WHAT IS THE WEEKLY EXPENDITURE??? (CALCULATE)

Client Scenario

You are a health fitness specialist at a local YMCA branch serving a large metropolitan area. B.R. is a 68-year-old woman who is contemplating joining the gym due to its proximity to her home (walkable distance). B.R. admits she does not have the best diet and states that she has begun to feel her age, as if her energy is draining. While she has been tested for cognitive impairment there has been no conclusive findings. She admittedly can have trouble with short term memory activities, but can function independently most of the time. In her younger years B.R. was an active swimmer and played pickleball until the age of 50. After your discussion and a tour of the facilities, B.R. is still unsure how she wants to proceed.

Pre-exercise Evaluation

Age (y)	68
Height (m)	1.68
Weight (kg)	73
Waist circumference (cm)	78
Body fat (%)	25
Blood pressure (mmHg)	136/84
TC (mg/dL)	187
HDL cholesterol (mg/dL)	39
LDL cholesterol (mg/dL)	133
Triglycerides (mg/dL)	169
Blood glucose 9mg/dL)	88
HbA1C (%)	5.8

Lifestyle Hx

• No regular physical activity
• Retired (human resources employee 35 years)
• Average 7 hours of sleep at night
• Quit smoking 1 year ago, smoker for 5 years
• Average 2 drinks per week
• Both her parents are deceased: mother and father were obese and on lipid-lowering and BP medications but did not have symptoms of cardiovascular disease.

Medication Use

• Acetaminophen for knee pains and cardiovascular disease prevention

Fitness Testing Information

Maximal cycle graded exercise test

• Resting HR (bpm): 70
• Predicted maximal HR (bpm): 150
• Predicted maximal oxygen uptake (mL/kg/min): 16.8

Grip Strength (kg): 20

Arm Curl (repetitions): 12

Bench Press 1RM (lbs): 64

Chair Stands (repetitions): 15

Leg Press 1RM (lbs): 175

Back Scratch Test (in): -2.0

calculate approximate weekly expenditure?