ACSM’s New Preparticipation Health Screening Recommendations from ACSM’s Guidelines for Exercise Testing and Prescription, Ninth Edition

作者：Paul D. Thompson, Ross Arena, Deborah Riebe, Linda S. Pescatello · 发表于：Current Sports Medicine Reports · 年份：2013 · DOI：10.1249/jsr.0b013e31829a68cf · 被引用次数：1840 · 研究领域：Cardiovascular Effects of Exercise、Sports injuries and prevention、Cardiovascular and exercise physiology

Introduction Previously the American College of Sports Medicine (ACSM) preparticipation health screening recommendations were cardiovascular disease (CVD) risk assessment and stratification of all people, and a medical examination and symptom-limited exercise testing as part of the preparticipation health screening prior to initiating vigorous-intensity physical activity in individuals at increased risk for occult CVD (14). Individuals at increased risk in these recommendations were men ≥45 yr and women ≥55 yr; those with 2 or more major CVD risk factors; individuals with signs and symptoms of CVD; and those with known cardiac, pulmonary, or metabolic disease. ACSM’s new preparticipation health screening recommendations are as follows: Reduce the emphasis on the need for medical evaluation (i.e., medical examination and exercise testing) as part of the preparticipation health screening process prior to initiating a progressive exercise regimen in healthy, asymptomatic persons; Use the term risk classification to group people as low, moderate, or high risk based upon the presence or absence of CVD risk factors, signs or symptoms, and/or known cardiovascular, pulmonary, renal, or metabolic disease; Emphasize identifying those with known disease since they are at greatest risk for an exercise-related cardiac event (Table); Adopt the American Association of Cardiovascular and Pulmonary Rehabilitation risk stratification scheme for people with known CVD because it considers over a...