Answers (6)
1
Which clients? All of them during the initial assessment. I use either the manual method or my Omron machine using the appropriate cuff size. If the reading is more than 140/90 on either value, it's back to the doc. If it is below but close I re-check to see a trend. If it stays close, I usually ask the client to bring it up next time they see their doctor.
If a client has uncontrolled high blood pressure, I will not train him or her. If it is controlled I ask the doctor for parameters for training. Medications usually need to be considered.
If a client has uncontrolled high blood pressure, I will not train him or her. If it is controlled I ask the doctor for parameters for training. Medications usually need to be considered.
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This is a very good question. I take an initial BP reading (on at least 2 different days for accuracy) on every single client that I personal train. (no, not with group classes but, yes, with small {2-5} group training) I check (and compare against previous) every month for most, and before/after every session with those released buy a physician to train with high/low pressure. If a person feels faint, short of breath, or naseous I'll give it a check to determine if a session needs to slow down or cease all together. I use an electric BP cuff that fits the wrist and gives a pulse as well. However, I do still keep a sphygmomanometer and stethoscope on hand. (I won't trust electronics to always work in a crisis)
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All clients receive regular BP testing as part of their tri-annual fitness evaluations. High BP and BP irregularities can be indicative of serious issues and should be evaluated by a medical professional no matter how badly you want to engage a client while they are still excited.
I've known a 38yr old who died of aneurysm and a 28yr old who died of minor heart defect during exercise - both tragedies could have been potentially avoided with regular basal health checks including BP.
In addition, be sure to ask if a client is taking medication for high blood pressure or hypertension as these medications will likely show low BP and heart rate even during exertion.
I too use a basic Omron automatic BP machine. Although I find the traditional BP cuff and stethoscope method more accurate, auditory cues can be hard to hear in a noisy gym.
I've known a 38yr old who died of aneurysm and a 28yr old who died of minor heart defect during exercise - both tragedies could have been potentially avoided with regular basal health checks including BP.
In addition, be sure to ask if a client is taking medication for high blood pressure or hypertension as these medications will likely show low BP and heart rate even during exertion.
I too use a basic Omron automatic BP machine. Although I find the traditional BP cuff and stethoscope method more accurate, auditory cues can be hard to hear in a noisy gym.
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I BP screen all my personal training clients and PAR-Q my group fitness exercise participants.
I am curious to know why do you need to monitor your client's BP throughout the training session if we as fitness professionals for the most part train our clients submaximally?
I am curious to know why do you need to monitor your client's BP throughout the training session if we as fitness professionals for the most part train our clients submaximally?
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The ACE Personal Trainer Manual 4th edition, pg. 128 states "Traditionally, when exercise blood pressure measurements are justified, they are usually measured before and following exercise(to monitor against excessive hypotension)."
The only reasons I can think to use it in this way are to monitor for decreased blood volume(not enough fluids) or excessive vasodilation and for certain heart conditions maybe.
The only reasons I can think to use it in this way are to monitor for decreased blood volume(not enough fluids) or excessive vasodilation and for certain heart conditions maybe.
