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Chiqueta Harris
EF310-01 Current Trends in Exercise and Fitness Aging Well Across the Life Span
Based on the assessments which have been conducted in previous units, a personalized
exercise prescription will now be created for each of the four (4) sample clients: Justin, Sally,
Carl, and Jennifer. Each clients personalized exercise prescription will take into account the
Client: JUSTIN
The U.S. physical activity guidelines for children and adolescents (6 to 17 years old) should
be 60 minutes (at least 45 minutes, in three segments for children) of physical activity (PA) on a
daily basis. Aerobic should include most of the 60 minutes being either moderate- or vigorous-
intensity, with vigorous-intensity PA at least three (3) days weekly; muscle strengthening PA
should occur at least three (3) days weekly; and bone strengthening PA should be included at
least three (3) days weekly (Howley & Thompson, 2012). Gains in VO max can be achieved
with intensity greater than or equal to 80 percent HRmax, and if PA is achieved for 30 to 60
For muscular strength and endurance, Justin can utilize a weight machine (intensity not to
surpass 75 percent 1RM and is available in smaller sizes for children), with weight increments
(Howley & Thompson, 2012) which can be adjusted to prevent injury; and typically, 1 or 2 sets
of 8 to 10 exercises (8 to 15 reps per set) including major muscle groups (Howley & Thompson,
2012) is recommended. A stability ball can be beneficial in increasing core (abdominal, hip, low
back) muscles, strength and posture; and a medicine ball for squats and chest presses (Howley &
Thompson, 2012).
Suggested Frequency
FITT AND PROS PRINCIPLES 3
Suggested Intensity
Suggested Time
Suggested Type
Client: JENNIFER
Jennifers short-term goals are to improve cardiovascular endurance and lose weight, with a
Howley & Thompson says every U.S. adult should accumulate 30 minutes or more of
moderate-intensity PA on most, preferably all (2012, p. 220) days of the week. Dynamic
FITT AND PROS PRINCIPLES 4
aerobic endurance training (i.e., running or cycling) can reduce resting systolic (SBP) and
diastolic (DBP) blood pressure, while isometric exercise and dynamic heavy-resistance training
increases both SBP and DBP (Howley & Thompson, 2012). For muscular strength and
endurance, Howley & Thompson says it is reasonable for beginners to begin plyometric training
with 1 to 3 sets of 6 to 10 repetitions of several low-intensity exercises for the upper and lower
Body-weight exercises (i.e. push-ups, pull-ups, and curl-ups, Pilates, stability/medicine balls,
elastic tubing) are cost-effective for muscular strength and endurance exercises. Stretching
slowly (do not bounce) for 5 to 10 minutes before exercises (warm-up) and for 5 to 10 minutes
after exercising (cool-down), while working all muscle groups, will allow better flexibility.
Clients with high blood pressure are advised to start hula hoop routinely in the morning (BTG
Co., 2016).
Suggested Frequency
Suggested Intensity
Suggested Time
Suggested Type
Client: CARL
The Activitygram recommends at least 30 minutes (in two segments) of PA for adolescents;
and when the duration of hard exercise (75 percent VO2max) is more than 30 minutes, an
increase in the risk of orthopedic (Howley & Thompson, 2012) injury can occur. Biking to the
rec center could also be utilized to increase cardiovascular endurance, core and leg muscles.
Dynamic constant external resistance (DCER) training exercises utilize free weights (i.e.,
barbells and dumbbells) and weight machines, which both consist of weight being lifted and
lowered through a predetermined ROM (Howley & Thompson, 2012, p. 263). Barbell squats
and bench press requires a spotter, so Carl can do this activity at the recreational center with the
assistance of a trainer or friend; and plyometrics can also be used (i.e., death jumps, jumping
jacks).
hops, skips, and jumps) warm-up, a light set of 10 reps on the bench press before performing
with a heavier weight is recommended. After a resistance workout, it is ideal to cool down with
Suggested Frequency
FITT AND PROS PRINCIPLES 6
Suggested Intensity
Suggested Time
Suggested Activity
Client: SALLY
Recommendations for Sally must be feasible because she is not excited at all about starting a
fitness regime, despite being sedentary with multiple chronic conditions (i.e., obesity, being 65
years old, type 2 diabetes, uncontrolled blood pressure), and risk of CVD and insulin therapy.
Benefits of exercise for diabetes treatment can include lower fasting blood glucose
concentrations and better glucose tolerance; improved insulin sensitivity and lipid profiles;
FITT AND PROS PRINCIPLES 7
weight control (increased lean mass and reduced fat mass); reduction in BP for those with
hypertension; lower risk of CVD; and stress management (Howley & Thompson, 2012).
