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Sample Table.pdf

Topic Rating Patient's Goal Able to walk to work instead of drive -

Gender M -

Age 24 -

height (in) 72 -

weight (lbs) 200 -

Circumference waist (in) 45 high

Table 1 Health Assessment

Value

exercise physiol.docx

I have to complete a lab in exercise physiology course..

Learning Objectives

· Health Related Physical Fitness Testing and Interpretation

· Exercise Assessment

· Anthropometric Data - height, weight, BMI, body composition

· Cardiorespiratory Fitness

I have lab report for this course, I only need you to take care of THE RESULTS SECTION. ------------- Results – 25% – (approximately 1-2 pages) Present in a clear, concise, logical manner the results of the data you are given and must calculate, compared to norms listed in the texts and other resources you may select depending on which of the three lab reports you are completing. Present the information in tables only. ---------------------- in the attachments you will see all info needed about the lab report and what you need to know about the results.

Lab Patients Fall 2014.xlsx

John James

FALL 2014 BIO345OL.1 Patient Data Set
John James
Topic	Value
Goal	Exercise, lose weight, stop smoking
History/personal	smokes socially 1/2 pk per week, does not exercise, works long hours as a produce manager
History/family	father died of MI age 60, he answered yes on the PAR-Q and complains of a sore right knee from a sports injury 10 yrs ago,
Medication	atorvastatin, tylenol for knee pain
Gender	M
Age	40
height (in)	70
weight (lbs)	200
Circumference waist (in)	40
Skinfolds (mm)	Chest	Abdomen	Thigh
	25	32	15
HR/resting	80
BP/resting	138/84
Cholesterol (mg·dL-1)	242
LDL Cholesterol	162
HDL Cholesterol	58
Triglycerides	202
********************* EVERYTHING BELOW THIS IS FOR LAB 2 and 3 ***********************

Sarah Smith

FALL 2014 BIO345OL.1 Patient Data Set
Sarah Smith
Topic	Value
Goal	Exercise to lose weight, get stronger
History/personal	does not exercise, teacher
History/family	Father hypertension, obese; Mother overweight
Medication	Aviane, alprazolam
Gender	F
Age	30
height (in)	64
weight (lbs)	147
Circumference waist (in)	34
Skinfolds (mm)	triceps	suprailiac	thigh
	24	18	20
HR/resting	72
BP/resting	124/80
Cholesterol (mg·dL-1)	198
LDL Cholesterol	132
HDL Cholesterol	39
Triglycerides	148
********************* EVERYTHING BELOW THIS IS FOR LAB 2 and 3 ***********************

Larry Levine

FALL 2014 BIO345OL.1 Patient Data Set
Larry Levine
Topic	Value
Goal	run a 10k without stopping
History/personal	software engineer, Gym exercise 3x/wk elliptical and weights
History/family	Father has Type II Diabetes Mellitus; Mother overweight mild hypertension
Medication	none
Gender	M
Age	30
height (in)	69
weight (lbs)	172
Circumference waist (in)	39
Skinfolds (mm)	Chest	Abdomen	Thigh
	18	30	22
HR/resting	78
BP/resting	124/82
Cholesterol (mg·dL-1)	188
LDL Cholesterol	110
HDL Cholesterol	43
Triglycerides	152
********************* EVERYTHING BELOW THIS IS FOR LAB 2 and 3 ***********************

Alice Ames

FALL 2014 BIO345OL.1 Patient Data Set
Alice Ames
Topic	Value
Goal	Set up a routine that she can do with her job which involves travel,
History/personal	flight attendant, sleeps in hotel often, difficulty recovering from work/travel, difficulty sleeping, occasionally smokes
History/family	Parents both with COPD
Medication	Lorezepam at bedtime, sumatriptan, Lutera,
Gender	F
Age	42
height (in)	65
weight (lbs)	145
Circumference waist (in)	36
Skinfolds (mm)	triceps	suprailiac	thigh
	20	19	22
HR/resting	80
BP/resting	130/82
Cholesterol (mg·dL-1)	222
LDL Cholesterol	135
HDL Cholesterol	50
Triglycerides	134
********************* EVERYTHING BELOW THIS IS FOR LAB 2 and 3 ***********************

