The Risk Assessment screening can help to identify certain conditions that have been shown to increase the risk of heart disease, known as coronary artery disease risk factors. This process is known as 'risk stratification'. On completion of a risk stratification questionnaire, such as that shown below, individuals are classified into one of three categories:

• Low risk (or apparently healthy)
• Moderate risk
• High risk

Individuals who are in the moderate category should not be prescribed any vigorous exercise unless medical approval is given. Individuals in the high-risk category should not be allowed to exercise unless supervised by a qualified person, following medical approval. If in any doubt, you consult your GP, before initiating any program of exercise.

RISK STRATIFICATION ASSESSMENT
Client name:
Date of birth:		Date:
Please answer the following questions the the best of your knowledge:			Yes	No
1	Has there been a heart attack or sudden death in your family before age 55 (father, brother or son) or age 65 (mother, sister or daughter)?
2	Are you a current smoker of quit within previous six months?
3	Have you been diagnosed with systolic blood pressure 140mmhg or above, or diastolic of 90mmhg of above, on at least two occasions?
4	Do you have total serum cholesterol of more than 5.2mmol/L, or LDL more than 3.4mmol/L, or HDL less than 1.3mmol/L?
5	Is your BMI 30kg/m2 of above?
6	Are you sedentary?
7	Is your impaired fasting glucose: 100mg/dl or more?
Sub-total number of 'Yes' answers:
Is your HDL level above 1.6mmol/L? If Yes, subtract 1 from the total above:
Total number of 'Yes" answers:
L	Low Risk - Men >45: women >54 and no more than 1 'Yes' answers.
M	Moderate Risk - Men >44: women >54 or 2 of more 'Yes' answers.
H	Men and women with known cardiovascular, pulmonary or metabolic disease.

 

If any conditions are identified, the form advises the individual to seek medical approval prior to undertaking a program of exercise, unless the trainer holds a specific qualification related to the identified condition and feels fully confident to deal with it. If no conditions are identified, the form suggests a program of light to moderate exercise.

Download=> Risk Assessment Form

To your Success!

- The Mastermoves Team

Note: If you need additional support, you can order The Core Challenge Kit.