KIN 346 Case Study 2 California State University, Northridge
Case StudyYou have beenassigned a new client, Bill (62 years old), by your health club manager. Billwould like to begin a guided exercise program focused on his goals of weightloss and becoming more active. During your initial appointment with Bill, youperform routine health assessment revealing the following information:Height6 ft 2 in
Weight255 lb
Body mass index (BMI)32.7 kg/m2
Resting blood pressure (BP)136/86 mm Hg
Resting heart rate (HRrest)82 bpm
LipidsHigh-density lipoprotein (HDL): 47; Low-densitylipoprotein(LDL): 128; triglycerides: 132 (all mg/dL)
Fasting blood glucose114 mg/dL
Family HistoryFather had acoronary revascularization procedure at the age of 58 yr; coronary arterybypass graft (CABG).Mother diedfrom cancer at 76 yr and younger brother had a myocardial infarction (heartattack) at age 56 yr.
Smoking statusNever smoked
CurrentmedicationsLipitor: a statin drug used to treat highcholesterolZestril: anangiotensin-converting enzyme (ACE) inhibitor used to treat high BP and heartfailurePrilosec: anantacid drug used to treat heartburn, stomach ulcers, and gastroesophagealreflux diseaseAdvil, anonsteroidal anti-inflammatory drug used to treat back and joint pain
Exercisehistory and/orsedentarylifestylePlayed golf, using a powered golf cart, 2x perweek until a backinjury 5 yr ago; played baseball and football inhigh school
SurgeriesGallbladder removed 2 yr ago. Endoscopicoutpatient procedure to treat stomach ulcer 1 yr ago. Reports no orthopedicsurgeries or active injuries other than occasional low back pain followingactivities likeyard work.
Bill isinterested in lower intensity exercise due to his concerns regarding joint painin his lower back and extremities. His stated goal is to lose a minimum of 30lb. At the conclusion of the initial appointment, you decide a combination ofresistance training using machines and body weight exercises and aerobicexercise on the treadmill and recumbent bicycle. He will also begin astretching program with a focus on the lower back and extremities. Use thisinformation to answer the questions on the next page. Highlight, bold,underline or etc. to signify your answer for the question. This study source wasdownloaded by 100000841655614 from CourseHero.com on 02-12-2022 18:03:00 GMT-06:00
1. Bill should be characterized as meeting all definingcriteria for American College ofSports Medicine (ACSM) risk factors for atherosclerotic cardiovascular disease,EXCEPT:a. Hypertensionb. Obesityc. Sedentary lifestyled. Family history 2. According to his history and goals, your nextsession would occur when?a. Immediately, including high-intensity exerciseb. Immediately, only for resistance trainingc. After meeting with the dieticiand. Aftermedical clearance has been obtained 3. Based on Bill’s fastingglucose level, he would be classified asa. Normalb. Prediabeticc. Hypoglycemicd. Diabetic 4. What would be Bill’sestimated maximum HR (using the formula 220 – age)?a. 145 bpm b. 158 bpmc. 186 bpmd. Cannot be determined 5. Based on Bill’s lipidprofile, he would be classified as a. Normalb. Hyperlipidemicc. Dyslipidemicd. Hypolipidemic Mark Y or Nto indicate the presence of a risk. What is the total count for known riskfactors?
Risk FactorsY/NRisk FactorsY/NNegative Risk FactorsY/N
AgeYObesityYHigh HDLN
Family historyYHypertensionYTotal RiskFactors
Cigarette smokingNDyslipidemiaNPositive risks5
SedentarylifestyleNPrediabetesYNegative risk3
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