Kines 523 Midterm - Risk Stratification
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16 terms
Terms | Definitions |
|---|---|
List the CVD risk factor definition for age | Men >= 45 yoWomen >= 55 yo |
List the CVD risk factor definition for family history | Father/Brother - history of MI, CABG or SD before ago 55Mother/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 >= 30Men - 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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