HHP 535: Exercise Testing and Prescription Exercise Prescription Assignment Demographic Data Client: 35-year-old female Resting BP: 132/84 mmHg Resting HR: 83 bpm Total cholesterol: 203 mg/dl Max HR:...

This is a case study that I had another site commissioned to do and they waited till today to tell me that it was out of their knowledge. Its advanced fitness assessment and exercise prescription


HHP 535: Exercise Testing and Prescription Exercise Prescription Assignment Demographic Data Client: 35-year-old femaleResting BP: 132/84 mmHg Resting HR: 83 bpmTotal cholesterol: 203 mg/dl Max HR: 185 bpmHDL-cholesterol: 62 mg/dl Height: 67 in. (170.8 cm)LDL-cholesterol: 110 mg/dl Body Weight: 143 lbs (65 kg)Daily Caloric Intake: 2000 kcals Body Fat: 23%Activity Level: moderate Desired Body Fat: 20%Job: office work (sitting, standing) Quit smoking two weeks ago Muscular Fitness Data (1 RM’s) Bench Press: 90 lbsArm Curl: 45 lbsLat Pull-down: 85 lbs Leg Press: 230 lbsLeg Extension: 80 lbsLeg Curl: 40 lbs Cardiorespiratory Fitness Data (Treadmill Test) Stage Speed (mph) % Grade METs Time (min) HR (bpm) BP RPE 1 3 0 % :45 90 6 1:45 92 140/84 8 2 6.0 2.5 % 2:45 105 9 3:45 107 146/82 9 3 6.0 5.0 % 4:45 128 13 5:45 132 154/80 13 4 6.0 7.5 % 6:45 145 15 7:45 146 170/78 15 5 6.0 10 % 8:45 160 16 9:45 168 186/80 20 Data Analysis 1. Based on the demographic data provided, what are the client’s risk factors? 2. Determine the client's VO2max (in METs and ml/kg/min) using the ACSM running formula (Table 4.3, pg 88). 3. Based on the CR fitness classification (Table 4.1, pg 81), determine the exercise intensity range for % HRR for the client (Table 5.1, pg 133). 4. Use the VO2R and %HRR methods to identify the target MET and target HR zones (pg 131, 133). 5. Estimate the net kcal/min based on the exercise intensity you calculated above (pg 137) and determine how many calories the client will expend for a 30 minute workout. 6. Use the body composition technique (pg 290) to calculate the client's target healthy body weight. 7. Use the Harris-Benedict equation (pg 291) to calculate the client's RMR. 8. Use Table 9.3 (pg 293) to adjust daily energy expenditure (RMR) for activity level and determine their total daily energy expenditure. 9. Calculate and evaluate the client’s quadriceps-to-hamstring ratio (Table 6.14, pg 180). 10. Evaluate the client’s strength for each test item by using strength-to-body mass ratios. (Table 6.6, pg 170). For this, if they didn’t achieve a specific point range use the lower point amount. There can be zeros. 11. Classify the client’s overall strength using the point system (Table 6.6, pg 170) Exercise Prescription 12. Develop an initial aerobic exercise prescription (FITT) with anticipated progression based on the information and results from above. Your initial ExRx should be to help the client achieve the healthy body weight and body composition goals (see examples on pg 152-155). 13. Develop an initial resistance exercise prescription (FITT) with anticipated progression for the client to help them increase strength and improve lean body mass (see examples on pg 204-208). 14. Also, be sure to include recommendations for flexibility and balance. Electrode Placement for Chest Leads, V1 to V6 Chapter ?? Exercise Prescription Assignment Tables, Charts, and Formulas Table 4.3 Table 4.1 Table 5.1 VO2R (MET) Method Measure VO2max Convert to METs Determine VO2R (max − rest) %intensity depends on CR fitness level Calculate target exercise intensity TargetVO2 = [%intensity x VO2R] + VO2rest Example MET Method Client’s VO2max = 10 METs. Intensity level is 60%. Target VO2 = [0.60 x (10 − 1 MET)] + 1 MET. Target VO2 = 6.4 METs. Use ACSM equations or MET charts to determine speed (e.g., jogging, cycling). HRR Method Determine maximal and resting HRs. Decide on exercise intensity. Calculate target %HRR: HRR = HRmax − HRrest % intensity x HRR Add HRrest Example HRR Method Client’s data HRmax = 188 bpm HRrest = 66 bpm Training intensity goal = 65% Target %HRR calculation Target HR = 0.65(188 − 66) + 66 Target HR = 145 bpm Net Caloric Cost of Exercise (VO2 in METs – resting VO2) x 3.5 x body mass in kg/200 = _____ kcal/min Target Weight Determine present %BF Calculate present FFM Set body composition goal Divide present FFM by %FFM goal Answer is target weight (*assumes no change in FFM) Calculate RMR Harris-Benedict Formula Men: 66.473 + 13.751(BM) + 5.003(ht) – 6.755(age) Women: 655.0955 + 9.463(BM) + 1.8496(ht) – 4.6756(age) BM = body mass in kg Ht = height in cm Table 9.7 (9.3 in 8th ed. text) Table 6.7 (6.6 in 8th ed. text)