Exercise Program Screening
Why is this important?
- Regular exercise improves cardiometabolic health and reduces cardiovascular morbidity and mortality.
- Patients with or at high risk for CVD or diabetes have up to a ten-fold increase in cardiovascular events during exercise, compared to healthy persons.
- Patients with CVD should be identified by screening, evaluated and counseled before beginning a moderate to vigorous exercise program.
- Use one of the two screening instruments prior to recommending or starting an exercise program for your patients:
- Patients with diabetes or with multiple risk factors may need a medical examination and exercise test before participating in a moderate to vigorous intensity exercise program.
- Refer patients that require an exercise ECG to physician-supervised clinical exercise testing laboratory. See the Decision Tree Figure [PDF - 43KB] for Exercise Screening Guidelines.
ACSM's Guidelines for Exercise Testing and Prescription, Eighth Edition, April 2009. Lippincott Williams & Wilkins