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You are an exercise physiologist at a hospital-based wellness facility. Mr. Martinez recently joins your facility. Mr. Martinez is 50-yr-old male. He does not
You are an exercise physiologist at a hospital-based wellness facility. Mr. Martinez recently joins your facility. Mr. Martinez is 50-yr-old male. He does not participate in any exercise programs because he never liked sweating. He is taking his dogs for a walk for about 15-20 min a day. He reports that his father previously was diagnosed with diabetes in his 40s and died of a heart attack at the age of 54 yr. He believes that he is healthy, but now that he is approaching the age when his dad died, he wants to take a step to improve his health and lose weight. Mr. Martinez is interested in an aerobic training program that he has heard about from one of his friends. He states that he would like to start that program but wants to make sure he is fit enough to begin the high-intensity program. At his most recent doctor visit, his fasting blood measures were shown below. On his health status questionnaire, he states that he was diagnosed with several health problems and Mr. Martinez is currently on several medications including amlodipine, spironolactone, metformin. He is a nonsmoker, and he describes himself as a recreational drinker who drinks two-three alcoholic beverages a day. Physical Characteristics Height Weight Resting HR Resting BP 70 inches 275 pounds 78 beats/min 138/92 mm Hg Blood Chemistry: His exercise evaluation data revealed the following: Glucose Total Chol HDL LDL Triglycerides Stage 1 2 3 Waist Circumference: Relative 1RM Bench Press: YMCA Bench Press: Relative IRM Leg Press: # of Push-Ups: # of Curl-Ups: Sit-and-Reach Results: Mode/Protocol: Treadmill/Bruce protocol End Point: Stage 3. Duration (min) 3 3 2 min 30 s 137 mg/dl 232 mg/dl 115 cm 1 kg kg! 20 reps 1.5 kg kg- 13 20 15 cm. 51 mg/dl 157 mg/dl 119 mg/dl HR (bpm) 114 138 156 BP (mm Hg) 146/92 180/91 230/98 RPE 12 16 18 - Calculate METS for that specific intensity (4 pt) - Calculate HR (based on HRR) (4 pt) - Calculate net kcal/min (4 pt) - Calculate weekly net expenditure (4 pt)
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