RISK FACTOR IDENTIFICATION
Exercise produces powerful benefits that may reduce the risk many diseases and conditions, however, it also carries risks. Exercise increases demands on the heart and the sympathetic nervous activity, factors that could trigger a heart attack in people who already have coronary heart disease. Many people with undiagnosed heart disease are at particular risk for serious problems. Screening participants and clients interested in beginning an activity program is critical to ensure safety. Before recommending physical activity, potential program participants should be evaluated to classify risk level and to determine if it is safe to proceed. Having participants complete a health history and health screening that documents risk factors allows health professionals to identify potential risks that may be associated with increased exercise and determine if participants should be able to safely proceed in their desired program or if they should receive physician clearance before beginning the program or class.
For this Assignment you will first IDENTIFY and LABEL the modifiable and the non-modifiable risk factors for heart disease along with threshold criteria (normal value limits). Next, for each of the two cases provided, you will complete a risk factor analysis, interpretation, and determination of risk level. Then, you will provide your recommendation regarding admission to an exercise program along with the rationale for your decision based on guidelines and thresholds presented along with a summary statement for the participant. Finally, you will provide an overall concluding paragraph.
- Introduction (Importance, identification and labeling of Risk Factors)
- Participant 1 / Client 1
- Introduction of Participant
- Identification of Participant / Client Risk Factors and Normal references (threshold criteria)
- Participant / Client Risk Stratification (Level of Risk) and Rationale for the classification
- Recommendation for Program admission
- Rationale for recommendation
- Summary Statement for Participant 1
- Participant 2
- Introduction of Participant
- Identification of Participant / Client Risk Factors and Normal references (threshold criteria)
- Participant / Client Risk Stratification (Level of Risk) and Rationale for the classification
- Recommendation for Program admission
- Rationale for recommendation
- Summary Statement for Participant 2
- Concluding Paragraph (Overall concluding paragraph for Risk Factor Analysis and Stratification)
CASE 1
Tom, a 42-yr-old marketing agent who has been physically inactive for several years, has recently signed up for the company’s wellness program and would now like to join a vigorous-intensity High Intensity Interval Training (HIIT) class. Tom is 5’8” tall, weighs 178 lbs, and has a 36 inch waist. He has been smoking about a pack of cigarettes per day for over 20 years. His blood pressure is 136/82 mmHg and his resting pulse rate is 74 beats per minute. His total cholesterol level is 220 and his fasting blood glucose is 96 mgdl. He currently has no signs or symptoms of cardiopulmonary disease, however, he states that he is currently taking medication for high blood pressure and a medication for high cholesterol. Classify Tom’s risk status and provide your recommendations (based on ACSM guidelines) for entry into the class he in interested in joining.
CASE 2
You are serving as the Health and Wellness coordinator at the local community center and Alana serves as the 62-year old Director the Center. During an annual wellness fair you hosted at the center Alana indicated that she would like to join the Couch to Half Marathon program the community center is offering a part of its wellness program. The following information was gathered from Alana at the Wellness Fair: She is a nonsmoker. She is 5’6” (168 cm) tall, weighs 224 lb (101.8kg), and has a waist girth of 43” (109 cm). Her blood pressure is 126/84 mmHg, and her lipid profile is as follows: total cholesterol of 218 mg dl, LDL cholesterol of 141 mg dl, HDL cholesterol of 52 mg dl. Her fasting glucose level is 122 mg dl. Her father died of a heart attack at age 74, and her mother and one of her sisters have type 2 diabetes. Her main form of recreation is reading. She reports no signs or symptoms of chronic diseases. Stratify and Classify Alana’s risk status and provide your recommendations (based on ACSM guidelines) for entry into the class he would like to join.
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