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2025 CCEA AS-Level Sports Science and the Active Leisure Industry MA11 Practice Paper with Answers

Thinka Jun 2025 CCEA AS Level-Style Mock — Sports Science and the Active Leisure Industry MA11

100 marks120 mins2025
An original Thinka practice paper modelled on the structure and difficulty of the Jun 2025 CCEA AS Level Sports Science and the Active Leisure Industry MA11 paper. Not affiliated with or reproduced from CCEA.

Section Question 1: Active Leisure Structure, Participation & Operational Safety

Answer all parts. Quality of written communication is assessed in part (d).
7 Question · 20 marks
Question 1 · Short Identification
1 marks
(a)(i) Identify ONE subsector of the Active Leisure Industry studied at AS level, other than Sport and Recreation.
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Worked solution

The AS specification concentrates on two subsectors of the wider Active Leisure Industry: Sport and Recreation, and Health and Fitness.

Marking scheme

[1] Health and Fitness.
Question 2 · Short Identification
1 marks
(a)(ii) Identify ONE example of provision within the public sector of the active leisure industry.
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Worked solution

Public sector provision is funded and/or run by local or central government (or an arm's-length leisure trust on its behalf), such as a council-owned leisure centre, swimming pool or public park with sports facilities.

Marking scheme

[1] a genuine public-sector example (e.g. council leisure centre, public swimming pool, local authority sports pitch).
Question 3 · Applied Categorisation & Example Description
3 marks
(b)(i) 'Riverside Leisure Centre' is owned and subsidised by the local council, and offers reduced membership rates for unemployed residents and older people. Categorise Riverside Leisure Centre's sector of provision, and describe TWO characteristics of provision typical of this sector.
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Worked solution

Riverside Leisure Centre is public sector provision, since it is owned and subsidised by the local council. Characteristic 1: public sector facilities are funded (at least in part) through public money such as local taxation/rates, rather than needing to generate a profit to survive. Characteristic 2: public sector provision typically prioritises social objectives such as widening access and participation for disadvantaged or underrepresented groups (illustrated here by reduced rates for unemployed residents and older people), rather than maximising revenue as a private facility would.

Marking scheme

[1] correctly categorises as public sector. [1] each for two accurate, distinct characteristics of public-sector provision (e.g. subsidised/publicly funded; social/access-focused objectives; not profit-driven), max [2]. Total [3].
Question 4 · Applied Categorisation & Example Description
3 marks
(b)(ii) 'PulseFit Gyms' is a nationwide commercial chain that charges a monthly membership fee and offers premium personal training packages at an extra cost. Categorise PulseFit Gyms' sector of provision, and describe TWO characteristics of provision typical of this sector.
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Worked solution

PulseFit Gyms is private sector provision, since it is a commercial company charging fees to generate income. Characteristic 1: private sector facilities exist primarily to generate a profit for their owners or shareholders, funded through membership fees and additional paid services (such as personal training) rather than public subsidy. Characteristic 2: private providers typically target specific customer segments who can pay for the service, and compete for members through marketing, premium facilities and additional services, rather than prioritising universal access.

Marking scheme

[1] correctly categorises as private sector. [1] each for two accurate, distinct characteristics of private-sector provision (e.g. profit-driven; funded by fees/membership; competitive marketing/targeted customer base), max [2]. Total [3].
Question 5 · Factor Explanation
2 marks
(c)(i) Explain ONE factor that has contributed to the growth of the active leisure industry in recent years.
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Worked solution

Growth in media coverage of sport and fitness — including televised sporting events, dedicated sports channels, and fitness content on social media — has significantly raised public awareness of the health, appearance and social benefits of exercise, inspiring more people to want to participate themselves and driving increased demand for active leisure facilities and services.

