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/g
10. Minimum energy intake is 1200kcal/day.
11. Fiber intake :20-35g/day
12. 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 reserve
14. 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-201
18. Ventriculography : Technethium-99m
19. SPECT: single photon emission computed tomography
20. Muga: multiple gated acquisition studi
9. Obesity:

Men Women

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

Waist girth
= or>102cm = or>88cm
measurement
Waste to hip ratio = or>0.095 = or>0.086

10. Assessments of bodyweight by BMI:

Underweight 18.5kg/m
Normal 18.5-29.9kg/ m
Overweight 25-29.9kg/ m
Class 1 obesity 30-34.9kg/ m
Class 2 obesity 35-39.9kg/ m
Class 3 obesity 40kg/ m

11. Clinical identification of metabolic syndrome:

Risk factor Defining level

Abdominal obesity
Men
>102cm(40inch)
Women
>88cm(35inch)

=or>150mg/dL
Triglyceride
HDL cholesterol
<40mg/dL
Men
<40mg/dL
Women

Blood pressure >130mmhg =or>85mmhg

Fasting glucose =or>110mg/dL

12. Classification of cholesterol:

Total Triglycerid
Level Ldl-c Hdl
Cholesterol e
Optimal 100mg/dL 40mg/dL <200mg/dL <150mg/dL
Above 100-
optimal 129mg/dL
130- 200- 150-
Borderline
159mg/dL 239mg/dL 199mg/dL
160- =OR>240 200-
High 60mg/dL
189mg/dL mg/dL 499mg/dL
=OR>190 =OR>500
Very high
mg/dL mg/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
>1.30
vessel

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 Intake
9-13 (Male/Female) 8mg/day
14-18 (Only male) 11mg/day
14-18 (Only female) 15mg/day
18years and older(Only male) 8mg/day
19-50(Only female) 18mg/day
50 above(Only female) 8mg/day
Tolerable upper limit 40-45mg/day

16. Exercise intensity:

 Special
condition Aerobic Exercise Anaerobic Exercise

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

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

Intensity : 40%-70% of Intensity :13-

HRR 15(R.P.E.)

Frequency : 3-7days Frequency :

Diabetes

Duration : 20-60mins Duration :

Intensity : 50-80% of Intensity : Lower

HRR intensity

Frequency : 3-7days Frequency:

Hypertension

Duration :30-60mins Duration:

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

Frequency: 3-7 days Frequency:

Pregnancy

Duration:30-40 mins Duration:

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