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Supporting Behaviour
Unit 4 Supporting Behaviour Change and Healthy Lifestyles
Question | Answer |
---|---|
Group training Instructors need to understand | how & what info to collect - how to support participants in making positive behavior changes |
Questionnaires - Interviews - Consultations - Observations - Health assessments are all methods to gather what ? | Client information |
Which questionnaire do level 2 fitness instructors use for gathering client information ? | PAR-Q (Physical Activity Readiness-Questionnaire) |
what questionnaire covers a clients general wellbeing ? | EQ-5D |
what questionnaire would gather - Health & medical info, also to highlight lifestyle behaviors like diet, smoking or alcohol use | PAR-Q (Physical Activity Readiness-Questionnaire) |
what questionnaire gauges a clients physical activity levels ? | IPAQ |
what questionnaire covers low back pain ? | The Roland Morris |
what questionnaire covers mental health ? | HADS - Hospital Anxiety Depression Scale |
A single page questionnaire (used by Level 2 instructors) for clients aged 15 to 69 is known as what | PAR-Q (Physical Activity Readiness-Questionnaire) |
How many questions does a PAR-Q have ? | Seven |
If a client answers YES to any of the 7 PAR-Q questions what action would you take | GP clearance needs to be obtained before commencing any further |
As well as some other forms which society provides PAR-Q forms ? (CSEP) | Canadian Society for Exercise Physiology (CSEP) |
Which other PAR-Q forms does (CSEP) Canadian Society for Exercise Physiology provide | PAR-Q+ & PARmedX for pregnancy |
Gathering Info - Why would you use OBSERVATION as opposed to invasive health assessments (eg tapes measure, calipers) which can cause embarrassment ? | for a client who may have body issues (eg body fat) |
Gathering Info - PHYSICAL ASSESSMENTS can cover HEALTH aspects such as..... | BMI, Weight, BP, Heart Rate |
Gathering Info - PHYSICAL ASSESSMENTS can cover FITNESS aspects such as..... | Muscular Strength, CV, Flexibility |
Gathering Info - LIFESTYLE QUESTIONNAIRE/INTERVIEW can cover GENERAL INFO aspects such as..... | Personal Info, lifestyle habits, motivations, goals & training programs |
Gathering Info - PAR-Q's can cover a RISK ASSESSMENT to retrieve what kind of data ..... | Medical History |
What must be gained from a client before any fitness testing or exercise sessions take place ? | Informed consent |
Gaining informed consent is mandatory & ensures both the client & instructor are what ? | protected |
When gaining informed consent what must the client understand about their participation ? | It is voluntary (not compulsory) & any questions they wish to ask must be answered & recorded on their informed consent document |
What can only be given when certain info has been explained by the instructor & fully understood by the client | Informed consent |
what document needs to be signed & dated by both client & instructor & kept as a permanent record ? | Informed consent Document |
A Informed consent Document is not a waiver of any rights or responsibilities it is one of many records that can be used where | in a court of law |
In addition to obtaining informed consent, fitness instructors are legally & ethically obliged to S****N all their clients ? before they start an exercise program | screen |
The purpose of pre exercise screening is to | Assess clients readiness/health - Identify Risk - Inform program info - Maximise benefits / Minimise risks of program - Protect the instructor/organisation from litigation - Fulfill professional, legal & ethical requirements |
the info gathered from various client Screening procedures does what.... | Determines client advice/guidance - influences program design eg intensity, frequency & activity type |
clients with medical conditions need to work with which level of instructors | Level 3 exercise referral or a Level 4 specialist instructor |
(NQAF) National Quality Assurance Framework pyramid is a accepted instructor tool used for ? | Risk Stratification |
The Irwin & Morgan is an accepted instructor tool used for what | Risk Stratification |
The Irwin & Morgan Risk Stratification tool uses 3 different categories to classify people what are they ? | Low - Med & High Risk |
(NQAF) National Quality Assurance Framework pyramid tool uses 4 different categories to classify people (populations) what are they ? | General - Low - Med & High Risk |