Suggested Frequency
According to Colberg et al., aerobic exercise should be performed at least three days a week,
with no more than two consecutive days between bouts of activity due to exercised-induced
improvements in insulin action (2010). Resistance exercise training should be performed at least
twice weekly on nonconsecutive days, but more ideally three times a week (Colberg et al., 2010).
Phillips says all joints need stretching daily and/or multiple times (n.d., p. 10) a day. More
days of exercise would definitely be more beneficial for Sally, but the frequencies listed below
are more realistic in order for her to take the first step in improving movement.
Suggested Intensity
As long as Sallys BP levels are monitored, aerobic exercise should be at least at moderate-
of maximal aerobic capacity; resistance exercise training should be moderate (50 percent of 1-
repetition maximum or 1-RM) or vigorous (75 percent to 80 percent of 1-RM) for optimal gains
in strength and insulin action (Colberg et al., 2010); and intensity of flexibility exercises should
Suggested Time
Individuals with type 2 diabetes should engage in a minimum of 150 minutes a week of
aerobic exercise to decrease morbidity (Colberg et al., 2010), and can often do 20 to 60 minutes
in bouts of at least 10 (Howley & Thompson, 2012) minutes. However, Sally will start off with
20 to 25 minutes of activity for each daily session, to prevent discouragement due to time of
getting ready. Colberg et al. says each exercise resistance training session should include a
minimum of 5 to 10 exercises involving the major muscle groups, and involve completion of 10
to 15 repetitions to near fatigue per set early in training (2012). Sally will start off with 3
different exercises at 20 minutes each (2 sets of 10 repetitions) for each session, to increase
muscle strength and endurance. For diabetics, glycation (sugar coating) causes collagen to form
sticky nets due to elevated blood sugar levels, causing joints to lose (Spero, 2015, para. 5)
flexibility. To increase flexibility, Sally will start off with 10 to 20 minutes of static (basic)
stretching to improve posture, balance, and range of motion (ROM), repeated at least 3 to 4 times
in the exercise session, repeating sessions for more problematic (Howley & Thompson, 2012)
areas.
Suggested Type
Any form of aerobic exercise using large muscle can be beneficial, such as swimming or brisk
walking. According to Swidorski, shallow and deep water walking and jogging are effective in
building calf quadriceps, hamstrings and glute strength, as well as developing cardio-respiratory
FITT AND PROS PRINCIPLES 9
fitness. The resistance of the water increases the rate of calorie burn (i.e., an hour burns
approximately 120 calories more than (2013, para. 5) walking on land. Sally can increase
cardiovascular activity by participating in water aerobics. Swidorski says you can do three sets
of eight to 10 repetitions in the water and hold each exercise for a minute at a time, but it is
suggested for Sally to start off walking from one side of the pool to the other side (Swidorski,
Resistance machines and free weights (i.e., dumbbells and barbells) result in fairly equivalent
gains in strength and mass of targeted muscles; and lower-extremity resistance training improves
functional performance measured by treadmill walking, stair climbing ability, and quality of life
(QOL) measures (Colberg et al., 2010). Sally can participate in chair sits, which is a great way
to start off her exercise regime for increasing muscular strength and endurance. Utilizing one to
two pound weights, start out with a weight you can lift only 8 times, and use until you can lift it
easily 10 to 15 times. When you can do 2 sets of 10 to 15 repetitions easily, add more weight
you can lift only 8 times, and repeat (National Institutes of Health, n.d., para. 7) until your goal
is accomplished. Some example exercises Sally can perform for the upper body include:
wrist/arm curls, side arm raises, elbow extensions, chair dips, or seated rows with resistance
band; and lower body exercises can include: back leg raises, knee curls, leg straightening
improving balance (i.e., low-to-moderate walking, arm-crank, and cycling), which have all been
shown to enhance mobility, functional capacity, exercise pain tolerance, and QOL (Colberg et
al., 2010). A suggested activity to increase flexibility for Sally is yoga, such as the halasana or
plough pose which provides flexibility to the neck and spine (Kerkar, 2017). According to
FITT AND PROS PRINCIPLES 10
Kerkar, yoga can be practiced in the morning and evening for 40 to 60 minutes, according to
ones capacity; the maintenance period of postures should be increased gradually form five
seconds to a minute or longer, depending on the posture/capacity of the person; and always focus
on breathing during the maintenance period (2017) of the posture. Sally can start with 10-15
minutes, two times daily to increase flexibility, especially because she works at her desk for
Client: JUSTIN
Utilizing the PROS principles in Justins exercise prescription can improve his body
composition, weight to a normal level, and muscular strength/endurance to start on his schools
Progression
The principle of progression will be utilized for each component of fitness in Justins exercise
prescription by increasing the length of cardiovascular activity on each day of weekly sessions;
increasing the number of sets and/or repetitions for muscular strength and endurance; and
Regularity
Overload
Specificity
Client: JENNIFER
Progression
pressure levels being controlled. Muscular strength and endurance can be improved by
recommending an increase in sets and repetitions of plyometric exercises performed for each
activity; and progression of flexibility can occur with an increase of at least 30 minutes of daily
FITT AND PROS PRINCIPLES 12
hula hooping, with effects including burning about 210 calories, which is similar to walking fast
Regularity
daily PA sessions (steps, B/P levels, weight) to assess areas which may need improvement, or
goals which have been made so other recommendations can be made. Only focus on the muscle
groups which have been assigned for each particular session for better improvement of muscular
strength/endurance and decreased risk of injury. Flexibility will be improved with continuous
Overload
effective in expending calories as running. To achieve CRF goals, range intensities should be 50
to 84 percent HRR, with frequency increased to 5 days (2012, p. 218; 225) weekly; and time
will be increased for daily sessions. Muscular strength and endurance can apply the principle of
FITT AND PROS PRINCIPLES 13
overload by increasing length of time and intensity of activities. Overload is applied in hula
hooping by increasing intensity with a 2-pound weight; the bigger the hoop, use is easier by
giving you more reaction time to forward and backward (Narins, 2013, para. 4-5) movements.
