Age is 42, non-smoker, blood pressure is 139/92, glucose level is 93, and her total cholesterol is 200. She has not exercised consistently for 2 years and would like to lose 20lbs. She is not a fan of running, but can do it, and she has never done resistance training besides in a group exercise class. She would like to run a 5k in the next year with friends. She does not know her current body fat, but had it checked a year ago when she wanted to start a plan and it was 26% (she didn’t follow through with plan). She does not have any known cardiovascular diseases or family history of them. Should a fitness trainer require physician clearance, before starting an exercise program?
I would not require a physician’s approval but I would take her blood pressure repeatedly and ask her to do the same at different times of day. There is a good change that her blood pressure will get lower when she starts exercising. I assume that you were the one who took her blood pressure. I often find that people are nervous during the screening and follow up.
However, if this continues with the diastolic BP number being above 90, I would urge her to discuss this with her doctor.