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Acsm's Guidelines for Exercise: Testing and Prescription

ISBN: 9780683303551 | 0683303554
Format: Paperback
Publisher: Lippincott Williams & Wilkins
Pub. Date: 2/1/2000

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SummaryTable of Contents
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... MORE
Prefacevii
Note Benex
Contributorsxi
Abbreviationsxviii
SECTION I. Health Appraisal, Risk Assessment, and Safety of Exercise1(32)
... MORE
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 Testing33(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 Prescription135(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 Considerations235(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. Appendices271(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)
Index353

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