Advanced fitness assessment and exercise prescription by Vivian Heyward, Ann Gibson

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Chapter 2 Preliminary Health Screening and Risk Classification Key Questions uu What are the major components of the health evaluation, and how is this information used to screen clients for exercise testing and participation? uu What factors do I need to focus on when evaluating the client’s medical history and lifestyle characteristics? uu How is the client’s disease risk classified? uu Do all clients need a physical examination and medical clearance from their physician before taking an exercise test?

Nine percent of American men and women over the age of 50 have osteoporosis at either the hip (femur) or spine, but the prevalence of osteoporosis varies with age, sex, and ethnicity. Women continue to have a higher prevalence compared to men, as do older adults compared to younger adults. Compared to non-Hispanic whites, Mexican-Americans have a higher risk of osteoporosis or low bone mass and non-Hispanic blacks have a lower risk (Looker et al. 2012). 5 standard deviations below the mean value for young adults.

Give examples of moderate-intensity physical activity. 4. What percentage of Americans have some form of CVD? 5. Name four types of CVD. Which is most prevalent? 6. Explain the etiology of CHD. Identify the positive and negative risk factors for CHD. Define metabolic syndrome and identify its relationship to CVD. Explain how regular physical activity may prevent or delay select forms of cancer. What types of exercise are effective for counteracting bone loss due to aging? Explain how chronic adherence to moderateintensity physical activity affects the aging process.

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