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| Preface | |
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| Note Bene | |
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| Contributors | |
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| Abbreviations | |
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| Health Appraisal, Risk Assessment, and Safety of Exercise | |
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| Benefits and Risks Associated With Exercise | |
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| Public Health Perspective | |
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| Benefits of Regular Physical Activity and/or Exercise | |
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| Risks Associated With Exercise Testing | |
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| Risks Associated With Vigorous Exercise | |
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| Incidence of Cardiovascular Complications | |
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| Issues Regarding Preliminary Screening | |
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| Recommendations to Reduce the Incidence and Severity of Complications During Exercise | |
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| Health Screening and Risk Stratification | |
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| Preparticipation Health Screening | |
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| ACSM Risk Stratification | |
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| Risk Stratification for Cardiac Patients | |
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| Modifying Coronary Risk Status | |
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| Exercise Testing | |
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| Pretest Clinical Evaluation | |
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| Medical History, Physical Examination, and Laboratory Tests | |
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| Alternative Stress Tests | |
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| Blood Pressure | |
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| Cholesterol and Lipoproteins | |
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| Blood Profile Analyses | |
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| Pulmonary Function | |
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| Contraindications to Exercise Testing | |
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| Informed Consent | |
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| Patient Instructions | |
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| Physical Fitness Testing and Interpretation | |
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| Purposes of Fitness Testing | |
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| Basic Principles and Guidelines | |
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| Test Order | |
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| Test Environment | |
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| Body Composition | |
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| Densitometry | |
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| Anthropometric Methods | |
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| Other Techniques | |
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| Cardiorespiratory Fitness | |
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| The Concept of Maximal Oxygen Uptake | |
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| Maximal versus Submaximal Exercise Testing | |
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| Modes of Testing | |
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| Cardiorespiratory Test Sequence and Measures | |
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| Test Termination Criteria | |
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| Muscular Fitness | |
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| Flexibility | |
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| Clinical Exercise Testing | |
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| Indications and Applications | |
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| Diagnostic Exercise Testing | |
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| Exercise Testing for Disease Severity and Prognosis | |
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| Exercise Testing After Myocardial Infarction | |
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| Functional Exercise Testing | |
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| Exercise Test Modalities | |
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| Exercise Protocols | |
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| Upper Body Exercise Testing | |
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| Testing for Return to Work | |
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| Weight Carrying Test | |
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| Repetitive Lifting Test | |
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| Measurements | |
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| Heart Rate and Blood Pressure | |
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| Expired Gases | |
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| Electrocardiographic Monitoring | |
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| Subjective Ratings | |
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| Postexercise Period | |
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| Indications for Exercise Test Termination | |
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| Exercise Testing With Imaging Modalities | |
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| Exercise Echocardiography | |
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| Exercise Nuclear Imaging | |
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| Pharmacologic Stress Testing | |
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| Considerations for Pulmonary Patients | |
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| Lung Function | |
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| Exercise Testing of Pulmonary Patients | |
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| Supervision of Exercise Stress Testing | |
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| Considerations Regarding Medical Supervision | |
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| Current Guidelines and Practices | |
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| Competency Considerations | |
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| Implications for Cost-Effectiveness | |
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| Interpretation of Clinical Test Data | |
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| Exercise Testing as a Screening Tool for Coronary Artery Disease | |
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| Interpretation of Responses to Graded Exercise Testing | |
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| Maximal Oxygen Uptake | |
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| Heart Rate Response | |
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| Blood Pressure Response | |
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| ECG Waveforms | |
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| Symptoms | |
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| Diagnostic Value of Exercise Testing | |
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| Sensitivity | |
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| Specificity | |
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| Predictive Value | |
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| Comparison With Imaging Stress Tests | |
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| Prognostic Applications of the Exercise Test | |
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| Interpretation of Exercise Tests in Pulmonary Patients | |
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| Specific Respiratory Diseases | |
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| Exercise Prescription | |
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| General Principles of Exercise Prescription | |
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| Principles of Training | |
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| Overview of the Exercise Prescription | |
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| The Art of Exercise Prescription | |
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| Components of the Training Session | |
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| Warm-up | |
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| Endurance Phase | |
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| Recreational Activities | |
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| Cool-down | |
