A 57 Year Old Sedentary Female Client Who Has a Blood

A 57 year old sedentary female client who has a blood pressure of 150/70 mm Hg and a total serum cholesterol of 240 mg/dL (6.2 mmol/L) desires to begin a vigorous intensity exercise program.  How should the personal trainer advise the client?

A) Begin a low intensity exercise program until medical clearance is obtained.
B) Have a maximal graded exercise test completed prior to seeing their physician.
C) Have a sub-maximal graded exercise test up to 85% of predicted heart rate maximum performed by the trainer prior to beginning the exercise program.
D) Begin the vigorous exercise program immediately.