Acsm's Guidelines for Exercise: Testing and Prescription

• ISBN13: 9780683303551
• ISBN10: 0683303554
• Additional ISBN(s): 9780683000238, 9780781745062
• Edition: 6th
• Format: Paperback
• Copyright: 2000-02-01
• Publisher: Lippincott Williams & Wilkins
• More Book Details
• Purchase Benefits

Summary

The single most internationally read and referenced text in sports medicine, exercise science, and health and fitness, this manual succinctly summarizes recommended procedures for exercise testing and exercise prescription in healthy and diseased individuals. The Seventh Edition contains the most current public health and clinical information and state-of-the-art, research-based recommendations. Coverage represents the fundamental knowledge, skills, and abilities (KSAs) that must be mastered by candidates for all ACSM certifications. Written by international experts in numerous fields, the Seventh Edition covers additional topics including arthritis, osteoporosis, dyslipidemia, immunology, and metabolic syndrome.

Table of Contents

Preface	vii
Note Bene	x
Contributors	xi
Abbreviations	xviii
SECTION I. Health Appraisal, Risk Assessment, and Safety of Exercise	1	(32)
Benefits and Risks Associated with exercise	3	(19)
Public Health Perspective	3	(2)
Benefits of Regular Physical Activity and/or Exercise	5	(1)
Risks Associated With Exercise Testing	6	(4)
Risks Associated With Vigorous Exercise	10	(12)
Incidence of Cardiovascular Complications	12	(1)
Issues Regarding Preliminary Screening	13	(2)
Recommendations to Reduce the Incidence and Severity of Complications During Exercise	15	(7)
Health Screening and Risk Stratification	22	(11)
Preparticipation Health Screening	22	(3)
ACSM Risk Stratification	25	(2)
Risk Stratification for Cardiac Patients	27	(6)
Modifying Coronary Risk Status	29	(4)
SECTION II. Exercise Testing	33	(102)
Pretest Clinical Evaluation	35	(22)
Medical History, Physical Examination, and Laboratory Tests	35	(15)
Alternative Stress Tests	37	(2)
Blood Pressure	39	(1)
Cholesterol and Lipoproteins	39	(2)
Blood Profile Analyses	41	(2)
Pulmonary Function	43	(7)
Contraindications to Exercise Testing	50	(1)
Informed Consent	51	(6)
Patient Instructions	52	(5)
Physical Fitness Testing and Interpretation	57	(34)
Purposes of Fitness Testing	57	(1)
Basic Principles and Guidelines	58	(1)
Pretest Instructions	58	(1)
Test Order	59	(1)
Test Environment	59	(1)
Body Composition	59	(9)
Densitometry	60	(2)
Anthropometric Methods	62	(2)
Other Techniques	64	(4)
Cardiorespiratory Fitness	68	(12)
The Concept of Maximal Oxygen Uptake	68	(1)
Maximal versus Submaximal Exercise Testing	69	(1)
Modes of Testing	70	(7)
Cardiorespiratory Test Sequence and Measures	77	(3)
Test Termination Criteria	80	(1)
Muscular Fitness	80	(5)
Flexibility	85	(6)
Clinical Exercise Testing	91	(24)
Indications and Applications	91	(4)
Diagnostic Exercise Testing	91	(2)
Exercise Testing for Disease Severity and Prognosis	93	(1)
Exercise Testing After Myocardial Infarction	93	(1)
Functional Exercise Testing	93	(2)
Exercise Test Modalities	95	(2)
Exercise Protocols	97	(2)
Upper Body Exercise Testing	98	(1)
Testing for Return to Work	99	(2)
Weight Carrying Test	100	(1)
Repetitive Lifting Test	101	(1)
Measurements	101	(5)
Heart Rate and Blood Pressure	102	(1)
Expired Gases	103	(2)
Electrocardiographic Monitoring	105	(1)
Subjective Ratings	105	(1)
Postexercise Period	106	(1)
Indications for Exercise Test Termination	106	(1)
Exercise Testing With Imaging Modalities	107	(2)
Exercise Echocardiography	107	(1)
Exercise Nuclear Imaging	107	(1)
Pharmacologic Stress Testing	108	(1)
Considerations for Pulmonary Patients	109	(2)
Lung Function	109	(1)
Exercise Testing of Pulmonary Patients	110	(1)
Supervision of Exercise Stress Testing	111	(4)
Considerations Regarding Medical Supervision	111	(1)
Current Guidelines and Practices	111	(1)
Competency Considerations	112	(1)
Implications for Cost-Effectiveness	113	(2)
Interpretation of Clinical Test Data	115	(20)
Exercise Testing as a Screening Tool for Coronary Artery Disease	115	(1)
Interpretation of Responses to Graded Exercise Testing	116	(8)
Maximal Oxygen Uptake	117	(1)
Heart Rate Response	117	(1)
Blood Pressure Response	117	(3)
ECG Waveforms	120	(4)
Symptoms	124	(1)
Diagnostic Value of Exercise Testing	124	(6)
Sensitivity	125	(1)
Specificity	126	(1)
Predictive Value	126	(1)
Comparison With Imaging Stress Tests	127	(2)
