ACSM 11th Edition

1 Benefits and Risks Associated with Physical Activity
Introduction
Physical activity and Fitness Terminology
Public Health Perspective for Current Recommendations
Sedentary Behavior and Health
Health Benefits of Regular Physical activity and Exercise
Health Benefits of Improving Muscular Fitness
Risks associated With Physical activity and Exercise
Exercise-Related Musculoskeletal injury
Sudden Cardiac Death among Young individuals
Exercise-Related Cardiac Events in adults
Exercise Testing and the Risk of Cardiac Events
Risks of Cardiac Events During Cardiac Rehabilitation
Prevention of Exercise-Related Cardiac Events
2 Preexercise Evaluation
Introduction
informed Consent
Exercise Preparticipation Health Screening
American College of Sports Medicine Preparticipation Screening Process
American College of Sports Medicine Preparticipation Screening algorithm
Algorithm Components
Using the algorithm
Alternative Self-Guided Method
Exercise Testing
Risk Stratification for individuals With Clinical Conditions and Medical Fitness Facilities
Preexercise Evaluation
Medical History and Cardiovascular Disease Risk Factor assessment
Additional Recommendations
3 Health-Related Physical Fitness Testing and Interpretation
Introduction
Purposes of Health-Related Physical Fitness Testing
Pretest instructions for Fitness Testing
Organizing the Fitness Test
Test Environment
A Comprehensive Health Fitness Evaluation
Measurement of Resting Heart Rate and Blood Pressure
Body Composition
Anthropometric Methods
Height, Weight, and Body Mass index
Circumferences
Skinfold Measurements
Densitometry
Conversion of Body Density to Body Composition
Other Techniques
Body Composition Norms
Cardiorespiratory Fitness
the Concept of Maximal Oxygen Uptake
Maximal Versus Submaximal Exercise Testing
Cardiorespiratory Test Sequence and Measures
Test Termination Criteria
Modes of Testing
Treadmill Tests
Cycle Ergometer Tests
Field Tests
Submaximal Exercise Tests
Interpretation of Results
Muscular Fitness
Rationale
Principles
Muscular Strength
Muscular Endurance
Muscular Power
Flexibility
Balance
4 Clinical Exercise Testing and Interpretation
Introduction
Indications for a Clinical Exercise Test
Conducting the Clinical Exercise Test
Testing Staff
Testing Mode and Protocol
Monitoring and Test Termination
Postexercise
Safety
Interpreting the Clinical Exercise Test
Heart Rate Response
Blood Pressure Response
Rate-Pressure Product
Electrocardiogram
Symptoms
Exercise Capacity
Cardiopulmonary Exercise Testing
Maximal Versus Peak Cardiorespiratory Stress
Diagnostic Value of Exercise Testing for the Detection of ischemic Heart Disease
Sensitivity, Specificity, and Predictive Value
Clinical Exercise Test Data and Prognosis
Clinical Exercise Tests With Imaging
Field Walking Tests
5 General Principles of Exercise Prescription
An introduction to the Principles of Exercise Prescription
General Considerations for Exercise Prescription
Components of the Exercise Training Session
Cardiorespiratory Fitness
Frequency of aerobic Exercise
Intensity of aerobic Exercise
Methods of Estimating intensity of aerobic Exercise
Time (Duration) of aerobic Exercise
Type (Mode)
Volume (Quantity) of aerobic Exercise
Progression of aerobic Exercise
Resistance Training
Frequency of Resistance Training Exercise
Intensity of Resistance Training Exercise
Types of Resistance Training Exercises
Rest intervals for Resistance Training Exercises
Volume (Number of Sets Per Week) of Resistance Training Exercise
Progression of Resistance Training Exercise
Flexibility
Types of Flexibility Exercises
Volume of Flexibility Exercise (Time, Repetitions, and Frequency)
6 Exercise Prescription for Healthy Populations Special Considerations
Children and adolescents
Exercise Testing
Exercise Prescription
Aerobic Exercise
Resistance Exercise
Bone Strengthening Exercise
Special Considerations
Low Back Pain
Exercise Testing
Cardiorespiratory Fitness
Muscular Strength and Endurance
Flexibility
Exercise Prescription
Special Considerations
Older adults
Exercise Testing
Physical Performance Testing
Exercise Prescription
Neuromotor (Balance) Exercises and Power Weight Training for Frequent Fallers or individuals With Mobility Limitations
Special Considerations for Exercise Programming
Pregnancy
Exercise Testing
Exercise Prescription
Health Screening
Exercise Frequency, Duration, and intensity
Exercise Types to Consider
Exercise Types to avoid
Special Considerations
Exercise During Postpartum
7 Environmental Considerations for Exercise Prescription
Introduction
Exercise in High-altitude Environments
Altitude acclimatization
Rapid ascent
assessing individual altitude acclimatization Status
Medical Considerations: altitude Illnesses and Preexisting Conditions
Prevention and Treatment of altitude Sickness
Exercise Prescription
Special Considerations
organizational Planning
Exercise in Cold Environments
Medical Considerations: Cold injuries
Cardiac and Respiratory Considerations
Clothing Considerations
Exercise Prescription
Exercise in Hot Environments
Counteracting Dehydration
Medical Considerations: Exertional Heat Illnesses
Exercise Prescription
Special Considerations
8 Exercise Prescription for Individuals with Cardiovascular and Pulmonary Diseases
Introduction
Cardiovascular, Peripheral arterial, and Pulmonary Diseases
Inpatient Cardiac Rehabilitation Programs
Outpatient Cardiac Rehabilitation
Exercise Prescription
Continuous Electrocardiographic Monitoring
Exercise Prescription Without a Preparticipation Exercise Test
Lifestyle Physical activity
Individuals With Heart Failure
Exercise Testing
Exercise Prescription
