{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T22:30:50Z","timestamp":1790721050835,"version":"4.1.0"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"22","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transl J ACSM"],"published-print":{"date-parts":[[2018,11,15]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Behavioral lifestyle interventions in the community setting are effective in reducing the risk and burden of chronic diseases. The promotion and implementation of physical activity plays a key role in these community-based lifestyle programs. New guidelines on preparticipation screening for cardiovascular disease before physical activity have been released which include substantive modifications. These updated recommendations represent a substantial paradigm shift toward a more liberal approach that results in fewer individuals needing to seek medical clearance before starting a physical activity program. This shift has significant implications for those promoting physical activity within the community setting. The objectives of this commentary are to review the updated recommendations within the context of community-based lifestyle intervention programs such as those currently being offered throughout the United States for the primary purpose of diabetes prevention and to discuss the implications for those providers developing and implementing such programs.<\/jats:p>","DOI":"10.1249\/tjx.0000000000000073","type":"journal-article","created":{"date-parts":[[2022,3,21]],"date-time":"2022-03-21T17:00:05Z","timestamp":1647882005000},"page":"176-180","source":"Crossref","is-referenced-by-count":10,"title":["Preparticipation Screening before Physical Activity in Community Lifestyle Interventions"],"prefix":"10.1249","volume":"3","author":[{"given":"Marni","family":"Armstrong","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Paternostro-Bayles","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Health and Sports Science, Indiana University of Pennsylvania, Indiana, PA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly B.","family":"Conroy","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Utah Health, Salt Lake City, UT;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barry A.","family":"Franklin","sequence":"additional","affiliation":[{"name":"Preventive Cardiology and Cardiac Rehabilitation, William Beaumont Hospital, Royal Oak, MI and Oakland University William Beaumont School of Medicine, Rochester, MI; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Michigan Health System, Ann Arbor, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Kriska","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"8","key":"bib1-20230825","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1016\/j.mayocp.2015.05.001","article-title":"Healthy lifestyle interventions to combat noncommunicable disease-a novel nonhierarchical connectivity model for key stakeholders: a policy statement from the American Heart Association, European Society of Cardiology, European Association for Cardiovascular Prevention and Rehabilitation, and American College of Preventive Medicine","volume":"90","year":"2015","journal-title":"Mayo Clin Proc"},{"issue":"10051","key":"bib2-20230825","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1016\/S0140-6736(16)30960-6","article-title":"Update on the global pandemic of physical inactivity","volume":"388","year":"2016","journal-title":"Lancet"},{"issue":"6","key":"bib3-20230825","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1056\/NEJMoa012512","article-title":"Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin","volume":"346","year":"2002","journal-title":"N Engl J Med"},{"key":"bib4-20230825","doi-asserted-by":"crossref","first-page":"537","DOI":"10.2337\/diacare.20.4.537","article-title":"Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. 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