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Case Study 2 Calculations: Calculate the client's target heart rate using the Karvonen formula. Training Program:...

Question

Case Study 2 Calculations: Calculate the client's target heart rate using the Karvonen formula. Training Program:...

Case Study 2 Calculations: Calculate the client's target heart rate using the Karvonen formula. Training Program: Design a full 12-week periodized training program for the client described in the Client Profile. Be very specific as you design the training program. This is an opportunity for you to demonstrate your full comprehension of the information and concepts discussed throughout the course. List the types of exercise, duration, sets, reps, rest intervals, and so on. Include the following in your case study submission: A description of your professional responsibilities as discussed in the stages of the drawing-in process (Unit 12) Discussion of any fitness tests, methods of evaluation, and data collection used to assess and evaluate the client's needs Specific conditions that you have identified in the client profile A fully detailed 12-week comprehensive and periodized training program including specific exercises, sets, repetitions, suggested rest times, etc. Use an integrated approach in your program recommendations. Specific and detailed nutritional strategies and an explanation as to how the strategies will assist the client in meeting energy needs Explanation for your chosen assessment, programming, and nutritional recommendations. (Be sure to reference course concepts when discussing rationale for your recommendations. Keep in mind that a client should be able to take your program and put it into practice without having to contact you to clarify what you intended by your recommendations or to explain parts of your program. Don't forget your explanation for WHY you listed and recommended what you did. Reference the concepts and theories covered in the course. Be sure to address why the program and exercises recommended are appropriate for the specific client given the client's history, current abilities, and intended goal(s). For example: if you are developing a program for a beginner client without any resistance training experience, explain how your program addresses the lack of experience, initial need for foundational development, process by which you would safely progress the client, etc. Tying your program to course concepts is a critical component of your case study.

Review the Client Profile below. Client Profile: Peter Parker

Age: 28

Gender: Male Resting Heart Rate: 80 bpm

Height: 6'4"

Weight: 252 lb

Body Fat Percentage: 29%

Background and Goals: Peter is a 28-year-old civil servant with a 9-to-5 desk job. He is 6'4" tall and weighs 252 lb. He played football and basketball in high school and some intramural sports in college, but has not worked out or been very active since. His diet is sporadic and consists of mostly processed and prepackaged foods that are quick and easy to prepare. Peter's goals are to lose weight, tone his body, and lead a healthier lifestyle. Based on Peter's current lifestyle and existing exercise and nutrition habits, design a 12-week progressive training program to help him best achieve his goals.

Answers

The client is a large male with significant experience with team sports in the past, but who has spent the past seven or eight years mostly sedentary with a poor diet. One of the most important aspects of beginning with a new client is to establish a positive relationship. This is done through personal interaction, good communication skills, and a genuine concern for the client’s success and well-being. It is crucial to gain a solid understanding their health history, current health and fitness level, and their goals for the future. Personal fitness trainers are professionals and therefore have several responsibilities to clients that must be taken seriously. The trainer’s objective should be to help the client successfully achieve their personal goals leading to a healthy, integrated fitness lifestyle.

The client is 28 years old, with a resting heart rate of 80 beats per minute. Using the Karvonen formula, the target heart rate for the client is 192. The Karvonen technique of calculate the heart rate is rated as gold standard and is suitable for sports persons who seek fitness improvement or weight loss.

During this initial meeting, the client reads and signs the Informed Consent Form and we review his Client Health History Questionnaire. We also review his health history, talk about any concerns, and decide if any further medical screening or evaluation is necessary. Additionally, I collect initial basic data such as height, weight, resting heart rate, and body fat percentage. We discuss his goals, the basic assessment and evaluation methods to expect, my personal training philosophy, and the key underlying (ISSA) training principles. We also explore his current dietary habits and decide how much adjustment is needed to his eating habits. I also request that he keep a three day dietary record for further nutritional evaluation. Finally, we discuss the importance of effective two-way communication, intensity (HR vs RPE scale), and safety while exercising. This is also a good opportunity to show Peter around the gym facility and talk about some of the equipment and spaces. During this tour, and throughout the conduct of the interview, I would strive to get a more accurate idea of his familiarity with the gym and his particular areas of interest.

Peter is largely sedentary, he currently works a 9-to-5 desk job, does not work out regularly, and is not very active. He is a large man, and based on the initial data collected, his body mass index (BMI) is 30.7, which is considered obese (class I). Peter said that he would like to be around 200-210, which would put his BMI near the normal range.

Peter’s resting heart rate (RHR) was 80. This is on the high side of average for someone of his description. Based on her RHR the Karvonen Formula was used to calculate his target heart rates (THR) for 70% and 85% of maximum heart rate (MHR). Peter’s THR range is 158 beats per minute (BPM) to 175 BPM. This method is a tool that will help Peter correlate his perceived exertion level to that of his heart rate, but HR will not always be used as the primary means for his to gauge his intensity level. His THR range equates to approximately 60% to 80% of his VO2 max and will be used to gauge his intensity level when an HR monitor is available.

The following basic initial assessments will be conducted at the end of the first week of training:

• Flexibility – zipper stretch and sit/reach.

• Muscle Strength – 1RM leg press, 1RM bench press.

• Muscle Endurance – 1 minute max set sit-ups, max set of pushups.

• Cardio Endurance – 12 minute walk/jog or bike, and pulse recovery step test.

The first month is intended as a refresher with the gym, equipment, and exercises, a confidence builder, and an initial aerobic base building period. Week 1 concludes with the initial basic assessments as examined previously. Weeks five through nine are focused on a gradual progression of intensity and duration with cardio and aerobic endurance training. This period also focuses on building lean muscle as opposed to putting on “mass”, this will be accomplished by keeping higher reps and lower weights. Weeks 10 through 12 focus on advanced aerobic conditioning and reaching a peak level of fitness. During this period, Peter continues with the high rep and low weight regime while increasing the intensity and duration of cardio in the fat burning range. This period represents the final ditch effort to burn fat and tone up. The progressive overload principle will drive Peter’s aerobic endurance. Now it is time to shock the system once again to stimulate further fast loss.


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