Primary care surveillance of adult exerciser

Type of exerciser	Frequency of surveillance	Goals of intervention	Additional comments
New adult exerciser	Within 6 weeks of start, then every 3 months until habit established	Help with motivation; address obstacles to compliance	Meetings can be supplemented by office phone calls to improve compliance
Established adult exerciser	Every 1 to 3 years, depending on risk profile and comorbidities	Monitor exercise plan and compliance; discuss possible advances in exercise plan; identify new symptoms or signs associated with exercise
Exerciser with chronic disease	Every 3 to 12 months, depending on disease and progression	Monitor exercise plan and compliance; identify symptoms or signs associated with disease progression
Intense or extreme adult exerciser	Every 6 to 12 months	Monitor intensity and volume of exercise	Can discuss risks associated with excessive exercise Evidence is limited, but regular cardiovascular screening may be useful

ECG: electrocardiogram.

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