Question 1
AdvancedInitial Client Consultation and Assessment · Preparticipation screening and medical clearance
A 55-year-old male client approaches you to design a marathon training program. During the preparticipation screening, he reveals he has Type 2 Diabetes but is currently asymptomatic. He has been jogging 3 days per week for 30 minutes at a moderate intensity for the past year. Based on the ACSM preparticipation screening algorithm, which of the following is the MOST appropriate next step?
Answer and explanation
Correct answer: C
According to the ACSM preparticipation screening algorithm, if a client is a regular exerciser who has a known metabolic disease (Type 2 Diabetes) but is asymptomatic, medical clearance is NOT necessary for continuing moderate-intensity exercise. However, medical clearance IS recommended before progressing to vigorous-intensity exercise (which is required for marathon training). Therefore, he must get clearance before ramping up his training intensity.