Marking scheme

[1] identifies a genuine, relevant growth factor (e.g. media coverage, rising health awareness/government campaigns, growth in disposable income, wider range of facilities/activities on offer). [1] explains how this factor has driven growth in participation/demand. Max [2].
Question 6 · Factor Explanation
2 marks
(c)(ii) Explain ONE factor a leisure centre manager should consider when setting the centre's opening hours and pricing structure.
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Worked solution

A leisure centre manager should consider local demand patterns — for example, when local residents (families, workers, students) are most likely to want to use the facility, such as after school or after the typical working day, or at weekends. Opening hours and staffing should be concentrated around these peak demand periods to maximise usage and revenue, while pricing (e.g. off-peak discounts) can be used to encourage participation at quieter times and improve overall facility utilisation. (Other valid factors: level of local competition from other providers; local income levels/ability to pay; running costs such as staffing and energy.)

Marking scheme

[1] identifies a genuine, relevant factor (e.g. local demand/peak times, competition, local income levels, running costs). [1] explains how this factor influences the opening hours/pricing decision. Max [2].
Question 7 · Extended Quality of Written Communication Essay (Safety Practice)
8 marks
(d) The quality of written communication is assessed in this question.

Discuss the importance of risk assessment, the Physical Activity Readiness Questionnaire (PAR-Q), and correct use of equipment in ensuring safe practice in the active leisure industry.
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Worked solution

Risk assessment: before any session or activity, staff should systematically identify hazards present (e.g. wet floor surfaces, faulty equipment, overcrowding), assess who might be harmed and how, and put control measures in place (e.g. signage, equipment checks, reduced class sizes) to reduce the likelihood and severity of injury. Regular, documented risk assessments are important because they demonstrate that a facility has taken reasonable steps to protect staff and clients, and they are often a legal requirement under health and safety legislation.

PAR-Q: the Physical Activity Readiness Questionnaire is completed by a new client before they begin an exercise programme, screening for pre-existing medical conditions, symptoms or risk factors (e.g. heart conditions, joint problems, medication) that could make certain types of exercise unsafe for them. This is important because it allows instructors to identify clients who need medical clearance or a modified/individually tailored programme before undertaking contraindicated exercise, reducing the risk of a serious medical incident during a session.

Correct use of equipment: staff and clients must be shown how to set up, adjust and use exercise equipment correctly (e.g. correct machine settings, safe free-weight handling, correct lifting and lowering technique), and equipment should be regularly checked and maintained. This matters because incorrectly used or poorly maintained equipment is a leading cause of injury in gyms and leisure facilities, ranging from minor strains to serious accidents.

Together, these three measures form a layered approach to safety: risk assessment addresses the environment as a whole, PAR-Q addresses the individual client's suitability for exercise, and correct equipment use addresses the specific moment-to-moment safety of an activity — each is necessary, and none alone is sufficient to guarantee safe practice.

Marking scheme

Assessed against a 3-band QWC level of response grid. Level 3 (7–8): discusses all three named elements (risk assessment, PAR-Q, equipment use) in genuine depth, explaining both what each involves and why each matters for safety, with accurate specialist terminology and coherent organisation. Level 2 (4–6): discusses at least two of the three elements with reasonable depth, or all three but superficially. Level 1 (1–3): discusses only one element in depth, or gives vague/generic safety comments without specific reference to risk assessment, PAR-Q or equipment use.

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Section Question 2: Hypokinetic Disease, Health Monitoring & Population Interventions

Answer all parts.
7 Question · 19 marks
Question 1 · Disease Identification & Pathological Prevention Explanation
3 marks
(a)(i) Identify a hypokinetic disease associated with a sedentary lifestyle, and explain ONE way in which regular physical activity helps to prevent it.
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Worked solution

Coronary heart disease (CHD) occurs when fatty deposits build up in the coronary arteries (atherosclerosis), restricting blood flow to the heart muscle. Regular aerobic physical activity helps prevent CHD by strengthening the heart muscle, improving the ratio of HDL ('good') to LDL ('bad') cholesterol, and helping to keep blood pressure within a healthy range, all of which reduce the rate at which fatty deposits build up in the arteries and lower the risk of a heart attack.

