Preview of acsm's Guidelines for Exercise Testing and Prescription

Transcription

1 Object Sneak moved Peek: to here. Preview of acsm's Guidelines for Exercise Testing and Prescription Exercise Test Supervision, 159. Risks of Exercise Testing, 160. Exercise testing in patients with coronary artery disease, 160. Clinical Responses, 160. Exercise electrocardiographic testing is among the most fundamental and widely used tests for the evaluation of patients with cardiovascular disease (CVD). It is easy to administer, perform, and interpret; it is flexible and adaptable; and it is reliable, inexpensive, and readily available in hospital or practice settings. Advertisement Enter Keywords Home > March/April Volume 17 - Issue 2 > SNEAK PEEK: Preview of ACSMâ s Guidelines for Exercise Testin... Article Tools Related Articles A PREVIEW OF ACSM'S GUIDELINES FOR EXERCISE TESTING

2 AND PRESCRIPTI ON, EIGHTH EDITION ACSM'S HEALTH & FITNESS JOURNAL 07/01/2009 AFFECT- BASED EXERCISE PRESCRIPTI ON: An Idea Whose Time Has Come? ACSM'S HEALTH & FITNESS JOURNAL 09/01/2017 Special Consideratio ns for Exercise Testing and Prescription for the Individual with an Intellectual Disability ACSM'S HEALTH & FITNESS JOURNAL

3 03/01/2014 Developing the P (for Progression) in a FITT-VP Exercise Prescription ACSM'S HEALTH & FITNESS JOURNAL 05/01/2018 See more related articles > Article Level Metrics Sorry we can't load that information at this time. Try again later... Article Keywords Keyword Highlighting Highlight selected keywords in the article text. Physical Activity Physical Fitness Health Appraisal Risk Assessment

4 Search for Similar Articles You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search. Physical Activity, Physical Fitness, Health Appraisal, Risk Assessment Restore Keywords Related Links Articles in PubMed by Linda S. Pescatello, Ph.D., FACSM, C.P.D. Articles in Google Scholar by Linda S. Pescatello, Ph.D., FACSM, C.P.D. Other articles in this journal by Linda S. Pescatello, Ph.D., FACSM, C.P.D. Connect With Us twitter.com/hfjonline  Advertisement

5 Follow us on Twitter Facebook Content Links Feedback Sitemap RSS Feeds LWW Journals Resources Privacy Policy (Updated May 9, 2018) Terms of Use Open Access Policy Subscribe to etoc Contact Wolters Kluwer Health, Inc. Phone: (within the USA) (outside of the USA) Copyright 2019 American College of Sports Medicne Exercise Test Supervision, 159. Risks of Exercise Testing, 160. Exercise testing in patients with coronary artery disease, 160. Clinical Responses, 160. Exercise electrocardiographic testing is among the most fundamental and widely used tests for the evaluation of patients with cardiovascular disease (CVD). It is easy to administer, perform, and interpret; it is flexible and adaptable; and it is reliable, inexpensive, and readily available in hospital or practice settings.

6 Enter Keywords Home > March/April Volume 17 - Issue 2 > SNEAK PEEK: Preview of ACSMâ s Guidelines for Exercise Testin... < Previous Article Next Article > Article Tools SNEAK PEEK: Preview of ACSMâ s Guidelines for Exercise Testing and Prescription, Ninth Edition Pescatello, Linda S. Ph.D., FACSM, C.P.D.; Arena, Ross Ph.D., P.T., FACSM; Riebe, Deborah Ph.D., FACSM; Thompson, Paul D. M.D., FACSM ACSMâ s Health & Fitness Journal: March/April Volume 17 - Issue 2 - p 16â 20 doi: /FIT.0b013e318282a46d FEATURES Abstract In Brief Authors Outline Metrics

