Section 2: Preparing to Begin a Fitness Program

A. Medical and General Health Factors

Health Screening for Physical Activity

To optimize your safety during both the Physical Abilities Testing (PAT) and exercise training in preparation for the PAT, some initial screening for important medical and health factors is necessary. The purposes for this type of pre-participation screening include:

- Identifying those individuals who have medical conditions serious enough that exercise would either present an immediate risk or aggravate the medical problem

- Identifying those individuals who have signs and symptoms which suggest a problem or risk factors for diseases who should receive further medical evaluation before undergoing exercise training or a PAT, and

- Identifying those individuals who may have special exercise requirements, or who should take special precautions prior to exercising. For example, taking a diuretic (water pill) for moderate hypertension means that you should take care to drink extra fluid before, during and after exercise.


It is not necessary for everyone to get a thorough physical examination from a physician prior to starting an exercise program. Such a requirement is not scientifically necessary, cost-effective or time-efficient. However, if going to your physician would make you feel better about beginning an exercise program, by all means do so.

The Physical Activity Readiness Questionnaire (PAR-Q) is recommended as a minimal standard for screening prior to beginning and exercise program or, if some activity is already underway, to exercising more vigorously. The PAR-Q is designed to identify the small number of adults for whom physical activity might be inappropriate and those who should have medical clearance prior to exercise and testing.

PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)

1. Has a doctor ever said you have a heart condition and recommended only medically supervised physical activity?

2. Do you have chest pain brought on by physical activity?

3. Have you developed chest pain within the last month?

4. Do you tend to lose consciousness or fall over as a result of dizziness?

5. Do you have a bone or joint problem that could be aggravated by they proposed physical activity?

6. Has a doctor ever recommended medication for your blood pressure or a heart condition?

7. Are you aware, through your own exorcize or a doctor's advice, or any other physical reason why you should avoid exercising without medical supervision?

If you answered YES to any of these 7 questions, vigorous exercise and exercise testing (the PAT) should be postponed until medical clearance is obtained.

Question number 7 of the PAR-Q is an open-ended question which covers medical and physical problems which make further medical screening necessary. Many individuals may question whether certain conditions are important enough or severe enough to warrant seeing their doctor. However, it is recommended that, if you have any question about a medical conditions or your ability to exercise, that you consult your doctor as to an appropriate level of activity. NEXT PAGE »