Marking scheme

[1] correctly identifies CHD (or another valid hypokinetic disease). [2] explains a genuine physiological mechanism by which exercise reduces risk (e.g. improved cholesterol profile, lower blood pressure, stronger heart muscle), clearly linked to disease prevention. Max [3].
Question 2 · Disease Identification & Pathological Prevention Explanation
3 marks
(a)(ii) Identify a second, different hypokinetic disease, and explain ONE way in which regular physical activity helps to prevent it.
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Worked solution

Type II diabetes develops when the body's cells become resistant to insulin, causing chronically high blood glucose levels. Regular physical activity increases insulin sensitivity — working muscles take up glucose from the bloodstream more readily, both during and after exercise — which helps keep blood glucose levels within a healthy range and reduces the likelihood of developing insulin resistance over time. Exercise also helps with weight management, and excess body fat (particularly around the abdomen) is itself a major risk factor for Type II diabetes.

Marking scheme

[1] correctly identifies Type II diabetes (or another different, valid hypokinetic disease from part (i)). [2] explains a genuine physiological mechanism (e.g. improved insulin sensitivity, better glucose uptake by muscle, weight management), clearly linked to disease prevention. Max [3].
Question 3 · Disease Identification & Pathological Prevention Explanation
3 marks
(a)(iii) Identify a third, different hypokinetic disease, and explain ONE way in which regular physical activity helps to prevent it.
Show answer & marking scheme

Worked solution

Osteoporosis is a condition in which bones lose mineral density and become fragile and more prone to fracture. Regular weight-bearing physical activity (such as walking, running or resistance training) places mechanical stress on the skeleton, which stimulates osteoblast (bone-building cell) activity and helps to maintain or increase bone mineral density, particularly if begun before peak bone mass is reached in early adulthood and continued throughout life, reducing the risk and severity of osteoporosis in later life.

Marking scheme

[1] correctly identifies osteoporosis (or another different, valid hypokinetic disease from parts (i)/(ii)). [2] explains a genuine physiological mechanism (e.g. weight-bearing exercise stimulating bone-building cells/maintaining bone density), clearly linked to disease prevention. Max [3].
Question 4 · Targeted Strategy Description
3 marks
(b)(i) Describe ONE government initiative aimed at reducing the incidence of hypokinetic disease in the population.
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Worked solution

The '5 A DAY' campaign is a public health initiative that encourages the population to eat a minimum of five portions of fruit and vegetables each day, based on World Health Organization guidance. It aims to improve overall diet quality — increasing intake of fibre, vitamins and antioxidants while displacing less healthy food choices — which is associated with a reduced risk of hypokinetic conditions such as coronary heart disease, obesity and certain cancers. (Other valid initiatives: the smoking ban in enclosed public places; GP exercise referral schemes; the Healthy Schools programme.)

Marking scheme

[1] a genuine, syllabus-relevant government initiative correctly named (e.g. 5 A DAY, smoking ban, GP referral scheme, Healthy Schools). [2] accurate description of what the initiative involves and how it targets hypokinetic disease risk. Max [3].
Question 5 · Targeted Strategy Description
3 marks
(b)(ii) Describe ONE strategy that could be used to increase participation in physical activity among a specific target group of your choice (e.g. older adults, or children).
Show answer & marking scheme

Worked solution

For older adults, leisure centres could offer low-impact, appropriately paced sessions such as chair-based exercise classes or gentle aqua-aerobics, scheduled at convenient daytime hours (avoiding rush-hour travel), led by instructors specifically trained to work safely with older participants. This strategy targets common barriers for this group — fear of injury, unfamiliarity with mainstream gym equipment, and social isolation — by offering an accessible, socially supportive, appropriately graded form of activity, which can improve both uptake and long-term adherence.

Marking scheme

[1] a clearly identified target group. [2] a specific, genuinely appropriate strategy for that group, explained with reference to the particular barriers it addresses. Max [3].
Question 6 · Health Metric & Population Evaluation
2 marks
(c)(i) A client has a body mass of 70 kg and a height of 1.75 m. Calculate their Body Mass Index (BMI) using BMI = mass (kg) ÷ height² (m²), and state ONE limitation of using BMI as a health indicator.
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Worked solution

BMI = mass ÷ height² = 70 ÷ (1.75 × 1.75) = 70 ÷ 3.0625 = 22.9 (to 1 decimal place), which falls within the standard 'normal weight' range of 18.5–24.9. A key limitation of BMI is that it does not distinguish between muscle mass and fat mass or account for body composition/fat distribution — a highly muscular athlete could have a high BMI while carrying very little body fat, making BMI potentially misleading as a sole indicator of an individual's health risk.

