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Evaluation of Health
Status
Health Screening
& monitoring of exercise programmes
and physiological testing
Methods of health screening














A PAR-Q is a Physical Activity Readiness
Questionnaire and should be completed before
significantly increasing your activity levels.
Have you sought medical advice for a heart condition?
Do you experience chest pains?
If answer yes to any – must seek
Do you have a bone or joint problem?
medical advice before exercising
Do you have low or high blood pressure?
Are you pregnant?
If no – can gradually start to
Are you a diabetic?
increase exercise levels
Are you an asthmatic?
Are you over 60 years of age?
Have you had an injury in the last 6 months?
Have you had a cold in the last 2 weeks?
Do you know of any reason why you should not increase your physical activity?
Methods of health screening





Many companies (including the NHS) offer
Health Screening to give you a full picture of your
current state of health and your long-term health
prospects.
E.g.
Methods of health screening









Medical and lifestyle questionnaire
Dietary assessment
BMI Guide to healthy living
Personalised medical report and
recommendations
Lifestyle consultation with nurse
Consultation with doctor
Methods of health screening


Measurements –





Blood pressure ,
Body composition
(height, weight, hip to
waist, BMI and body fat
percentage)

Blood Tests –



Cholesterol profile,
Diabetes



Other Investigations –




Cardiovascular risk score
Urine analysis (3 tests for
diabetes infection and
kidney function),
Blood in stool test (Over
45) (may indicate bowel
cancer)
Resting ECG
Methods of health screening
Female specific tests
 Breast cancer awareness

Male specific tests
 Testicular cancer awareness



Breast examination



Testicular examination



Mammography (Over 40 if
selected)



Prostate cancer blood test
(Over 50 if selected)



Cervical cancer screening
(including HPV if clinically
appropriate)
Health of the Nation
Similar stuff to last year
Health of the nation
•Current concerns and trends in relation to physical fitness,
obesity and cardiac problems
•Influences on health – notion of personal autonomy and
external factors influencing lifestyle choices

•Health promotion and regulation. Exercise adherence.
•Policies and initiatives
•Body and self image – naturalist and constructionist views
of the body and the role of the media.
Reduction in Physical Fitness levels is due to:
More TV viewing and video games
Reduction in PE at school
Urban environments discouraging physical activity
Decline in children walking and cycling to school
But should we simply allow people to be as fit or unfit as
they choose? (notion of personal autonomy/choice)

Body image/Self-image - How does the media affect this?
1 in 4 11-15 year olds is classified as obese in England
Increase in Obesity levels is due to:
•Lack of activity - Positive Energy balance
•Fast food
•Wrong sort of food – not a balanced diet
Coronary heart disease is the single most common
cause of death in the UK
Overall CVD is estimated to cost the UK economy
£30.7 billion a year

The majority of CHD is potentially preventable.
Exercise raises
basal Metabolic
rate so maintains
negative energy
balance so
reduces weight.

Exercise Maintains
bone density

Also raises
metabolic rate for
up to 5 hours after
exercise

Helps control
blood
insulin/glucose
levels
Lowers blood pressure and
keeps arterioles flexible so
reducing hypertension and
risk of Heart attack/stroke

Increases HDL Cholesterol
so reducing fatty build up
in arteries
Health problems resulting from obesity
CORONARY HEART DISEASE
ATHEROSCHLEROSIS
HYPERTENSION
HEART ATTACK
TYPE 2 DIABETES
HIGH CHOLESTEROL
STROKE

LDL
(BAD)

v

HDL
(GOOD)
Has responsibility for the state of the nation’s health
and promoting healthy lifestyles –
Smoking, drinking, exercise promotion and healthy
eating

Page 3 onwards of student notes
Exercise Adherence – sticking to your exercise plan
Fifty percent of those who begin an exercise program
will drop out within six months. (New Years
resolutions)
We can help ourselves to stick to exercise programmes by:
• Decide where you are going to exercise best. (at home or at he gym
or pool etc.) – avoid distractions
•Choose activities you enjoy and keep the sessions short to start with.
•Set realistic goals and write out your goals somewhere in full view.
•Monitor your progress
•Establish a routine so physical activity becomes a habit
•Find an exercise partner then you are less likely to let each other
down.
Exam Questions










Each group has an exam question
As a group you will try and construct a rough
outline to the question on the flipchart paper
You will compare this with the mark scheme
Plan a presentation on how to answer this
question and the key aspects of the topics
covered that you need to know
You will present this in Tuesday’s lesson

