Introductory Session Contents
 
Your Health and Fitness Profile
Name_________________________Date__________
Vital Statistics
Age _______
Weight ________ lbs.   Height _________ in.
Resting Heart Rate________beats/min.

4090
Resting Blood Pressure __________ mmHg
<130/85>160/100 mmHg
Blood Test Results
Glucose __________ mg/dL
or <114>126mg/dL
Total Cholesterol __________ mg/dL
<200>240 mg/dL
Triglycerides __________ mg/dL
<200>400 mg/dL
High Density Lipoproteins (HDL) __________ mg/dL
<35>60 mg/dL
Low Density Lipoproteins (LDL) __________ mg/dL
<130>160 mg/dL
Total Cholesterol/HDL Ratio __________
<4.0>6.0
Physical Fitness
Body Composition: Skin fold / Bioimpedence / Army Tape Test
_______% Body Fat
 
Physical Fitness Cont.

Body Fat Distribution: waist to hip ratio

Females <.75Males <.85
Body Mass Index (BMI)
__________
<25>27
Aerobic Fitness: Step Test / Cycle / Ergometer
__________Pulse or _______mg/O2/kg/min

Aerobic Fitness: 1 Mile Walk Test
 
Muscle Strength: Bench Press/Weight Ratio
____________


ACSM Percentile_________

Muscle Strength: Leg Press/Weight Ratio
____________


ACSM Percentile_________

Muscular Endurance: Push-Ups
____________reps


ACSM Percentile_________

Muscular Endurance: Sit-Ups
____________reps


ACSM Percentile_________

Flexibility: Sit and Reach Test
____________reps


ACSM Percentile_________

 

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US Army Center for Health Promotion and Preventive Medicine.