ACSM's Guidelines for Exercise Testing and Prescription

by Unknown

• ISBN13: 9780781745062
• ISBN10: 0781745063
• Edition: 7th
• Format: Spiral Bound
• Copyright: 2005-05-19
• Publisher: LWW

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
Nota Bene	x
Contributors	xi
Abbreviations	xix
Section I Health Appraisal, Risk Assessment, and Safety of Exercise
Benefits and Risks Associated With Physical Activity	3	(16)
Physical Activity and Fitness Terminology	3	(2)
Public Health Perspective for Current Recommendations	5	(2)
Divergent Physical Activity Recommendations	6	(1)
Benefits of Regular Physical Activity and/or Exercise	7	(3)
Dose-Response Relationship	7	(3)
Risks Associated With Exercise	10	(9)
Sudden Death Among Young Individuals	11	(1)
Exercise Events in Those With Sickle Cell Trait	12	(1)
Exercise-Related Cardiac Events in Adults	12	(1)
Risks of Cardiac Events During Exercise Testing	12	(1)
Risks of Cardiac Events During Cardiac Rehabilitation	13	(1)
Prevention of Exercise-Related Cardiac Events	13	(6)
Preparticipation Health Screening and Risk Stratification	19	(20)
Preparticipation Screening Algorithm	19	(11)
Risk Stratification and Medical Clearance	21	(7)
Additional Preparticipation Assessments	28	(1)
Exercise Testing and Testing Supervision Recommendations	29	(1)
Risk Stratification for Cardiac Patients	30	(9)
Section II Exercise Testing
Pre-Exercise Evaluations	39	(16)
Medical History, Physical Examination, and Laboratory Tests	39	(10)
Blood Pressure	43	(2)
Lipids and Lipoproteins	45	(1)
Blood Profile Analyses	46	(1)
Pulmonary Function	47	(2)
Contraindications to Exercise Testing	49	(1)
Informed Consent	49	(6)
Participant Instructions	51	(4)
Health-Related Physical Fitness Testing and Interpretation	55	(38)
Purposes of Health-Related Fitness Testing	55	(1)
Basic Principles and Guidelines	56	(1)
Pretest Instructions	56	(1)
Test Order	56	(1)
Test Environment	56	(1)
Body Composition	57	(9)
Anthropometric Methods	57	(7)
Densitometry	64	(1)
Other Techniques	65	(1)
Body Composition Norms	66	(1)
Cardiorespiratory Fitness	66	(14)
The Concept of Maximal Oxygen Uptake	66	(1)
Maximal versus Submaximal Exercise Testing	67	(1)
Modes of Testing	68	(8)
Cardiorespiratory Test Sequence and Measures	76	(2)
Test Termination Criteria	78	(1)
Interpretation of Results	79	(1)
Muscular Strength and Muscular Endurance	80	(5)
Muscular Strength	81	(2)
Muscular Endurance	83	(2)
Flexibility	85	(4)
A Comprehensive Health Fitness Evaluation	89	(4)
Clinical Exercise Testing	93	(22)
Indications and Applications	93	(3)
Diagnostic Exercise Testing	93	(1)
Exercise Testing for Disease Severity and Prognosis	94	(1)
Exercise Testing After Myocardial Infarction	94	(1)
Functional Exercise Testing	95	(1)
Exercise Test Modalities	96	(3)
Exercise Protocols	99	(3)
Upper Body Exercise Testing	102	(1)
Testing for Return to Work	102	(1)
Measurements During Exercise Testing	103	(5)
Heart Rate and Blood Pressure	103	(2)
Electrocardiographic Monitoring	105	(1)
Subjective Ratings and Symptoms	106	(1)
Gas Exchange and Ventilatory Responses	107	(1)
Blood Gases	108	(1)
Indications for Exercise Test Termination	108	(1)
Postexercise Period	108	(2)
Exercise Testing With Imaging Modalities	110	(2)
Exercise Echocardiography	110	(1)
Exercise Nuclear Imaging	110	(1)
Pharmacologic Stress Testing	111	(1)
Electron Beam Computed Tomography	111	(1)
Supervision of Exercise Testing	112	(3)
Interpretation of Clinical Exercise Test Data	115	(18)
Exercise Testing As a Screening Tool for Coronary Artery Disease	115	(1)
Interpretation of Responses to Graded Exercise Testing	116	(8)
Heart Rate Response	116	(3)
Blood Pressure Response	119	(1)
Electrocardiographic Waveforms	119	(4)
Limiting Signs and Symptoms	123	(1)
Gas Exchange and Ventilatory Responses	123	(1)
Diagnostic Value of Exercise Testing	124	(9)
Sensitivity	124	(1)
Specificity	125	(1)
Predictive Value	125	(1)
Comparison With Imaging Stress Tests	126	(1)
Prognostic Applications of the Exercise Test	126	(7)
