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ASSESSMENT OF ACSM’S EXERCISE PREPARTICIPATION SCREENING IN OLDER ADULTS AND THOSE WITH CHRONIC DISEASES

Abstract

Kyle Reason, Lauren Killen, Kyle Miller, Victor Alves, Ashely Cook, Jackie Allen, JM Green, FACSM. University of North Alabama, Florence, AL.

BACKGROUND: The American College of Sports Medicine (ACSM) exercise preparticipation algorithm is designed to identify those at increased risk for adverse exercise-related cardiovascular events. It is recommended that individuals complete a health screening to identify the need for medical clearance prior to participating in an exercise program. With the potential for this preparticipation screening to be a deterrent to engagement in exercise, it is important to determine if the updated 11th edition reduces (as intended) the number of unnecessary medical referrals. This was previously investigated in a younger (19 ± 1 yrs) sample however, it is still uncertain if the updated guidelines are conservative enough to identify older or diseased individuals who may truly benefit from medical clearance. METHODS: Three hundred participants (≥ 40 yrs of age and/or diagnosed with cardiovascular, metabolic, renal and/or pulmonary diseases) will be assessed for the need of medical clearance. Participants will complete a self-reporting questionnaire to identify their risk factors (based on 9th edition and 11th edition criteria) and diagnosed cardiovascular, metabolic, renal and pulmonary diseases. They will also complete a biometric screening (resting heart rate (HR), resting blood pressure (BP), body mass index (BMI), waist circumference, and lipid profile). The need for medical clearance will be determined based on the criteria for the 9th and 11th editions of the ACSM Preparticipation Guidelines. Results will be analyzed using cross tabulation and chi-squared test to assess statistical difference between the 9th and 11th edition guidelines. ANTICIPATED RESULTS: It is hypothesized the updated 11th edition will result in a decrease in recommended medical referrals, which could increase exercise participation. Study funded by University of North Alabama student and faculty research grants.

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