Graded exercise stress test, body composition (skinfolds), muscular fitness, flexibility measurement, cholesterol testing (test provided once monthly-fasting required) and dietary analysis. See below for descriptions of each test.

1. Eat a light meal approximately four hours before testing. If you are scheduled early in the morning, eat lightly as early as possible. DO NOT consume any caffeinated beverages (coffee, tea, colas, chocolate) or use tobacco products four hours prior to testing. Drink plenty of water.
2. If possible do not use any cold/allergy remedies (antihistamines) twelve hours before the test. Take prescribed medications as usual.
3. Wear exercise clothing: short sleeve shirt, shorts or sweat pants, athletic shoes. No leotards or underwire bras, please.
4. Schedule testing before exercising.

Information this test provides:
1. Maximal heart rate -to monitor exercise intensity during workouts
2. Screens for cardiac problems
3. It allows us to develop a personalized exercise program based on the results of the strength, flexibility, aerobic fitness and body composition assessments and your goals and preferences..
4. Compares the fitness of the individual to others in their age group and gender
5. Gives you a baseline fitness level, and when repeat tests are done it can help you track changes over time

Forms needed for this test:
1. Consent Form
2. Medical History Form

This package is similar to the Physiological Assessment in that it measures body composition, strength, and flexibility. Aerobic fitness is assessed through a sub-maximal exercise test (without electrocardiogram or blood pressure measurement). Therefore, the resulting aerobic fitness values will be somewhat less accurate than if a maximal exercise stress test was performed. No blood lipid or dietary assessment is included. The time requirement for this option is only 1/2 hour to 45 minutes, including interpretation of test results, making it especially useful for those on a tight schedule.

A graded exercise test is usually performed on either a treadmill or stationary cycle. Other modalities are available upon request, including upper body ergometry. The difficulty of the test increases gradually until maximal physical effort is achieved. Actual exercise time for the test is only 8 to 15 minutes plus active cool-down. Periodic measurement of blood pressure along with assessment of heart rate and cardiac function by a 12-lead electrocardiograph will be monitored throughout the test. Testing and interpretation takes ~1 hour.

VO2: 1.5 HOURS
For a more accurate and detailed assessment of aerobic fitness, oxygen consumption during a graded exercise test can be measured by collecting expired air during the exercise stress test. Oxygen consumption measurement is considered the best determinant of aerobic fitness. This requires exercising with a mouthpiece and nose clip to collect and analyze expired air, in addition to the measurement of heart rate. Other measurements such as oxygen saturation, lactate, ventilatory and lactate threshold and electrocardiogram available upon request. Testing and interpretation takes ~1.5 hours.

Do not consume any caffeinated beverages or use any tobacco products four hours prior to the test. If possible to do not use any cold/allergy remedies (antihistamines) twelve hours before the test. Take prescribed medications as usual. You may eat lightly and come to the test well hydrated. Please DO NOT FAST. Don't schedule testing after a hard workout or race.

Wear comfortable, loose fitting clothing: short sleeve shirt, shorts or sweat pants, exercise shoes. NO leotard tops or under-wire brassieres since electrodes will be applied directly to the chest. For the cycle, if you ride with Look, Speedplay, or SPD pedals, we have those available. Otherwise, we have standard toe clip pedals or you could bring your own. Call first for information about which pedals will work.
Information these tests provide:
1. Maximal heart rate -to monitor exercise intensity during workouts
2. Screens for cardiac problems
3. It allows us to develop a personalized aerobic exercise program
4. Compares the fitness of the individual to others in their age group and gender
5. Gives you a baseline fitness level, and when repeat tests are done it can help you track changes in fitness levels over time

Muscle fitness tests involve the performance of a maximum effort of muscle exertion against a resistance. This will allow measurement of muscular strength, endurance, and /or power. We also test muscle strength and endurance with sit-up, push-up, and 1 repetition max (1RM) tests. Results are compared to age/gender norms. Testing & interpretation takes ~30 minutes.

