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Harold Washington College Risk Factors and Exercise in Body Questions

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Complete the following case study.

Subject is 55-year-old sedentary black male, an executive at a nearby computer corporation. His job requires him to be out of town two to three days per week, and he generally feels an inability to get everything done. He smokes 1½ packs of cigarettes a day. His mother died of a stroke at the age of 68, and his father died of a heart attack at the age of 70. Physical characteristics: Height = 70 inches, weight = 199 lbs., and body fat = 23%. His resting blood pressure is 130/85, and his resting pulse rate is 76. Blood chemistry values were: total cholesterol = 300 mg/dl; HDL cholesterol = 35 mg/dl; glucose = 100 mg/dl; triglycerides = 190 mg/dl. The results of a graded exercise test follow:

Speed

Grade

Mets

Heart Rate

Blood Pressure

RPE

Comments

3 mph

2.5%

4.3

110

105/84

9

EKG-ok

3 mph

5.0%

5.4

124

160/84

11

EKG-ok

3 mph

7.5%

6.4

138

175/86

13

EKG-ok

3 mph

10%

7.4

156

190/84

15

EKG-ok

3 mph

12.5%

8.5

180

200/86

18

Fatigue

1. List the modifiable and nonmodifiable risk factors for heart disease.

2. Explain the benefits of regular exercise to this person. Make it relevant to their current health status.

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