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From the American College of Sports Medicine (ACSM), this text provides the information necessary to develop skills for assessing an individual's health-related physical fitness. It provides a practical "how-to-do-it" approach for performing assessment skills effectively, and an understanding of the theory behind and the importance of each skill or assessment. The Third Edition includes updated references to ACSM's Guidelines for Exercise Testing and Prescription, Eighth Edition , more diagrams and pictures highlighting assessment techniques, and new material on physical activity assessments, considerations for medication usage, and common measurement errors.

A companion Website includes an Image Collection, a Test Generator, and PowerPoint Slides.

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• Preface(p. v)
• Acknowledgments(p. vii)
• 1 Introduction(p. 1)
• Defining Health-related Physical Fitness(p. 2)
• Components of Health-related Physical Fitness(p. 3)
• The Importance of Measuring Health-related Physical Fitness(p. 4)
• The Relationship of Physical Fitness to Health(p. 4)
• The Relationship of Physical Fitness to Function(p. 6)
• Fundamental Principles of Assessment(p. 6)
• A Specific Assessment Objective(p. 7)
• The Gold Standard (i.e., True Measure)(p. 7)
• Equipment Calibration(p. 8)
• Standardization(p. 8)
• Interpretation Issues(p. 9)
• The Physical Fitness Professional(p. 9)
• Academic Training(p. 9)
• Credentials(p. 9)
• References(p. 10)
• 2 Preassessment Screening(p. 11)
• Rationale for Preassessment Screening(p. 12)
• Informed Consent(p. 12)
• The Process of the Informed Consent(p. 14)
• Explanation of Procedures(p. 15)
• Screening Procedures(p. 16)
• Objective: Risk Stratification(p. 16)
• Health History Questionnaire(p. 17)
• Other Health Issues to Consider(p. 26)
• Understanding Medication Usage(p. 26)
• Summary(p. 26)
• Laboratory Activities(p. 27)
• Risk Stratification Using a Comprehensive Health History Questionnaire(p. 27)
• Risk Stratification Using the AHA/ACSM Health/Fitness Facility Preparticipation Screening Questionnaire(p. 27)
• Preparticipation Screening Questionnaire(p. 27)
• Administering an Informed Consent(p. 27)
• Case Study(p. 28)
• References(p. 28)
• 3 Risk Factor Assessments(p. 29)
• Resting Blood Pressure(p. 30)
• Measurement(p. 30)
• Interpretation(p. 34)
• Blood Tests(p. 35)
• Blood Sampling Methods(p. 36)
• Standard Precautions(p. 37)
• Interpretation(p. 37)
• Obesity(p. 37)
• Measurement of Height and Weight(p. 38)
• Measurement of Waist Circumference(p. 41)
• Interpretation(p. 43)
• Physical Activity(p. 44)
• Subjective Assessment(p. 44)
• Objective Assessment(p. 44)
• Interpretation(p. 47)
• Other Diseases and Conditions(p. 48)
• Pulmonary Disease(p. 48)
• Osteoporosis(p. 48)
• Summary(p. 51)
• Laboratory Activities(p. 52)
• Resting Blood Pressure Assessment(p. 52)
• Body Mass Index Assessment(p. 52)
• International Physical Activity Questionnaire Assessment(p. 53)
• Case Study(p. 53)
• References(p. 53)
• 4 Body Composition(p. 55)
• Why Measure Body Composition?(p. 56)
• Health Implications(p. 56)
• Functional Implications(p. 56)
• What Is the Gold Standard Test?(p. 56)
• Clinical Measures(p. 57)
• Magnetic Resonance Imaging and Computed Tomography(p. 57)
• Dual-energy X-ray Absorptiometry(p. 57)
• Tests of Body Volume(p. 58)
• Underwater (Hydrostatic) Weighing(p. 59)
• Plethysmography(p. 61)
• Anthropometry(p. 62)
