【精品】运动前体适能与安全评估.ppt

運動前體適能與平安評估台灣師大方進隆教授2007,4.2.

很榮幸來嘉義大學分享歡迎大家參與分享就是最正确的學習上兩週介紹體適能與健康促進體適能與全人健康

演講大綱

體適能體適能是所有活動的基礎如何增加身體活動量與養成運動習慣提升體適能是很重要課題參與運動或參加體適能檢測皆需要注意平安

運動處方或計畫目的

Screeningandriskstratification

ExercisescreeningquestionnaireusingACSMCriteria

問卷__1,haveanyofyourparents,brothers,orsistershadaheartattack,bypasssurgery,angioplasty,orsuddendeathpriortotheageof55(malerelatives)or65(femalerelatives).Firstdegreerelative.您的ㄧ等親,雙親,兄弟姐妹是否有心臟病,動脈繞道手術,血管整形或猝死?(男性親戚55歲前女性親戚65歲前)

Riskfactors__2.Haveyousmokedcigarettesinthepast6months?最近六個月有抽菸嗎?__3.Whatisyourusualbloodpressure(大於140/90)?Doyoutakebloodpressuremedication?您的血壓過高嗎?(大於或等於140/90mmHg)服用高血壓藥物嗎?

Riskfactors__4.WhatisyourLDL低密度脂蛋白cholesterol?Ifyoudon’tknowyourLDL,Whatisyourtotalcholesterol膽固醇?WhatisyourHDL高密度脂蛋白cholesterol?血脂肪,膽固醇,上下密度脂蛋白膽固醇?

Riskfactors__5.Whatisyourfastingglucose(=110)?空腹血糖__6.Whatisyourheightandweight(BMI=30)?Also,whatisyourwaistgirth(100cm)?身高體重BMI多少

RiskfactorsPositive正:familyhistory家庭遺傳;cigarettesmoking抽菸‘;hypertension高血壓;hypercholesterolemia高血膽固醇;impairedfastingglucose空腹血糖過高;obesity肥胖;sedentarylifestyle靜態生活方式.Negative負:HighserumHDLcholesterol.高的高密度脂蛋白

Symptoms(1ormoreplacesindividualathighrisk)症狀__1.Doyoueverhavepainordiscomfortinyourchestorsurroundingareas(I.e.,ischemia)胸部附近不舒服?__2.Doyoueverfeelfaintordizzy(otherthanwhensittinguprapidly)?會頭昏?__3.Doyoufinditdifficulttobreathewhenyouarelyingdownorsleeping?躺著或睡覺呼吸困難?

Symptoms__4.Doyourankleseverbecomeswollen(otherthanafteralongperiodofstanding)?踝部腫脹?__5.Doyoueverhaveheartpalpitations,oranunusualperiodofrapidheartrate?心悸或有時心跳過快嗎?

__6.Doyoueverexperiencepaininyourlegs(I.e.,intermittentclaudication)?腳部會痛嗎?間歇性跛足?

Symptoms__7.Hasaphysicianeversaidyouhaveaheartmurmur?(hashe/shesaiditisOK,