010-111 · Question #219
According to ACSM guidelines, a _____ client who is beginning a/n _____ is recommended to obtain a medical examination and graded exercise test.
The correct answer is D. 46 year old female, newly diagnosed with type 2 diabetes; cycling class. ACSM guidelines require a medical examination and graded exercise test for individuals classified as high risk due to known metabolic disease, such as type 2 diabetes, before beginning any exercise program.
Question
According to ACSM guidelines, a _____ client who is beginning a/n _____ is recommended to obtain a medical examination and graded exercise test.
Options
- A24 year old, sedentary male; moderate-intensity walking program
- B62 year old, sedentary and overweight male; moderate-intensity biking program
- C20 year old female who smokes one pack of cigarettes per day; eight week resistance training
- D46 year old female, newly diagnosed with type 2 diabetes; cycling class
How the community answered
(15 responses)- A13% (2)
- B7% (1)
- D80% (12)
Why each option
ACSM guidelines require a medical examination and graded exercise test for individuals classified as high risk due to known metabolic disease, such as type 2 diabetes, before beginning any exercise program.
A 24-year-old sedentary male beginning a moderate-intensity walking program is classified as low risk and does not meet the ACSM threshold requiring a medical examination or graded exercise test.
A 62-year-old sedentary overweight male is moderate risk, and ACSM guidelines do not mandate a medical exam before moderate-intensity exercise for moderate-risk individuals under older classification frameworks.
A 20-year-old female smoker beginning a resistance training program has a risk factor but remains low-to-moderate risk at her age, which does not meet the ACSM threshold for mandatory medical examination before moderate-intensity exercise.
Under ACSM risk stratification, type 2 diabetes classifies an individual as high risk due to known metabolic disease, which mandates a medical examination and graded exercise test before initiating any exercise program regardless of intensity, including moderate-intensity activities like a cycling class.
Concept tested: ACSM pre-exercise medical clearance criteria by risk stratification
Source: https://www.acsm.org/education-resources/books/guidelines-exercise-testing-prescription
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