Question

Your client, Jason is a 52 yr. old man he has been gradually gaining weight over the last 10 yrs. His current weight is 120.0 kg and his height 180.0 cm. He recently saw his physician for a physical and it was suggested that he begin exercising and to lose weight. He has been cleared by his MD to start an exercise program. His BP is 148/74 and 152/76 on two occasions. His resting HR is 84 and fasting glucose level is 103. From your history you obtain the following information: nonsmoker, no regular exercise but likes to read. He is the father of 2 grown children. He is an accountant. His father has type II diabetes, his mother has cancer and his brother had a heart attack at age 48.

Results of fitness tests:

Waist to Hip Ratio: .95

Rockport 1 mile Test: 18.98 (already converted to decimal) HEART RATE is 154

What is his VO 2 Max?

Hand grip

Trial 1: R 60. L 43

Trial 2: R 60. L 45

Trial 3: R 58 L 45

Muscle Endurance:

Push up test: 8

Sit up/Curl up in 1 minute: 13

Squat Test: 14

Sit/reach:

Trial 1: 34.5cm.

Trial 2: 35.0 cm.

Trial 3: 36.5 cm

Using information regarding fitness prescription and testing from both lecture and lab, design an exercise program for Jason incorporating aspects of physical fitness (flexibility, aerobic conditioning, muscle strength and muscle endurance).

Make sure to include the following information:

1) What are his current strengths, weaknesses?

2) What do you think are appropriate fitness goals?

3) Current fitness level and possible medical precautions.

4) Design a detailed exercise program indicating mode of exercise, intensity, frequency and duration based on not only his goals but also his lifestyle. (You may be creative)

Answer 1

Vo2 calculation

HRmax = 220- age

= 220 - 52

HRmax = 168 beats per minute (Bpm)

Vo2max= 15 X (HRmax / HR rest)

15 X (168/84)

15 X 2

Vo2max = 30ml/kg/min

Strength

He is non smoker

Weakness:

Family history of type II diabetes,mother has cancer, brothers had heartattack, and he is not on regular exercise

Appropriate fitness goals:

- vo2max normal range should be >45 for his age..he is having average for his age 30

- normal hand grip for 52yrs men should be 33-51..he is having normal hand grip

- 200pushups possible in regular schedule workout of cardio exercise..he is having poor pushup 8

- normal sit-up/curl up in 1minute for his age = >35 ..but he is having poor situp 13

- normal squat test for his age >35..he is having poor squat 14

- sit/reach test normal for his age >14 he is having excellent sit/reach performance

- he is obese having more hip ratio 95