The Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) and Electronic Physical Activity Readiness Medical Examination (ePARmed-X+)

Introduction: The Physical Activity Readiness Questionnaire (PAR-Q) and the Physical Activity Readiness Medical Evaluation (PARmed-X) are internationally renowned pre-participation screening tools. However, these forms were developed without evidence-based support. Moreover, feedback from end-users highlighted the need for refinement. Purpose: To examine the evidence-based support for the PAR-Q and PARmed-X and identify if further revisions were warranted. Methods: Ten systematic reviews were conducted to establish the exercise-related risks and effective risk stratification in healthy individuals (including pregnant women) and persons with prominent chronic medical conditions. This process adhered to the Appraisal of Guidelines for Research and Evaluation (AGREE) Instrument. Key Findings: Habitual physical activity is associated with a reduced risk for over 25 chronic conditions and premature mortality. Moderate intensity physical activity on most days of the week is of benefit for most patients with chronic conditions. The risks associated with a physically inactive lifestyle are markedly higher than the transient risks seen following acute exercise (in healthy and clinical populations). Changes to the PAR-Q and PARmed-X: The result of this process was the development of a new and enhanced pre-participation screening and risk stratification strategy that serves to reduce the barriers to physical activity for Canadians across the lifespan (including those with various chronic conditions). This included the development of the new PAR-Q+ and the online ePARmed-X+. The new screening tools and risk stratification strategy are now evidence-based, and serve to greatly reduce the barriers to physical activity for all (including those living with a chronic medical condition).