7

8

9

10

11 LEARNING OBJECTIVE The reader can expect to learn from this article a brief history of the ACSMâ s Guidelines for Exercise Testing and Prescription and the content and new features of ACSMâ s Guidelines for Exercise Testing and Prescription, Ninth Edition. Back to Top Article Outline INTRODUCTION Figure Figure

12 Figure Figure The purpose of this feature article is to provide a brief history of the American College of Sports Medicineâ s Guidelines for Exercise Testing and Prescription (ACSMâ s GETP) and an 7 overview of the content of the ninth edition ( ), the newest version of ACSMâ s GETP, while highlighting its new features. ACSMâ s GETP is the most widely circulated set of guidelines for health/fitness, clinical exercise, and health care professionals conducting exercise programs and exercise testing. ACSMâ s Health & Fitness Journal is the ideal forum to educate public health, health/fitness, clinical exercise, and health care professionals about the content and new features of ACSMâ s GETP, Ninth Edition. Figure Back to Top Article Outline HISTORICAL CONTEXT The first edition of ACSMâ s GETP was published in 1975, with updated versions published approximately every 4 to 6 years. See Side Bar 1 for those who have served in ACSMâ s GETP leadership positions as chairs and editors since ACSMâ s GETP had its origin within the ACSM Committee on Certification and Registry Boards (CCRB), (formerly known as the Certification and Education Committee and the Preventive and Rehabilitative Exercise Committee). The purpose of the CCRB is â œto develop, provide, and market high-quality, accessible, affordable credentials for health and exercise professionals who are responsible for preventive and rehabilitative programs that influence the health and well-being of all 2 individualsâ ( ). Additional information on the CCRB and various ACSM certifications may be accessed from the ACSM Get Certified link for a listing of ACSM certifications

13 ( While ACSMâ s GETP is still under the auspices of the CCRB, it has become a resource that is embraced internationally by ACSM members and nonmembers in academic, corporate, health/fitness, health care, and research settings. Today, it is the primary resource for all ACSM certifications and anyone conducting exercise programs and exercise testing. Side Bar 1 ACSMâ s GETP also is the resource for its companion reference texts produced by ACSM. These texts include the seventh edition of ACSMâ s Resource Manual for Guidelines for Exercise Testing and Prescription ( ), fourth edition of ACSMâ s Certification Review ( ), fourth edition of ACSMâ s Resources for the Personal Trainer ( ), first edition of ACSMâ s Resources for the Health-Fitness Specialist ( ), fourth edition of ACSMâ s Health-Related Physical Fitness Assessment Manual ( ), and second edition of ACSMâ s Resources for Clinical Exercise Physiology ( ). Dr. Jon Ehrman, umbrella editor of this project, reviewed ACSMâ s GETP, Ninth Edition, and its companion texts to ensure congruency of content among these ACSM texts. Further information on the certification study materials including ACSMâ s GETP, Ninth Edition, may be obtained from the ACSM Get Certified link 1 Back to Top Article Outline OVERVIEW OF ACSMâ S GETP, NINTH EDITION 7 ACSMâ s GETP, Ninth Edition ( ), Chapter Table of Contents is shown in Side Bar 2, its Contributing Authors are listed in Side Bar 3 (available online at and its Reviewers are listed in Side Bar 4 (online at The reader of the ninth edition of ACSMâ s GETP will notice several new themes from previous editions. First and foremost, the ninth edition supports the public health message that all people should adopt a physically active lifestyle by reducing the emphasis on the need for medical evaluation (i.e., medical examination and exercise testing) as part of the preparticipation health screening process before initiating a progressive exercise regimen among healthy asymptomatic persons. This edition of the GETP seeks to simplify the preparticipaton health screening process to remove unnecessary and unproven barriers to adopting a physically active lifestyle. Please see Figure for ACSMâ s new preparticipation health screening recommendations based on risk classification.