Marking scheme

[1] correct BMI calculation (22.9, working shown). [1] a genuine, accurately explained limitation of BMI (e.g. does not distinguish muscle from fat, does not account for fat distribution/age/sex). Max [2].
Question 7 · Health Metric & Population Evaluation
2 marks
(c)(ii) Table 1 shows average life expectancy at birth for Northern Ireland and one other European country.

Table 1: Average life expectancy at birth
| Country | Life expectancy (years) |
|---|---|
| Northern Ireland | 79.5 |
| Sweden | 82.4 |

Using Table 1, evaluate ONE possible reason why life expectancy in Sweden is higher than in Northern Ireland.
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Worked solution

Table 1 shows Sweden's life expectancy (82.4 years) is 2.9 years higher than Northern Ireland's (79.5 years). A plausible explanation is that Sweden has historically had lower population rates of major lifestyle risk factors such as smoking and obesity, and/or more comprehensive and accessible preventative healthcare and public health initiatives, both of which are strongly associated with reduced rates of hypokinetic disease and, in turn, a longer average life expectancy. (Any well-reasoned, plausible factor is creditable, e.g. differences in diet, socio-economic conditions, or healthcare system structure.)

Marking scheme

[1] correctly references the data (2.9-year gap, or correct figures) to frame the comparison. [1] a plausible, clearly explained reason for the difference (e.g. lower smoking/obesity rates, stronger preventative healthcare, dietary differences). Max [2].

Section Question 3: Sports Science, Nutrition, Training Methodology & Longevity

Answer all parts.
10 Question · 30 marks
Question 1 · Nutritional/Hydration Strategy Description
3 marks
(a)(i) Explain a hydration strategy an endurance athlete should follow before and during a marathon.
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Worked solution

In the 24 hours before a marathon, the athlete should gradually increase fluid intake (water and/or electrolyte drinks) to ensure they begin the race well hydrated, without drinking excessive amounts immediately before the start (which can cause discomfort). During the race, the athlete should drink small, regular amounts of fluid at aid stations — ideally including electrolytes for events lasting over an hour, to replace sodium lost in sweat — rather than large volumes infrequently, which helps offset sweat losses and reduces the risk of dehydration, while avoiding overhydration (hyponatraemia) and gastrointestinal discomfort.

Marking scheme

[1] a valid pre-event hydration point (e.g. gradual pre-hydration). [2] a valid, well-explained during-event hydration point (e.g. small regular fluid/electrolyte intake at aid stations), showing understanding of avoiding both dehydration and overhydration. Max [3].
Question 2 · Nutritional/Hydration Strategy Description
3 marks
(a)(ii) Explain a nutrition strategy a strength athlete should follow to support an increase in muscle mass.
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Worked solution

To support an increase in muscle mass, a strength athlete should ensure adequate daily protein intake, ideally spread across several meals throughout the day (including a protein-containing meal/snack after resistance training sessions), since dietary protein supplies the amino acids required for muscle protein synthesis and repair following training-induced muscle damage. This should be combined with a slight calorie surplus (consuming slightly more energy than is expended), providing the additional energy needed to support the growth of new muscle tissue, alongside adequate carbohydrate intake to fuel training sessions themselves.

Marking scheme

[1] identifies adequate/increased protein intake as central to the strategy. [1] explains the physiological reason (protein provides amino acids for muscle repair/growth). [1] additionally references appropriate total energy intake (e.g. slight calorie surplus) or timing of protein intake around training. Max [3].
Question 3 · Fitness Component Identification & Contextual Application
3 marks
(b)(i) Identify the fitness component most important for a 100 m sprinter, and justify your answer with reference to the specific demands of the event.
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Worked solution

The most important fitness component for a 100 m sprinter is speed, defined as the ability to move the whole body, or part of the body, as quickly as possible. Because the 100 m is completed in a matter of seconds at maximal effort, with almost no requirement for sustained aerobic or muscular endurance, the athlete's ability to reach and maintain maximum velocity — underpinned by explosive power in the initial acceleration phase — is the dominant determinant of race performance, far more so than endurance-based components.