(NQAF) National Quality Assurance Framework pyramid tool - at what level are fitness instructors allowed to work (eg in there scope of practice) | General populations eg healthy adults with no known medical conditions or physical limitations |
where would a 42yo man with mild anxiety & well managed fibromyalgia be categorised according to the NQAF risk stratification pyramid | Low Risk populations |
(NQAF) National Quality Assurance Framework pyramid tool - physical limitation related to severe disease/disability classed as ? | High Risk populations |
(NQAF) National Quality Assurance Framework pyramid tool - physical limitation related to chronic disease/disability classed as ? | Medium Risk populations |
NQAF) National Quality Assurance Framework pyramid tool - stable physical limitations or two or fewer CHD risk factors classed as ? | Low Risk populations populations |
NQAF) National Quality Assurance Framework pyramid tool - no physical limitations & no more than one CHD risk factor classed as ? | General populations |
The Irwin Morgan risk tools LOW category is the same as which NQAF pyramid level ? | General populations |
A client who refuses to perform certain exercises (eg dislikes them) could be putting themselves at risk of what | imbalance |
If using a physical test for a client why can time of day be important ? | effects of hydration levels, digestion, menstrual cycles, body temperature & activity levels throughout the day |
Environmental factors can have an effect when testing clients eg a very hot day could have effect when collecting which readings | heart rate |
Environmental factors can have an effect when testing clients eg a very cold day could effect what physical activity ? | flexibility |
Explain Weight Assessment procedure | Use calibrated scales, All heavy clothing & shoes are removed, all restests are scheduled for the same time of day |
Height & weight tables are use calculate a persons what ? | Body Mass Index (BMI) |
Explain Height Assessment procedure | Client removes shoes, stands tall & measure from the highest part of the head |
What on a persons body decreases as the day goes on ? | Their height, our spine compresses as the day goes on and decompresses as we sleep |
Body Weight is a useful starting point for assessing health status but ultimately what has to be taken into account | body composition |
What is the standard measure for clinical diagnosis of obesity | BMI |
why is BMI not a reliable indicator for strength athletes & bodybuilders | it only takes into account weight/height & not body composition |
Weight (kg) / Height (m)2 calculates a persons what or Weight(kg) / (height x height (m)) | BMI |
class these BMI's: 30 to 34.9 - 35 to 39.9 - 40+ | Obese class 1 - Class 2 - Class 3 |
class these BMI's: <18.5 - 18.5 to 24.9 - 25 to 29.9 | Underweight - Normal - Overweight |
the %'s of fat, bone & muscle in the body is known as ? | Body Composition |
Body fat % is of most interest cos it is known as a measure of ? | Health |
Optimal body fat % range for men | 8-25% of total body weight |
Optimal body fat % range for women | 21-36% of total body weight |
What tissues main role is to store energy in the form of fat, & also cushions and insulates the body | Adipose tissue |
Body Composition can be differentiated as ? FM & FFM | FM Fat Mass - FFM (or Lean Mass) Fate Free Mass |
The proportion of total weight that is fat is known as ? | FM Fat Mass |
The proportion of total weight that is NOT fat is known as ? | FFM (or Lean Mass) Fate Free Mass |
Waist circumference in a MAN - HIGH RISK / LOW RISK in cm | HIGH above 102cm - LOW less than 94cm |
Waist circumference in a WOMAN - HIGH RISK / LOW RISK in cm | HIGH above 88cm - LOW less than 80cm |
adiposity alternative meaning | obesity |
In which region of the body is stored fat considered a CHD risk factor ? | Abdominal region |
Name the circumference measurement sites | Waist, Hips, Thigh, arms & chest |
( ACSM 2017) states that when assessing a persons health risks which two risk measuring factors are to be used ? | BMI & waist circumference |
What other measurement barring BMI & Waist circumference can be used to assess central obesity | Waist to hip ratio |
How do you calculate a waist to hip measurement | Waist / Hips |