• Skinfold Measurements(p. 62)
• Circumferences Measurements(p. 67)
• Bioelectrical Impedance Analysis(p. 67)
• Interpretation(p. 71)
• Estimation of Goal Body Weight(p. 72)
• Summary(p. 72)
• Laboratory Activities(p. 73)
• Skinfold Estimation of Body Fat Percentage(p. 73)
• Case Study(p. 74)
• References(p. 74)
• 5 Muscular Fitness(p. 75)
• Unique Assessment Principles(p. 76)
• Types of Contractions(p. 76)
• Familiarization(p. 76)
• Method of Loading(p. 76)
• Proper Positioning(p. 78)
• Specificity(p. 78)
• Muscular Fitness Continuum(p. 78)
• Strength Assessments(p. 78)
• Static(p. 79)
• Dynamic(p. 79)
• Endurance Assessments(p. 82)
• Dynamic(p. 82)
• Static(p. 87)
• Interpretation Issues(p. 88)
• Summary(p. 89)
• Laboratory Activities(p. 90)
• Assessment of Muscular Strength(p. 90)
• Muscular Endurance Assessment(p. 90)
• Case Study(p. 91)
• References(p. 91)
• 6 Flexibility(p. 92)
• Flexibility as a Component of Health-related Physical Fitness(p. 93)
• Unique Assessment Principles(p. 93)
• Specificity(p. 93)
• Warm-up(p. 93)
• Methods of Measurement(p. 93)
• Distance Tests for Assessment of Flexibility(p. 94)
• Sit-and-reach Test(p. 94)
• Assessment of Lumbar Flexion(p. 95)
• Assessment of Lumbar Extension(p. 95)
• Range of Motion Defined(p. 96)
• Goniometers-Tools to Measure Range of Motion(p. 98)
• Range-of-motion Assessment Overview(p. 99)
• Specific Range-of-motion Tests(p. 100)
• Interpretation(p. 106)
• Summary(p. 107)
• Laboratory Activities(p. 108)
• Range-of-motion Assessments(p. 108)
• Distance Tests for Flexibility Assessment(p. 109)
• Case Study(p. 109)
• References(p. 109)
• 7 Cardiorespiratory Fitness: Estimation from Field and Submaximal Exercise Tests(p. 110)
• Why Measure Cardiorespiratory Fitness?(p. 111)
• Health Implications(p. 111)
• Functional Implications(p. 111)
• What Is the Gold Standard Test?(p. 111)
• Deciding on Which Method to Use(p. 112)
• Pretest Standardizations for Cardiorespiratory Fitness Assessments(p. 112)
• Field Tests for Prediction of Aerobic Capacity(p. 112)
• Step Tests(p. 113)
• Fixed Distance Tests(p. 114)
• Fixed Time Tests(p. 114)
• Submaximal Exercise Tests(p. 115)
• Predicting Maximal Heart Rate(p. 116)
• Test Termination Criteria(p. 116)
• Monitoring(p. 116)
• Exercise Modes(p. 118)
• YMCA Submaximal Cycle Test(p. 121)
• Åstrand Submaximal Cycle Ergometer Test(p. 127)
• Treadmill(p. 130)
• Interpretation(p. 132)
• Sources of Error in Submaximal Prediction(p. 133)
• Summary(p. 135)
• Laboratory Activities(p. 136)
• Field Test Assessments of Cardiorespiratory Fitness(p. 136)
• Submaximal Exercise Test Assessments of Cardiorespiratory Fitness(p. 136)
• Case Study(p. 136)
• References(p. 137)
• 8 Cardiorespiratory Fitness: Maximal Exercise Testing(p. 138)
• Risks(p. 139)
• Contraindications(p. 139)
• Monitoring(p. 139)
• Personnel(p. 139)
• Selecting the Mode for Testing(p. 144)
• Protocols(p. 145)
• Bruce Protocol(p. 145)
• Balke-Ware Protocol(p. 147)
• Ball State University/Bruce Ramp Protocol(p. 147)
• Running Protocol(p. 148)
• Cycle Protocols(p. 149)
• Test Procedures(p. 150)
• Supervisor(p. 150)
• Test Monitoring Roles(p. 151)
• Measured and Estimated VO2 max(p. 151)
• Estimating VO2 max from Exercise Test Time(p. 151)
• Estimating VO2 max from Peak Workload(p. 152)
• Interpretation(p. 152)
• Summary(p. 153)
• Laboratory Activities(p. 154)
• Maximal Exercise Tests(p. 154)
• Case Study(p. 154)
• References(p. 155)
• Appendix A Conversions(p. 156)
• Appendix B Forms(p. 158)
• Index(p. 165)