Article Structure
The Activity Parq form, officially known as the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+), plays a vital role in helping individuals assess their readiness to engage in physical activity. Designed for people of all fitness levels, it seeks to highlight potential health concerns that might warrant further consultation with a healthcare provider. The form guides users through a series of straightforward questions about their general health, covering important topics like heart conditions, chronic medical issues, and current medications. If answers suggest possible risks, the next steps include completing additional pages that delve deeper into any medical conditions. However, if all answers are negative, individuals can confidently proceed with their fitness journey. The form also emphasizes the importance of listening to one's body, indicating scenarios where it's best to wait before increasing physical activity, such as during illness or pregnancy. Ultimately, the Activity Parq serves as a practical tool for anyone looking to enhance their physical health, ensuring safety while promoting an active lifestyle.
Activity Parq Example
2021
The Physical Activity Readiness Questionnaire for Everyone
The health benefits of regular physical activity are clear; more people should engage in physical activity every day of the week. Participating in physical activity is very safe for MOST people. This questionnaire will tell you whether it is necessary for you to seek further advice from your doctor OR a qualified exercise professional before becoming more physically active.
GENERAL HEALTH QUESTIONS
Please read the 7 questions below carefully and answer each one honestly: check YES or NO. |
YES NO |
1)Has your doctor ever said that you have a heart condition OOR high blood pressure O?
2)Do you feel pain in your chest at rest, during your daily activities of living, OR when you do physical activity?
3)Do you lose balance because of dizziness OR have you lost consciousness in the last 12 months?
Please answer NO if your dizziness was associated with
4)Have you ever been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)? please listcondition(S) here:
5)Are you currently taking prescribed medications for a chronic medical condition?
PLEASE LIST CONDITION(S) AND MEDICATIONS HERE:
6)Do you currently have (or have had within the past 12 months) a bone, joint, or soft tissue (muscle, ligament, or tendon) problem that could be made worse by becoming more physically
active? Please answer NO if you had a problem in the past, but it doesnot limit your current ability to be physically active.
PLEASE LIST CONDITION(S) HERE:
o
o
7) Has your doctor ever said that you should only do medically supervised physical activity?
If you answered NO to all of the questions above, you are cleared for physical activity.
Start becoming much more physically active - start slowly and build up gradually.
Follow Global Physical Activity Guidelines for your age (https://www.who.int/publications/i/item/9789240015128).
You may take part in a health and fitness appraisal.
If you are over the age of 45 yr and NOT accustomed to regular vigorous to maximal effort exercise, consult a qualified exercise professional before engaging in this intensity of exercise.
►If you have any further questions, contact a qualified exercise professional.
PARTICIPANT DECLARATION
If you are less than the legal age required for consent or require the assent of a care provider, your parent, guardian or care provider must also sign this form.
I, the undersigned, have read, understood to my full satisfaction and completed this questionnaire. I acknowledge that this physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if my condition changes. I also acknowledge that the community/fitness center may retain a copy of this form for its records. In these instances, it will maintain the confidentiality of the same, complying with applicable law.
NAME |
DATE |
SIGNATURE _____________________________________ |
WITNESS |
SIGNATURE OF PARENT/GUARDIAN/CARE PROVIDER |
|
[i® If you answered YES to one or more of the questions above, COMPLETE PAGES 2 AND 3.
/*\ Delay becoming more active if:
You have a temporary illness such as a cold orfever; it is best to wait until you feel better.
You are pregnant - talk to your health care practitioner, your physician, a qualified exercise professional, and/or complete the
Your health changes - answer the questions on Pages 2 and 3 of this document and/ortalkto your doctor ora qualified exercise professional before continuing with any physical activity program.
J
3
2021
1.Do you have Arthritis, Osteoporosis, or Back Problems?
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If the above condition(s) is/are present, answer questions |
If noQ go to question 2 |
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la. |
Do you have difficulty control ling your condition with medications or other |
yesQ NOQ |
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(Answer NO if you are not currently taking medications or other treatments) |
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lb. |
Do you have joint problems causing pain, a recent fracture or fracture caused by osteoporosis or cancer, |
YESQ NOQ |
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displaced vertebra (e.g., spondylolisthesis), and/or spondylolysis/pars defect (a crack in the bony ring on the |
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back of the spinal column)? |
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1c. |
Have you had steroid injections or taken steroid tablets regularly for more than 3 months? |
YESQ NOQ |
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2.Do you currently have Cancer of any kind?