14 Side Bar 2 Figure Second, we have instituted an automated referencing system under the expertise and guidance of University of Connecticut medical librarian Jill Livingston. This automated referencing system ensures that all references are correctly cited and is the beginning of an ACSM evidence-based library that will become available to the membership at some time in the future. We continue the efforts of the previous editorial team led by Senior Editor Walt R. Thompson, Ph.D., FACSM, to make the GETP easily readable and accessible by reducing the amount of text and increasing the number of tables and figures. In addition, we have added summary boxes throughout the ninth edition to highlight important information, and takehome messages and key online resources now conclude each chapter. We have integrated the most recent guidelines and recommendations available from ACSM position stands and other relevant professional organizationâ s scientific statements so that the GETP are the most current primary resource for professionals who conduct exercise testing and exercise programs in academic, corporate, health/fitness, health care, and research settings. It is important for the readership to know that these new themes and the more specific innovations of the ninth edition that follow were developed with input from the ACSM membership before the initiation of this project via an electronic survey and in-house focus group that asked respondents and participants, respectively, for their suggestions regarding the content of the ninth edition. More specific noteworthy innovations of the ninth edition include the introduction of the Frequency (how often?), Intensity (how hard?), Time (duration or how long?), Type (mode or what kind?), with the addition of total Volume (the product of Frequency, Intensity, and Time or amount) and Progression (advancement) or the FITT-VP principle of exercise prescription in Chapter 7. The number of special populations has been increased as more information related to exercise testing, prescription, and special considerations of these populations became available since the publication of the eighth edition ( ). These newly included populations are individuals with low back pain in Chapter 8; patients with cerebrovascular disease or stroke in Chapter 9; and individuals with fibromyalgia, intellectual disability and 10

15 Down syndrome, multiple sclerosis, Parkinsonâ s disease, and multiple chronic diseases and health conditions, as well as those having bariatric surgery in Chapter 10. There has been a new chapter added, Chapter 11, on behavioral change strategies and theories addressing the challenges of exercise adherence. Several of the Appendices have undergone significant changes, including Appendix B Medical Emergency Management, whose content is now based primarily on the fourth edition of ACSMâ s Health/Fitness Facility Standards and Guidelines ( ); Appendix A Common Medications is now authored by registered pharmacists based in academic settings with clinical expertise in the pharmacology of medications likely to be used by patients and clients in exercise testing and programmatic settings; the learning objectives have been removed from Appendix D ACSM Certifications and are now available via the ACSM Certification link and Appendix E has been added that lists the contributing authors to the two previous editions of the GETP. Any updates made in this edition of the GETP after its publication and before the publication of the next edition of the GETP can be accessed from the ACSM Certification link These updates will include corrections that are found by the readership, new information as it evolves related to the content of the ninth edition, and updates to the various links contained within the ninth edition. Readers of the ninth edition also are encouraged to submit feedback to certification@acsm.org. Furthermore, the reader is referred to the ACSM Access Public Information Books and Media link for a list of ACSM books ( and to the ACSM Get Certified link for a listing of ACSM certifications ( 9 Back to Top Article Outline CONCLUSIONS ACSMâ s GETP is the most widely circulated set of guidelines and primary resource for anyone conducting exercise testing and exercise programs anywhere in the world. It is our hope that the readership will embrace the new themes and innovations incorporated into ACSMâ s GETP, Ninth Edition, because they were made with the underlying belief held by the editorial team of the profound importance the GETP have in informing and directing the work we do in exercise science and practice. Back to Top Article Outline CONDENSED VERSION AND BOTTOM LINE The purpose of this article is to provide a brief history of ACSMâ s Guidelines for Exercise Testing and Prescription and an overview of the content and new features of ACSMâ s

