ACSM GEI Certification (Latest 2023 – 2024) Graded A
Purpose of pre participation health screening - Identification and exclusion of participants with
medical contraindications
Physical activity - Bodily movement that is produced by the contraction of skeletal muscle and that
substantially increase energy expenditure
Physical Fitness - A set of attributes that people have or achieve relating to their ability to perform
physical activity
Health - a state of being associated with freedom from disease and illness that also includes postive
Most Common Types of employment for GEI: - Full/part time employee of supervised fitness facility
Independent contractor for a supervised fitness facility
Independent contractor providing service to organizations other than supervised fitness facilities
(Churches, schools, corporations)
Identification of participants at increased risk for chronic disease due to age, symptoms, and/or risk
factors. High-risk participants may need a medical evaluation and exercise testing before starting
an exercise program.
Identification of clients with clinically significant disease who should participate in a medically
superseded exercise program
Identification of clients with other special needs
ACSM Quick Screen - is an abbreviated health/fitness screening tool performed verbally by a GEI. It
is not intended to replace a pre-activity screening, but rather enhance it.
Demonstrates you are interested in the well being of your students
Administered verbally
,Informs the instructor that
1. The participant is in the appropriate class
2. The participant will be able to exercise safely
3. Any physical conditions that will require appropriate modifications during the class
Reasons the screening process can become more complicated - - Not knowing all class participants
on a one-to-one basis
- Working with groups rather than individuals (limits time spent with each person)
- Transient population
- Having guests visit classes without knowing health concerns
- Participants having various experiences with class
- Participants exhibiting various fitness levels within class
- Group exercise classes are often part of the membership in the fitness industry & the GEI often
assumes that participants have been prescreened to participate in his or her class
Main purpose of prescreening for the GEI - is to gather the necessary information to determine
whether the class is a safe and effective training stimulus for each participant.
Health & Lifestyle Questionnaires - Typically self-administered questionnaires to establish general
health and lifestyle behaviors
Health & Lifestyle Questionnaires Purpose - Use to determine history, symptoms, and risk factors
that help to direct participants to the most appropriate form of training. Also used to identify issues
that should be evaluated by health care provider prior to starting program.
Health & Lifestyle Questionnaires Benefits - Self-administered, valuable health information that can
be used to select appropriate classes
, PAR-Q (Physical Activity Readiness Questionnaire) - focuses on symptoms of heath disease, while
also identifying musculoskeletal problems that should be evaluated
questionnaire developed by Canadian researchers to assess general health status
AHA/ACSM questionnaire - is more extensive than the PAR-Q, and uses history, symptoms, and risk
factors to direct clients to either participate in an exercise program or contact their healthcare
provider before participation.
PAR-Q Purpose - Minimum screening measure for low-to-moderate intensity training
PAR-Q Benefit - valid, easy to administer, time efficient
Risk Stratification - Used to identify participants who should undergo a medical examination and
exercise testing before beginning a moderate to vigorous exercise program. The process is based
not he clients risk factors for cardiovascular, pulmonary, or metabolic disease; signs and symptoms
suggestive of disease; and diagnosis of disease
Risk Stratification Purpose - To identify persons with risk factors for cardiovascular, pulmonary, or
metabolic disease
Risk Stratification Benefit - Helps determine those individuals who may need a medical clearance in
order to participate in exercise training.
Risk Stratification Steps - 1. Conduct a health history evaluation
2. Determine the number of risk factors and the number of signs and symptoms
3. Determine whether the clients is at low, moderate, or high risk
4. Determine whether a medical evaluation or exercise testing is necessary
5. Obtain medical clearance if indication by step 3 or 4
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