State if medical clearance is needed prior to prescribing exercise. State the intensity of exercise that the person is OK to perform based on the current ACSM preparticipation health screening procedure. Tally the coronary artery disease risk factors.
Male, age 54 yr, nonsmoker. Height = 72 in (182.9 cm), weight = 168 lb (76.4 kg), BMI = 22.8 kg/m2. RHR = 64 beats/min, resting BP = 114/78 mmHg. Total cholesterol = 187 mg/dL, LDL = 103 mg/dL, HDL = 52 mg/dL, fasting blood glucose = 88 mg/dL. Recreationally competitive runner, runs 4-7 d/wk, for 45 minutes or more at a vigorous intensity. He completes one to two marathons and numerous other road races every year. No medications other than over-the-counter ibuprofen as needed. Reports no symptoms. Father died at age 77 yr of a heart attack, mother died at age 81 yr of cancer.