Specificity
Brisk walking will be recommended for one to three months, then jogging will be able to be
implemented once CV goals are attained. Plyometric exercises will be performed in 2 sets of 10
to 15 repetitions, adding weights which can be lifted 8-12 times comfortably to increase
muscular strength and endurance. Hula hoops increase flexibility with movements in the
Client: CARL
Progression
length of time for each daily exercise sessions; 4 sets of 8 to 12 reps of concentric and eccentric
exercises 5 to 7 days weekly for muscular strength and endurance; and flexibility exercises will
be increased to 40 to 60 minutes.
FITT AND PROS PRINCIPLES 14
Regularity
Calendar and/or text message reminders will be utilized to ensure regularity of cardiovascular
activity is maintained; only focusing on the muscle groups which have been specified in the
Overload
for 3 to 4 weeks, then increasing daily once CV goals are accomplished; weights will be
increased to press every target muscle; and holding activity for 30 to 45 seconds.
Specificity
FITT AND PROS PRINCIPLES 15
incorporating jump ropes into his routine as an alternative for running. According to Hinds,
jumping rope for 10 minutes can burn as many calories as jogging at an eight-minute-per-mile
pace (n.d., para. 1). Improvements in muscle size and body composition can be accomplished
through multijoint (i.e., leg press) exercises which have the greatest acute metabolic/anabolic
(i.e., testosterone and human growth) response (Howley & Thompson, 2012, p. 265). Dynamic
and static exercises will be performed for warm-up and cool-down, stretching daily.
Client: SALLY
Progression
The Da Qing study in China reported modest changes in exercise (20 minutes of mild or
moderate, 10 minutes of strenuous, or 5 minutes of very strenuous exercise one to two times
daily) reduced diabetes risk by 46 percent (compared with 42 percent for diet plus exercise and
31 percent for diet alone). Gradual progression is advisable to minimize risk of injury and
enhance compliance (Colberg et al., 2010). The principle of progression can be utilized in
Sallys water aerobic activity by changing her length of time to 30 to 45 minutes with a duration
of three to four weeks. Once Sally is able to accomplish this goal, we can suggest increasing
Resistance training should progress over time to heavier weights which can be lifted only
eight to 10 times, with sets being increased between three to four, for optimal strength gains
FITT AND PROS PRINCIPLES 16
(Colberg et al., 2010). Colberg et al. goes on to say most times increases in weight/resistance is
undertaken first and once repetitions per set can consistently be exceeded, it is followed by a
greater number of sets, and lastly increased training frequency. For example, progression of
chair sits could consist of three weekly sessions of three sets of eight repetitions done at 75 to 80
Progression of 30 to 40 minutes, three times a week, can be very beneficial for improving
Sallys flexibility. Yoga asanas (i.e., Upavishta Backasana or sitting crane, and Backasana or
standing crane) can help strengthen back muscles, which enhance toning of abdominal viscera
(muscles and internal organs); regular yoga practice leads to short-term improvements in fasting
glucose and cholesterol levels; and direct stimulation of the pancreas by certain postures
Regularity
journal listing her heart rate before, during and after participating in exercise regime, so any
irregularity of HR can be adjusted and monitored. The principle of regularity will be utilized in
muscular strength and endurance through continuing exercise regime three times weekly, and
focusing only on the muscle group assigned for each particular session to get the best results.
Physically Trained says you must do resistance movements similar as possible to those of your
task, as this ensures maximum carryover value to your tasks. When different muscle groups are
exercised at each workout, the principle of regularity is violated and gains in strength are
FITT AND PROS PRINCIPLES 17
minimal (2017). The principle of regularity will be utilized in flexibility with Sally stretching
before participating in her exercise routine between 15 and 20 minutes each day.
