Table Of Content

2 3 Executive Editor: Michael Nobel Senior Product Development Editor: Amy Millholen Editorial Coordinator: Lindsay Ries Marketing Manager: Shauna Kelley Senior Production Product Manager: Alicia Jackson Design Coordinator: Stephen Druding Manufacturing Coordinator: Margie Orzech Compositor: Absolute Service, Inc. ACSM Committee on Certification and Registry Boards Chair: William Simpson, PhD, FACSM ACSM Publications Committee Chair: Jeffrey Potteiger, PhD, FACSM ACSM Group Publisher: Katie Feltman Second Edition Copyright © 2018 American College of Sports Medicine All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at 530 Walnut Street, Philadelphia, PA 19106, via e-mail at [email protected], or via website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Printed in China Library of Congress Cataloging-in-Publication Data Names: Magyari, Peter, editor. | Lite, Randi, editor. | Kilpatrick, Marcus, editor. | Schoffstall, James, editor. | American College of Sports Medicine, issuing body. Title: ACSM’s resources for the exercise physiologist / senior editor, Peter Magyari ; associate editors, Randi Lite, Marcus Kilpatrick, James Schoffstall. Other titles: American College of Sports Medicine’s resources for the exercise physiologist | Resources for the exercise 4 physiologist Description: Second edition. | Philadelphia : Wolters Kluwer Health, [2018] | Includes bibliographical references and index. Identifiers: LCCN 2017004011 | ISBN 9781496322869 (alk. paper) Subjects: | MESH: Exercise Therapy | Exercise—physiology | Sports Medicine | Practice Guideline Classification: LCC RM725 | NLM WB 541 | DDC 615.8/2— dc23 LC record available at https://lccn.loc.gov/2017004011 DISCLAIMER Care has been taken to confirm the accuracy of the information present and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this publication and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice. 5 DEDICATION This book is dedicated to all of the outstanding individuals, past and present, associated with the American College of Sports Medicine. 6 Acknowledgments I could not have completed this project without the work of my associate editors Randi Lite, Jim Schoffstall, and Marcus Kilpatrick. I owe a special thanks to Randi Lite for stepping up to help me several times when I felt I was overwhelmed with this project. I give a well-deserved thank you to Walt Thompson for all he has done for me professionally over the years and his leadership in ACSM. Thank you to the publishing staff at ACSM (Katie Feltman and Angela Chastain), the production project manager from Wolters Kluwer (Alicia Jackson), and Harold Medina of Absolute Service, Inc., whose input was always both needed and appreciated. Finally, to my mom and dad (Judy and Don Magyari), my siblings (Trish, Don, and Tom), and my sons Myo and Rox, who have supported me throughout, I simply wish to acknowledge that “I love you.” Peter Magyari, Senior Editor 7 Foreword ACSM’s Committee on Certification and Registry Board (CCRB) consists of volunteers who focus on all aspects of certification, including the creation of exams and educational materials, oversight of all publications associated with certification, and job task analyses for all health fitness, clinical, and specialty certifications. For the past few years, the CCRB has engaged in strategic planning with the goal of advancing the profession of exercise science. In particular, the group focused on strategies to better establish and expand the role of exercise practitioners with a bachelor’s or master’s degree in exercise science. One of the outcomes that emerged from the strategic planning was to establish a protected title that defines and describes the degreed exercise professional in terms that are recognized by the profession, medical community, employers, and the general public. After a great deal of debate and research, “Exercise Physiologist” emerged as the preferred title of degreed professionals in the area of health fitness. The title Exercise Physiologist clearly conveys a higher level of training and a demonstration of more advanced competencies compared to exercise professionals without a degree and is recognized by the U.S. Bureau of Labor Statistics. Ultimately ACSM’s Board of Trustees approved changing the name of the Health Fitness Specialist (ACSM-HFS) certification to Certified Exercise Physiologist (ACSM EP-C). As a result of this name change, this second edition of this book has a new name; ACSM’s Resources for the Exercise Physiologist. It is a valuable study tool for degreed exercise professionals who aspire to attain 8 this certification as well as an excellent evidence-based resource for those already practicing in the field. This edition provides updated information based on the latest scientific findings in every chapter. Of note, ACSM’s new recommendations for exercise preparticipation health screening and a new chapter on functional movement are included in this edition. I would like to personally thank past and present members of the CCRB for their hard work and dedication in maintaining ACSM certifications as the gold standard in the industry. The transition from ACSM-HFS to ACSM EP-C represents a bold step forward for the field and is a direct result of the commitment of many volunteers who worked together to advance our profession. I would like to acknowledge Dick Cotton, who served as ACSM director of certification from 2007 to 2017. He was committed to keeping ACSM certifications as the best in the industry and was a tireless advocate for both clinical and health fitness professionals. I wish Dick the best in his retirement. To the editors — Dr. Peter Magyari, Randi Lite, Dr. Marcus W. Kilpatrick, and Dr. James E. Schoffstall — congratulations for creating a valuable and relevant resource that will benefit current and future exercise physiologists. Your commitment to the profession is an inspiration. Deborah Riebe, PhD, FACSM, ACSM EP-C Chair, ACSM Committee on Certification and Registry Board, 2011–2015 Associate Dean, College of Health Sciences Professor, Department of Kinesiology University of Rhode Island Kingston, Rhode Island 9 Preface The purpose of this text is to serve as the key resource for certified exercise physiologists, with particular regard to the ACSM Certified Exercise PhysiologistSM (EP-C). To accomplish this, ACSM’s Resources for the Exercise Physiologist provides information about the theory and practice that forms the basis of the EP-C scope of practice. This book is able to stand alone as a classroom text or serve as a supplement to many existing texts. The array and strength of the chapter contributors, many of whom are renowned experts in their fields, is a key aspect that adds to the value of this text. The primary audience for ACSM’s Resources for the Exercise Physiologist is the student or professional studying for the ACSM EP-C certification exam. Secondary markets include EP-Cs and personal trainers who wish to broaden their knowledge base. Other health care providers (nurses, physical therapists, etc.) looking to expand their understanding of exercise, exercise prescription, and best practices related to exercise also will find valuable information here. Organization This book is organized around the scope of practice domains identified for the ACSM EP-C. We begin with an introductory section focused on understanding exercise and physical activity along with preexercise screening. Part II includes assessment and programming for healthy populations. Part III covers a similar underlying theme but focuses on special populations, including those with metabolic disorders, pregnant 10