Before beginning any exercise program, it may be recommended that person first consult a physician or other qualified health care provider. A physician or other health care provider can determine what type of exercise, the frequency, and the intensity are appropriate for each individual. A physician or other health care provider may be able to recommend an exercise program that will cater to a person's specific heath concerns and needs.
Below is a chart and explanation from the American College of Sports Medicine on recommendations for receiving a Graded Exercise Test (GXT) before beginning an exercise program.
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Risk stratification
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Moderate intensity exercise (40% - 59% maximum oxygen consumption)
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Vigorous intensity exercise (60% maximum oxygen consumption)
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Low
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GXT not necessary
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GXT not necessary
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Men aged <45 and women aged <55 years with ≤1 coronary heart disease risk factor & asymptomatic
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Moderate
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GXT not necessary
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GXT recommended
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Men aged 54 and women aged 55 years or those with ≥2 coronary heart disease factors
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High
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GXT recommended
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GXT recommended
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Individuals with symptoms of disease or known cardiovascular, pulmonary, or metabolic disease
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* Coronary risk factors include family history, cigarette smoking, hypertension, dyslipidemia, impaired fasting glucose tolerance, obesity, and sedentary lifestyle.
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