Mike McCoy

FALL 2014 BIO345OL.1 Patient Data Set
Mike McCoy
Topic	Value
Goal	Exercise to lose weight, get stronger
History/personal	Car sales manager, high stress job, occasionally gets dizziness due to vertigo
History/family	father deceased with MI; Mother alive with hypertension, obese
Medication	Paxil, Allegra, Simvastatin
Gender	M
Age	40
height (in)	71
weight (lbs)	220
Circumference waist (in)	41
Skinfolds (mm)	Chest	Abdomen	Thigh
	22	38	20
HR/resting	88
BP/resting	140/92	Cleared by MD for exercise
Cholesterol (mg·dL-1)	220
LDL Cholesterol	162
HDL Cholesterol	45
Triglycerides	168
********************* EVERYTHING BELOW THIS IS FOR LAB 2 and 3 ***********************

Ricardo Ruiz

FALL 2014 BIO345OL.1 Patient Data Set
Ricardo Ruiz
Topic	Value
Patient's Goal	Able to walk to play golf instead of ride cart
History/personal	Weekend golfer, banker, occasional cigar
History/family	Parents deceased: Father myocardial infarction, Mother stroke
Medication	Metoprolol, Hydrochlorothiazide, low dose (81 mg) aspirin, fenofibrate
Gender	M
Age	56
height (in)	68
weight (lbs)	220
Circumference waist (in)	45
Skinfolds (mm)	Chest	Abdomen	Thigh
	28	30	26
HR/resting	82
BP/resting	150/86	Cleared by MD for exercise
Cholesterol (mg·dL-1)	244
LDL Cholesterol	160
HDL Cholesterol	62
Triglycerides	198
********************* EVERYTHING BELOW THIS IS FOR LAB 2 and 3 ***********************

Lab_4Wk4ptI.pptx

Chapter 4 Part I Health-Related Physical Fitness Testing and Interpretation

A Comprehensive Health Fitness Evaluation

Prescreening/risk classification

Resting HR, BP, height, weight, body mass index, and ECG (if appropriate)

Body composition

Cardiorespiratory fitness

Muscular strength

Muscular endurance

Flexibility

Balance

Agility

Part II

Part I

The Health-Related Components of Physical Fitness

Have a strong relationship with good health

Are characterized by an ability to perform daily activities with vigor

Are associated with a lower prevalence of chronic disease and health conditions and their risk factors

Purposes of Health-Related Physical Fitness Testing

Educating participants about their present health/fitness status relative to health-related standards and age and sex matched norms

Providing data that are helpful in development of individualized exercise prescriptions to address all health/fitness components

Collecting baseline and follow-up data that allow evaluation of progress by exercise program participants

Motivating participants by establishing reasonable and attainable health/fitness goals (see Chapter 11)

Basic Principles and Guidelines

An ideal health-related physical fitness test

Is reliable, valid, relatively inexpensive, and easy to administer

Should yield results that are indicative of the current state of fitness, reflect positive changes in health status from participation in a physical activity or exercise intervention, and be directly comparable to normative data

Pretest Instructions

A minimal recommendation is that individuals complete a questionnaire such as the Physical Activity Readiness Questionnaire (PAR-Q; see Figure 2.1) or the ACSM/AHA form (see Figure 2.2).

A listing of preliminary instructions for all clients can be found in Chapter 3 (“Participant Instructions”). These instructions may be modified to meet specific needs and circumstances.

Test Organization

The following should be accomplished before the client/patient arrives at the test site:

Ensure that all forms, score sheets, tables, graphs, and other testing documents are organized and available for the test’s administration.

Calibrate all equipment (e.g., metronome, cycle ergometer, treadmill, sphygmomanometer, skinfold calipers) at least monthly, or more frequently based on use; certain equipment such as ventilatory expired gas analysis systems should be calibrated prior to each test according to manufacturers’ specifications; and document equipment calibration in a designated folder.

Test Organization (cont.)

Organize equipment so that tests can follow in sequence without stressing the same muscle group repeatedly.

Provide informed consent form.

Maintain room temperature between 68° F and 72° F (20° C and 22° C) and humidity of <60%.