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If the above condition(s) is/are present, answer questions |
If NO O go to question 3 |
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2a. |
Does your cancer diagnosis include any of the following types: lung/bronchogenic, multiple myeloma (cancer of |
yes[“) NO |
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plasma cells), head, and/or neck? |
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u |
2b. |
Are you currently receiving cancer therapy (such as chemotheraphy or radiotherapy)? |
YESQ NOQ |
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3.Do you have a Heart or Cardiovascular Condition? This includes Coronary Artery Disease, Heart Failure, Diagnosed Abnormality of Heart Rhythm
If the above condition(s) is/are present, answer questions |
If NO |
go to question 4 |
3a. Do you have difficulty controlling your condition with medications or other
3 b. Do you have an irregular heart beat that requires medical management? (e.g., atrial fibrillation, premature ventricular contraction)
3c. Do you have chronic heart failure?
3d. Do you have diagnosed coronary artery (cardiovascular) disease and have not participated in regular physical activity in the last 2 months?
4. |
Do you currently have High Blood Pressure? |
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If the above condition(s) is/are present, answer questions |
If NO O 9° to question 5 |
4a. |
Do you have difficulty controlling your condition with medications or other |
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(Answer NO if you are not currently taking medications or other treatments) |
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4b. |
Do you have a resting blood pressure equal to or greater than 160/90 mmHg with or without medication? |
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(Answer YES if you do not know your resting blood pressure) |
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YESQ NOQ
yesQ NOQ
yesQ NOQ
YESQ NOQ
yesQ NOQ
YESQ NOQ
5.Do you have any Metabolic Conditions? This includes Type 1 Diabetes,Type 2 Diabetes,
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If the above condition(s) is/are present, answer questions |
If NO [~] go to question 6 |
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5a. |
Do you often have difficulty controlling your blood sugar levels with foods, medications, or other physician- |
YESQ |
NOQ |
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prescribed therapies? |
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5 b. |
Do you often suffer from signs and symptoms of low blood sugar (hypoglycemia) following exercise and/or |
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during activities of daily living? Signs of hypoglycemia may include shakiness, nervousness, unusual irritability, |
YESQ |
NOQ |
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abnormal sweating, dizziness or
5c. |
Do you have any signs or symptoms of diabetes complications such as heart or vascular disease and/or |
YESQ NOQ |
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complications affecting your eyes, kidneys, ORthe sensation in your toes and feet? |
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5d. Do you have other metabolic conditions (such as current
5e. Are you planning to engage in what for you is unusually high (or vigorous) intensity exercise in the near future?
<- VI |
NOQ |
in □ |
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YESQ NOQ
2021
6.Do you have any Mental Health Problems or Learning Difficulties? This includes Alzheimer's, Dementia, Depression, Anxiety Disorder, Eating Disorder, Psychotic Disorder, Intellectual Disability, Down Syndrome
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If the above condition(s) is/are present, answer questions |
If NO O go to question 7 |
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6a. |
Do you have difficulty controlling your condition with medications or other |
yesQ NOQ |
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(Answer NO if you are not currently taking medications or other treatments) |
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6b. |
Do you have Down Syndrome AND back problems affecting nerves or muscles? |
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yesQ NOQ |
7.Do you have a Respiratory Disease? This includes Chronic Obstructive Pulmonary Disease, Asthma, Pulmonary High Blood Pressure
If the above condition(s) is/are present, answer questions |
|f NO Q go to question 8 |
7a. Do you have difficulty controlling your condition with medications or other
7 b. Has your doctor ever said your blood oxygen level is low at rest or during exercise and/or that you require supplemental oxygen therapy?
7c. If asthmatic, do you currently have symptoms of chest tightness, wheezing, laboured breathing, consistent cough (more than 2 days/week), or have you used your rescue medication more than twice in the last week?
7d. Has your doctor ever said you have high blood pressure in the blood vessels of your lungs?
