Why Sit-Ups and Fitness Tests Aren't Right for Me: A Personal Insight - Physical Fitness

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Why am I not suitable for doing sit-ups and the three-minute test?


I do not smoke; I have an irregular exercise habit and have previously experienced dizziness, losing balance or consciousness.
My height is 150 cm, weight is 40 kg, and my BMI is 17.78 (underweight).
Flexibility: 18 (very poor) ------ (the above is the result of an online assessment) ------ Could you please explain why I am not suitable for performing sit-ups, push-ups, or the three-minute step test? Previously, I tested at school and was able to do 40 sit-ups in one minute, with heart rates of 67, 64, and 63 during the three-minute step test.
However, after completing these exercises, I feel very breathless, my whole body heats up, I experience dizziness, and my vision sometimes goes dark or I see double.
I feel unsteady and as if I might faint, but I do not actually lose consciousness.
Can this be improved? Thank you.

Xiao Ying, 10~19 year old female. Ask Date: 2005/07/13

Dr. Huang Jianling reply Physical Fitness


Xiao Ying: Individuals with a history of dizziness may have underlying cardiovascular, neurological, or other medical conditions.
For safety reasons, it is advisable to have a physician evaluate them before starting any exercise.
Respectfully, Huang Jianling.

Reply Date: 2005/07/13

More Info


When considering why certain fitness tests, such as sit-ups, push-ups, or the three-minute step test, may not be suitable for you, it's essential to take into account several factors related to your health and physical condition. Based on the information provided, you have a low body mass index (BMI) of 17.78, which categorizes you as underweight. Additionally, you have reported a history of dizziness, loss of balance, and near-fainting episodes during physical exertion. These symptoms are critical indicators that warrant caution when engaging in strenuous physical activities.

Firstly, your low BMI suggests that you may not have adequate muscle mass or energy reserves to support high-intensity exercises. Engaging in activities like sit-ups and push-ups requires a certain level of muscular strength and endurance, which may be compromised in individuals with low body weight. Furthermore, the three-minute step test is designed to assess cardiovascular endurance, and if your body is not adequately fueled or conditioned, it can lead to excessive fatigue and dizziness, as you've experienced.

The symptoms you describe—feeling breathless, overheating, and experiencing visual disturbances—are concerning and could indicate that your body is struggling to cope with the demands of these exercises. Dizziness and near-fainting can be signs of inadequate blood flow to the brain, which might be exacerbated by physical exertion, especially if you have underlying cardiovascular or neurological issues. It is crucial to consult a healthcare professional to evaluate these symptoms further, as they could be related to conditions such as orthostatic hypotension, arrhythmias, or other cardiovascular concerns.

Moreover, your reported flexibility score of 18 indicates that you may have limited range of motion, which can also affect your ability to perform certain exercises safely. Poor flexibility can lead to improper form during exercises, increasing the risk of injury. Therefore, it is vital to incorporate flexibility training into your routine gradually and under supervision if necessary.

To improve your overall fitness safely, consider starting with low-impact activities that are less likely to provoke your symptoms. Walking, swimming, or cycling at a comfortable pace can help build your cardiovascular endurance without overwhelming your system. Additionally, incorporating strength training with lighter weights or resistance bands can help you gradually build muscle mass and strength without the risk of injury associated with more intense exercises.

Nutrition also plays a crucial role in your fitness journey. Since you are underweight, it is essential to focus on a balanced diet that provides adequate calories and nutrients to support your physical activity. Consulting a registered dietitian can help you create a meal plan that meets your energy needs and supports your fitness goals.

In summary, the combination of your low BMI, history of dizziness, and limited flexibility suggests that high-intensity exercises like sit-ups, push-ups, and the three-minute step test may not be suitable for you at this time. A thorough medical evaluation is recommended to rule out any underlying health issues. Gradually building your fitness through low-impact activities, strength training, and proper nutrition can help you improve your physical condition safely and effectively. Always listen to your body and prioritize safety in your fitness journey.

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