A sedentary applicant reports diabetes but no current symptoms. What should precede starting supervised exercise?
- ARun a submaximal exercise test first, then decide from the result whether clearance is needed
- BCount CVD risk factors and refer for clearance if two or more are present
- CObtain medical clearance before beginning an exercise program
- DBegin light activity now and seek clearance before adding vigorous training
Show answer and explanations
Answer
C
Under the 2015+ ACSM preparticipation algorithm, an inactive person with known metabolic disease (diabetes) is advised to obtain medical clearance before starting, even when asymptomatic. After clearance, light-to-moderate intensity is recommended with gradual progression.
A
The current algorithm does not use an exercise test to decide clearance; an inactive client with known metabolic disease is referred for clearance before testing or training.
B
Counting risk factors was the pre-2015 risk-stratification approach; the current algorithm is driven by activity status, known disease and symptoms.
D
Clearance before vigorous work applies to regularly active clients with known disease; an inactive client with diabetes needs clearance before starting.
C
Under the 2015+ ACSM preparticipation algorithm, an inactive person with known metabolic disease (diabetes) is advised to obtain medical clearance before starting, even when asymptomatic. After clearance, light-to-moderate intensity is recommended with gradual progression.