8.Do you have a Spinal Cord Injury? This includes Tetraplegia and Paraplegia
If the above condition(s) is/are present, answer questions |
If NO O go to question 9 |
8a. Do you have difficulty controlling your condition with medications or other
8 b. Do you commonly exhibit low resting blood pressure significant enough to cause dizziness,
8c. Has your physician indicated that you exhibit sudden bouts of high blood pressure (known as Autonomic Dysreflexia)?
9.Have you had a Stroke? This includes Transient Ischemic Attack (TIA) or Cerebrovascular Event
If the above condition(s) is/are present, answer questions |
If NO Q go to question 10 |
9a. Do you have difficulty controlling your condition with medications or other
9 b. Do you have any impairment in walking or mobility?
9c. Have you experienced a stroke or impairment in nerves or muscles in the past 6 months?
YESQ noQ
yesQ noQ
yesQ NOQ
YESQ NoQ
yesQ NoQ
yesQ NOQ
yesQ noQ
yesQ NOQ
yesQ NOQ
YESQ NOQ
10.Do you have any other medical condition not listed above or do you have two or more medical conditions?
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If you have other medical conditions, answer questions |
If NqQ read the Page 4 recommendations |
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10a. |
Have you experienced a blackout, fainted, or lost consciousness as a result of a head injury within the last 12 |
YESQ |
NOQ |
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months OR have you had a diagnosed concussion within the last 12 months? |
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10b. |
Do you have a medical condition that is not listed (such as epilepsy, neurological conditions, kidney problems)? |
YESQ |
NoQ |
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10c. |
Do you currently live with two or more medical conditions? |
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YESQ |
NOQ |
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PLEASE LISTYOUR MEDICAL CONDITION(S) |
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AND ANY RELATED MEDICATIONS HERE: |
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GO to Page 4 for recommendations about your current medical condition(s) and sign the PARTICIPANT DECLARATION.
2021
You have a temporary illness such as a cold or fever; it is best to wait until you feel better.
You are pregnant - talk to your health care practitioner, your physician, a qualified exercise professional,
and/or complete the
Your health changes - talk to your doctor or qualified exercise professional before continuing with any physical activity program.
•You are encouraged to photocopy the
•The authors, the
PARTICIPANT DECLARATION
•All persons who have completed the
•If you are less than the legal age required for consent or require the assent of a care provider, your parent, guardian or care provider must also sign this form.
I, the undersigned, have read, understood to my full satisfaction and completed this questionnaire. I acknowledge that this physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if my condition changes. I also acknowledge that the community/fitness center may retain a copy of this form for records. In these instances, it will maintain the confidentiality of the same, complying with applicable law.
NAME
SIGNATURE
SIGNATURE OF PARENT/GUARDIAN/CARE PROVIDER
www.eparmedx.com
Email: eparmedx^gmailxom
Otttfcn for
Warburton DER, Jamnik VK, Bred in SSD, and Gledhill N on behalf of the
The Physical Activity Readiness Questionnaire for Everyone
Key Referanees
DATE
WITNESS
The
Collaboration chaired by Dr. Darren E. R. Warburton with Dr. Norman Gledhill, Dr. Veronica Jamnik,and Dr. Donald C. McKenzie (2). Production of this document has been made possible through financial contributions from the Public Health Agency of Canada and the BC Ministry of Health Services. The views expressed herein do not necessarily represent the views of the
Public Health Agency of Canada or the BC Ministry of Health Services.
1.Jamnik VK, Warburton DER, Makarski J, McKenzie DC, Shephard RJ, Stone J, and Gledhill N. Enhancing the effectiveness of clearance for physical activity participation; background and overall process. APNM
2.Warburton DER, Gledhill N,JamnikVK, Bredin SSD, McKenzie DC, Stone J, Charlesworth S, and Shephard RJ.
3.Chisholm DM, Collis ML, Kulak LL, DavenportW, and Gruber N. Physical activity readiness. British Columbia Medical Journal.