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Health screening and health of the nation

  • 2. Health Screening & monitoring of exercise programmes and physiological testing
  • 3. Methods of health screening             A PAR-Q is a Physical Activity Readiness Questionnaire and should be completed before significantly increasing your activity levels. Have you sought medical advice for a heart condition? Do you experience chest pains? If answer yes to any – must seek Do you have a bone or joint problem? medical advice before exercising Do you have low or high blood pressure? Are you pregnant? If no – can gradually start to Are you a diabetic? increase exercise levels Are you an asthmatic? Are you over 60 years of age? Have you had an injury in the last 6 months? Have you had a cold in the last 2 weeks? Do you know of any reason why you should not increase your physical activity?
  • 4. Methods of health screening   Many companies (including the NHS) offer Health Screening to give you a full picture of your current state of health and your long-term health prospects. E.g.
  • 5. Methods of health screening       Medical and lifestyle questionnaire Dietary assessment BMI Guide to healthy living Personalised medical report and recommendations Lifestyle consultation with nurse Consultation with doctor
  • 6. Methods of health screening  Measurements –    Blood pressure , Body composition (height, weight, hip to waist, BMI and body fat percentage) Blood Tests –   Cholesterol profile, Diabetes  Other Investigations –   Cardiovascular risk score Urine analysis (3 tests for diabetes infection and kidney function), Blood in stool test (Over 45) (may indicate bowel cancer) Resting ECG
  • 7. Methods of health screening Female specific tests  Breast cancer awareness Male specific tests  Testicular cancer awareness  Breast examination  Testicular examination  Mammography (Over 40 if selected)  Prostate cancer blood test (Over 50 if selected)  Cervical cancer screening (including HPV if clinically appropriate)
  • 8. Health of the Nation Similar stuff to last year
  • 9. Health of the nation •Current concerns and trends in relation to physical fitness, obesity and cardiac problems •Influences on health – notion of personal autonomy and external factors influencing lifestyle choices •Health promotion and regulation. Exercise adherence. •Policies and initiatives •Body and self image – naturalist and constructionist views of the body and the role of the media.
  • 10. Reduction in Physical Fitness levels is due to: More TV viewing and video games Reduction in PE at school Urban environments discouraging physical activity Decline in children walking and cycling to school But should we simply allow people to be as fit or unfit as they choose? (notion of personal autonomy/choice) Body image/Self-image - How does the media affect this?
  • 11. 1 in 4 11-15 year olds is classified as obese in England Increase in Obesity levels is due to: •Lack of activity - Positive Energy balance •Fast food •Wrong sort of food – not a balanced diet Coronary heart disease is the single most common cause of death in the UK Overall CVD is estimated to cost the UK economy £30.7 billion a year The majority of CHD is potentially preventable.
  • 12. Exercise raises basal Metabolic rate so maintains negative energy balance so reduces weight. Exercise Maintains bone density Also raises metabolic rate for up to 5 hours after exercise Helps control blood insulin/glucose levels Lowers blood pressure and keeps arterioles flexible so reducing hypertension and risk of Heart attack/stroke Increases HDL Cholesterol so reducing fatty build up in arteries
  • 13. Health problems resulting from obesity CORONARY HEART DISEASE ATHEROSCHLEROSIS HYPERTENSION HEART ATTACK TYPE 2 DIABETES HIGH CHOLESTEROL STROKE LDL (BAD) v HDL (GOOD)
  • 14. Has responsibility for the state of the nation’s health and promoting healthy lifestyles – Smoking, drinking, exercise promotion and healthy eating Page 3 onwards of student notes
  • 15. Exercise Adherence – sticking to your exercise plan Fifty percent of those who begin an exercise program will drop out within six months. (New Years resolutions) We can help ourselves to stick to exercise programmes by: • Decide where you are going to exercise best. (at home or at he gym or pool etc.) – avoid distractions •Choose activities you enjoy and keep the sessions short to start with. •Set realistic goals and write out your goals somewhere in full view. •Monitor your progress •Establish a routine so physical activity becomes a habit •Find an exercise partner then you are less likely to let each other down.
  • 16. Exam Questions      Each group has an exam question As a group you will try and construct a rough outline to the question on the flipchart paper You will compare this with the mark scheme Plan a presentation on how to answer this question and the key aspects of the topics covered that you need to know You will present this in Tuesday’s lesson

Editor's Notes

  1.  Has responsibility for the state of the nation’s health and promoting healthy lifestyles – Smoking, drinking, exercise promotion and healthy eating