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 have a few more questions for you before I would make a decision on medical clearance. She has not worked out on a regular basis and I would want additional readings on the blood pressure. Chances are, she could most likely begin a program without medical clearance, but some additional questions would be the following:
–Did you take her blood pressure or are they numbers from her last doctor’s appointment? If you did it, perhaps take it again.
–Did you take her resting heartrate?
–Is she on any medication?
–Did you have her complete at least a PAR-Q?
That is what I would go by to start…