INDIANA UNIVERSITY
DEPARTMENT OF KINESIOLOGY
CLINICAL EXERCISE PHYSIOLOGY
K562
EXERCISE PRESCRIPTION/PROGRAMMING CASE STUDIES:
HYPERTENSION
(64 Points)
Show all your mathematical work for evaluating METs, target heart rates, and target body weights.
CASE STUDY HTN #1
A 47 yo entered the health club to lower his blood pressure. This was his lifestyle approach before
having to take medications. He has been sedentary for the past two decades.
Resting Heart Rate
Resting Blood Pressure
Total Cholesterol
HDL Cholesterol
Triglycerides
Glucose
98/min
154/114-110 mm Hg
143 mg/dl
38 mg/dl
95 mg/dl
85 mg/dl
Weight
Height
% Fat
203.2 lbs
68.2 in
33%
He was given a submax treadmill test in the health club. His ending values were:
Heart Rate
Blood Pressure
RPE
Workrate
156
190/100-90 mm Hg
13
2.8 mph at 12.5%
24.4 ml/min kg
6.97 METs
In recovery, his values ended up to be
Heart rate
Blood Pressure
80
128/94-90 mm Hg
1. Risk factors contributing to this risk are (circle; 5 points)
a. Family History
b. Smoking
c. Blood Pressure
d. Cholesterol/LDL
e. Glucose
f.
Obesity
g. Sedentary Lifestyle
h. HDL Cholesterol
2. He is ___________________ risk. (5 points)
3. His Exercise Prescription should be. Explain. (12 points)
a. Mode:
b. Frequency:
c. Duration:
d. Intensity:
e. Precautions:
f.
Recommendation(s):
CASE STUDY HTN #2
A 66 yo woman entered the corporate fitness program to lose weight and prevent heart disease. Her
mother had a stroke at age 62 yo; one of her brothers had an MI at age 50 yo and died at 67 yo; her
other brother had an MI at 50 yo and died at 61 yo. Another brother had diabetes at age 64 yo. Her
mother and two brothers had hypertension. She has had Rheumatic Fever along with the normal
childhood diseases. She was currently in slimnastics 30 min, 2 days a week at a moderate intensity and
walking 20 min, 3 days a week at a moderate intensity. She experiences some discomfort in her hip due
to arthritis while walking. She is currently taking lopressor, 50 mg daily and diazide, 25 mg daily.
Resting Heart Rate
Resting Blood Pressure
Total Cholesterol
HDL Cholesterol
Triglycerides
Glucose
60/min
146/84-74 mm Hg
216 mg/dl
29 mg/dl
350 mg/dl
120 mg/dl
Weight 179 lbs
Height
62.9 in
% Fat
42%
She also had a treadmill test to see how her blood pressure responds to exercise. End points of the
test were:
Heart Rate
Blood Pressure
RPE
Workrate
105
158/52-52 mm Hg
17
2.2 mph at 8%
14.4 ml/min kg
4.1 METs
Recovery at 1.4 mph 0% ended at:
Heart Rate
Blood Pressure
73
118/78-68 mm Hg
4. Risk factors contributing to this risk are (circle; 5 points)
a. Family History
b. Smoking
c. Blood Pressure
d. Cholesterol/LDL
e. Glucose
f.
Obesity
g. Sedentary Lifestyle
h. HDL Cholesterol
5. She is ___________________ risk. (5 points)
6. Her Exercise Prescription should be. Explain. (12 points)
a. Mode:
b. Frequency:
c. Duration:
d. Intensity:
e. Precautions:
f.
Recommendation(s):
CASE STUDY HTN #3
A 61 yo joined the YMCA fitness class because he is at the age his father was when he had his
stroke. He is currently walking the dog every day for 30 min and swimming 10-15 min, three
times a week on an intermittent basis. He needs more structure in his exercise habits. His
father had a stroke at age 61 and died at 66 years old. His uncle had a heart attack; he cannot
remember how old his uncle was, but he died at age 72 years old. He had a renal bypass seven
years ago. He also had hepatitis at age 32 years old. He currently smokes four cigars per week.
He drinks occasionally. He exhibits gout and has a stiff neck. His medications include:
Hygrotin
Zyloprim
Klopress
Valium
Inderol
Catapress
Bufferin
Alka butazolidine
50 mg daily
300 mg
1 tablet
5 mg
220 mg
20 mg daily
200 ug TID
1 tablet
Resting Heart Rate
Resting Blood Pressure
Total Cholesterol
HDL Cholesterol
Triglycerides
Glucose
daily
BID
daily
daily
TID
72/min
185/110-105 mm Hg
229 mg/dl
66 mg/dL
77 mg/dl
111 mg/dl
Weight
Height
% Fat
He was given a cycle ergometer test where the end points were:
Heart rate
Blood Pressure
RPE
Workrate
114
186/94-90 mm Hg
15
588 kpm/min
100 Watts
21.2 ml/kg min
6.1 METs
Freewheeling recovery ended:
Heart rate
Blood Pressure
80
184/92-92 mm Hg
167.8 lbs
68.8 in
33%
7. Risk factors contributing to this risk are (circle; 5 points)
a. Family History
b. Smoking
c. Blood Pressure
d. Cholesterol/LDL
e. Glucose
f.
Obesity
g. Sedentary Lifestyle
h. HDL Cholesterol
8. He is ___________________ risk. (5 points)
9. His Exercise Prescription should be. Explain. (12 points)
a. Mode:
b. Frequency:
c. Duration:
d. Intensity (show calculations):
e. Precautions:
f.
Recommendation(s) (show calculations):
The subject participated in the fitness program for two weeks. The exercise blood pressures were
measured each workout session. Blood pressures remained high. There was also no change in blood
pressure (resting to exercise) each session.
10. Is there any follow-up suggested? If so, what and why? (10 points)