Sarah is a 21-year-old female collegiate tennis player.
Sarah is a 21-year-old female collegiate tennis player. She is currently preparing for her upcoming season and would like to begin training with you in order to improve her aerobic capacity and speed on the court. Her typical daily practice consists of 2 hours of on-court drills. She also performs 20 min of sprint interval training 2 days/week. She has never participated in any formal resistance training. She was diagnosed with type 1 diabetes mellitus at the age of 6 years. Currently, she is not experiencing cardiovascular, metabolic, or renal signs or symptoms. She relies on an insulin pump to manage her blood glucose and understands the importance of regularly monitoring her blood glucose prior to and after exercise.
Sarah’s parents have no known disease.
Resting HR = 54 bpm
Resting BP = 118/65 mm Hg
Fasting blood glucose = 70 mL/dL
LDL-C = 110 mg/dL
HDL-C = 70 mg/dL
Body fat % (Lange three-site) = 18%
Push-ups = 15
Right side plank = 60 s
Left side plank = 50 s
Leg press weight ratio: weight pushed in pounds/body weight in pounds = 1.76
Bruce protocol V̇O2max test = 45 mL/kg/min
Question A
Based on Sarah’s medical history and assessment results, should she seek medical clearance before continuing to participate in vigorous intensity exercise?
QUESTION B
Based on Sarah’s medical history and assessment results, should she seek medical clearance if she continues to participate in moderate-intensity exercise?
QUESTION C
Conduct a CVD risk factor assessment using the information given in the case study. Select all the risk factors Sarah has.
Age
Family history
Cigarette smoking
Physical inactivity
BMI/waist circumference
Blood pressure
Lipids
Blood glucose
HDL-C (negative risk factor)
QUESTION D
You decide that for her training, Sarah should train at 80% HRmax. What is her target HR?
QUESTION E
Sarah tells you she doesn’t have a HR monitor so she can’t use target HR to monitor intensity. She is going to do her workouts on the treadmill and she likes to run at 5 mph. Calculate the grade Sarah needs to use on the treadmill to achieve 75% V̇O2max. Round to the nearest 0.1%.
QUESTION F
What other methods could Sarah use to achieve a vigorous intensity workout? Select all that apply.
RPE of 12-13 (on 6-20 scale)
RPE of 14-17 (on 6-20 scale)
Activities that are >6 METs according to Table 1.1
Difficulty talking while exercising (“talk test”)
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