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ACSM

010-111 · Question #213

You have a new male client who is 68" (1.73m) tall, 36 years old, weighs 194 lbs (88 kg) and is cleared by his physician to begin an exercise program of moderate intensity. Which constitutes a SMART…

The correct answer is B. Lose 1-2 lbs (0.45-0.9 kg) per week by walking 40 minutes, 5 times a week at 3.8 mph (6.1 km/hr). A SMART weight loss goal must be Specific, Measurable, Achievable, Realistic, and Time-bound, with 1-2 lbs per week being the clinically recommended safe and sustainable rate.

Exercise Program Development and Implementation

Question

You have a new male client who is 68" (1.73m) tall, 36 years old, weighs 194 lbs (88 kg) and is cleared by his physician to begin an exercise program of moderate intensity. Which constitutes a SMART weight loss goal for him?

Options

  • ALose 2 lbs (0.9 kg) per week by swimming 60-90 minutes, three times a week.
  • BLose 1-2 lbs (0.45-0.9 kg) per week by walking 40 minutes, 5 times a week at 3.8 mph (6.1 km/hr)
  • CLose 3-4 lbs (1.4-1.8 kg) per week by bicycling an hour daily around the neighborhood.
  • DLose 2 lbs (0.9 kg) per week by maintaining a 1200 calorie diet and doing aqua aerobics three

How the community answered

(39 responses)
  • A
    15% (6)
  • B
    74% (29)
  • C
    8% (3)
  • D
    3% (1)

Why each option

A SMART weight loss goal must be Specific, Measurable, Achievable, Realistic, and Time-bound, with 1-2 lbs per week being the clinically recommended safe and sustainable rate.

ALose 2 lbs (0.9 kg) per week by swimming 60-90 minutes, three times a week.

The wide time range of 60-90 minutes reduces specificity, and 2 lbs per week at the upper end combined with no dietary component makes this goal less realistic and measurable than option B.

BLose 1-2 lbs (0.45-0.9 kg) per week by walking 40 minutes, 5 times a week at 3.8 mph (6.1 km/hr)Correct

Losing 1-2 lbs (0.45-0.9 kg) per week is the evidence-based recommended rate for safe, sustainable weight loss according to ACSM guidelines. Walking 40 minutes at 3.8 mph five times per week is a specific, measurable, moderate-intensity activity appropriate for a physician-cleared client. This option satisfies all SMART criteria - defined activity, duration, frequency, speed, and a realistic target rate.

CLose 3-4 lbs (1.4-1.8 kg) per week by bicycling an hour daily around the neighborhood.

A target of 3-4 lbs (1.4-1.8 kg) per week far exceeds the recommended safe rate of 1-2 lbs per week, making this goal unrealistic and potentially unsafe for the client.

DLose 2 lbs (0.9 kg) per week by maintaining a 1200 calorie diet and doing aqua aerobics three

A 1200-calorie diet is nutritionally inadequate for an adult male, and the aqua aerobics prescription is incomplete - missing frequency and duration - so this goal is neither realistic nor fully specific.

Concept tested: SMART goal setting for safe weight loss

Source: https://www.acsm.org/education-resources/books/guidelines-exercise-testing-prescription

Topics

#SMART goals#weight loss#exercise prescription#moderate intensity

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