A.C.S.M.I.m.p. Norms

- Sagar

1. Normal resting heart rate is 60-100bpm. 2. Onset of heart disease in first degree relative before age 55(men) & 65(women).3. Hypertension: systolic = or>140mmhg or diastolic = or> 90mmhg on two separate

occasion.4. Dyslipidemia: Ldl >130mg/dL (3.4mmol/L) or

HDL >40mg/dL (1.03mmol/L) or Total serum cholesterol >200mg/dL (5.2mmol/L)

5. Hyperglycemia: Fasting plasma glucose>300mg/dL

6. Hypoglycemia: Fasting plasma glucose <80mg/dL

7. Impaired fasting glucose: Normal > 100mg/dL (5.6mmol/L) Impair : 100 to 125 mg/dl (5.6-6.9mmol/L) Diabetes = or> 126mmol/dl (7.0mmol/L) *Exercise is contraindicated if fasting glucose >250mg/L with kitones

>300mg/L without kitones. 8. Triglyceride =or< 150mg/Dl (1.69mmol/L) is bad.

9. Protein = 4kcal/g, Carbs=9kcal/g, Fats=9kcal/g, Alcohol=7kcal/g10. Minimum energy intake is 1200kcal/day.11. Fiber intake :20-35g/day12. Rate of weight loss should be 2 pounds (7000cal) per week.13. Exercise intensity should be between, 64%-94%of Maximum heart rate 50%-85%of Heart rate reserve14. Intake of macronutrient:

Protein : 15%, (0.8g/Kg - 1.7g/Kg)Carbohydrates : 55%-60%

Fats : 25%-35%15. Error % in different body composition test

Hydrostatic weighing : 2-3% Skinfold calipers : 4% Anthropometric : 3-8% BIA : 4 -5% NII : 4 -11%

16. Names of field test: Cooper’s 12mins Rockport 1 mile(sub maximal) 1.5mile test

17. Perfusion imaging: Thallium-20118. Ventriculography : Technethium-99m19. SPECT: single photon emission computed tomography20. Muga: multiple gated acquisition studi

9. Obesity:

Men Women

BMI = or>30kg/m = or>30kg/m

Waist girth measurement = or>102cm = or>88cm

Waste to hip ratio = or>0.095 = or>0.086

10. Assessments of bodyweight by BMI:

Underweight 18.5kg/mNormal 18.5-29.9kg/ m

Overweight 25-29.9kg/ mClass 1 obesity 30-34.9kg/ mClass 2 obesity 35-39.9kg/ mClass 3 obesity 40kg/ m

11. Clinical identification of metabolic syndrome:

12. Classification of cholesterol:

Risk factor Defining level

Abdominal obesityMen

Women >102cm(40inch)>88cm(35inch)

TriglycerideHDL cholesterol

MenWomen

=or>150mg/dL

<40mg/dL<40mg/dL

Blood pressure >130mmhg =or>85mmhg

Fasting glucose =or>110mg/dL

Level Ldl-c Hdl Total Cholesterol

Triglyceride

Optimal 100mg/dL 40mg/dL <200mg/dL <150mg/dL

Above optimal

100-129mg/dL

Borderline 130-159mg/dL

200-239mg/dL

150-199mg/dL

High 160-189mg/dL 60mg/dL =OR>240

mg/dL200-

499mg/dL

Very high =OR>190mg/dL

=OR>500mg/dL

13. Assessing PAD is the ratio of ankle to arm systolic blood pressure:

Normal 0.91-1.30

Mild to moderate 0.41-0.90

Severe PAD 0.00-0.40

Noncompressible, calcified vessel >1.30

14. Water consumption:

Men 3.7L (125ounces)Women 2.7L ( 91ounces)

2HR. Before Exercise 400-600L (16-20ounces)During Exercise 150-350 (6-12ounces)After Exercise 450-675 (16-24ounces)

15. Adequate intake(AI)

Calcium:

Age Intake

9-18 1300mg/day

19-50 1000mg/day

30-50 1000mg/day

50 and older 1200mg/day

Pregnant and lactating(18 years) 1300mg/day

Older then 18 years 1000mg/day

Tolerable upper limit 2500mg/day

Iron:

Age Intake9-13 (Male/Female) 8mg/day14-18 (Only male) 11mg/day

14-18 (Only female) 15mg/day18years and older(Only male) 8mg/day

19-50(Only female) 18mg/day50 above(Only female) 8mg/dayTolerable upper limit 40-45mg/day

16. Exercise intensity:

Special condition Aerobic Exercise Anaerobic Exercise

Osteoporosis Frequency : 3-5days Frequency : 2-3 times/week

Duration : 20-60 mins Duration : 8-10 Reps

Intensity : 40%-70% of HRR

Intensity :13-15(R.P.E.)

Diabetes Frequency : 3-7days Frequency :

Duration : 20-60mins Duration :

Intensity : 50-80% of HRR

Intensity : Lower intensity

Hypertension Frequency : 3-7days Frequency:

Duration :30-60mins Duration:

Intensity :40%-70% of HRR Intensity: 13-15(R.P.E.)

Pregnancy Frequency: 3-7 days Frequency:

Duration:30-40 mins Duration:

Intensity: low Intensity:11-13 (R.P.E.)