EVALUATION OF HEALTH STATUS

& MONITORING OF EXERCISE PROGRAMMES AND PHYSIOLOGICAL TESTING

HEALTH SCREENING

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HOW MANY METHODS OF HEALTH SCREENING CAN YOU THINK OF IN TWO MINUTES?

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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?• Do you have a bone or joint problem?• Do you have low or high blood pressure?• Are you pregnant?• Are you a diabetic?• 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?

If answer yes to any – must seek medical advice before exercising

If no – can gradually start to increase exercise levels

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

scoreUrine 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

• Breast examination

• Mammography (Over 40 if selected)

• Cervical cancer screening (including HPV if clinically appropriate)

Male specific tests

• Testicular cancer awareness

• Testicular examination

• Prostate cancer blood test (Over 50 if selected)

BUILDS ON LIFESTYLE CHOICES LAST YEAR

HEALTH OF THE NATION

Health of the nation – what you need to know..•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 gamesReduction in PE at schoolUrban environments discouraging physical activityDecline 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 CHD 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.

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

Exercise Maintains bone density

Health problems resulting from obesity

CORONARY HEART DISEASE

ATHEROSCHLEROSIS HYPERTENSION

HEART ATTACK

TYPE 2 DIABETES

HIGH CHOLESTEROL

LDL v HDL

(BAD) (GOOD)

STROKE

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

PE AND THE NATIONAL CURRICULUM

• What are the aims of the national curriculum?• Structure of the National Curriculum?

• Use the textbooks and hand outs to make notes on this – and be prepared to discuss.

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 the 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