ASEP Written Contest study materials
ASEP Written Contest study resources

ASEP Written Contest key terms

ASEP Written Contest · Get comfortable with the vocabulary.

VO2max

The highest rate at which the body can take up and use oxygen during maximal exercise, usually expressed in milliliters of oxygen per kilogram of body weight per minute.

Related: Lactate threshold, Graded exercise test
Lactate threshold

The exercise intensity at which blood lactate begins to accumulate faster than it can be cleared, marking a shift toward greater anaerobic contribution during incremental exercise.

Related: VO2max, Ventilatory threshold
Ventilatory threshold

The point during incremental exercise where ventilation rises disproportionately to oxygen consumption, commonly used as a noninvasive marker of the lactate threshold.

Related: Lactate threshold, Graded exercise test
Cardiac output

The volume of blood pumped by the heart per minute, calculated as heart rate multiplied by stroke volume and central to aerobic capacity and exercise response.

Related: Stroke volume, VO2max
Stroke volume

The amount of blood ejected from the left ventricle with each heartbeat, rising with training and contributing to increased cardiac output during exercise.

Related: Cardiac output, Frank-Starling mechanism
Frank-Starling mechanism

The principle that greater filling of the heart stretches cardiac muscle fibers, producing a stronger contraction and larger stroke volume within physiological limits.

Related: Stroke volume, Preload
Preload

The degree of ventricular filling and stretch present just before contraction, influenced by blood volume and venous return to the heart.

Related: Frank-Starling mechanism, Afterload
Afterload

The resistance the ventricle must overcome to eject blood, determined largely by arterial pressure and vascular resistance, and elevated in conditions such as hypertension.

Related: Preload, Blood pressure response to exercise
Graded exercise test

A supervised protocol in which workload increases in stages while physiological responses are monitored, used to measure capacity and identify abnormal responses to exertion.

Related: VO2max, Rating of perceived exertion
Rating of perceived exertion

A subjective scale, such as the 6-20 Borg scale, on which a person rates how hard exercise feels, used to set and monitor exercise intensity.

Related: Graded exercise test, Heart rate reserve
Heart rate reserve

The difference between maximal and resting heart rate, used with the Karvonen method to calculate target heart rates for a desired percentage of intensity.

Related: Rating of perceived exertion, Exercise intensity
Exercise intensity

How hard a person works during activity, expressed as a percentage of maximal capacity, absolute workload, heart rate, or perceived effort, and used to guide prescription.

Related: Heart rate reserve, FITT principle
FITT principle

A framework for exercise prescription that specifies frequency, intensity, time, and type of activity to meet a person's goals and health status.

Related: Exercise intensity, Progressive overload
Progressive overload

The training principle that gradually increasing the demand placed on the body produces continued adaptation, provided increases are applied within tolerable limits.

Related: FITT principle, Periodization
Periodization

The planned organization of training into phases with varying volume and intensity over time to optimize performance and reduce overtraining or injury risk.

Related: Progressive overload, Overtraining syndrome
Overtraining syndrome

A prolonged decline in performance and well-being resulting from excessive training without adequate recovery, often accompanied by fatigue, mood changes, and sleep disturbance.

Related: Periodization, Progressive overload
Exercise preparticipation screening

A structured process of gathering health history and risk factors to decide whether a person needs medical clearance or supervision before starting or increasing exercise.

Related: Contraindication to exercise, Informed consent
Contraindication to exercise

A clinical condition or situation in which exercise testing or training poses unacceptable risk and should be deferred, modified, or supervised until resolved.

Related: Exercise preparticipation screening, Emergency action plan
Informed consent

A documented process in which a participant receives understandable information about risks, benefits, and alternatives, and voluntarily agrees to proceed before testing or training.

Related: Exercise preparticipation screening, Scope of practice
Emergency action plan

A written, rehearsed procedure describing how staff recognize an emergency, activate help, provide first aid or CPR, and access an automated external defibrillator.

Related: Contraindication to exercise, Automated external defibrillator
Automated external defibrillator

A portable device that analyzes heart rhythm and delivers a shock for certain lethal arrhythmias, with early use improving survival from sudden cardiac arrest.

Related: Emergency action plan, Contraindication to exercise
Scope of practice

The boundaries of what a professional is legally and ethically permitted to do based on education, credentialing, and applicable regulations, including referral when outside those bounds.

Related: Informed consent, Professional referral
Professional referral

Directing a client to a qualified clinician or other specialist when assessment findings or needs fall outside the exercise professional's competence or legal authority.