Marking scheme

[1] correctly identifies speed (accept power as a closely linked secondary component if speed is also credited). [2] justification explicitly linked to the specific demands of the 100 m (short duration, maximal effort, minimal endurance requirement). Max [3].
Question 4 · Fitness Component Identification & Contextual Application
3 marks
(b)(ii) Identify the fitness component most important for a marathon runner, and justify your answer with reference to the specific demands of the event.
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Worked solution

The most important fitness component for a marathon runner is aerobic endurance, defined as the ability of the cardiorespiratory system to supply oxygen to working muscles to sustain prolonged, submaximal exercise. Because a marathon typically takes well over two hours to complete at a relatively steady, submaximal pace, performance depends primarily on a well-developed aerobic energy system (efficient oxygen delivery and use, and a high lactate threshold) to delay fatigue over the full distance, in clear contrast to the very short, maximal, anaerobically dominated demands of a sprint event.

Marking scheme

[1] correctly identifies aerobic endurance. [2] justification explicitly linked to the specific demands of a marathon (long duration, submaximal/steady effort, reliance on the aerobic energy system). Max [3].
Question 5 · Training Principle Application Explanation
3 marks
(c) Explain how a coach can apply the principle of progressive overload to ensure a client trains effectively over a 12-week programme.
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Worked solution

Progressive overload means gradually and systematically increasing the demand placed on the body over time, so that it continues to be forced to adapt. Over a 12-week programme, a coach could apply this by, for example, increasing the resistance lifted, the number of repetitions/sets, the training frequency, or the training pace by small, planned increments every one to two weeks — always ensuring the increase in load is only slightly above what the client's body has already adapted to. This ensures continued fitness improvement (avoiding a training plateau), while avoiding too large an increase in load at once, which could otherwise increase the risk of overtraining, injury or excessive fatigue.

Marking scheme

[1] correct explanation of progressive overload (gradually increasing training demand above current capacity). [1] a specific, correctly applied example of how load is increased (e.g. increasing weight/reps/frequency/pace incrementally over the 12 weeks). [1] links this to continued adaptation while avoiding overtraining/injury from too rapid an increase. Max [3].
Question 6 · Training Method Comparative Description
3 marks
(d)(i) Compare continuous training and interval training as methods of improving aerobic endurance.
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Worked solution

Continuous training involves exercising at a steady, moderate intensity for a sustained period (e.g. a 45-minute run at a constant pace) without any rest, which develops the aerobic energy system through prolonged, uninterrupted cardiovascular work and is relatively simple to plan and monitor. Interval training instead alternates periods of higher-intensity work with planned rest or active-recovery periods (e.g. repeated efforts of fast running followed by walking); because the recovery periods allow partial restoration of energy stores, the athlete can typically sustain a higher overall training intensity across the session than with continuous training, making interval training effective for improving both aerobic and anaerobic fitness, though it requires more careful planning of work-to-rest ratios.

Marking scheme

[1] accurate description of continuous training. [1] accurate description of interval training. [1] a genuine, explicit point of comparison between the two (e.g. difference in achievable intensity, or aerobic-only vs aerobic-and-anaerobic development). Max [3].
Question 7 · Training Method Comparative Description
3 marks
(d)(ii) Compare circuit training and weight/resistance training as methods of improving muscular endurance.
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Worked solution

Circuit training involves moving quickly around a series of stations, each targeting a different exercise/muscle group or fitness component, usually for a set time or number of repetitions before moving on; this provides variety, can be adapted to train several fitness components (including cardiovascular fitness) within one session, and needs relatively little rest between stations. Weight/resistance training instead uses a planned programme of specific exercises with an external resistance (free weights, resistance machines or bodyweight), performed in defined sets and repetitions targeting particular muscle groups; this allows more precise, measurable progressive overload of individual muscles (by adjusting the exact resistance and repetitions), making it more targeted for developing muscular endurance or strength in a specific muscle group than the more generalised approach of circuit training.

