Who should be screened before starting an exercise program?
Doctors should screen all patients with a history of cardiovascular disease or who are at high risk of a heart attack or stroke before they start a vigorous exercise program. People who are obese, have diabetes or other serious medical problems, or who have been sedentary for a long time should talk to their doctor before starting any exercise program. The American Heart Association has published guidelines for exercise testing, exercise pre-competition screening for both young and older (Masters) athletes, as well as screening guidelines for health and fitness club facilities. All counseling programs should evaluate each patient’s risk for a heart attack, stroke and such problems as diabetes, osteoporosis and arthritis. A doctor can use this information to develop guidelines and start patients on an individualized activity program. Counseling programs should be customized to reflect gender, age and cultural factors. Identifying the kinds of activities that each person enjoys is import