Related: Scope of practice, Exercise preparticipation screening
Body mass index

A ratio of weight to height squared, used as a crude screening indicator of weight status that does not distinguish fat mass from lean mass.

Related: Waist circumference, Body composition
Waist circumference

A girth measurement at the abdomen used with body mass index to estimate abdominal fat distribution and related cardiometabolic risk.

Related: Body mass index, Body composition
Body composition

The proportion of fat mass and fat-free mass in the body, assessed by methods such as skinfolds, bioelectrical impedance, or dual-energy x-ray absorptiometry.

Related: Body mass index, Skinfold measurement
Skinfold measurement

A technique using calipers to estimate subcutaneous fat thickness at specified sites, which is entered into equations to predict body fat percentage.

Related: Body composition, Waist circumference
Energy balance

The relationship between energy taken in from food and energy expended through metabolism and activity, with a surplus promoting weight gain and a deficit weight loss.

Related: Basal metabolic rate, Body composition
Basal metabolic rate

The energy expended at rest to maintain vital functions under standardized conditions, representing the largest component of daily energy expenditure for most people.

Related: Energy balance, Exercise intensity
Sarcopenia

The age-related loss of skeletal muscle mass and strength that impairs function and raises fall risk, addressed through resistance training and adequate protein intake.

Related: Resistance training, Frailty
Frailty

A syndrome of reduced physiological reserve and increased vulnerability to stressors, common in older adults and requiring individualized, progressive activity programming.

Related: Sarcopenia, Contraindication to exercise
Peripheral artery disease

Narrowing of peripheral arteries, most often in the legs, that limits blood flow and causes exertional leg pain relieved by rest; supervised walking is a core therapy.

Related: Intermittent claudication, Exercise preparticipation screening
Intermittent claudication

Muscle cramping or pain in the legs brought on by walking and relieved by rest, a hallmark symptom of peripheral artery disease used to guide exercise prescription.

Related: Peripheral artery disease, Exercise intensity
Rate-pressure product

The product of heart rate and systolic blood pressure, an indirect index of myocardial oxygen demand used to monitor cardiac stress during exercise testing.

Related: Blood pressure response to exercise, Graded exercise test
Blood pressure response to exercise

The normal rise in systolic pressure with increasing workload; an excessive, blunted, or falling response can signal cardiovascular abnormality and warrants clinical attention.

Related: Rate-pressure product, Afterload
Stretch-shortening cycle

The sequence in which a muscle is lengthened rapidly then contracts immediately, using stored elastic energy and stretch reflexes to increase force and power output.

Related: Eccentric muscle action, Plyometric training
Eccentric muscle action

A contraction in which the muscle lengthens while producing tension, as when lowering a load, generating high force with relatively low metabolic cost and notable soreness risk.

Related: Stretch-shortening cycle, Concentric muscle action
Concentric muscle action

A contraction in which the muscle shortens while producing tension, as when lifting a load against resistance or pushing off the ground during gait.

Related: Eccentric muscle action, Stretch-shortening cycle
Plyometric training

Exercises using rapid stretch-shortening cycles, such as jumps and bounds, to develop power and neuromuscular control when performed with adequate strength and landing skill.

Related: Stretch-shortening cycle, Resistance training
Resistance training

Planned exercise against external or body weight to increase muscular strength, endurance, and mass, prescribed with attention to load, volume, and technique.

Related: Progressive overload, Sarcopenia
Gait cycle

The repeating sequence from initial contact of one foot to the next contact of the same foot, divided into stance and swing phases used in movement analysis.

Related: Concentric muscle action, Eccentric muscle action
Randomized controlled trial

A study in which participants are randomly assigned to intervention or comparison groups, reducing bias and supporting causal conclusions about an intervention's effect.

Related: Level of evidence, Effect size
Level of evidence

A ranking of study designs by their susceptibility to bias and strength for answering clinical questions, from systematic reviews and randomized trials down to expert opinion.

Related: Randomized controlled trial, Systematic review
Systematic review

A structured, protocol-driven synthesis of all relevant studies on a focused question, often with meta-analysis, appraising quality and summarizing pooled findings.

Related: Level of evidence, Effect size
Effect size

A quantitative measure of the magnitude of a difference or association, independent of sample size, helping judge whether a statistically significant result matters practically.

Related: Systematic review, Randomized controlled trial
Statistical significance

A result unlikely to have occurred by chance alone under a stated null hypothesis, conventionally judged by a p value below a chosen threshold such as 0.05.

Related: Effect size, Randomized controlled trial