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ACE-CPT · Chapter 7

Resting Assessments & Anthropometric Measurements

How to sequence and conduct resting cardiovascular assessments and anthropometric measurements — heart rate, blood pressure, body composition, BMI, circumferences, and waist-to-hip ratio — to gauge health risk.

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35Case Studies
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📖 Theory Guide →
Sequencing · Heart Rate · Blood Pressure · Body Composition · BMI · Circumference · WHR

Chapter 7 Theory Quiz

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Chapter 7 Case Studies

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Resting Heart Rate

CategoryRHR
Sinus bradycardia<60 bpm
Normal sinus rhythm60–100 bpm
Sinus tachycardia>100 bpm
Key factsAvg 60–70 bpm (men), 72–80 (women). Athletes 15–30 bpm lower. Overtraining flag: >5 bpm above norm. Abstain HR meds 12 h. True RHR = before rising. Use index + middle fingers (not thumb).

Blood Pressure (Table 7-2)

CategorySBPDBP
Normal<120and <80
Elevated120–129and <80
Stage 1130–139or 80–89
Stage 2≥140or ≥90
TechniqueBrachial artery. Korotkoff onset = SBP, disappearance = DBP. Higher category wins. Average 2+ readings on 2+ occasions.

BMI (Table 7-6)

Formulakg/m²  or  (lb / in²) × 703. Classifies risk, NOT body fat.
ClassBMI
Underweight<18.5
Normal18.5–24.9
Overweight25.0–29.9
Obesity I30.0–34.9
Obesity II35.0–39.9
Extreme (III)≥40.0

Waist Circumference (Table 7-7)

RiskFemalesMales
Very low<70 cm<80 cm
Low70–89 cm80–99 cm
High90–109 cm100–120 cm
Very high>110 cm>120 cm
Per 1-inch (2.5 cm) ↑ in menBP +10% · cholesterol +8% · HDL −15% · triglycerides +18% · metabolic-syndrome risk +18%

Body-Composition Accuracy

ItemValue
Essential fat (men / women)2–5% / 10–13%
DXAMost accurate & precise
Hydrostatic vs cadaver2–3% error (benchmark)
Skinfold vs hydrostatic±3.5%
Subcutaneous share of fat~50%
BIANeeds optimal hydration

Key Terms

Overweight vs overfatOverweight = excess weight for height; overfat = excess body fat (more accurate).
Vasovagal responseCarotid over-pressure can slow HR.
Skinfold principleSubcutaneous fat is proportional to total body fat (~50%). Use a population-specific equation. Harpenden/Lange ($250–400) > cheap spring calipers.
WHR & distributionWHR = waist ÷ hip. Android (apple, abdominal/visceral) = higher risk than gynoid (pear, hip/thigh). Visceral fat → insulin resistance, T2DM, HTN.

Sequencing & Environment

Order rulesOnly run necessary assessments. Skinfold BEFORE activity. Let HR/BP return to baseline between measures. Don't test the same muscle group back-to-back. Run follow-ups in the SAME sequence.
EnvironmentRoom 68–72°F (20–22°C), humidity <60%, quiet & private. Signed informed consent. Calibrated equipment. Realistic change (2–3 mo): body fat ↓2.7–6.9%, waist ↓1.9–3.3 cm.