4.Thomas S, Reading J, and Shephard RJ. Revision of the Physical Activity Rea din ess Questionnaire
01
Form Characteristics
| Fact Name | Details |
|---|---|
| Title | The form is officially called the 2021 PAR-Q+, or the Physical Activity Readiness Questionnaire for Everyone. |
| Purpose | This questionnaire helps assess whether individuals should consult a doctor or qualified exercise professional before starting or increasing physical activity. |
| General Health Assessment | The form includes seven key health questions covering various medical conditions, including heart, joint, and respiratory issues. |
| Age Requirement | If participants are under the legal age for consent, they must have a parent or guardian sign the form. |
| Validity Period | The physical activity clearance provided by this form is valid for a maximum of 12 months from the completion date. |
| Medical Conditions | The questionnaire covers various medical conditions including high blood pressure, diabetes, respiratory diseases, and more. |
| Submission Outcome | If all answers are "No," participants are cleared for physical activity. A "Yes" answer requires completing additional pages. |
| Consultation Encouragement | Participants are advised to consult a qualified exercise professional if they have questions or if health changes occur. |
| Confidentiality | Any copies of this form retained by fitness centers will be kept confidential in compliance with applicable laws. |
| Reference Guidelines | The questionnaire is designed to follow global physical activity guidelines, encouraging individuals to start slowly and build up gradually. |
Guidelines on Utilizing Activity Parq
Filling out the Activity Parq form is straightforward, but it’s important to approach each question with care. This information helps ensure your health and safety as you begin or enhance your physical activity. Being honest about your medical history will guide you towards the appropriate next steps regarding your fitness journey.
- Read the Form: Start by reading the entire form to understand what is being asked.
- Answer the General Health Questions: Carefully go through the seven questions in the General Health section. Mark either YES or NO for each question based on your health status.
- List Conditions and Medications: If you answered YES to any of the General Health Questions, make sure to provide details regarding your chronic medical conditions and any prescribed medications.
- Sign the Participant Declaration: Once you’ve answered all questions, sign the declaration at the bottom of the first page, confirming that you have completed the questionnaire and understand its validity.
- Complete Additional Pages if Necessary: If any of your answers were YES, complete Pages 2 and 3 for further assessment.
- Consult if Needed: If you have questions or concerns after filling out the form, don’t hesitate to reach out to a healthcare provider or exercise professional for guidance.
Following these steps helps set the stage for a safe and effective approach to physical activity. Your well-being comes first, and this form plays a crucial role in making informed choices.
What You Should Know About This Form
What is the Activity Parq form?
The Activity Parq form, also known as the Physical Activity Readiness Questionnaire (PAR-Q+), is designed to assess an individual's readiness for physical activity. It asks a series of health-related questions to determine if further consultation with a healthcare provider is necessary before engaging in exercise. This form aims to ensure the safety of participants by identifying any potential health risks.
Who should complete the Activity Parq form?
Anyone planning to increase their level of physical activity should fill out the Activity Parq form. It is particularly important for individuals who have pre-existing health conditions or concerns about their cardiovascular health. The form is useful for both novices and experienced individuals who may be returning to exercise after a break.
What happens if I answer "yes" to one of the health questions?
If you answer "yes" to any of the health questions on the form, it indicates that you may have a health concern that could affect your ability to safely participate in physical activity. In such cases, you are advised to consult with your doctor or a qualified exercise professional before starting any new exercise regimen.
How can I complete the Activity Parq form?
You can complete the Activity Parq form by reading each question carefully and answering honestly. The form asks you to check "yes" or "no" for each question. Once you have completed the form, you will need to sign a declaration to confirm your answers.
Can the Activity Parq form be used as a substitute for a doctor's examination?
No, the Activity Parq form is not a substitute for a comprehensive medical examination. It is a screening tool meant to help identify individuals who may need further evaluation. Always consult your healthcare provider for personalized medical advice and an in-depth assessment of your health status.
How often do I need to complete the Activity Parq form?
You should complete the Activity Parq form every 12 months or whenever your health status changes. If you develop a new medical condition or experience changes that might affect your ability to exercise, it’s important to fill out the form again and possibly consult a healthcare professional.
What should I do if my health condition changes after completing the form?
If your health changes after you have completed the form, you should consult with your doctor or a qualified exercise professional immediately. This is crucial before resuming or increasing your physical activity. It ensures that your current condition is taken into account for your safety.
Is my information kept confidential?
Yes, your information will remain confidential. The community or fitness center that collects the form is required by law to protect your privacy. Your personal health information will only be shared with necessary parties for your safety and health management.
What should I do if I'm feeling unwell while filling out the form?
If you are experiencing illness, such as a cold or fever, it is best to wait until you feel better before completing the form. Participating in physical activity while unwell can be risky, and your health is the priority.
