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Similarly, postmenopausal women who engaged in a combination of aerobic and resistance exercise (≥60 min/day, 3 days/wk for >1 year) had longer telomeres than their sedentary counterparts (Kim et al. 2012). Interestingly, being moderately active in midlife may produce longer leukocyte telomeres in older age (Savela et al. 2012). Telomere length of leukocytes is inversely related to plasma homocysteine and C-reactive protein levels; both are known markers of inflammation and cardiovascular risk (Richards et al.

Have a physician interpret the results of the 12-lead resting ECG. • Use the client’s disease risk classification to determine whether a maximal or submaximal GXT should be administered and whether a physician needs to be present during this test. • Assess the client’s resting blood pressure and heart rate. • Administer the GXT. • Assess and classify the client’s functional aerobic capacity. If clients answer yes to any of these questions, they should be referred to their physicians to obtain medical clearance before engaging in physical activity.

Obtain the client’s informed consent for health screening. • Administer and evaluate the PAR-Q; refer client to physician if needed. • Administer and evaluate client’s medical history, focusing on signs, symptoms, and diseases; refer client to physician if needed. • Evaluate client’s lifestyle profile. • Evaluate and classify the client’s cholesterol and lipoprotein levels if test results are available. • Measure and classify the client’s resting blood pressure and heart rate. • Assess the client’s coronary risk factors.

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