For a new fitness-center client with risk factors for cardiovascular disease, what is the recommended prerequisite before starting an exercise plan?

• A. Have you consulted your physician about an exercise plan?
• B. What has been your past pattern of exercise?
• C. What is your personal goal for an exercise plan?
• D. Are you anticipating exercise will help you lose weight?

Answer: (A)

Before starting any exercise plan, a client with cardiovascular risk factors needs medical clearance from a physician. This consultation ensures it’s safe to increase activity, identifies any underlying heart conditions or medications that could affect exercise, and helps tailor an appropriate plan. The physician may review symptoms, do a focused exam, and, if needed, order tests to determine safe exercise intensity and any necessary precautions. While knowing past exercise habits, personal goals, or expectations about weight loss is useful for designing the program, they do not address safety concerns as medical clearance does.