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.
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)- A15% (6)
- B74% (29)
- C8% (3)
- D3% (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.
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.
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.
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.
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
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