Kines 523 Midterm - Risk Stratification

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Created by:

elby317  on March 3, 2012

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Kines 523 Midterm - Risk Stratification

List the CVD risk factor definition for age
Men >= 45 yo
Women >= 55 yo
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List the CVD risk factor definition for age Men >= 45 yo
Women >= 55 yo
List the CVD risk factor definition for family history Father/Brother - history of MI, CABG or SD before ago 55
Mother/Sister - history of MI, CABG, SD before age 65
List the CVD risk factor definition for smoking - current cigarette, cigar, chew user
- quit w/in previous 6 months
- exposure to 2nd-hand smoke
List the CVD risk factor definition for sedentary lifestyle - not participating in at least 30 mins moderate PA (40-60% VO2max) at least 3 days/week for 3 months
List the CVD risk factor definition for obesity - BMI >= 30
Men - waist circumference (WC) >= 40"
Women - WC >= 35"
List the CVD risk factor definition for hypertension - SBP >= 140 mmHg
- DBP >= 90 mmHg
- confirmed by 2 measurements
- OR on anti-hypertensive meds
List the CVD risk factor definition for dyslipidemia - LDL-C >= 130 mg/dl
- HDL-C <= 40 mg/dl
- Total Cholesterol >= 200 mg/dl
List the CVD risk factor definition for prediabetes - IFG (fasting glucose) >= 100 mg but < 126 mg/dl
- IGT (oral glucose) >= 140 mg but < 200 mg/dl on 2 separate tests
- If IFG >= 130, considered diabetic (high risk)
List the negative CVD risk factor definition for cholesterol - HDL-C >= 60 mg/dl
- subtracts from total CVD risk factor count
How do you determine if someone is high risk for CVD? - individuals who have known CV, pulmonary or metabolic disease
- individual w/ one or more sign and symtom (chest pain)
How do you determine if someone is moderate risk for CVD? - asymptomatic men and women who have >= 2 CVD risk factors
How do you determine if someone is low risk for CVD? - asymptomatic men and women who have <= 1 CVD risk factor
Once the risk category has been established as low, moderate or high, what recommendations can be made? - necessity for medical exam and clearance b/f starting PA/exercise program or changing the FITT framework of an existing PA/exercise program
- necessity for an exercise test b/f initiating a PA/exercise program
- necessity for physician supervision when participating in max or submax exercise test
If a person is determined as high risk, is max or submax exercise testing or medical exam recommended before starting PA? - both medical exam and GXT necessary before moderate and vigorous exercise
- physician supervision required for both max and submax testing
If a person is determined as moderate risk, is max or submax exercise testing or medical exam recommended before starting PA? - med exam and GXT necessary for vigorous activity, but not moderate activity
- physician supervision required for max testing, but not submax testing
If a person is determined as low risk, is max or submax exercise testing or medical exam recommended before starting PA? - med exam and GXT not necessary for either moderate or vigorous activity
- physician supervision not required for either max or submax testing

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