Prognostic Applications of the Exercise Test	129	(1)
Interpretation of Exercise Tests in Pulmonary Patients	130	(5)
Specific Respiratory Diseases	130	(5)
SECTION III. Exercise Prescription	135	(100)
General Principles of Exercise Prescription	137	(28)
Principles of Training	138	(1)
Overview of the Exercise Prescription	139	(1)
The Art of Exercise Prescription	139	(1)
Components of the Training Session	140	(3)
Warm-up	141	(1)
Endurance Phase	142	(1)
Recreational Activities	142	(1)
Cool-down	143	(1)
Cardiorespiratory Fitness	143	(8)
Mode of Exercise	143	(2)
Exercise Intensity	145	(5)
Exercise Duration	150	(1)
Exercise Frequency	151	(1)
Energy Expenditure Goals	151	(3)
Rate of Progression	154	(2)
Initial Conditioning Stage	154	(1)
Improvement Stage	155	(1)
Maintenance Stage	155	(1)
Training Specificity	156	(1)
Musculoskeletal Flexibility	156	(3)
Muscular Fitness	159	(1)
Maintenance of the Training Effect	160	(1)
Program Supervision	161	(4)
Exercise Prescription for Cardiac Patients	165	(35)
Inpatient Programs	166	(3)
Outpatient Programs	169	(6)
Intensity	170	(1)
Frequency	171	(1)
Duration	172	(1)
Outpatient Rate of Progression	172	(2)
Types of Outpatient Programs	174	(1)
Exercise Prescription Without a Preliminary Exercise Test	175	(1)
Resistance Training	176	(5)
Eligibility and Exclusion Criteria	177	(1)
Time Course to Resistance Training	178	(1)
Prescriptive Guidelines	178	(3)
Arm Exercise Prescription	181	(1)
Arm Exercise Training Heart Rate	181	(1)
Work Rates for Arm Training	181	(1)
Arm Exercise Equipment and Training Modalities	182	(1)
Exercise Training for Return to Work	182	(1)
Optimal Exercise Dosage? Pathophysiologic Considerations	183	(2)
Special Patient Populations	185	(8)
Angina or Silent Ischemia	185	(1)
Congestive Heart Failure	186	(3)
Pacemaker and Implantable Cardioverter Defibrillators	189	(2)
Cardiac Transplant	191	(2)
Exercise: An Integral Component of a Comprehensive Treatment Approach	193	(7)
Exercise Prescription for Pulmonary Patients	200	(6)
Exercise Prescription	200	(2)
Mode of Exercise	200	(1)
Frequency	200	(1)
Intensity	201	(1)
Duration	201	(1)
Special Considerations	202	(1)
Pursed-Lips Breathing	202	(1)
Supplemental Oxygen	202	(1)
Alternative Modes of Exercise Training	202	(2)
Continuous Positive Airway Pressure	203	(1)
Upper Body Resistance Training	203	(1)
Ventilatory Muscle Training	203	(1)
Program Design and Supervision	204	(2)
Monitoring Exercise Training Intensity	204	(2)
Other Clinical Conditions Influencing Exercise Prescription	206	(11)
Hypertension	206	(2)
Lower-Extremity Peripheral Vascular Disease	208	(4)
Diabetes Mellitus	212	(2)
Obesity	214	(3)
Programs for Reducing Body Fatness	214	(3)
Exercise Testing and Prescription for Children, the Elderly, and Pregnant Women	217	(18)
Children	217	(6)
Fitness Testing	217	(1)
Clinical Exercise Testing	218	(1)
Exercise Prescription	219	(4)
The Elderly	223	(7)
Exercise Testing	223	(2)
Exercise Prescription	225	(5)
Pregnant Women	230	(5)
SECTION IV. Special Considerations	235	(36)
Methods for Changing Exercising Behaviors	237	(21)
Exercise Compliance	237	(2)
Adult Learning	239	(2)
Psychological Components of Successful Behavior Change	241	(1)
Strategies to Improve Behavioral Change Outcomes	242	(7)
Practical Recommendations to Enhance Exercise Adherence	245	(4)
Population-Specific Barriers to Physical Activity	249	(1)
Program Models: Group versus Home-Based Exercise Therapy	249	(2)
Other Targets for Health Behavior Change	251	(7)
Smoking Cessation	252	(1)
Weight Management	252	(1)
Dietary Modification	253	(1)
Stress Management	254	(4)
Legal Issues	258	(13)
Contracts, Informed Consent, and Torts	259	(2)
Contract Law	259	(1)
Informed Consent	260	(1)
Torts	261	(1)
Negligence and/or Malpractice	261	(3)
Defenses to Negligence and/or Malpractice Actions	263	(1)
Liability Insurance	264	(1)
Standards of Care	264	(3)
Policies, Protocols, Forms, and Fulfillment	266	(1)
Legal Concerns and the Roles of Licensed and Nonlicensed Exercise Professionals	267	(2)
Summary	269	(2)
SECTION V. Appendices	271	(82)
Appendix A. Common Medications	273	(10)
Appendix B. Emergency Management	283	(10)
Appendix C. Electrocardiogram (ECG) Interpretation	293	(7)
Appendix D. Metabolic Calculations	300	(13)
Appendix E. Environmental Considerations	313	(9)
Appendix F. American College of Sports Medicine Certifications	322	(31)
Index	353