3 min
-avoid talking or moving the arms
-assess the client during the test
-remind the client that can stop the test at any time
-upon completion of test have the client sit and locate
their pulse w/in 5 sec
-keeping their arm below their heart, count their
recovery heart rate for a full minute
-consult the norms for their age and gender

Resting Heart Rate heart rate taken the first thing in the morning, at rest,
averaged over 3 days

Maximal Heart Rate heart rate at all out effort commonly estimated by
subtracting age from 220

Training Heart Rate training intensity range for safety and effectiveness

Heart Rate Reserve (HRR) the diff between maximum and resting heart rate

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Oxygen Uptake Reserve (VO2R)
Recovery Heart Rate
Rate of Perceived Exertion (RPE)
Basic recommendations from
ACSM and AHA: (healthy adults
under age 65)
mod-intensity physical activity
Basic recommendations for
ACSM and AHA:
(healthy adults over age 65, or
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the difference btw max and resting oxygen uptake
the rate at which the heart recovers from exercise
subjective measure of exercise intensity
-do mod intense cardio 30 min a day, 5 days a week
or; do vig intense cardio 20 min a day, 3 days a week
and; do 8-10 strength-training exercises, 8-12 reps of
each exercise twice a week
working hard enough to raise your heart rate and
break a sweat, yet still being able to carry on a
conversation. It should be noted that to lose weight
or maintain weight loss, 60-90 min of physical activity
may be necessary. The 30 min recommendation is for
the avg healthy adult to maintain health and reduce
the risk for chronic disease
-do mod. intense aerobic exercise 30 min a day, 5
days a week or; do vig. intense aerobic exercise 20
min a day, 3 days a week. And do 8-10 strength-
training exercises, 10-15 reps of each exercise twice or
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adults 50-64 with chronic
conditions such as arthritis)
mod-intense aerobic exercise
ACSM recommendations for
cardio fitness
Progression Phases: Initial
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three times a week. And if you are at risk of falling,
perform balance exercises and have a physical
activity plan
means working hard at about a level -six intensity on a
scale of 10. You should still be able to carry on a
conversation during exercise. Older adults or adults
with chronic conditions should develop an activity
plan with a health professional to manage risks and
take therapeutic needs into account. This will
maximize the benefits of physical activity and ensure
your safety.
Frequency: 3-5 days a week
Intensity: 57(64)-94% HRmax
30-(40)-85% (HRR or VO2R)
Time: 20-90min; 90 min for weight management goals
Type: based on client's goals, fitness level, personal
preferences and availability of equipment
Enjoyment: selected exercises should be enjoyable,
otherwise participation may be poor
(4-6 weeks)
-Frequency: 3-5 days a week
-Intensity: 57-74%
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HRmax or 30-45% HRR

-Duration: 20-90 min of continuous exercise or 10 min
intermittent bouts with 5-10min increases every 1-2
weeks

Progression Phases: (4-8 months)

Improvement -Frequency: 3-5 times a week
-Intensity: 74-94% of HRmax or 45-85% HRR
-Duration: 20-90min
-small increases every 2-3 weeks in frequency,
intensity, time or type

Progression Phases: review and reassess

Maintenance

Classifications of Readiness: sedentary/no habitual activity or exercise/extremely

Poor deconditioned

Classifications of Readiness: minimal physical activity/no exercise/ moderately to

Poor-Fair high deconditioned

Classification of Readiness: Fair- sporadic physical activity/no to suboptimal exercise/

Average moderately to mildly deconditioned

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Classification of Readiness: habitual physical activity/regular mod to vig exercise

Average-Good

Classification of Readiness: high amounts of habitual activity/regular vigorous

Good-Excellent exercise

physical activity any bodily movement produced by skeletal muscles

that requires energy expenditure

Exercise bodily exertion for the sake of developing and

maintaining physical fitness

physical fitness a state of physiologic well-being that is achieved tho a

combo of good diet, regular physical exercise, and
other practices that promote good health

Cardiorespiratory fitness refers to the ability of the circulatory and respiratory

systems to supply oxygen to skeletal muscles during
sustained p. a.

Muscle strength refers to the amount of force a muscle can produce

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with a single max effort

muscle endurance one's ability to perform many reps w/ a sub-max

resistance over a given period of time

Flexibility capable of being bent repeatedly w/o injury or

damage

Body Composition describes the component tissues of the body and is

most often used to refer to the relative % of fat and fat
free tissues

Inactivity Physiology (A new daily sitting time, independent of BMI, smoking,

paradigm) alcohol use and leisure time physical activity, was
strongly related to cardiovascular and all cause
mortality in a prospective 12 year study

Principle of -increasing stimulus on the body beyond its normal

Adaptation/Overload capacity causes an increase in the system's ability to
respond to similar stimuli
-incremental overload will result in tissue adaptation
and remodeling

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-excessive overload can lead to overuse/acute injury

-sustained absence of overload: Reversibility Principle
Principle of Specificity of -the body will adapt to specific training stimuli with
Training specific physical and physiological adaptations

S.A.I.D. Specific Adaptation to Imposed Demands

-training induced adaptation will be specific to the
acute training variables (speed, volume, intensity, rest,
energy, system used, etc)

adaptation physiological changes which occur due to exercise

-do not occur at a constant rate, there is a window of
adaptation
-window is smaller for trained individuals, larger for
untrained individuals.

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