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SIC MA <br />4285 CR 3270 <br />Kempner, TX 76539 <br />501 358 2112 <br />ben@sigmacoaching.com <br />reviewed data, but it has served over 7500 officers nationwide in every vertical of law - <br />enforcement (municipal, county, state, and federal agencies). <br />Metabolic Analysis with Exercise and Nutritional Modification <br />Each patient will be subject to a cardiopulmonary exercise stress test on a stationary bicycle or <br />treadmill. This test measures functional capacity, the presence of any ischemia (lack of blood <br />flow to the heart muscle) and utilizes a technique known as indirect calorimetry through <br />respiratory gas collection. Officers are then shown the current state of their resting metabolic <br />status (carbohydrate and fat utilization rates) and are guided through recommendations <br />pertaining to changes in diet and exercise habits. This guidance fosters improvements in fitness, <br />mental -focus, alertness, and increases overall police officer resiliency. Furthermore, due to the <br />significant rates of obesity in law -enforcement, there is a strong emphasis placed on using these <br />recommendations towards weight optimization and achieving a healthy body mass index (BMI). <br />Medical Evaluation <br />Direct consultation with a physician or licensed medical professional (physician's <br />assistant/nurse practitioner) will be provided. During this consultation, each officer will have all <br />diagnostics reviewed and treatment strategies will be established. The participant will leave with <br />a full understanding of his or her cardiac risk, metabolic status, and the steps that can be taken <br />to help ensure a long and healthy career leading into retirement. Comprehensive results and <br />recommendations will be provided for the participants to share with their personal health care <br />providers. <br />Deployment Plan <br />A repeat partial screening analysis should be done on a twenty-four month rotation so that <br />effects of program adherence, changes in on -duty performance, and cost/benefits can be <br />evaluated. <br />This includes all of the following components: <br />• Active electrocardiogram (ECG) with physician interpretation and evaluation <br />• Cardiometabolic stress test with expiratory gas analysis — determines contributions of fat <br />and carbohydrate metabolism into total daily energy expenditure (indirect calorimetry) <br />• Advanced lipid panel including cardiac inflammatory biomarker analysis — also includes <br />overview of hematology, liver/kidney function, thyroid, PSA (men), HbA1 c (diabetes) <br />• Carotid Intima-media thickness ultrasound (CIMT) — performed on -site and interpreted in <br />real-time <br />• Consultation with a mid -level clinician (advanced -practice nurse or physician's assistant) <br />• Consultation with exercise physiologist <br />• In-depth nutritional analysis based on individual results of cardiometabolic testing <br />• Aggregated data report prepared and delivered to command staff containing numerous <br />data points as a cross-section of personnel health status <br />COST: $799.00 <br />