Test Organization (cont.)

Resting measurements should be obtained first:

Heart rate

Blood pressure

Height

Weight

Body composition

Test Organization (cont.)

Research has not established an optimal testing order for multiple health-related components of fitness (i.e., cardiorespiratory [CR] endurance, muscular fitness, body composition, and flexibility), but sufficient time should be allowed for HR and BP to return to baseline between tests conducted serially.

Because certain medications, such as β-blockers which lower HR, will affect some physical fitness test results, use of these medications should be noted.

Test Environment

Test anxiety, emotional problems, food in the stomach, bladder distention, room temperature, and ventilation should be controlled as much as possible.

To minimize subject anxiety, the test procedures should be explained adequately, and the test environment should be quiet and private.

The room should be equipped with a comfortable seat and/or examination table to be used for resting BP and HR and/or ECG recordings.

Test Environment (cont.)

The demeanor of personnel should be one of relaxed confidence to put the subject at ease.

Testing procedures should not be rushed, and all procedures must be explained clearly prior to initiating the process.

Body Composition

Before collecting data for body composition assessment, the technician must be trained, routinely practiced in the techniques, and already have demonstrated reliability in his or her measurements, independent of the technique being used.

Experience can be accrued under the direct supervision of a highly qualified mentor in a controlled testing environment.

Body Composition (cont.)

Anthropometric methods

Body mass index

Circumferences

Skinfold measurements

Densitometry

Hydrodensitometry (underwater) weighing

Plethysmography

Body Composition (cont.)

Other techniques

Dual energy X-ray absorptiometry

Total body electrical conductivity

Bioelectrical impedance analysis

Near-infrared interactance

Body Mass Index

The BMI is used to assess weight relative to height and is calculated by dividing body weight in kilograms by height in meters squared (kg · m−2)

For most individuals, obesity-related health problems increase beyond a BMI of 25.0 kg · m−2, and the Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults defines a BMI of 25.0–29.9 kg · m−2 as overweight and a BMI of ≥30.0 kg · m−2 as obese.

41. Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr. 2000;72(3):694–701.

Circumferences

The pattern of body fat distribution is recognized as an important indicator of health and prognosis.

Android obesity that is characterized by more fat on the trunk (abdominal fat) increases the risk of hypertension, metabolic syndrome, Type 2 diabetes mellitus, dyslipidemia, CVD, and premature death compared with individuals who demonstrate gynoid or gynecoid obesity (fat distributed in the hip and thigh).

Circumferences (cont.)

A cloth tape measure with a spring-loaded handle (Gulick tape measure) reduces skin compression and improves consistency of measurement.

Duplicate measurements are recommended at each site and should be obtained in a rotational instead of a consecutive order (take measurements of all sites being assessed and then repeat the sequence).

The average of the two measures is used provided they do not differ by more than 5mm.

Box 4.1 Standardized Description of Circumference Sites and Procedures

Abdomen: With the subject standing upright and relaxed, a horizontal measure taken at the height of the iliac crest, usually at the level of the umbilicus.

Arm: With the subject standing erect and arms hanging freely at the sides with hands facing the thigh, a horizontal measure midway between the acromion and olecranon processes.

Buttocks/Hips: With the subject standing erect and feet together, a horizontal measure is taken at the maximal circumference of buttocks. This measure is used for the hip measure in a waist/hip measure.

Calf: With the subject standing erect (feet apart ~20 cm), a horizontal measure taken at the level of the maximum circumference between the knee and the ankle, perpendicular to the long axis.

Forearm: With the subject standing, arms hanging downward but slightly away from the trunk and palms facing anteriorly, a measure is taken perpendicular to the long axis at the maximal circumference.

Box 4.1 Standardized Description of Circumference Sites and Procedures (cont.)

Hips/Thigh: With the subject standing, legs slightly apart (~10 cm), a horizontal measure is taken at the maximal circumference of the hip/proximal thigh, just below the gluteal fold.

Mid-Thigh: With the subject standing and one foot on a bench so the knee is flexed at 90 degrees, a measure is taken midway between the inguinal crease and the proximal border of the patella, perpendicular to the long axis.

