Title: HEALTH APPRAISAL
1HEALTH APPRAISAL
- EVALUATION OF HEALTH STATUS
2Evaluating Health Status
Five Major Categories of Health Status
- Diagnosed Medical Problems
- Characteristics that increase the risk of health
problems - Signs or symptoms indicative of health problems
- Lifestyle behaviors related to positive or
negative health - Fitness test results
3Evaluating Health Status
- Purpose of health status evaluation
- Provide person with information concerning health
status and healthy and unhealthy behaviors - Used to make decisions concerning appropriate
physical activity recommendations for health and
fitness improvement - Evaluation of health status can include both a
Health Status Questionnaire and Fitness Testing
See Health Status Questionnaire on page 28 of
Textbook.
4Health Status Questionnaire
- Health Status Questionnaire includes
- Personal and Emergency Information about the
individual - Medical History of the participant and her or his
family - Behaviors known to be related to safety and
health - Health Related attitudes
5Components of Fitness Test
Minimum components
Additional components
- Resting HR, BP, body fat, waist circumference,
sit and reach - Submaximal HR, BP, RPE
- Maximal BP, RPE, Time to max (min), Functional
capacity (METS), curl ups
- 12 lead ECG, blood profile, specific joint
flexibility, pulmonary function - Submaximal ECG, blood profile
- Maximal VO2, blood profile, ECG, modified pull-ups
6Preparticipation Screeningand Risk Stratification
- Purposes
- Identification and exclusion of individuals with
medical contraindications to exercise. - Identification of individuals at increased risk
for disease because of age, symptoms, and/or
risk factors who should undergo a medical
evaluation and exercise testing before starting
an exercise program. - Identification of persons with clinically
significant disease who should participate in a
medically supervised exercise
program.Identification of individuals with other
special needs.
7Preparticipation Screeningand Risk Stratification
Many sedentary individuals may encouraged to
begin Low (lt40 VO2R) to moderate (40-59 VO2R )
activities without Medical clearance or fitness
testing. (apparently healthy)
The Physical Activity Readiness Questionnaire
(PAR-Q) or the AHA/ACSM Health Fitness
Preparticipation Screening Questionnaire should
be used to screen individuals beginning moderate
intensity programs.
ACSM risk stratification guidelines can be
applied to individuals beginning moderate or
vigorous programs.
8Making Fitness Program decisions Health Status
and Fitness Assessment
- Denial of entry/refer to doctor
- Admit to medically supervised program, supervised
by exercise leader, Vigorous intensity program,
Unsupervised activity (see page 35 for guidelines
Table 3.4) - Educational information, workshops or
professional help
9Change of Health/Fitness Status
- Participants may have a change in status that
requires a modification of their program - Periodic testing is needed to check for
improvements or negative changes - Unsupervised participant may develop symptoms
- Environmental factors may cause exercise habits
to be modified (heat, humidity, pollution, etc.)
10Health Risk Appraisal (HRA)
- Smoking History
- Nutrition and Weight History
- Exercise Habits
- Substance Use and Abuse
- Psychosocial - stressors, emotional disorder