Exercise testing and prescription : a health-related approach

675 Pages·2011·45.495 MB·English

by  David C Nieman

Nieman
This book offers everything you need to become an outstanding exercise professional—
fitness assessment concepts, hands-on prescription applications, and thorough prepa- Exercise
ration for ACSM certification exams. Written in a health-related context, Exercise Testing
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and Prescription highlights the latest research findings on exercise, nutrition, obesity,
heart disease, diabetes, cancer, and aging. x
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• Integrates updated 2008 Physical Activity Guidelines for Americans and 2010 r Testing and
ACSM Guidelines for Exercise Testing and Prescription throughout the text c
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• Includes updates on consensus statements from the World Health Organization, s
American Heart Association, American Cancer Society, American Diabetes e
Association, and other professional organizations Prescription
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• Includes new facts, trends, and updated classification tables for obesity, diabetes,
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cancer, hypertension, heart disease, osteoporosis, and arthritis
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• Provides students hundreds of illustrations, photographs, tables, and graphs that n
visually represent multifaceted concepts
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A Health-Related Approach
• Offers up-to-date information on health and fitness, nutrition, and many other a
topics through Web links to professional organizations and resources
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• Provides study tools to help you review each chapter’s key points, including new M
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Review Questions and Physical Fitness Activities P D
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• Presents fitness assessment norms from the Cooper Institute for Aerobics IM
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Research, National Center for Health Statistics, and the Canadian Society for #1
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This text is available as an eTextbook at www.CourseSmart.com. At CourseSmart you i A
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can take advantage of significant savings off the cost of a print textbook, reduce your M
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impact on the environment, and gain access to powerful web tools for learning. You can A
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sample chapter.
Exercise Testing
and Prescription

A HEALTH-RELATED APPROACH
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Exercise Testing
and Prescription
A HEALTH-RELATED APPROACH
SEVENTH EDITION
David C. Nieman
Appalachian State University
North Carolina Research Campus
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Published by McGraw-Hill, an imprint of The McGraw-Hill Companies, Inc., 1221 Avenue of
the Americas, New York, NY 10020. Copyright ©2011, 2007, 2003, 1999, 1995, 1990, 1986. All
rights reserved. No part of this publication may be reproduced or distributed in any form or
by any means, or stored in a database or retrieval system, without the prior written consent of
The McGraw-Hill Companies, Inc., including, but not limited to, in any network or other
electronic storage or transmission, or broadcast for distance learning.
This book is printed on acid-free paper.
1 2 3 4 5 6 7 8 9 0 QPD/QPD 0
ISBN: 978-0-07-337648-6
MHID: 0-07-337648-5
Editor in Chief: Michael Ryan
Editorial Director: William Glass
Executive Editor: Christopher Johnson
Developmental Editor: Nadia Bidwell
Managing Editor: Marley Magaziner
Marketing Manager: Pamela Cooper
Media Project Manager: Vivek Iyer
Production Editor: Alison Meier
Design Coordinator: Ashley Bedell
Cover Design: Kay Lieberherr
Photo Credit: © Glenn Migsui
Production Supervisor: Louis Swaim
Composition: 9/12 Palatino by MPS Limited
Printing: 45# New Era Matte Plus, Quebecor World, Inc.
Library of Congress Cataloging-in-Publication Data
Nieman, David C., 1950-
Exercise testing and prescription : a health-related approach / David Nieman. — 7th ed.
p. cm.
Includes bibliographical references and index.
ISBN-13: 978-0-07-337648-6 (alk. paper)
ISBN-10: 0-07-337648-5 (alk. paper)
1. Exercise—Physiological aspects. 2. Physical fitness. 3. Sports medicine. 4. Exercise tests.
5. Exercise therapy. I. Title.
QP301.N53 2011
613.7—dc22
2009030577
The Internet addresses listed in the text were accurate at the time of publication. The inclusion
of a Web site does not indicate an endorsement by the authors or McGraw-Hill, and McGraw-
Hill does not guarantee the accuracy of the information presented at these sites.
www.mhhe.com
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To my family,
Cathy, Jonathan, and Jennifer,
and students spanning four decades.
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Brief Contents
Preface xv
PART I Definitions 1
Chapter 1 Physical Fitness and Health Defined 3
PART II Screening and Testing 17
Chapter 2 Testing Concepts 19
Chapter 3 Cardiorespiratory Fitness 42
Chapter 4 Body Composition 87
Chapter 5 Musculoskeletal Fitness 136
PART III Conditioning for Physical Fitness 163
Chapter 6 Exercise Prescription 165
Chapter 7 Nutrition and Performance 220
PART IV Physical Activity and Disease 297
Chapter 8 Heart Disease 299
Chapter 9 Cancer 375
Chapter 10 Diabetes 411
Chapter 11 Obesity 442
Chapter 12 Psychological Health 498
Chapter 13 Aging, Osteoporosis, and Arthritis 537
Appendix A Physical Fitness Test Norms 582
Appendix B Major Bones, Muscles, and Arteries of the Human Body 623
Glossary 628
Index 644
vii
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Contents

Preface xv Recommended Order for Fitness-Evaluation Tests 27
Health-Related Fitness Testing Batteries 27
PART I Definitions 1 YMCA 28
Canadian Physical Activity, Fitness & Lifestyle Appraisal
Chapter 1 Physical Fitness and (CPAFLA) 28
Health Defined 3 AAHPERD: Health-Related Fitness Test for College
Students 28
FITNESSGRAM 28
Physical Activity 3
The President’s Challenge 29
Exercise 5
Summary 30
A Comprehensive Approach to
Review Questions 31
Physical Fitness 5
References 32
The Meaning of Physical Fitness 6
The Elements of Health-Related Physical Fitness 8 PHYSICAL FITNESS ACTIVITY 2.1: Are You Ready to Exercise? 34
Cardiorespiratory Endurance 8 PHYSICAL FITNESS ACTIVITY 2.2: Medical/Health Questionnaire 36
Body Composition 9
Musculoskeletal Fitness 9 Chapter 3 Cardiorespiratory Fitness 42
Summary 12
Review Questions 12 Resting and Exercise Blood Pressure and Heart
Rate Determination 43
References 13
Resting Blood Pressure 43
PHYSICAL FITNESS ACTIVITY 1.1: Ranking Activities by
Exercise Blood Pressure 45
Health-Related Value 15
Resting Heart Rate 46
Exercise Heart Rate 47
PART II Screening and Testing 17 (cid:2)
Nonexercise Test V O Prediction
2max
Equations 48
Chapter 2 Testing Concepts 19
Field Tests for Cardiorespiratory Fitness 49
Submaximal Laboratory Tests 52
Preparticipation Health Screening 20
Step Tests 53
Using Screening Results for Risk
Stratification 23 The Modified Canadian Aerobic Fitness Test 53
The YMCA 3-Minute Step Test 55
Contraindications for Exercise and Exercise Testing 24
Other Step Tests 56
Cardiovascular Screening of Competitive
Athletes 24 ACSM Bench-Stepping Equation 56
Treadmill Submaximal Laboratory Tests 57
Informed Consent 25
Cycle Ergometer Submaximal Laboratory Tests 57
Health/Fitness Facility Standards and
Guidelines 26 A Description of Cycle Ergometers 58
The YMCA Submaximal Cycle Test 59
Concepts and Purposes in Physical Fitness
Testing 26 Cycling Equations 60
Physical Fitness Testing Batteries 27 Maximal Laboratory Tests 60
ix
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