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Case Study You 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: | Height | | | | | | Resting blood pressure (BP) | | Resting heart rate (HRrest) | | | High-density lipoprotein (HDL): 47; Low-density lipoprotein (LDL): 128; triglycerides: 132 (all mg/dL) | | | | Father had a coronary revascularization procedure at the age of 58 yr; coronary artery bypass graft (CABG). Mother died from cancer at 76 yr and younger brother had a myocardial infarction (heart attack) at age 56 yr. | | | | Lipitor: a statin drug used to treat high cholesterol Zestril: an angiotensin-converting enzyme (ACE) inhibitor used to treat high BP and heart failure Prilosec: an antacid drug used to treat heartburn, stomach ulcers, and gastroesophageal reflux disease Advil, a nonsteroidal anti-inflammatory drug used to treat back and joint pain | Exercise history and/or sedentary lifestyle | Played golf, using a powered golf cart, 2x per week until a back injury 5 yr ago; played baseball and football in high school | | Gallbladder removed 2 yr ago. Endoscopic outpatient procedure to treat stomach ulcer 1 yr ago. Reports no orthopedic surgeries or active injuries other than occasional low back pain following activities like yard 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. Hypertension b. Obesity c. Sedentary lifestyle d. Family history 2. According to his history and goals, your nextsession would occur when? a. Immediately, including high-intensity exercise b. Immediately, only for resistance training c. After meeting with the dietician d. Aftermedical clearance has been obtained 3. Based on Bill’s fastingglucose level, he would be classified as a. Normal b. Prediabetic c. Hypoglycemic d. Diabetic 4. What would be Bill’sestimated maximum HR (using the formula 220 – age)? a. 145 bpm b. 158 bpm c. 186 bpm d. Cannot be determined 5. Based on Bill’s lipidprofile, he would be classified as a. Normal b. Hyperlipidemic c. Dyslipidemic d. Hypolipidemic Mark Y or Nto indicate the presence of a risk. What is the total count for known riskfactors?
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