Marking scheme

[1] accurate description of circuit training. [1] accurate description of weight/resistance training. [1] a genuine, explicit point of comparison between the two (e.g. variety/whole-body vs targeted/measurable overload of a specific muscle). Max [3].
Question 8 · Physiological Aging Benefit Description
3 marks
(e)(i) Describe ONE physiological benefit of regular exercise for an older adult, in relation to bone health.
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Worked solution

As people age, bone mineral density naturally tends to decline, increasing the risk of osteoporosis and fracture. Regular weight-bearing exercise (such as walking, dancing or resistance training) places mechanical stress on the skeleton, stimulating bone-remodelling cells (osteoblasts) to maintain or even slightly increase bone mineral density; in older adults, this helps to slow the rate of age-related bone loss and reduces the risk and severity of fractures from falls.

Marking scheme

[1] correctly identifies the benefit as relating to bone mineral density/reduced osteoporosis risk. [2] explains the physiological mechanism (weight-bearing stress stimulating bone maintenance) with a clear link to slowing age-related decline. Max [3].
Question 9 · Physiological Aging Benefit Description
3 marks
(e)(ii) Describe ONE physiological benefit of regular exercise for an older adult, in relation to the cardiovascular system.
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Worked solution

Cardiovascular function naturally declines with age, including reductions in maximal heart rate, stroke volume and overall cardiac output, alongside a tendency for blood pressure to rise. Regular aerobic exercise helps to maintain a stronger, more efficient heart muscle (supporting stroke volume and cardiac output for longer into older age), helps keep blood pressure within a healthier range, and improves the efficiency of oxygen delivery to working tissues — collectively offsetting some of the age-related decline in cardiovascular function and reducing the risk of coronary heart disease and stroke.

Marking scheme

[1] correctly identifies the benefit as relating to cardiovascular/cardiac function. [2] explains the physiological mechanism (e.g. maintained stroke volume/cardiac output, healthier blood pressure) with a clear link to offsetting age-related decline. Max [3].
Question 10 · Physiological Aging Benefit Description
3 marks
(e)(iii) Describe ONE physiological benefit of regular exercise for an older adult, in relation to muscular function and balance.
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Worked solution

Ageing is associated with sarcopenia — a progressive loss of muscle mass and strength — along with a decline in neuromuscular coordination and balance. Regular resistance exercise helps maintain (or partially restore) muscle mass and strength by stimulating muscle protein synthesis, while activities that challenge balance and coordination (e.g. tai chi, balance-specific exercises) improve neuromuscular control. Together, these effects help an older adult maintain functional independence and significantly reduce the risk and severity of falls, which are a major cause of injury and loss of independence in this age group.

Marking scheme

[1] correctly identifies the benefit as relating to muscle mass/strength and/or balance. [2] explains the physiological mechanism (e.g. offsetting sarcopenia, improved neuromuscular coordination) with a clear link to reduced fall risk/maintained independence. Max [3].

Section Question 4: Participation Barriers & Lifestyle Pathology

Answer all parts. Quality of written communication is assessed in part (b).
4 Question · 17 marks
Question 1 · Sociological Barrier Identification & Impact Description
3 marks
(a)(i) Identify a socio-economic barrier to participation in sport and physical activity, and describe its impact on participation.
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Worked solution

Low household income is a socio-economic barrier: individuals or families on a low income may not be able to afford gym or club membership fees, specialist equipment or kit, or the cost of travelling to a facility, particularly where free or low-cost provision is limited locally. As a result, they are less likely to take part in organised or facility-based sport and physical activity than those with greater disposable income, potentially widening existing health inequalities between socio-economic groups.

Marking scheme

[1] correctly identifies a genuine socio-economic barrier (e.g. low income, cost of membership/equipment/transport). [2] clearly explains its impact on participation. Max [3].
Question 2 · Sociological Barrier Identification & Impact Description
3 marks
(a)(ii) Identify a disability-related barrier to participation in sport and physical activity, and describe its impact on participation.
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Worked solution

A lack of accessible facilities and equipment — such as buildings without step-free access, changing rooms not adapted for wheelchair users, or a lack of appropriately adapted equipment and trained staff — is a significant barrier for people with disabilities. This can make it physically impossible for some individuals to enter or use a facility at all, and even where physical access exists, a lack of suitable adapted activities or staff confidence in supporting disabled participants can discourage attendance, resulting in significantly lower participation rates among people with disabilities compared with the wider population.

