EF – 205
Unit 4 Seminar
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Welcome to Week 4!!
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Any questions about anything up to this
point?
Following up on last week in the
discussion…..
What did you think of the Dean Ornish
Video?
 If you are not currently active do you
think it will persuade you to become
active?
 If you are exercising at a level that you are
comfortable with do you think you will
alter your diet after watching the video?

WHO SHOULD SEE THE
DOCTOR PRIOR TO
STARTING AN EXERCISE
PROGRAM?
Self-Guided Screening for Physical
Activity

“Previously inactive men over age 40 and
women over age 50, and people at high
risk for cardiovascular disease (CVD)
should first consult a physician before
embarking on a program of vigorous
physical activity to which they are
unaccustomed” (Surgeon General’s
Report on Physical Activity and Health
[1996]).
Risk Factors
Non-modifiable
 Age
 Family History
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Modifiable
Cigarette Smoking
Dyslipidemia
Hypertension
Obesity
Sedentary Lifestyle
Prediabetes
Let’s figure out our risk!

http://www.webmd.com/hw-popup/heartdisease-risk-calculator
Exercise – let’s take a minute to figure out
our risk.
 Take a minute to complete the risk factor
assessment and let’s discuss

Risk

Low – Risk
◦ Men under 45, women under 55 – no more
than one risk factor

Moderate – Risk
◦ Men over 45, women over 55 – or two or
more risk factors

High – Risk
◦ One or more signs or symptoms or known
cardiovascular, pulmonary, or metabolic
disease
PAR Q and Health Status
Questionnaire (HSQ)
Case Study
Tom, a 47 year old marketing agent who has been
physically inactive for several years, visits your fitness
facility to begin his fitness assessment. He has seen his
physician recently and brings his lab results with him.
 He is 5’9, weighs 185lbs, 39 in waist
 He has HBP – on meds, resting BP 124/82
 Resting HR 76
 Total cholesterol 195mg/dl
 LDL 114 mg/dl
 HDL 52 mg/dl
 Fasting glucose of 195 mg/dl
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◦ What are Tom’s risk factors?
◦ Does he warrant physician consent before testing and participation?
Case Study

Barbara is a 48 year old female who has
recently signed up at your fitness facility.
She appears to be somewhat
apprehensive as she taps her foot while
you review her HSQ. You conclude she
can engage in unsupervised exercise and
take her resting measurements. Her
resting heart rate is 104 bpm and BP is
158/90 mmHg. What would you do?
Exercise for this week

Complete the Physical Activity Readiness Questionnaire (the PAR-Q is found in doc
sharing and on page 243 in your lab manual) and the Health Status Questionnaire
(found in doc sharing).

Should you have any concerns regarding your answers, please contact your instructor to
discuss.You do not need to submit your questionnaires but you will need to complete them
in order to move on to the next step of this assignment. The next step is to answer the
following questions (found in the left-hand navigation, under 'Assignment Questions'):

Based on the information obtained from these questionnaires, would you need a physician’s
permission to engage in testing for the next few units? Why?

What risk factors are you dealing with and what precautions will you take for fitness testing
and exercise?
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What other significant findings and recommendations do you have based on the information
obtained?

Is there ever a circumstance in which you would proceed on to a fitness evaluation after a
subject answers "yes" to any of the questions on the Par-Q form? Why?
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What is your opinion of the Par-Q and the HSQ? Which do you like better and why?

Besides the Par-Q and the HSQ, is there anything else that you feel would be helpful in the
screening process before you move on to the fitness evaluation?

The HSQ can be tailored to include anything you want. What other questions would you like
to see on that form? Why?

Discuss the confidentiality of this information and what you would do as a fitness
professional to not breach that confidentiality
Tips for the quiz this week (this is
NOT all inclusive – NOT all inclusive)
Relative vs absolute contraindications
 Acronyms (FITT, MR PLEASE, SMART)
 Who is the PAR-Q appropriate for?
 What can the HSQ tell you about your
client?
 The YMCA testing protocol
 Informed Consent, all paperwork involved
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Questions, Comments,
Concerns?
Have a great week!!