Michael is a 53 year-old African American male, who is
Michael is a 53 year-old African American male, who is currently employed as a sales executive for a technology firm. He works long hours and travels extensively. Michael states that he has little time to exercise or even relax. His job requires him to meet with clients often over dinner, which has led to poor eating habits and a weight gain of about 30 lbs. He recently went to the doctor because he noticed he could no longer climb a flight of stairs without becoming short of breath. During his physical, the doctor noted the following: Height: 5’8″ Weight: 224 lbs Blood Pressure: 150/95 mmHg Resting HR: 79 bpm Smoking History: 1 pack per day for the past 20 years Drinks 2-3 beers/glasses a wine about 4 days/week His father died of a MI at the age of 66. His mother has hypertension, which is being controlled by medication. Blood work demonstrates: LDL of 160mg/dl and HDL of 36mg/dl. Fasting blood glucose values: 95 The doctor prescribed him a diuretic and a diet low in sodium and fat. He has been sent to see you regarding an exercise prescription. Based on the information above: What physical findings place him at a high risk of cardiovascular disease? (Think about the standard cardiovascular risk factors.) Briefly discuss how diuretics work. Discuss how you would accommodate an exercise prescription that takes into consideration that he is currently on a diuretic. Weight loss recommendations suggest longer duration exercise (60-90 per session), what concerns might you have considering diuretics and associated thermoregulatory issues?
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