Marking scheme

[1] correctly identifies a genuine disability-related barrier (e.g. lack of accessible facilities/equipment, lack of trained staff, lack of adapted activities). [2] clearly explains its impact on participation. Max [3].
Question 3 · Sociological Barrier Identification & Impact Description
3 marks
(a)(iii) Identify a barrier to participation in sport and physical activity related to gender stereotyping, and describe its impact on participation.
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Worked solution

Gender stereotyping — for example, the persistent stereotype that certain sports such as rugby, football or weightlifting are 'masculine' and 'not for girls/women', or conversely that some activities are seen as unsuitable for boys — is a barrier to participation. Even where facilities, coaching and opportunities exist, individuals may be discouraged from taking part by fear of judgement from peers, a lack of visible same-gender role models in that sport, or a lack of encouragement from family, coaches or schools, leading to lower participation rates in stereotyped activities among the discouraged gender.

Marking scheme

[1] correctly identifies a genuine gender-stereotyping barrier. [2] clearly explains its impact on participation (e.g. discouragement despite available opportunity, lack of role models). Max [3].
Question 4 · Extended Quality of Written Communication Essay (Lifestyle Risk Factors)
8 marks
(b) The quality of written communication is assessed in this question.

Discuss how lifestyle risk factors — including smoking, alcohol misuse, poor diet, and physical inactivity — contribute to ill health and reduced life expectancy.
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Worked solution

Smoking: tobacco smoke contains carcinogens and damages the lining of the arteries and lungs, substantially increasing the risk of lung cancer, chronic obstructive pulmonary disease (COPD), and coronary heart disease through accelerated atherosclerosis, all of which reduce both quality and length of life.

Alcohol misuse: excessive alcohol consumption places a chronic strain on the liver (increasing the risk of fatty liver disease, hepatitis and cirrhosis), raises blood pressure over time, and is linked to several cancers and to increased risk of accidents and injury, contributing both directly (organ damage) and indirectly (accidents) to reduced life expectancy.

Poor diet: a diet high in saturated fat, salt and sugar, and low in fruit, vegetables and fibre, increases the risk of obesity, high cholesterol, high blood pressure and Type II diabetes, all of which are major risk factors for coronary heart disease and stroke.

Physical inactivity: a sedentary lifestyle reduces cardiovascular fitness, contributes to weight gain and reduced insulin sensitivity, and is independently associated with a higher risk of CHD, Type II diabetes, certain cancers, and poorer mental health.

Taken together, these lifestyle risk factors frequently interact and compound one another (for example, physical inactivity and poor diet both contribute to obesity, which itself worsens the risk associated with the others), meaning individuals with multiple risk factors face a substantially greater cumulative risk of hypokinetic and other chronic disease, and, on average, a shorter life expectancy than those who address these factors through positive lifestyle change.

Marking scheme

Assessed against a 3-band QWC level of response grid. Level 3 (7–8): discusses at least three of the four named risk factors with an accurate physiological mechanism for each, and explicitly links these to reduced life expectancy (ideally noting how risk factors interact/compound); fluent, well-organised use of specialist terminology. Level 2 (4–6): discusses at least two risk factors with reasonable accuracy, with some link to ill health/life expectancy. Level 1 (1–3): discusses only one risk factor in any depth, or gives vague/generic health claims without accurate physiological mechanism.

Section Question 5: Client Consultation & Public Health Initiatives

Answer all parts. Quality of written communication is assessed in part (b).
3 Question · 14 marks
Question 1 · Research/Assessment Method Description
2 marks
(a)(i) Describe the purpose of a Physical Activity Readiness Questionnaire (PAR-Q) during an initial client consultation.
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Worked solution

A PAR-Q is a short screening questionnaire completed by a new client before starting an exercise programme, asking about existing medical conditions (e.g. heart problems, high blood pressure), symptoms (e.g. chest pain, dizziness) and other risk factors. Its purpose is to identify, before any exercise takes place, whether the client needs to seek medical clearance or requires a specifically modified/individualised programme, helping the instructor plan a safe and appropriate programme and reducing the risk of a serious medical incident during exercise.

