The she becomes more comfortable with exercising she

The client’s BMI is 31.25 kg/m^2, which puts her in the obese I category. Because the client is sedentary and is not increasing her energy expenditure through physical activity, she may be at risk for conditions such as diabetes and heart disease due to her current lifestyle and eating habits. In addition, she also is a smoker. This increases her risk of lung cancer along with conditions such as coronary artery disease (Williams, Branch, & Rawson, 2017, p. 2-513). With the client’s current lifestyle habits, she may be at risk for progressing into obesity II and obesity III, which may result in increased visceral fat accumulation. This will further increase her risk for getting chronic diseases such as cardiovascular disease (Williams, Branch, & Rawson, 2017, p. 431-432).The client should begin exercising at low or moderate intensities because of the fact that she is not used to exercising. As she becomes more comfortable with exercising she may gradually increase exercise intensity (Williams, Branch, & Rawson, 2017, p.510). Although the client does not have any significant family history such as cardiovascular disease, it is still necessary that the client be screened for potential health risks that she may face as a result of starting an exercise program. These include monitoring of overall health and musculoskeletal pain. Once these assessments have been made, the next step would be to determine the intensity of exercise which is suitable for her current condition (ideafit). Along with the fact that she is a smoker, living a sedentary lifestyle, and is currently obese, medical examination is necessary prior to engaging in vigorous exercise (collins, 2017). In order for the client to lose 30 lb, the client will have to lose 2.5 lb per week, which is slightly above the recommended limit of weight loss no greater than 2 pounds per week. Thus, her current goal may need to be modified (acsm).The best type of exercise that will help this client to meet this goal is by engaging in aerobic exercise for 3-4 times a day. However, increasing the frequency to 6-7 times a day will help to increase energy expenditure and to reach weight loss goals in less time (Williams, Branch, & Rawson, 2017, p. 509-512). A heart rate range 115-139 bpm of  would be considered exercising at moderate intensity for this client. At this rate she would be exercising at 40-59% of her maximal heart rate. The formula used to get this heart rate is as follows: 220 – 19(years of age)= 201 bpm(HRMax). 201 – 78(RHR)= 123 x 0.40 + 66= 115 bpm 220 – 19(years of age) = 201 bpm (HRMax).201- 78(RHR)= 123 x 0.59 + 66= 139 bpm (Collins, 2017).     8. In order to achieve a weight loss of 2 lb per week, she will have to decrease her caloric intake by 7000 calories per week. In addition, it is necessary that she consumes  adequate amount of calories from each macronutrient, which is 45-65% from carbohydrates, 20-35% from fat, and 10-35% from protein (Williams, Branch, & Rawson, 2017, p.488-491).       9. A more suitable goal for this client is to aim for a weight loss of 2 lbs per week compared to 2.5 lb per day. This means that he will have to continue his exercise and diet regimen for 4 months (acefitness).    10. Resistance training can be an effective means for weight control. However, aerobic exercise is a more effective method for facilitating weight loss. The  client should begin exercising at low or moderate intensities and slowly progress to vigorous. If resistance training is included, it would be appropriate if the client participates in circuit weight training or circuit aerobics, in which the client combines resistance training (with a focus on enhancing aerobic conditioning) along with aerobics in the workout (Williams, Branch, & Rawson, p.509-559).     

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