Question

ESS 336: Exercise Prescription

Exercise Prescription Assignment

Demographic Data

Client: 35 year old femaleResting BP: 132/84 mmHg

Resting HR: 83 bpmTotal cholesterol: 203 mg/dl

Max HR: 185 bpmHDL-cholesterol: 62 mg/dl

Height: 67 in. (170.8 cm)LDL-cholesterol: 110 mg/dl

Body Weight: 143 lbs (65 kg)Daily Caloric Intake: 2000 kcals

Body Fat: 23%Activity Level: lightly active

Desired Body Fat: 20%Job: office work (sitting, standing)

Muscular Fitness Data (1 RM’s)

Bench Press: 90 lbsArm Curl: 45 lbsLat Pull-down: 85 lbs

Leg Press: 230 lbsLeg Extension: 80 lbsLeg Curl: 40 lbs

Cardiorespiratory Fitness Data (Treadmill Test)

Stage	Speed (mph)	% Grade	METs	Time (min)	HR (bpm)	RPE
1	3	1 %		:45	90	0
				1:45	92	1
2	6.0	2.5 %		2:45	105	3
				3:45	107	3
3	6.0	5.0 %		4:45	128	6
				5:45	132	6
4	6.0	7.5 %		6:45	145	7
				7:45	146	7
5	6.0	10 %		8:45	160	9
				9:45	168	10

Data Analysis *{SHOW WORK FOR ALL CALCULATIONS}

1. On the basis of the demographic data provided, evaluate the client's CHD risk profile, as far as abnormalities present (if any).

2. *Using data from Stage 5, calculate the client's VO2max (in METs AND ml/kg/min) using the ACSM running formula (Table 4.3). {Hint: convert mph to mmin when using formula}. Complete the METs column in the table above for each stage.

3. What is the client’s CR fitness classification based on their VO2max (Table 4.1)?

Answer 1

CHD risk profile is calculated based on the cholestrol level as well as non cholesterol risk factors. The non cholesterol risk factors classified as highest risk factors, major risk factors and other risk factors.  

1. Highest risk factors

• Already developed CHD
• Already developed arteriosclerosis inthe arteries other than heart.

Patient is not have highest risk factors.

2. The major risk factors

• Men over 45 years and women over 55 years
• Cigarette smoking
• High blood pressure or taking antihypertensive medication
• HDL cholesterol <40 mg/dl
• Having first degree male relative with CHD before age 55 and first degree female relatives with CHD age 65 years before.

Individual with 0-1 major risk factor have 10 year CHD riskof < 10% , hece here patient has < 10% chance to develop CHD for future 10 years.

3. Other risk factors inude:

• High saturated fat and high cholesterol diet
• Sedentary lifestyle
• Elevated homocysteine and lipoproteins level

Eventhough these risk factors are not involved in the score calculation , they are recognized risk factors for CHD.

Here patient has high calorie intake ( for sedentary lifestyle) , sedentary lifestyle, and high LDL cholesterol 110mg/dl.