Waist: With the subject standing, arms at the sides, feet together, and abdomen relaxed, a horizontal measure is taken at the narrowest part of the torso (above the umbilicus and below the xiphoid process). The National Obesity Task Force (NOTF) suggests obtaining a horizontal measure directly above the iliac crest as a method to enhance standardization. Unfortunately, current formulae are not predicated on the NOTF suggested site.

Box 4.1 Standardized Description of Circumference Sites and Procedures (cont.)

All measurements should be made with a flexible yet inelastic tape measure.

The tape should be placed on the skin surface without compressing the subcutaneous adipose tissue.

If a Gulick spring-loaded handle is used, the handle should be extended to the same marking with each trial.

Take duplicate measures at each site and retest if duplicate measurements are not within 5 mm.

Rotate through measurement sites or allow time for skin to regain normal texture.

Modified from (18).

Procedures

Circumferences (cont.)

Waist-to-Hip Ratio (WHR)

The waist-to-hip ratio is the circumference of the waist (above the iliac crest) divided by the circumference of the hips (buttocks/hips measure) and has traditionally been used as a simple method for assessing body fat distribution and identifying individuals with higher and more detrimental amounts of abdominal fat.

Health risk increases as WHR increases, and the standards for risk vary with age and sex.

Circumferences (cont.)

Waist-to-Hip Ratio (cont.)

Health risk is very high for young men when WHR is >0.95 and for young women when WHR is >0.86.

For individuals aged 60–69 yr, the WHR cutoff values are >1.03 for men and >0.90 for women for the same high-risk classification as young adults.

Circumferences (cont.)

Waist Circumference

The waist circumference can be used alone as an indicator of health risk because abdominal obesity is the primary issue.

The Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults provides a classification of disease risk based on both BMI and waist circumference as shown in Table 4.1.

Circumferences (cont.)

Waist Circumference (cont.)

A newer risk stratification scheme for adults based on waist circumference has been proposed (see Table 4.3).

Evidence indicates that all currently available waist circumference measurement techniques are equally reliable and effective in identifying individuals at increased health risk.

Measurement of waist circumference immediately above the iliac crest, as proposed by National Institutes of Health guidelines, may be the preferable circumference method to assess health risk given the ease by which this anatomical landmark is identified (25).

Measurement of Waist Circumference (first unnumbered box on p. 67)

14. Bray GA. Don’t throw the baby out with the bath water. Am J Clin Nutr. 2004;79(3):347–9.

Skinfold Measurements

Body composition determined from skinfold thickness measurements correlates well (r = 0.70–0.90) with body composition determined by hydrodensitometry.

The principle behind skinfold measurements is that the amount of subcutaneous fat is proportional to the total amount of body fat.

It is assumed that close to one-third of the total fat is located subcutaneously.

Skinfold Measurements (cont.)

The exact proportion of subcutaneous to total fat varies with sex, age, and race.

Regression equations used to convert sum of skinfolds to percent body fat should consider these variables for greatest accuracy.

Abdominal: Vertical fold; 2 cm to the right side of the umbilicus

Triceps: Vertical fold; on the posterior midline of the upper arm, halfway between the acromion and olecranon processes, with the arm held freely to the side of the body

Biceps: Vertical fold; on the anterior aspect of the arm over the belly of the biceps muscle, 1 cm above the level used to mark the triceps site

Chest/Pectoral: Diagonal fold; one-half the distance between the anterior axillary line and the nipple (men), or one-third of the distance between the anterior axillary line and the nipple (women)

Medial calf: Vertical fold; at the maximum circumference of the calf on the midline of its medial border

Box 4.2 Standardized Description of Skinfold Sites and Procedures

SKINFOLD SITE

Midaxillary: Vertical fold; on the midaxillary line at the level of the xiphoid process of the sternum. An alternate method is a horizontal fold taken at the level of the xiphoid/sternal border in the midaxillary line

Subscapular: Diagonal fold (at a 45-degree angle); 1–2 cm below the inferior angle of the scapula

Suprailiac: Diagonal fold; in line with the natural angle of the iliac crest taken in the anterior axillary line immediately superior to the iliac crest

Thigh: Vertical fold; on the anterior midline of the thigh, midway between the proximal border of the patella and the inguinal crease (hip)

Box 4.2 Standardized Description of Skinfold Sites and Procedures (cont.)

