Pre-Exercise regimen-participation Health-screening Recommendations

These recommendations reduce the emphasis on the need for medical evaluation prior to initiating a progressive exercise regimen in healthy, asymptomatic individuals. This also helps in identifying the participants with known disease; because they are the ones who are at the greatest risk for an exercise-related cardiac event.

Recommendations for a Medical Examination prior to initiating Physical activity

Individuals at moderate risk with two or more cardiovascular disease (CVD) risk factors should be encouraged to consult with their physicians prior to initiating a vigorous-intensity physical activity program, while medical evaluation is taking place, the majority of these people can begin light-to-moderate intensity exercise programs such as walking without consulting a physician. Moderate-risk people who are referred to their physicians prior to initiating an exercise program may easily feel discouraged by the idea of having to fulfill this requirement, and they may never return to the fitness facility. Instead, you can get started on the walking program, and also visit a doctor. Once getting the clearance, you can safely progress the intensity of the exercise program in accordance with the doctor’s recommendations.

Routine exercise testing is recommended only for individuals at high risk of exercise-related complications, including those with unstable or new or possible symptoms of CVD, diabetes mellitus in combination with one or more of several complicating factors, end-stage renal disease or symptomatic or diagnosed pulmonary disease. The risk of a cardiovascular event is increased during vigorous-intensity exercise relative to rest, but the risk is low in healthy individuals. The cardiovascular health benefits of regular exercise far outweigh the risks of exercise for the general population.


All fitness professionals and the personal trainers are familiar with the FITT acronym-Frequency, intensity, time and type. The newest additions are VP to the mix, indicating Volume (the product of frequency, intensity and time) and either Pattern or Progression (multiple bouts of 10 minutes or more each day, or one continuous session) or progression (a gradual progression of exercise volume achieved by adjusting any or all of the three components of volume).Very de-conditioned people may yield benefits from exercise bouts lasting less than 10 minutes, but the plan should always be to adjust volume until the ultimate goal-Long-term exercise maintenance-is attained. A gradual progression also may enhance adherence and reduce the risk of musculoskeletal injury and adverse cardiac events.

Special Populations

The number of special populations have been increased, as these newly included populations are individuals with low-back pain, cardiovascular disease or stroke, fibromyalgia, intellectual disability and down syndrome, multiple sclerosis, Parkinson’s disease, and multiple chronic diseases and health conditions, as well as those who have had bariatric surgery. So always take a precaution regarding dealing with a medical condition while undergoing an exercise regimen.