Brief Description

In this activity, you will develop and critically evaluate a personalized exercise prescription for a complex patient case, applying evidence-based physical activity guidelines while addressing barriers to adherence and safety considerations.

Instructions for Students

You are a healthcare provider working with a 52-year-old patient who presents with type 2 diabetes (HbA1c 7.8%), hypertension (145/92 mmHg), and obesity (BMI 33). The patient works in an office setting, sits 10+ hours daily, and reports occasional lower back pain. They have attempted exercise programs in the past but stopped due to time constraints and lack of enjoyment. Your task is to develop a comprehensive exercise prescription that addresses their health conditions while maximizing adherence and safety.

Critical Thinking Prompts:

1. Based on current WHO global physical activity guidelines, design a comprehensive exercise prescription for this patient that includes specific recommendations for all four components of physical activity (aerobic, strength, flexibility, and balance). Justify your choices for each component, including frequency, intensity, time, and type (FITT) parameters.

2. Outline your pre-participation evaluation process for this patient. What specific assessments would you conduct, what risk factors would you evaluate, and how would your findings influence your exercise prescription decisions?

3. Analyze potential barriers to exercise adherence for this specific patient and develop evidence-based strategies to address each barrier. How would you incorporate the patient's preferences and lifestyle factors to enhance long-term maintenance?

Project:

Evidence-Based Exercise Prescription Portfolio

Submit

Submit your completed exercise prescription portfolio through the course learning management system. Your submission should include your comprehensive exercise prescription, pre-participation evaluation process, and adherence strategies. Ensure all references follow 7th Edition APA formatting.