Marking scheme

[1] correctly identifies that a PAR-Q screens for medical conditions/risk factors relevant to exercise safety. [1] explains the purpose in terms of informing safe programme planning/need for medical clearance. Max [2].
Question 2 · Research/Assessment Method Description
2 marks
(a)(ii) Describe ONE method, other than a PAR-Q, that could be used to carry out a lifestyle analysis of a client.
Show answer & marking scheme

Worked solution

A structured lifestyle questionnaire or interview can be used, asking the client about key lifestyle areas such as their typical diet, current physical activity levels, sleep patterns, smoking and alcohol consumption, and stress levels. This method allows the instructor to build a comprehensive picture of the client's current lifestyle, identify specific risk factors or areas of concern, and set realistic, personalised recommendations and goals for lifestyle improvement. (Other valid methods: a food/activity diary kept by the client over a set period; direct observation; standardised fitness testing.)

Marking scheme

[1] a genuine, relevant method named (e.g. lifestyle questionnaire/interview, food/activity diary). [1] explains how the method contributes to understanding the client's lifestyle. Max [2].
Question 3 · Extended Quality of Written Communication Essay (National Initiatives Examination)
10 marks
(b) The quality of written communication is assessed in this question.

Examine how national government initiatives — including GP exercise referral schemes, the smoking ban, the '5 A DAY' campaign, and the Healthy Schools programme — have had a positive impact on public health in Northern Ireland.
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Worked solution

GP exercise referral schemes: GPs can refer patients with specific health conditions (e.g. obesity, mild depression, early-stage hypertension) to a structured, supervised exercise programme at a local leisure facility, often at a reduced cost. This has had a positive impact by bringing physical activity to inactive individuals who may not otherwise engage with exercise, under professional guidance, helping to manage or improve their underlying condition and demonstrating measurable improvements in markers such as blood pressure and body weight in many participants.

The smoking ban: legislation banning smoking in enclosed public places (including workplaces, bars and restaurants) has reduced the population's exposure to second-hand smoke, contributing to falls in hospital admissions for conditions such as heart attacks and childhood asthma exacerbations in the years following its introduction, as well as supporting a longer-term decline in overall smoking prevalence by reducing social normalisation of smoking indoors.

5 A DAY campaign: by promoting a simple, memorable target (five portions of fruit and vegetables daily) through public information campaigns and food labelling, this initiative has helped raise public awareness of dietary guidance, contributing to gradual improvements in average fruit and vegetable consumption and greater public understanding of the link between diet and hypokinetic disease risk.

Healthy Schools programme: by embedding healthy eating, physical activity and health education into the school environment (e.g. through school meal standards, PE provision, and health education in the curriculum), this initiative reaches children at a formative age, helping to establish healthier lifestyle habits and knowledge early, with the potential for long-term benefits across the life course as these habits are carried into adulthood.

Overall, these initiatives target public health from several different angles — treatment-focused referral for those already at risk, environmental/legislative change (the smoking ban), public awareness (5 A DAY), and early-life prevention (Healthy Schools) — and together they represent a broad, complementary public health strategy, although their impact depends heavily on adequate funding, public engagement, and sustained implementation over time.

Marking scheme

Assessed against a 5-band QWC level of response grid. Level 5 (9–10): examines at least three named initiatives in genuine depth, explaining the specific mechanism of positive impact for each, and reaches a coherent overall judgement about their combined effect on public health; fluent, well-organised specialist terminology throughout. Level 4 (7–8): examines at least two initiatives in good depth with clear mechanisms; some overall judgement present. Level 3 (5–6): examines at least two initiatives but with limited depth/mechanism, mostly descriptive. Level 2 (3–4): examines only one initiative in any depth, or several only superficially. Level 1 (1–2): vague or generic reference to 'the government trying to improve health' with little specific content.

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