Where can I get further information about the Activity Parq form?
You can find more information about the Activity Parq form and related resources at eparmedx.com. This website provides additional guidance on physical activity readiness and any necessary follow-up actions you should consider based on your responses.
Common mistakes
Filling out the Activity Parq form is an essential step for anyone looking to engage in physical activity safely. However, several common mistakes can lead to misunderstandings about a person's readiness for exercise. The first mistake is not answering all questions honestly. It is crucial to provide accurate responses to ensure that safety measures are properly considered.
Another frequent error is skipping questions. Every question is designed to assess health risks associated with physical activity. Failing to answer even one question may result in an incomplete evaluation of your readiness. This oversight can compromise your safety.
Some individuals may incorrectly interpret a "no" answer. For example, if someone has had a past injury but feels fine now, they might mistakenly think they can answer "no" without fully considering the long-term implications of that injury. It's important to reflect on past conditions and how they might affect current physical activity.
A third mistake involves failing to disclose relevant medications. Participants often forget to list all prescribed medications, which could interact with exercise or affect physical performance. Omitting this information can lead to unforeseen complications.
Moreover, choosing not to consult a healthcare professional when required can be problematic. Individuals who answer "yes" to specific questions about medical conditions should seek a qualified exercise professional's advice before engaging in vigorous activities. Ignoring this step puts one’s health at risk.
Finally, many overlook the declaration section. Signing the form signifies that one understands the information provided and agrees to abide by the outlined recommendations. Neglecting to do this means the respondent may not fully grasp the implications of their answers and physical activity recommendations.
Documents used along the form
The Activity Parq form is an essential tool for individuals considering increased physical activity. However, it often accompanies several other important documents that further assess readiness and ensure safety during physical activities. Understanding these documents can enhance safety and compliance with health guidelines.
- Medical History Questionnaire: This form captures an individual's comprehensive health history, including past medical conditions, surgeries, and family health history. It provides valuable insights to healthcare professionals assessing readiness for physical activity.
- Informed Consent Form: This document outlines the risks associated with physical activity and confirms the participant's understanding and agreement to proceed. It ensures that participants have been made aware of potential hazards.
- Emergency Contact Information: Participants fill out this document with names and phone numbers of individuals to contact in case of an emergency during physical activity. This enhances safety and preparedness in case of unforeseen events.
- Liability Waiver: Signing this waiver indicates that participants understand and accept the risks involved in physical activities. It limits the liability of the fitness center or activity organizers in case of injury.
- Fitness Assessment Results: This document outlines the results of any fitness tests conducted, such as cardiovascular fitness, strength assessments, or flexibility tests. It helps in tailoring appropriate exercise programs based on individual fitness levels.
- Referrals for Medical Clearance: If a participant answers "yes" to specific health questions, a referral document may be required for clearance from a healthcare provider before engaging in physical activities.
- Progress Tracking Form: This form is used to monitor a participant's progress over time. It helps in tracking improvements, setting new goals, and adjusting exercise programs for continuous development.
- Physical Activity Log: Participants may be asked to maintain a log of their physical activities, including duration and type of exercise. This encourages self-monitoring and accountability for maintaining an active lifestyle.
Each of these documents supports the overall process of safely engaging in physical activity. By understanding and utilizing them, participants can contribute to their health while minimizing risks associated with exercise.
Similar forms
- PAR-Q (Physical Activity Readiness Questionnaire): This form is designed to assess an individual's readiness for physical activity. Like the Activity Parq, it asks specific health-related questions to determine if medical advice is needed before engaging in exercise.
- ePARmed-X: The electronic version of the Physical Activity Readiness Medical Examination, ePARmed-X, evaluates the medical readiness of individuals for exercise. Similar to the Activity Parq, it identifies potential risks based on responses to health questions.
- Health History Questionnaire: This document collects comprehensive health information from individuals. It asks about past and present health conditions, which aligns with the assessment approach of the Activity Parq.
- Exercise Readiness Questionnaire (ERQ): The ERQ screens for medical conditions that may affect an individual’s ability to exercise safely. Its purpose mirrors that of the Activity Parq in determining if medical clearance is necessary.
- Physical Activity Safety Questionnaire: This form aims to evaluate safety concerns regarding physical activity participation. It shares the Activity Parq's focus on identifying potential health risks related to exercise.
