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Case Study Scenario: Subject is 55-year-old sedentary black male, an executive a
Case Study Scenario: Subject is 55-year-old sedentary black male, an executive at a nearby computer corporation. His job requires him to be out of town two to three days per week, and he generally feels an inability to get everything done. He smokes 1½ packs of cigarettes a day. His mother died of a stroke at the age of 68, and his father died of a heart attack at the age of 70. Physical characteristics: Height = 70 inches, weight = 237 lbs., and body fat = 33%. His resting blood pressure is 130/85, and his resting pulse rate is 78. Blood chemistry values were: total cholesterol = 300 mg/dl; HDL cholesterol = 35 mg/dl; glucose = 100 mg/dl; triglycerides = 190 mg/dl. The results of a graded exercise test follow: Speed Grade Mets Heart Rate Blood Pressure RPE Comments 3 mph 2.5% 4.3 110 105/84 9 EKG-ok 3 mph 5.0% 5.4 124 160/84 11 EKG-ok 3 mph 7.5% 6.4 138 175/86 13 EKG-ok 3 mph 10% 7.4 156 190/84 15 EKG-ok 3 mph 12.5% 8.5 180 200/86 18 Fatigue Part A: Create a Client Profile Analysis 1. List and EXPLAIN the modifiable and non-modifiable risk factors for heart disease. 2. Explain the benefits of regular exercise to this person (from a researched perspective). Make it relevant to their current health status. 3. Calculate a THR range at the beginner, intermediate and advanced level for this person (show and label each step) 4. As a Health and Exercise specialist develop a goal profile based on improvements needed for this client. Areas of focus should be based on a. Body Composition and Weight b. Blood Pressure c. Cholesterol levels d. Nutrition intake e. Cardiovascular Endurance Part B: Client Workout Program Utilizing content and concepts learned this semester recommend and develop 1 traditional strength training and one circuit based exercise program for this person. Program must adhere to all of ACSM’s training protocol regarding frequency, intensity and time. Please be sure to identify the specific goal of each training program ( upper body, split body, full body, etc). All specific muscles must be identified as they pertain to each exercise and the repetition and sets must accommodate the overall goal of the client goals. The client will utilize these training programs for a 6 week duration so be sure to incorporate a well rounded program that addresses cardiovascular conditioning, strength training and flexibility. Summarization of Training Protocols: After completing the workout program provide an explanation of the goals of this program and how he is to incorporate the program into his weekly schedule. Explain the purpose of the rep and set scheme regarding the accomplishment of meeting his goals.

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