Question

Design a 12 Week Exercise and Nutritional Guidance Program for the following case:

\Female, 49 years old VO2 MAX= 31 ml/kg/min BP: 130/85 Fasting Glucose: 99 mg/dl Right Sided low back pain LDL cholesterol: 110 mg/dl C-section Resting Heart Rate: 80 bpm Please provide rationale for your program.

Word requirement: 200-250 words What is the disease risk classification for this client? What considerations will make when designing her program? Target exercise intensity What assessments will you use to gather baseline data?

Answer 1

Patient has to be assessed for the familial risk factors like diabetes, high cholesterol, and hypertension.

If the risk is high patient can be considered as pre-diabetic (Type 2) as the fasting blood sugar is 99mg/dl

The cholesterol level of 110mg/dl comes under near optimal level.

The B.P is 130/85 mm of Hg, the diastolic BP can be considered as increasing.

The client is physiologically normal at present. As the values are borderline an exercise program to prevent lifestyle diseases are necessary.

As the middle age possess a risk of muscle wasting and osteoporosis, muscle strengthening exercises are necessary.

The client has right-sided low back pain and it must be considered while planning exercise. The exercises to prevent and reduce back pain must be included.

VO2 max is the best method to assess the exercise tolerance. VO2 max refers to the maximum volume of oxygen that can be used during intense or maximal exercise within a specific amount of time. VO2 max can be calculated in a laboratory setting. It can be considered as the gold standard to determine the exercise regimen. A VO2 level is 31 and it is above average for the age group of 49.

In the mid 40s muscle mass begins to decrease and fat deposits begin to build up which eventually can lead to obesity, diabetes, high blood pressure, heart problems, stroke, and cancer. AS more oxygen can be used during intense exercise, the more energy your body can produce.

Exercise:

1. Burpees

High-intensity cardio stimulates our metabolism and it is necessary to motivate after a certain age. In order to prevent deceleration of metabolism exercise once or twice per week. Burpees can be done to accelerate metabolism.

2. Squats

It can be done to reduce muscle wasting, tone the whole body and prevent injury by improving your flexibility.

3. Planks to fight and prevent back pain.

4. Push dumbbells to protect yourself from arthritis.

5. Glute Bridge

6. Yoga for relaxation

7. Treadmill or Elliptical Machine: low impact cardio to maintain the healthy heart

8. Y-TO-T RAISES.

8. Walking

Nutrition:

Limit the calories intake around 2000 Kcal/ day

In that 50-60 % from carbohydrate

30-40 % protein

10-20 % fats

Limit the intake of salt and canned foods.

Minimize the uses of saturated and trans fats

Avoid junk foods

Improve the intake of vegetables, fruits and whole grains.