RESTING HEART RATE (RHR)



4298713-21777600UNIT 2 – Learning Aim BUnderstand the Screening Processes for Training Programming This Learning aim will examine:Screening ProcessesHealth Monitoring TestsInterpreting the health monitoring testsAreaDate and RAGDate and RAGDate and RAGScreening ProcessesHealth Monitoring TestsInterpreting the health monitoring testsGLOSSARY OF TERMSPAR-QDATA PROTECTION ACTHEALTH MONITORING TESTNORMATIVE DATANORMSSYSTOLICDIASTOLICTACHYCARDIABMIACCEPTED HEALTH RANGESB1 – Screening ProcessesScreening Processes Complete the diagram to include all the information you think is required for screening an individual before they complete some physical activity? And Why?3657600344170Information required before an individual exercises and why.00Information required before an individual exercises and why.List the two types of screening questions and what consideration needs to be given when collect information. Write a description about each one. TitleDescription1.2ConsiderationResearch and insert an example of: Lifestyle QuestionnairePAR-QIdentify the major differences between the two:B2 Health monitoring testsWhat do health monitoring test do?Describe each health monitoring test. Bullet point a procedure about how to carry out each test. Insert accepted health ranges for each test for males and females. TestProcedureAccepted Health RangeLook at the pictures below, identify which is each test: 7241540-635Test:00Test:460057511430Test:00Test:21399503175Test:00Test:-205991-2428Test:00Test:RESTING HEART RATE (RHR)What is tested:Beats per minute – pulse rate/heart rateEquipment needed:Heart Rate Monitor or StopwatchPurpose of test:To determine resting heart rate. A low resting heart rate can indicate if an efficient heart and improved stroke volume. The “average” resting heart rate is 72 bpm for females and 68 bpm for males.ProcedureTo complete the test manually:& Measurement:The best time to complete test is first thing in the morning before the person gets out of bed or let your client sit down and rest for at least 5 minutes.The participant should be seated. Locate the carotid (neck), brachial (front of elbow) or radial (wrist) pulse. Using middle and index fingers lace them over pulse point. (NOT THUMB).Count pulse for 60 seconds and record the result.Repeat this test twice for accuracy- if there is a large variation then retake test for a third time.Notes: True resting pulse rates have to be taken in the morning, before getting out of bed and a few minutes after the alarm clock has gone off. There are several factors which elevate heart rate, e.g. caffeine, nicotine, stress, some medications e.g. thyroxin.Regular aerobic exercise should lead to lowering of the resting heart rate.NORMATIVE TABLES- RESTING Heart rateMENAGE18 -2526 -3536 -4546 - 5556 -6565+ATHLETE49-5549-5450-5650-5751-5650-55EXCELLENT56-6155-6157-6258-6357-6156-61GOOD62-6562-6563-6664-6762-6762-65ABOVE AVERAGE66-6966-7067-7068-7168-7166-69AVERAGE70-7371-7471-7572-7672-7570-73BELOW AVERAGE74-8175-8176-8277-8376-8174-79POOR82+82+83+84+82+80+3AGE18 -2526 -3536 -4546 - 5556 -6565+ATHLETE54-6054-5954-5954-6054-5954-59EXCELLENT61-6560-6460-6461-6560-6460-64GOOD66-6965-6865-6966-6965-6865-68ABOVE AVERAGE70-7369-7270-7370-7369-7369-72AVERAGE74-7873-7674-7874-7774-7773-76BELOW AVERAGE79-8477-8279-8478-8378-8377-84POOR85+83+85+84+84+84+()RESTING BLOOD PRESSUREWhat is tested:Systolic and diastolic pressures are the two measures used to indicate the pressure exerted by the heart and arteries to maintain blood flow in the circulatory system. The readings are taken from the brachial artery, above the elbow. Systolic Pressure- The pressure of the blood being forced into the arteries, during left ventricle contraction.Diastolic PressureThe pressure of the blood in the arteries, during left ventricle diastole (relaxing).Equipment needed:Sphygmomanometer and stethoscope or electronic monitorPurpose of test:The systolic reading gives an indication of blood in the arteries as a result of contraction and the diastolic reading of blood pressure in the arteries during the relaxation phase of the heart beat. The main purpose is to ascertain if an individual has high blood pressure (hypertension) and is at risk if exercising.Procedure & Measurement:Using stethoscope method:Participant should be seated and at rest for 5 minutes prior to test. Client should be seated and rest the left arm on a table so that the elbow is at about 45o and palm facing upwards. Place the cuff around the upper arm so the bottom edge is 2-3 cm above the elbow. The part that inflates should be over the pulse.Place the stethoscope in your ears and over the brachial pulse.Inflate the cuff to 200mm Hg.Slowly open the valve turning anti- clockwise and reduce the pressure SLOWLY. Record the first sound that is heard- this is the SYSTOLIC reading.Record