Special Considerations
Special Considerations for individuals With a Left Ventricular assist Device
Individuals With a Sternotomy
Special Considerations for Sternotomy
Pacemaker and Implantable Cardioverter Defibrillator
Exercise Training Considerations
Individuals after Cardiac Transplantation
Exercise Testing
Exercise Prescription
Special Considerations
Individuals With Peripheral artery Disease
Exercise Testing
Fitt Recommendations for individuals With Peripheral artery Disease
Exercise Training Considerations
Individuals With a Cerebrovascular accident (Stroke)
Exercise Testing
Exercise Prescription
Exercise Training Considerations
Other Considerations
Exercise Training for Return to Work
Pulmonary Diseases
Asthma
Exercise Testing
Exercise Prescription
Special Considerations
Chronic Obstructive Pulmonary Disease
Exercise Testing
Exercise Prescription
Exercise Training Considerations
Special Considerations
Exercise Training for Pulmonary Diseases Other Than Chronic Obstructive Pulmonary Disease
Pulmonary arterial Hypertension
Interstitial Lung Disease
Cystic Fibrosis
Lung Transplantation
Other Tests of Muscular Fitness for individuals With Chronic Lung Disease
9 Exercise Prescription for Individuals with Metabolic Disease and Cardiovascular
Introduction
Diabetes Mellitus
Benefits of Regular Physical activity for Diabetes
Exercise Testing
Exercise Prescription
Exercise Training Considerations
Special Considerations
Dyslipidemia
Exercise Testing
Exercise Prescription
Exercise Training Considerations
Special Consideration
Hypertension
Exercise Testing
Exercise Prescription
Exercise Training Considerations
Special Considerations
Metabolic Syndrome
Exercise Testing
Exercise Prescription/Special Considerations
Overweight and Obesity
Exercise Testing
Exercise Prescription
Exercise Training Considerations
Special Considerations
Bariatric Surgery
10 Exercise Testing and Prescription for Populations with Other Chronic Diseases and Health Conditions
Introduction
Arthritis
Exercise Testing
Exercise Prescription
Exercise Training Considerations
Special Considerations
Cancer
Overview of Importance of Physical activity in Cancer Survivors
Cancer-Related Mortality
Physiological and Quality of Life Outcomes
Physical activity Patterns in Cancer Survivors
Preparticipation Evaluation
Preexercise assessments
Medical assessment and Exercise Testing
Exercise Prescription
General Recommendations
Fitt Principle
Summary
Fibromyalgia
Exercise Testing
Before Testing
During Testing
Exercise Prescription
Exercise Training Considerations
Special Considerations
Human Immunodeficiency Virus
Exercise Testing
Exercise Prescription
Exercise Training Considerations
Special Considerations
Kidney Disease
Exercise Testing
Exercise Prescription
Exercise Training Considerations
Special Considerations
Multiple Sclerosis
Exercise Testing
Exercise Testing Considerations
Exercise Prescription
Exercise Training Considerations
Special Considerations
Osteoporosis
Exercise Testing
Exercise Prescription
Special Considerations
Spinal Cord injury
Exercise Testing
Exercise Prescription
Exercise Training Considerations
Special Considerations
Autonomic
Musculoskeletal
Skin
Exercise Options
Multiple Chronic Diseases and Health Conditions
Exercise Testing
Exercise Prescription
Special Considerations
11 Brain Health and Brain-Related Disorders
Introduction
attention-Deficit/Hyperactivity Disorder
Exercise Testing
Exercise Prescription
Exercise Considerations
Special Considerations
Future Directions
Alzheimer’S Disease
Exercise Testing
Exercise Prescription
Exercise Considerations
Special Considerations
Future Directions
Anxiety and Depression
Exercise Testing
Exercise Prescription
Anxiety
Depression
Exercise Considerations
Special Considerations
Future Directions
Autism Spectrum Disorder
Exercise Testing
Exercise Prescription
Exercise Training Considerations
Future Directions
Cerebral Palsy
Exercise Testing
Exercise Testing Considerations
Special Considerations
Exercise Prescription
Special Considerations
Future Directions
Intellectual Disability and Down Syndrome
Exercise Testing
Exercise Prescription
Special Considerations for individuals With intellectual Disability
Special Considerations for individuals With Down Syndrome
Future Directions
Parkinson’S Disease
Exercise Testing
Exercise Programming
Recommendations for Neuromotor Exercise for individuals With Parkinson’S Disease
Exercise Training Modalities and Considerations
Special Considerations
Future Directions
12 Behavioral Theories and Strategies for Promoting Exercise
Introduction
Modifying the Exercise Prescription
Frequency/Time
Intensity
Type
Theoretical Foundations for Understanding Exercise Behavior
Social Cognitive theory
Transtheoretical Model
Health Belief Model
Self-Determination theory
Theory of Planned Behavior
Social Ecological Models
Dual Processing theories
Strategies and approaches for increasing Physical activity
Enhancing Self-Efficacy
Self-Monitoring
Goal Setting
Implementation intentions
Reinforcement
Social Support
Problem Solving
Affect Regulation
Relapse Prevention
Brief Counseling and Motivational interviewing
Stage of Change Tailored Counseling
Group Leader Effectiveness
Special Populations
Cultural Diversity
Older adults
Individuals With Mental Illness
Youth
Individuals With Obesity
Individuals With Chronic Diseases and Health Conditions
Appendix A Common Medications
Appendix B Electrocardiogram Interpretation
Appendix C American College of Sports Medicine Certifi cations
Appendix D Metabolic Calculations and Methods for Prescribing Exercise Intensity
Appendix E Contributing Authors to the Previous Two Editions
Index