Waist to hip measurement in a MAN - HIGH RISK in cm | above 0.95 for less than 60yo - above 1.03 for over 60yo |
Waist to hip measurement in a WOMAN - HIGH RISK in cm | above 0.86 for less than 60yo - above 0.90 for over 60yo |
A slow resting heart rate is known as ? | Bradycardia |
A rapid resting heart rate is known as ? | Tachycardia |
What RHR (bpm) range is considered Normal for men & women | 60 to 80 bpm |
What RHR (bpm) is considered Average for men & women | 70 for men - 75 for women |
What (bpm) is considered as special attention for men & women | 90 bpm |
What RHR (bpm) is considered as (tachycardia) medical referral for men & women | 100 bpm |
Taking prescription drugs (beta blockers) can cause what | Bradycardia - slow resting heart rate |
what else bar a high level of fitness can cause Bradycardia - slow resting heart rate | Hypothermia - High potassium levels in blood (hyperkalaemia) - Damage/death of heart tissue ( Myocardial infarction) - Genetics - Low thyroid function (hypothyroidism) |
What (RHR) Resting heart rate is considered a increased CVD risk for men & women | 100 bpm |
Tachycardia (100+ bpm) could be down to a lacking of what type of fitness level | Cardiovascular |
what else bar a poor level of CV fitness can cause Tachycardia - rapid resting heart rate | Exposure to (alcohol,caffeine,nicotine) - (stress,anxiety,arousal) - Pulmonary embolism (lung blood clot) - Fever or raised body temp - certain drugs eg adrenaline - heart failure |
which measurement is an effective way to measure a persons heartbeat ? | Pulse measurement (BPM) |
What two sites is a pulse measurement typically taken ? | Carotid artery (Neck) - Radial Artery (wrist) |
Which artery runs deeply on the anteolateral (thumb side of the forearm) and becomes superficial near the distal head of the radius directly in line with the base of the thumb ? | Radial Artery |
which artery sites are located each side of the neck front, in the groove formed by the larynx (adams apple) & the stermocleidomastoid muscles (neck muscles) just below the mandible (jaw bone) | Carotid artery |
Which CV test measures a clients pulse (BPM) immediately after they have walked a mile as fast as they possibly can | Rockport Walking Test - |
Which CV test is appropriate for beginners with a low level of fitness ? | Rockport Walking Test - |
what does a VO2 max reflect | the maximal ability of the lungs, heart, blood & vascular system to transport oxygen & the ability of the tissues to extract & use it |
what is being described - the maximal ability of the lungs, heart, blood & vascular system to transport oxygen & the ability of the tissues to extract & use it | VO2 max |
when a point of "maximum oxygen uptake" has been reached, it is universally expressed as ? | VO2 max |
what is DOMS ? | Delayed Onset Muscle Soreness |
The press up test measures muscular strength how ? | By performing press ups to the point of exhaustion |
If a client cannot perform a normal pressup what could be implemented ? | Knees in contact with the ground as opposed to toes |
describe Normal press up position ? | body rigid & straight, arms shoulder width apart then lower to 90 degrees of elbow flexion |
What does the sit & reach test assess the flexibility of ? | Hamstrings & Lower Back |
At what point is it safe to perform a sit & reach test ? | when the client is fully warmed up |
describe sit & reach test | remove shoes & restrictive clothing, sit with feet flat against a board legs & back straight, reach forward slowly/smoothly keep back straight as long as poss. record distance reached before back bends, continue till farthest point & record again |
At the start of each client visit what point must you make clear to your client ? | that they must warn you in advance of any health changes at each visit |
which protection act of 1998 is reviewed regularly ? | data protection act 1998 |
you must only share a clients info with others when ? | you have clients permission - you feel the client or others are at risk of harm |
examples of a situations where you may need to share client info | clients needs are outside your scope of practice - client requires complex dietary advice - you have concerns for the client welfare or other peoples welfare in relation to the client |
What must be obtained before a client can embark on an exercise program ? | A completed PAR-Q form & informed consent |
what is the BMI of 68Kg & 1.65M | 24.977 BMI |