SKINFOLD SITE (cont.)

All measurements should be made on the right side of the body with the subject standing upright

Caliper should be placed directly on the skin surface, 1 cm away from the thumb and finger, perpendicular to the skinfold, and halfway between the crest and the base of the fold

Pinch should be maintained while reading the caliper

Wait 1–2 s (not longer) before reading caliper

Take duplicate measures at each site and retest if duplicate measurements are not within 1–2 mm

Rotate through measurement sites or allow time for skin to regain normal texture and thickness

Box 4.2 Standardized Description of Skinfold Sites and Procedures (cont.)

Procedures

Skinfold Measurements (cont.)

Factors that may contribute to measurement error within skinfold assessment include:

Poor technique

An inexperienced evaluator

An extremely obese or extremely lean subject

An improperly calibrated caliper (tension should be set at ~12 g · mm−2)

Although limited in the ability to provide highly precise estimates of percent body fat, anthropometric measurements (i.e., BMI, WHR, waist circumference, and skinfolds) provide valuable information on general health and risk stratification. As such, inclusion of these easily obtainable variables during a comprehensive health/fitness assessment is beneficial.

Anthropometric Measurements (second unnumbered box on p. 67)

Densitometry

Whole-body density using the ratio of body mass to body volume

Densitometry has been used as a reference or criterion standard for assessing body composition for many years.

The limiting factor in the measurement of body density is the accuracy of the body volume measurement because body mass is measured simply as body weight.

Densitometry (cont.)

Hydrodensitometry (underwater) weighing

Based on Archimedes’ principle:

When a body is immersed in water, it is buoyed by a counterforce equal to the weight of the water displaced.

Bone and muscle tissue are denser than water, whereas fat tissue is less dense. Therefore, an individual with more fat-free mass (FFM) for the same total body mass weighs more in water and has a higher body density and lower percentage of body fat.

Plethysmography

Measured by air rather than water displacement

Uses a dual-chamber plethysmograph that measures body volume by changes in pressure in a closed chamber

This technology is now well established and generally reduces the anxiety associated with the technique of hydrodensitometry

Other Techniques

Reliable and accurate body composition assessment techniques include dual-energy X-ray absorptiometry (DEXA) and total body electrical conductivity (TOBEC), but these techniques have limited applicability in routine health/fitness testing because of cost and the need for highly trained personnel.

Other Techniques (cont.)

Bioelectrical impedance analysis (BIA) and near-infrared interactance are used as assessment techniques in routine health/fitness testing. Generally, the accuracy of BIA is similar to skinfolds, as long as stringent protocol adherence (e.g., assurance of normal hydration status) is followed, and the equations programmed into the analyzer are valid and accurate for the populations being tested.

Other Techniques (cont.)

The ability of BIA to provide an accurate assessment of percent body fat in obese individuals may be limited secondary to differences in body water distribution compared to those who are in the normal weight range. Near-infrared interactance requires additional research to substantiate the validity and accuracy for body composition assessment.

Body Composition Norms

See Tables 4.5 and 4.6 on the next two slides.

Body Composition Norms (cont.)

A consensus opinion for an exact percent body fat value associated with optimal health risk has yet to be defined.

A range of 10%–22% and 20%–32% for men and women, respectively, has long been viewed as satisfactory for health.

More recent data support this range although age and race, in addition to sex, impact what may be construed as a healthy percent body fat.

Cardiorespiratory Fitness

Low levels of CR fitness have been associated with a markedly increased risk of premature death from all causes and specifically from cardiovascular disease

Increases in CR fitness are associated with a reduction in death from all causes.

High levels of CR fitness are associated with higher levels of habitual physical activity, which in turn are associated with many health benefits.

The assessment of CR fitness is an important part of a primary or secondary prevention and rehabilitative programs.

The Concept of Maximal Oxygen Uptake

Estimates of VO2max from the HR response to submaximal exercise tests are based on these assumptions:

A steady state HR is obtained for each exercise work rate.

A linear relationship exists between HR and work rate.

The difference between actual and predicted maximal HR is minimal.

