ACSM |
Aug.
19, 2020
Preparticipation Health Screening - Practice case studies
From ACSM’s Clinical Exercise Physiology Chapter 3, Benefits and Risks Associated With Exercise and Physical Activity and Preparticipation Health Screening
Answers are provided at the bottom of the page.
Case Study 1
A 24-year-old woman is joining a fitness center. Since graduating from college and becoming an architect 1 year ago, she no longer walks with her friends in the afternoon or plays intramural basketball. She reports no significant medical history and no symptoms of any diseases, even when running to catch the train. Her father was diagnosed with hypertension when he was 42 and her 51-year-old mother has type 2 diabetes. The client smokes socially on occasion (∼5–10 cigarettes per week) and drinks alcohol one or two nights a week. She has the following: height = 65 in (165.1 cm); weight = 165 lb (74.8 kg); BMI = 27.5 kg · m−2; RHR = 74 beats per minute (bpm); resting BP = 124/74 mm Hg; LDL-C = 118 mg · dL−1; HDL = 61 mg · dL−1; FBG = 106 mg · dL−1. She wants to begin a walking program on a treadmill.
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Case Study 2
A 65-year-old male nonsmoker recently decided to train for a 5-km fun run to raise money for muscular dystrophy. He hasn’t exercised in years, but used to participate in road races when he was younger. His father died of a heart attack at age 67 and his mother died of breast cancer at age 89. Last year, he was diagnosed with type 2 diabetes and currently takes Metformin. He also reports taking a statin to lower his cholesterol. Height = 70 in (177.8 cm), weight = 216 lb (98.2 kg), BMI = 31.0 kg · m−2. RHR = 78 bpm, resting BP = 134/86 mm Hg. Total serum cholesterol = 184 mg · dL−1, HDL = 44 mg · dL−1, FBG = 98 mg · dL−1.
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1. Complete the preparticipation health screening questions to determine if medical clearance is needed.
Preparticipation Health Screening
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Case 1
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Case 2
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Currently participates in regular exercise?
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Known CV, metabolic, or renal disease?
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Signs or symptoms suggestive of disease?
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Desired intensity?
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Medical clearance needed?
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2. Complete the assessment to determine the number of CVD risk factors.
CVD Risk Factors
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Case 1
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Case 2
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Age?
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Family history?
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Cigarette smoking?
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Physical inactivity?
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Obesity?
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Hypertension?
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Dyslipidemia?
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Diabetes?
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Negative risk factor — HDL > 60 mg · dL−1
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Number of CVD risk factors?
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Answers are provided below.
Preparticipation Health Screening
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Case 1
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Case 2
|
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Currently participates in regular exercise?
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No
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No
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Known CV, metabolic, or renal disease?
|
No
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Yes
|
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Signs or symptoms suggestive of disease?
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No
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No
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Desired intensity?
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Moderate
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Vigorous
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Medical clearance needed?
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No
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Yes
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CVD Risk Factors
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Case 1
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Case 2
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Age?
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No
|
Yes
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|
Family history?
|
No
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No
|
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Cigarette smoking?
|
Yes
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No
|
|
Physical inactivity?
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Yes
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Yes
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|
Obesity?
|
No
|
Yes
|
|
Hypertension?
|
No
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No
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|
Dyslipidemia?
|
No
|
Yes
|
|
Diabetes?
|
No
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Yes
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Negative risk factor — HDL > 60 mg · dL−1
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Yes
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No
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Number of CVD risk factors?
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1
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5
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*Please note that the information provided is current at the time of publication. Readers are encouraged to check for more recently published information.