Mrs. J is a sedentary 48 year old (62 in, 165lb) administrative secretary and ma
ID: 3510788 • Letter: M
Question
Mrs. J is a sedentary 48 year old (62 in, 165lb) administrative secretary and married mother of two college age boys. Her physician has cleared her to work with you to develop a comprehensive exercise program. She was diagnosed 2 years ago with hypertension and has dyslipidemia and impaired fasting glucose (MetS). She states wanting to take her 6 month old Labrador retriever puppy Bailey on long walks at her beach but, "I cannot last for more than 10 minutes without stopping because I get so tired and my muscles feel weak." During her fitness test, she achieved eight metabolic equivalents (8 METS) during a maximal treadmill stress test (Bruce protocol), a maximal heart rate of 155 beats/minute (90% of age-predicted max HR) and a rating of perceived exertion (RPE) of 18 out of 20 on the Borg scale. Her peak blood pressure was 180/80 and the treadmill stress test was stopped because of general fatigue. She reported no signs or symptoms of exercise intolerance or physical discomfort and displayed no electrocardiographic abnormalities. Her physician considered her test to be "normal" and "unremarkable".
Medications: Atenolol, Lisinopril, Metformin, and Atorvastatin, Fosamax
Waist Circumference: 36 in
Total cholesterol: 260 mg/dL, HDL-C: 45 mg/dL, LDL-C: 181 mg/dL, Triglycerides: 170 mg/dL
Fasting Blood Glucose: 96 mg/dL
Resting Blood pressure: 118/70 mmHg
One Repetition Max (1-RM) Bench Press, calculated from 10-RM: 90 lbs (40th percentile)
One Repetition Max (1-RM) Leg press, calculated from 10-RM: 180 lbs ( 30th percentile)
Her latest DEXA scan indicated she is < 2.2 Standard deviations below the mean for normal young women
1.How would you interpret her musculoskeletal fitness assessment results? Please write as if you are talking
directly to her. (Mrs. J’s your bench and leg press results indicate
2. Does she need to be referred to a specialist
Explanation / Answer
1. Musculoskeletal finess is a part of everyday life .It includes daily tasks without any fatigue . Grip strenght, push up and partial curl up tests are done to measure the fitness .According to the tests done, including movement control impairment test (MCI), long time reliability of motor abilities, flexibility and muscular strength were studied and results were interpreted.Later potential modifiers will be examined between health and fitness.
According to METS, HR and RPE tests, the results obtained are normal and you can lead a normal life, where you have to take some prescribed medications in order to overcome the muscular weakness and little fatigue .
2. As there are no negative results, she doesn't need to consult a specialist.
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