As relates to maximal and submaximal exercise tests, under which circumstances would a doctor-supervised version be recommended by the American College of Sports Medicine?

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Any individual who is symptomatic or who has known cardiac, pulmonary or metabolic disease should be medically-supervised for an exercise test, whether the test is maximal or submaximal. Submaximal tests are much less taxing and the supervision of a physician may not be necessary if the person is asymptomatic and/or has no known disease, even if he or she has 2 or more risk factors. In contrast, this same person, wishing to undergo maximal testing, should always be medically supervised.

As Relates to Maximal and Submaximal Exercise Tests, Under Which