Section III Exercise Prescription
General Principles of Exercise Prescription	133	(41)
Principles of Training	134	(1)
Overview of the Exercise Prescription	135	(1)
The Art of Exercise Prescription	136	(1)
Components of the Training Session	136	(3)
Warm-up	137	(1)
Stimulus or Conditioning Phase	138	(1)
Recreational Activities	138	(1)
Cool-Down	138	(1)
Cardiorespiratory Exercise Prescription	139	(9)
Mode of Exercise	139	(2)
Exercise Intensity	141	(5)
Exercise Duration	146	(2)
Energy Expenditure Goals	148	(1)
Rate of Progression	149	(2)
Initial Conditioning Stage	150	(1)
Improvement Stage	150	(1)
Maintenance Stage	151	(1)
Training Specificity	151	(3)
Summary of Guidelines for Cardiovascular Stimulus Phase	153	(1)
Resistance Exercise Prescription	154	(4)
Flexibility Exercise Prescription	158	(2)
Maintenance of the Training Effect	160	(1)
Program Supervision	161	(2)
Methods for Changing Exercise Behaviors	163	(11)
Strategies for Increasing Exercise Adherence	165	(1)
Encourage Lifestyle Physical Activity	165	(9)
Exercise Prescription Modifications for Cardiac Patients	174	(31)
Inpatient Rehabilitation Programs	174	(3)
Outpatient Exercise Programs	177	(7)
Exercise Intensity for the Cardiac Patient	178	(3)
Modes of Exercise for Cardiac Patients	181	(1)
Progression of Exercise for the Cardiac Patient	182	(1)
Recommended Total Dose or Volume of Exercise for Cardiac Patients	183	(1)
Exercise Prescription Without a Preliminary Exercise Test	184	(2)
Types of Outpatient Programs	186	(2)
Benefits of Endurance Training in Cardiac Patients	188	(1)
Resistance Training for Cardiac Patients	189	(2)
Eligibility and Exclusion Criteria for Resistance Training	189	(1)
Time Course for Resistance Training	190	(1)
Resistance Training Prescription for Cardiac Patients	190	(1)
Exercise Training for Return to Work	191	(1)
Special Cardiac Patient Populations	191	(14)
Myocardial Ischemia	191	(2)
Congestive Heart Failure	193	(1)
Pacemakers and Implantable Cardioverter Defibrillators	194	(3)
Cardiac Transplant Recipient	197	(2)
Cardiac Surgery and Percutaneous Transluminal Coronary Intervention	199	(6)
Other Clinical Conditions Influencing Exercise Prescription	205	(32)
Arthritis	205	(2)
Exercise Testing	206	(1)
Exercise Prescription	206	(1)
Special Considerations	207	(1)
Diabetes Mellitus	207	(4)
Exercise Testing	208	(1)
Exercise Prescription	208	(2)
Special Considerations	210	(1)
Dyslipidemia	211	(2)
Exercise Testing	212	(1)
Exercise Prescription	212	(1)
Special Considerations	212	(1)
Hypertension	213	(3)
Exercise Testing	214	(1)
Exercise Prescription	215	(1)
Special Considerations	215	(1)
Obesity	216	(3)
Exercise Testing	217	(1)
Exercise Prescription	217	(1)
Special Considerations	218	(1)
Recommended Weight Loss Programs	218	(1)
Metabolic Syndrome	219	(2)
Exercise Testing and Prescription	220	(1)
Immunology	221	(2)
Exercise and Upper Respiratory Tract Infections	221	(1)
Immune Responses to Exercise	222	(1)
Exercise Testing	222	(1)
Exercise Prescription	223	(1)
Special Considerations	223	(1)
Osteoporosis	223	(2)
Exercise Testing	224	(1)
Exercise Prescription	224	(1)
Special Considerations	225	(1)
Peripheral Arterial Disease	225	(2)
Exercise Testing	226	(1)
Exercise Prescription	226	(1)
Special Considerations	226	(1)
Pulmonary Diseases	227	(2)
Exercise Testing	227	(1)
Exercise Prescription	228	(1)
Special Considerations	229	(1)
Pregnancy	229	(8)
Exercise Testing	231	(1)
Exercise Prescription	231	(1)
Special Considerations	231	(6)
Exercise Testing and Prescription for Children and Elderly People	237	(114)
Children	237	(9)
Clinical Laboratory Testing	237	(3)
Fitness Testing	240	(1)
Exercise Prescription	241	(5)
Elderly People	246	(9)
Exercise Testing	246	(1)
Exercise Prescription	247	(8)
Section IV Appendices
A Common Medications	255	(12)
B Emergency Management	267	(12)
C Electrocardiogram (ECG) Interpretation	279	(7)
D Metabolic Calculations	286	(14)
E Environmental Considerations	300	(9)
F American College of Sports Medicine Certifications	309	(42)
Index	351