Overload
To see improvement in fitness, Sally must be able to work her body with a greater workload
than normal, so the body does not get accustomed to doing the same regime. Incorporating the
overload principle into your fitness routine can be accomplished through increasing weight
In water aerobics, you can engage large muscle groups of the lower body muscles,
intensity exercise; and the exercise design should be more than three or more minutes in duration
to utilize aerobic or oxygen energy systems (WaterArt Fitness International, Inc., 2016). To
increase overload for cardiovascular activity, Sally can increase frequency to four times weekly
(3 to 4 weeks); once this goal is accomplished, we can then determine if intensity, fitness or time
will be changed. For muscular strength and endurance, the overload principle can be
implemented by increasing exercise (chair sits) length of time from 20 minutes to 30 minutes,
with three sets of eight repetitions. Flexibility will be enhanced using the overload principle with
Specificity
The specificity principle applies to water aerobics and increasing cardiovascular activity by
incorporating pool noodles into Sallys exercise regime. However, Sally should never hold/grip
the noodle too tightly as this may cut off circulation to the palm, which can increase (WaterArt
Fitness International, Inc., 2017) her blood pressure more. Sally can increase her heart rate and
work on cardio endurance by marching, alternating her arms as she pushes and pulls the noodles
through (Howard, 2015, para. 2) the water. The specificity principle applies to increasing
intensity of muscular strength and endurance through upper-body and lower-body exercises (i.e.,
chair leg press, chair wrist curls, and chest press) with resistance tubing (light and medium),
By using hip-opening yoga poses, Sally can maintain a healthy range of motion and balance
between strength (Blunden, 2016) and flexibility. The following poses can be applied to aid in
each of the four primary directions of hip movement: reclined bound angle pose, which is
moderate-intensity, and targets the inner thighs; thread the needle pose is gentle and targets the
outer thighs; or hero pose with block, which targets the internal rotation and gentle (Chia, 2014)
intensity. Sally can prevent post-exercise pain or injuries by applying the flexibility principle.
References
Blunden, A. L. (2016, December 14). Not all hips need opening: 3 moves for hip stability. Yoga
stability-hypermobile-hips/#1
BTG Co. (2016). 19 proven benefits of hula hooping for health and diet. Retrieved from
http://drhealthbenefits.com/diet-fitness/exercises/benefits-of-hula-hooping
Chia, J. (2014, May 27). 12 yoga poses to open your hips. Prevention Magazine. Retrieved from
http://www.prevention.com/fitness/12-yoga-poses-to-open-your-hips
Colberg, S. R., Sigal, R. J., Fernhall, B., Regensteiner, J. G., Blissmer, B. J., Rubin, R. R.,
Braun, B. (2010). Exercise and Type 2 Diabetes: The American College of Sports
Medicine and the American Diabetes Association: joint position statement. Diabetes
Hinds, J. (n.d.). Jump rope cardio. Mens Fitness Magazine. Retrieved from
http://www.mensfitness.com/training/cardio/jump-rope-cardio
Howard, M. M. (2015). Swimming pool exercises using an aqua noodle. Retrieved from
http://www.livestrong.com/article/231520-swimming-pool-exercises-using-an-
aqua-noodle/
Howley, E. T., & Thompson, D. L. (2012). Fitness professionals handbook. Retrieved from
https://kaplan.vitalsource.com/#/books/9781450471077/cfi/6/2
for-diabetics
Narins, E. (2013, May 7). Does hooping count as exercise? Womens Health Magazine.
exercise
National Institutes of Health (n.d.). Exercises to try: Strength exercises. Retrieved from
https://nihseniorhealth.gov/exerciseandphysicalactivityexercisestotry/strengthexercises/0
1.html
Panveli, A. R. (2016, December 6). 4 yoga poses for diabetes. Mumbai Mirror. Retrieved from
http://timesofindia.indiatimes.com/life-style/health-fitness/fitness/4-yoga-poses-for-
diabetes/articleshow/44924046.cms
Phillips, M. (n.d.). Physical activity & exercise for the type 2 diabetes patient a clinical
http://www.ocdda.org/Portals/0/images/Powerpoints/Michelle%20Phillips--
Exercise%20in%20DM.pdf
http://www.physicallytrained.com/3-3-principles-of-muscular-training/
Spero, D. (2015, April 15). Stretching for Diabetes [Blog post]. Retrieved from
https://www.diabetesselfmanagement.com/blog/stretching-for-diabetes/
Swidorski, D. (2013, December 9). Water aerobics [Blog post]. Retrieved from
http://www.defeatdiabetes.org/water-aerobics/
WaterArt Fitness International, Inc. (2017, January 31). Adding the aquafit noodle to your
WaterArt Fitness International, Inc. (2016, May 1). Principal of specificity of training. [Blog