Case Study (Overweight/Obesity and Metabolic Syndrome) – Bob This client is a male 46 years old, nonsmoker, and drinks on average two standard drinks a day, but he’s cutting back to just the weekends. Bob regularly exercises 3 times a week for at least 30 min at a moderate intensity. No history of cardiac events or stroke. Family history shows no history of cardiovascular disease and he currently takes medication for cholesterol. He got a blood panel done because he wants to take better care of himself and needs an exercise prescription. His main goal is general fitness and to lose his ‘beer belly’. He passed the fitness screening exercise test with no problems apparent. Height: 5’7.5” Weight: 189lbs Waist Circumference: 40.5 inches Glucose: 109 mg/dL Hemoglobin A1C: 5.3 Triglycerides: 109 mg/dL Cholesterol: 235 mg/dL HDL: 71 mg/dL LDL:128 mg/dL Resting BP: 132/90 Resting HR: 83 BMI: 30.2 Exercise BP; 152/ 88 Max HR on treadmill test: 192 bpm Risk Factors Identify Bob’s risk factors for cardiovascular disease and metabolic disease. This will bring you back to ACSM’s 8 risk factors and then also think of his metabolic syndrome risks. Use ACSM Guidelines- Attention to Guidelines for Overweight/Obese clients as well as those who have potential Metabolic concerns. Please address aerobic, muscular fitness and any other areas you feel are important plus Specific considerations for this client, given his issues addressed above. FITT principle exercise prescription – Frequency: Intensity: Time: Type: Can use this or whatever you feel is easiest to address his concerns. Recommendations and Considerations: Create a target heart rate range for Bob. NOTE: you do not have a max test so use an age-predicted max to generate this range
Case Study (Overweight/Obesity and
This client is a male 46 years old, nonsmoker, and drinks on average two standard drinks a day, but he’s cutting back to just the weekends. Bob regularly exercises 3 times a week for at least 30 min at a moderate intensity. No history of cardiac events or stroke. Family history shows no history of cardiovascular disease and he currently takes medication for cholesterol. He got a blood panel done because he wants to take better care of himself and needs an exercise prescription. His main goal is general fitness and to lose his ‘beer belly’. He passed the fitness screening exercise test with no problems apparent.
Height: 5’7.5” Weight: 189lbs Waist Circumference: 40.5 inches
Glucose: 109 mg/dL Hemoglobin A1C: 5.3 Triglycerides: 109 mg/dL
Cholesterol: 235 mg/dL HDL: 71 mg/dL LDL:128 mg/dL
Resting BP: 132/90 Resting HR: 83 BMI: 30.2
Exercise BP; 152/ 88 Max HR on treadmill test: 192 bpm
Risk Factors
Identify Bob’s risk factors for cardiovascular disease and metabolic disease. This will bring you back to ACSM’s 8 risk factors and then also think of his metabolic syndrome risks.
Use ACSM Guidelines- Attention to Guidelines for Overweight/Obese clients as well as those who have potential Metabolic concerns.
Please address aerobic, muscular fitness and any other areas you feel are important plus Specific considerations for this client, given his issues addressed above.
FITT principle exercise prescription –
Frequency:
Intensity:
Time:
Type:
Can use this or whatever you feel is easiest to address his concerns.
Recommendations and Considerations:
Create a target heart rate range for Bob.
NOTE: you do not have a max test so use an age-predicted max to generate this range
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