Flexibility Measurement: We measure the range of motion surrounding the hip and shoulder joints. Results are compared to age/gender normative tables.Other joints available upon request, however normative values may not be available.

Blood testing: Lipid Panel (cholesterol, HDL, LDL, triglycerides) & fasting Glucose testing: Offered on the first Thursday of each month (no testing July 2008) from 7:00-9:00 AM. No appointment needed. A 10-12 hour fast is required. Drink only water before the test. Results are sent directly to you. An appointment with our dietician is available for those wanted to make dietary changes related to lipids or glucose.

Dietary Analysis: Dietary analysis can help determine if you are meeting your dietary goals and nutritional requirements. The dietary analysis requires the client keep a detailed 3-day food record. The information is analyzed to calculate the breakdown of calories, vitamins, minerals, and other nutrients. Results are compared to your calculated needs. Call Shelley Rael at 272-3989 to make an appointment.

Hydrostatic (underwater) weighing - considered "the gold standard" for body composition assessment (accuracy +/- 1 - 1.5% error). Hydrostatic weighing involves sitting in a chair suspended from a scale in a tank of warm water. You will be asked to exhale all of the air from your lungs while you are totally immersed underwater, during which time your weight is measured. This procedure will be repeated 4-8 times. Results include percent body fat and lean mass. To increase the accuracy of hydrostatic weighing, a residual volume (RV) test is also conducted; this provides an accurate measurement of the amount of air trapped in the respiratory system once the client has exhaled as much air as possible. An RV is good for five years provided that the client has no significant changes in lung function and capacity. Testing takes 1-1.5 hours with an RV measurement and interpretation. Repeat assessments (without RV testing) & interpretation take ~ 30 minutes.

Skinfolds: A three-site skinfold measurement using calipers is used to predict relative body fat and lean mass. Skinfold measurement sites differ between the sexes: chest, abdomen, and thigh for men; triceps, suprailiac, and thigh for women. This body composition technique is not as accurate as is a hydrostatic weighing, but still estimates body fat with reasonable accuracy (+/- 3.5% error). It is also a good technique to use to monitor changes over time. Testing & interpretation takes ~30 minutes.

Bodpod: The BodPod is a method using air displacement (accuracy +/- 3 - 4% error). It is a quick, automated, noninvasive, and safe measurement process, and accommodates most populations including children, obese, elderly, and disabled persons. This technique is not accurate for those with facial and dense body hair. Requires sitting in small enclosed machine with window for up to 5 minutes. Testing & interpretation takes ~1 hour.

Bioelectrical Impedance Analysis (BIA): This is the quickest and least invasive method of body composition assessment using very low electric currents (not safe for those with pacemakers). The BIA (accuracy +/- ~4% error) has equations for various populations, including disabled, obese and children. Testing & interpretation takes ~30 minutes.

1.Do not eat or drink anything but water two to four hours prior to the test. It is not advised to schedule the test during pre-menstrual days due to fluctuations in water retention.
2. Do not do your workout or any hard exercise before testing.
3. For the underwater weighing bring a swimsuit and towel.
4. For the BodPod, a swimsuit or tight fitting garments such as bike shorts & sports bra (loose clothing will trap air and lead to unreliable results).
5. For skinfold measurements, wear clothing where we can access the upper arm, hip, and mid-thigh (women), and for men; the chest, abdomen, and mid-thigh.
6. For the BIA to give accurate results, avoid things that cause a diuretic effect such as alcohol, caffeinated beverages, quick weight loss diets, fasting, or diuretic medicines. Also, avoid measurement right after a hot shower or sauna. Measurement results will not be stable during pregnancy.

The Wingate test is a 30 second all-out effort on a cycle ergometer (stationary bicycle). This test measures anaerobic power. Results include peak power, mean power over the 30 seconds, and rate of fatigue that can be loosely associated with muscle fiber type. This test is used for those interested in peak muscle power and local muscle endurance. Testing & interpretation takes ~30 minutes.

Upon request, we can provide group testing such as the Rockport walk or 1.5 mile run.

Call 505-277-2658 for more details, questions and prices on our testing services.
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