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| Cardiorespiratory Fitness | |
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| Mode of Exercise | |
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| Exercise Intensity | |
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| Exercise Duration | |
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| Exercise Frequency | |
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| Energy Expenditure Goals | |
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| Rate of Progression | |
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| Initial Conditioning Stage | |
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| Improvement Stage | |
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| Maintenance Stage | |
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| Training Specificity | |
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| Musculoskeletal Flexibility | |
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| Muscular Fitness | |
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| Maintenance of the Training Effect | |
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| Program Supervision | |
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| Exercise Prescription for Cardiac Patients | |
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| Inpatient Programs | |
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| Outpatient Programs | |
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| Intensity | |
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| Frequency | |
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| Duration | |
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| Outpatient Rate of Progression | |
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| Types of Outpatient Programs | |
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| Exercise Prescription Without a Preliminary Exercise Test | |
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| Resistance Training | |
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| Eligibility and Exclusion Criteria | |
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| Time Course to Resistance Training | |
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| Prescriptive Guidelines | |
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| Arm Exercise Prescription | |
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| Arm Exercise Training Heart Rate | |
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| Work Rates for Arm Training | |
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| Arm Exercise Equipment and Training Modalities | |
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| Exercise Training for Return to Work | |
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| Optimal Exercise Dosage? Pathophysiologic Considerations | |
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| Special Patient Populations | |
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| Angina or Silent Ischemia | |
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| Congestive Heart Failure | |
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| Pacemaker and Implantable Cardioverter Defibrillators | |
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| Cardiac Transplant | |
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| Exercise: An Integral Component of a Comprehensive Treatment Approach | |
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| Exercise Prescription for Pulmonary Patients | |
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| Exercise Prescription | |
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| Mode of Exercise | |
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| Frequency | |
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| Intensity | |
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| Duration | |
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| Special Considerations | |
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| Pursed-Lips Breathing | |
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| Supplemental Oxygen | |
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| Alternative Modes of Exercise Training | |
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| Continuous Positive Airway Pressure | |
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| Upper Body Resistance Training | |
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| Ventilatory Muscle Training | |
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| Program Design and Supervision | |
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| Monitoring Exercise Training Intensity | |
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| Other Clinical Conditions Influencing Exercise Prescription | |
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| Hypertension | |
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| Lower-Extremity Peripheral Vascular Disease | |
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| Diabetes Mellitus | |
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| Obesity | |
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| Programs for Reducing Body Fatness | |
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| Exercise Testing and Prescription for Children, the Elderly, and Pregnant Women | |
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| Children | |
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| Fitness Testing | |
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| Clinical Exercise Testing | |
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| Exercise Prescription | |
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| The Elderly | |
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| Exercise Testing | |
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| Exercise Prescription | |
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| Pregnant Women | |
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| Special Considerations | |
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| Methods for Changing Exercising Behaviors | |
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| Exercise Compliance | |
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| Adult Learning | |
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| Psychological Components of Successful Behavior Change | |
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| Strategies to Improve Behavioral Change Outcomes | |
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| Practical Recommendations to Enhance Exercise Adherence | |
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| Population-Specific Barriers to Physical Activity | |
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| Program Models: Group versus Home-Based Exercise Therapy | |
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| Other Targets for Health Behavior Change | |
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| Smoking Cessation | |
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| Weight Management | |
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| Dietary Modification | |
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| Stress Management | |
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| Legal Issues | |
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| Contracts, Informed Consent, and Torts | |
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| Contract Law | |
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| Informed Consent | |
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| Torts | |
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| Negligence and/or Malpractice | |
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| Defenses to Negligence and/or Malpractice Actions | |
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| Liability Insurance | |
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| Standards of Care | |
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| Policies, Protocols, Forms, and Fulfillment | |
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| Legal Concerns and the Roles of Licensed and Nonlicensed Exercise Professionals | |
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| Summary | |
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| Appendices | |
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| Common Medications | |
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| Emergency Management | |
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| Electrocardiogram (ECG) Interpretation | |
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| Metabolic Calculations | |
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| Environmental Considerations | |
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| American College of Sports Medicine Certifications | |
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| Index | |