The Concept of Maximal Oxygen Uptake (cont.)

Mechanical efficiency (i.e., VO2 at a given work rate) is the same for everyone.

The subject is not on medications that alter HR, using high quantities of caffeine, under large amounts of stress, ill, or in a high temperature environment, all of which may alter HR.

Modes of Testing

Commonly used modes for exercise testing:

Field tests

Cycle ergometer tests

Treadmill tests

Step tests

Modes of Testing (cont.)

Field Tests

Cooper 12-min test

1.5-mi (2.4 km) test for time

Rockport One-Mile Fitness Walking Test

Modes of Testing (cont.) Submaximal Exercise Tests

Cycle Ergometer Tests

Astrand-Rhyming Cycle Ergometer Test

YMCA Cycle Ergometer Test

FIGURE 4.1. Modified Astrand-Ryhming nomogram. Used with permission from (7). 7. Astrand PO, Ryhming I. A nomogram for calculation of aerobic capacity (physical fitness) from pulse rate during sub-maximal work. J Appl Physiol. 1954;7(2):218–21.

FIGURE 4.2. YMCA cycle ergometry protocol. Resistance settings shown here are appropriate for an ergometer with a flywheel of 6 m · rev-1 (111).

Modes of Testing (cont.) Submaximal Exercise Tests

Treadmill Tests

The same endpoint (70% HRR or 85% of age-predicted maximal HR) is used.

The stages of the test should be 3 min or longer to ensure a steady state HR response at each stage.

The HR values are extrapolated to age-predicted maximal HR.

Modes of Testing (cont.) Submaximal Exercise Tests

Treadmill Tests (cont.)

VO2max is estimated (see Chapter 7) from the highest speed and/or grade that would have been achieved if the individual had worked to maximum.

Most common treadmill protocols (see Chapter 5) can be used, but the duration of each stage should be at least 3 min.

Modes of Testing (cont.) Submaximal Exercise Tests

Step Tests

Astrand and Ryhming

Canadian Home Fitness Test

3-Minute YMCA Step Test

2nd paragraph on page 87 in “Step Tests” should be indented?

Cardiorespiratory Test Sequence and Measures

A minimum of HR, BP, and subjective symptoms (RPE, dyspnea, and angina) should be measured during exercise tests.

After the initial screening process, selected baseline measurements should be obtained prior to the start of the exercise test.

Cardiorespiratory Test Sequence and Measures (cont.)

Heart Rate (HR)

HR can be determined using several techniques including radial pulse palpation, auscultation with a stethoscope, or the use of HR monitors.

The pulse palpation technique involves “feeling” the pulse by placing the second and third fingers (index and middle fingers) most typically over the radial artery.

For the auscultation method, the bell of the stethoscope should be placed to the left of the sternum just above the level of the nipple.

Cardiorespiratory Test Sequence and Measures (cont.)

Blood Pressure (BP)

BP should be measured at heart level with the subject’s arm relaxed and not grasping a handrail (treadmill) or handlebar (cycle ergometer).

Systolic (SBP) and diastolic (DBP) BP measurements can be used as indicators for stopping an exercise test.

Cardiorespiratory Test Sequence and Measures (cont.)

Rating of Perceived Exertion (RPE)

RPE can be a valuable indicator for monitoring an individual’s exercise tolerance.

Ratings can be influenced by psychological factors, mood states, environmental conditions, exercise modes, and age reducing its utility.

Currently, two RPE scales are widely used: (a) the original Borg or category scale, which rates exercise intensity from 6 to 20 (see Table 4.7); and (b) the category-ratio scale of 0–10. Both RPE scales are appropriate subjective tools.

Onset of angina or angina-like symptoms

Drop in SBP of ≥10 mm Hg with an increase in work rate or if SBP decreases below the value obtained in the same position prior to testing

Excessive rise in BP: systolic pressure >250 mm Hg and/or diastolic pressure >115 mm Hg

Shortness of breath, wheezing, leg cramps, or claudication

Signs of poor perfusion: light-headedness, confusion, ataxia, pallor, cyanosis, nausea, or cold and clammy skin

Failure of HR to increase with increased exercise intensity

Box 4.5 General Indications for Stopping an Exercise Testa

Noticeable change in heart rhythm by palpation or auscultation

Subject requests to stop

Physical or verbal manifestations of severe fatigue

Failure of the testing equipment

aAssumes that testing is nondiagnostic and is being performed without direct physician involvement or ECG monitoring. For clinical testing, Box 5.2 provides more definitive and specific termination criteria.