16 Guidelines for Exercise Testing and Prescription, Ninth Edition. The new features are 1) a decreased emphasis on the medical evaluation as part of the preparticipation health screening process; 2) the integration of a systematic automated referencing system; 3) a continued effort to make the Guidelines for Exercise Testing and Prescription a true guidelines text by decreasing the amount of text and increasing the number of tables, boxes, and figures; 4) addition of summary boxes throughout that highlight important information, and take-home messages and key online resources now conclude each chapter; 5) expansion of the number of special populations; 6) inclusion of a new chapter on behavioral strategies and theories to promote exercise adherence; and 7) significant revision of several of the appendices. These new features of the ninth edition were developed with input from the ACSM membership via an electronic survey and in-house focus group that asked respondents and participants, respectively, for their suggestions regarding the content of the ninth edition. Back to Top Article Outline References 1. Bushman BA, editor. ACSMâ s Resources for the Personal Trainer. 4th ed. Baltimore (MD): Lippincott Williams & Wilkins; Committee on Certification and Registry Boards Candidate Handbook. V Available from: ht tp://certification.acsm.org/files/file/acsmcandidatehandbook_v7_2012.pdf. Accessed January 11, Dwyer GB, editor. ACSMâ s Certification Review. 4th ed. Baltimore (MD): Lippincott Williams & Wilkins; Kaminsky LA, editor. ACSMâ s Health-Related Physical Fitness Assessment Manual. 4th ed. Baltimore (MD): Lippincott Williams & Wilkins; Liguori G, editor. ACSMâ s Resources for the Health Fitness Specialist. Baltimore (MD): Lippincott Williams & Wilkins; Myers J, Nieman D, editors. ACSMâ s Resources for Clinical Exercise Physiology. 2nd ed. Baltimore (MD): Lippincott Williams & Wilkins; 2010.

17 7. Pescatello LS, Arena R, Riebe D, Thompson PD, editors. ACSMâ s Guidelines for Exercise Testing and Prescription. 9th ed. Baltimore (MD): Lippincott Williams & Wilkins; Swain DP, editor. ACSMâ s Resource Manual for Guidelines for Exercise Testing and Prescription. 7th ed. Baltimore (MD): Lippincott Williams & Wilkins; Tharrett SJ, Peterson JA, editors. ACSMâ s Health/Fitness Facility Standards and Guidelines. 4th ed. Champaign (IL): Human Kinetics; Thompson Wsenior editor, Gordon N, Pescatello LS, editors. ACSMâ s Guidelines for Exercise Testing and Prescription. 8th ed. Baltimore (MD): Lippincott Williams & Wilkins; Keywords: Physical Activity; Physical Fitness; Health Appraisal; Risk Assessment Supplemental Digital Content FIT_17_2_2013_01_24_PESCATELLO_200645_SDC1.pdf; [PDF] (82 KB) Back to Top Article Outline  2013 American College of Sports Medicine Related Articles Article Level Metrics

18 Article Keywords Keyword Highlighting Highlight selected keywords in the article text. Physical Activity Physical Fitness Health Appraisal Risk Assessment Search for Similar Articles You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search. Physical Activity, Physical Fitness, Health Appraisal, Risk Assessment Restore Keywords Related Links Articles in PubMed by Linda S. Pescatello, Ph.D., FACSM, C.P.D. Articles in Google Scholar by Linda S. Pescatello, Ph.D., FACSM, C.P.D. Other articles in this journal by Linda S. Pescatello, Ph.D., FACSM, C.P.D. Connect With Us twitter.com/hfjonline

19  Follow us on Twitter Facebook Content Links Feedback Sitemap RSS Feeds LWW Journals Resources Privacy Policy (Updated May 9, 2018) Terms of Use Open Access Policy Subscribe to etoc Contact Wolters Kluwer Health, Inc. Phone: (within the USA) (outside of the USA) Copyright 2019 American College of Sports Medicne Exercise Test Supervision, 159. Risks of Exercise Testing, 160. Exercise testing in patients with coronary artery disease, 160. Clinical Responses, 160. Exercise electrocardiographic testing is among the most fundamental and widely used tests for the evaluation of patients with cardiovascular disease (CVD). It is easy to administer, perform, and interpret; it is flexible and adaptable; and it is reliable, inexpensive, and readily available in hospital or practice settings.