the last sounds that are heard- this is the DIASTOLIC reading. Deflate the cuff. Repeat if necessary.Procedure & Measurement: Using electronic monitor method:Participant should be seated and at rest for 5 minutes prior to test. Client should be seated and rest the left arm on a table so that the elbow is at about 45o and palm facing upwards. Place the cuff around the upper arm so the bottom edge is 2-3 cm above the elbow. The part that inflates should be over the pulse.Start the machine to inflate the cuff.Record the readings- cuff will deflate automaticallyRepeat 3 times.Notes:If two or more readings exceed the normal values (see table) then refer participant to GP. Blood pressure is the pressure exerted on the artery walls and is an indication of general health. Factors that affect Blood Pressure in Short TermFactors that raise blood pressure in the Long TermStress/ anxiety/ arousalExerciseHeavy weight trainingIsometric exercisesEatingSmokingCaffeineStimulant drugsInactivityObesityA high-fat dietHigh salt intakeExcessive alcoholSmokingProlonged stress/ anxietyStimulant drugs NORMative table- BLOOD PRESSUREClassificationSystolicDiastolicHigh Blood Pressure (Stage 2 hypertension)Greater than 160Greater than 100Above Average (Stage 1 hypertension)140-15990-99Normal (Average)120- 13980- 89LowLess than 100Less than 60(Adapted from Adams et. al., 2010 and ACSM, 2010)Average BPMen120/80mmHg, and Ladies 110/70mmHgBODY MASS INDEX B.M.I.What is tested: Height and weight for assessing body compositionEquipment needed:Height measure or tape measure; scalesPurpose of test:To get an indication of physical dimensionProcedure:Height – stand with heels against wall, with bare feet, eyes looking straight ahead. Weight – Stand on scales in minimal clothing, ensuring scales are set to zero and standing on a hard, even surface. When measuring the client the tester should always stand to the side of the client.Measurement: Height - Measure in metres.Weight – Measure in kilograms.Calculate Body Mass Index with the following equation:BMI = WEIGHT (Kg) (HEIGHT x HEIGHT) (m)Notes:BMI is a common way of indicating whether a client is obese- though does not actually measure body composition. NORMative chart FOR BMI-27432023558500Normative table- BMIBMIClassificationAssociated risk<18.5UnderweightIncreasing health risk18.5– 24.9Normal weight (grade 0)Lowest health risk25-29.9OverweightMedium risk30-34.9Obesity (grade I)Gradually Increasing 35-39.9 Obesity (grade II)Health risk with40+Extremely obese (grade III)Gradually increasing BMIGIRTH MEASUREMENTS (Waist:hip Ratio)What is tested:Body shape; waist to hip ratio- CHD indicatorEquipment needed:Tape measure; removable markerPurpose of test:When used with or without height and weight and skin fold measurements, girth measurements can be a useful indicator of changes in body shape and of CHD risks.Procedure & Measurement:All measurements should be taken with the tape perpendicular to the long axis of the body segment, and in the same position each time (use a marker to mark the spot). Ensure the tape lies flat. Measure in centimeters.Take measurements three times for added reliability. Waist – take the measurement at the narrowest point of the waist after a normal breath- level with the navel- abdominal muscle relaxed and after normal expiration.Hips – take this measurement from the side of the client, at the widest point of the hips and buttocks- usually the top of the femur. Gluteal muscles should be relaxed.Notes: Other common sites for girth measurements are: Arm, Waist, Thigh, Chest, Hip, Calf. It has been suggested that a more fat round the waist compared to round the hips is a higher indicator of a risk of heart disease. Interpreting the resultsWomen should not exceed a ratio of:0.80Men should not exceed a ratio of:0.95B3 Interpreting Results against Normative DataWhat is normative data?Population normsNorms for sports performanceNorms for elite athletesWhich category would each of the following client profiles fall in to?ClientNormative data category – why?Alex Danson John Johnson Sally NormanJohn SmithTesting and interpretation of dataComplete each of the tests. How do your results compare to accepted health ranges?Test:Result:Interpretation compared to population normsInterpretation compared to Norms for elite athletesInterpretation compared to Norms for sport performanceResting Heart RateBlood PressureBMIWaist to Hip rationApplication of Learning Aim A to Learning Aim BPositive lifestyle factors;Which test links to which lifestyle factor? Why? How? TestPositive lifestyle FactorHeart RateBlood PressureBMIWaist to Hip RatioNegative lifestyle factors;Which test links to which lifestyle factor? Why? How? TestNegative lifestyle FactorHeart RateBlood PressureBMIWaist to Hip Ratio ................
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