BP, blood pressure; ECG, electrocardiogram; HR, heart rate; SBP, systolic blood pressure.

Box 4.5 General Indications for Stopping an Exercise Testa (cont.)

LabAssignment1.pdf

BIO345OL.1 Lab 1 Cigna

MCPHS University College of Arts and Sciences

Exercise Physiology

Laboratory Report 1: 25% Health Assessment

Overall Instructions Lab reports must be typewritten and submitted in PDF format. MS Word allows you to save your WORD document as a PDF file. This allows the PDF document to be uploaded into Blackboard. Type should be no less than 10-12 point fonts and double-spaced. Margins should not be less than one inch. Proof reading is important and points will be deducted for incorrect formatting of the lab report, improper spelling and incorrect grammar. Use the format listed in the course syllabus and each lab report description EXACTLY for all lab reports. Completed reports must be submitted by each individual of each group by week #4 Wednesday 9/24/14 by 9pm. Laboratory Report 1 – Health Assessment Purpose: To describe what this lab will accomplish. For this section begin by providing a brief introduction paragraph with citations and references in AMA format. Next, state the purpose of the lab which is to perform a Health Assessment of the individual assigned to you from the Lab Patients Fall 2014 data set. Each data set will include information such as patient’s goals, personal and family history, medications, gender, height, weight, anthropometric data, resting physiological data, and lipid profile. This lab will also include calculated data listed below. Note: There is no exercise testing data in lab report 1 but will be available for subsequent labs. Methods: Describe how the measurements and data presented in the results are obtained. Patient information is provided by interview. All other tests should be briefly explained such as height, weight, waist circumference, skin folds, resting physiological measurements and lipid profile. In addition present a brief explanation with formulas as necessary for determining calculated data: BMI, percent body fat, estimated maximum HR and risk classification (Figure 2.3 in ACSM). Do not present actual values/ratings (Results) or interpret the values (Discussion) in Methods. Results: Present patient Health information in Table format. Title the table: Table 1 Health Assessment. The table will have three columns: Topic, Value, and Rating. Some items such as history/age/gender, etc. will have no rating (-) while other values such as waist circumference, body fat, cholesterol, etc will have a rating for each item as appropriate. Include in this table calculated data which must include: risk classification, BMI, percent body fat, and age estimated max HR. The Risk Classification (Figure 2.3 ACSM) and Health Assessment values can be found in the ACSM (and EP) texts. Reference the Rating using AMA format. As an example, age estimated maximal heart rate equations can be found in Table 7.2. The value is cited with the superscript 1(p168) where 1 is the citation for the ACSM book and p168 is the location in the ACSM book. Tables that continue past one page must be relabeled with headings like Table 1 Health Assessment continued with new column headings (Topic, Value, and Rating). Discussion: Describe the overall health of the individual assigned to you using examples from the results. Provide support for your statements giving examples from the raw patient data set or calculated data with comparison to ratings. Avoid generalizations like “he is way out of shape” when you could say his “BMI of 28 kg/m2 indicates that he is overweight”, “results are shocking for this patient’s life-threatening condition” when you could say “she is at a higher risk for CVD given her high triglyceride levels”. Remember to cite and reference properly any statement you may make about your patient’s health assessment. As a health care provider this is your initial encounter where you examine the goals, history and base line health assessment data that this individual presents to you before you conduct any further exercise testing (Lab 2) or assign an exercise prescription (Final Lab). Although diet is recognized as important it is not the focus of this course so avoid any dietary recommendations. References: Cite and reference all resources you use to complete this lab report using AMA format. A good lab report cites and references more than just the assigned texts. Laboratory Report Format This is a GROUP report. Everyone in the group must submit the same lab report so collaboration is important as only one grade will be assigned to your entire group. Your grade is not the quantity but the quality of information.