You are working as a personal trainer at a university recreation facility.
You are working as a personal trainer at a university recreation facility. You have been assigned a new client, Mike. He has been relatively active but has never worked with a trainer or been on a structured program. He is a prior college football player but has been less active since graduation (6 years prior). He plays softball a couple times a week and has been walking 3 times a week for 30 min for the past 3 months at a moderate intensity. He is a software programmer and sits at a desk all day during his working hours. Although he feels fatigued, his overall goal is to become healthier and get in better shape.
Mike completes an informed consent and health status questionnaire. Mike is a 40-year-old Caucasian, with a body mass of 95.24 kg and a height of 181 cm. His blood pressure is 112/78 mm Hg, total cholesterol is 221 mg/dL, HDL and LDL are unknown, and fasting blood glucose is unknown. Both his father and his paternal grandfather have known cardiovascular disease. There are no known cardiovascular or metabolic diseases on his mother’s side.
Results of a recent fitness assessment include the following:
Cardiovascular measures—Resting heart rate was found to be 77 bpm
Body composition—After using skinfold calipers, a three-site formula was used to determine body composition: Chest = 14 mm, abdomen = 28 mm, and thigh = 19 mm.
Cardiovascular endurance—The 1.5-mi walk/run test was chosen because it allows Mike to pace himself. He completed the distance in 14 min and 20 s.
Muscular endurance—The push-up test was conducted as per ACSM guidelines. Mike successfully completed 30 push-ups.
Muscular strength—Bench press one repetition maximum (1-RM) and leg press 1-RM were chosen to determine Mike’s muscular strength, per ACSM guidelines. Mike was able to bench press 225 lb and leg press 455 lb.
Question A
Is medical clearance recommended prior to Mike’s participation in moderate-intensity exercise?
Yes
No
Question B
Is medical clearance recommended prior to Mike’s participation in vigorous-intensity exercise?
Yes
No
Question C
In addition to the information already given the case study, if Mike mentioned to you that he was also recently experiencing shortness of breath at rest, would you automatically refer him to a physician for medical clearance?
Yes
No
QUESTION D
Conduct a CVD risk factor assessment using the information given in the case study. Select all the risk factors Mike has.
Age
Family history
Cigarette smoking
Physical inactivity
BMI/waist circumference
Blood pressure
Lipids
Blood glucose
HDL-C (negative risk factor)
QUESTION E
Based on Mike’s 1.5-mi walk/run test time, Mike’s estimated V̇O2max would be:
37.5 mL/kg/min
38 mL/kg/min
37.2 mL/kg/min
33.7 mL/kg/min
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