- Medical Clearance Form: Often required before starting a new exercise program, this document requires a physician's approval based on the individual's health status, paralleling the purposes of the Activity Parq.
- Client Intake Form: This form gathers initial information about a client's health and fitness history. It assesses readiness for exercise much like the Activity Parq, emphasizing the importance of understanding an individual's health background.
Dos and Don'ts
When filling out the Activity ParQ form, keep the following guidelines in mind. Adhering to these points can ensure that your information is clear, accurate, and appropriately assessed.
- Do answer all questions honestly. Misleading information can lead to health risks.
- Do check the form thoroughly for any missed questions before submission. Every detail matters.
- Do consult a healthcare provider if you have doubts regarding your medical history before completing the form.
- Do provide complete information on any chronic conditions your healthcare professional has diagnosed.
- Do remember to sign and date the form once you complete all sections.
- Don't leave any questions unanswered, even if you think they may not apply to you. Every question serves a purpose.
- Don't minimize symptoms or past medical conditions. Full disclosure is essential for your safety.
- Don't alter the form in any way, as it could be considered invalid upon review.
- Don't rush through the questionnaire. Take your time to think through your answers for accuracy.
Misconceptions
Understanding the Activity Parq form is essential for anyone looking to engage in physical activity, yet several misconceptions may cloud its purpose and importance. Here’s a breakdown of ten common misunderstandings:
- The PAR-Q is only for people with health problems. Many believe that the Activity Parq is solely designed for individuals with existing health issues. In reality, it serves anyone considering starting a physical activity program, helping to prevent potential injuries and complications.
- Answering 'Yes' means you cannot participate in any physical activity. While answering 'Yes' to certain questions requires further consultation with a doctor or qualified professional, it does not outright disqualify participation. Modifications can be made to accommodate safety.
- The questions on the form are overly complicated. The questions are straightforward and aim to cover key health indicators. They facilitate understanding of one's fitness level and readiness, enabling informed decisions about physical activity.
- You must complete all pages to be cleared for physical activity. If you answer 'No' to all initial questions, you do not need to continue to subsequent pages. This indicates that you are typically cleared to start exercising.
- The Activity Parq is not necessary if I feel fine. Feeling well does not guarantee that there are no underlying health issues. This questionnaire serves as an important precautionary tool, helping to identify areas requiring attention.
- The form is only relevant for older adults. Individuals of all ages benefit from completing the Activity Parq, as it assesses readiness for physical activity regardless of age.
- Once cleared, I never need to use the Activity Parq again. It’s essential to reconsider the questionnaire if your health status changes or if you encounter new symptoms. Frequent reassessment helps ensure ongoing safety.
- The only outcome of the PAR-Q is permission to exercise. The form offers guidance beyond just permission; it provides recommendations based on your health history that can inform how you approach your exercise regimen.
- Anyone can sign the declaration, regardless of their age. If the participant is a minor, a guardian or care provider must also sign the declaration, ensuring necessary oversight for younger individuals engaging in physical activity.
- You can still exercise if you're not feeling well, as long as you don’t answer 'Yes.' This is misleading. If feeling unwell, such as having a cold or fever, it is advisable to postpone physical activity until full recovery, regardless of questionnaire responses.
By dispelling these misconceptions, individuals can more accurately assess their readiness for physical activity and ensure they make informed, safe decisions regarding their health and fitness journey.
Key takeaways
Understanding the Activity Parq form is essential for ensuring a safe approach to physical activity. Here are some key takeaways to keep in mind:
- Acknowledge the importance of honesty in your responses. Providing accurate answers allows for better assessment of your readiness for exercise and helps identify any potential health risks.
- Consult with a medical professional if you answer "YES" to any of the health questions. This step is crucial to ensure that your engagement in physical activity is safe and appropriate based on your current health status.
- This clearance is valid for a maximum of 12 months. Regular updates to your health status are necessary, particularly if there are changes to your medical conditions or medications.
- Always start your physical activity journey slowly and build up gradually, especially if you are new to exercising. Following guidelines appropriate to your age can provide a roadmap for safe participation.
These points highlight the importance of safety and due diligence when using the Activity Parq form. Your well-being should be the utmost priority as you embark on or continue your physical activity journey.
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