Professionals in the health field have adovocated for physical activity in adults and the data
shows positive health outcomes for these individuals who meet the recommended guidelines.  
Prior to starting an exercise program though, exercise professionals have learned to engage in a
preparticipation health screening to identify potential individuals with known risk factors for an
unforeseen  health event during or immediately post exercise. Exercise preparticipation
screenings were developed and modified over the years which resulted in the risk stratification
models. Risk classification allows the exercise professional to recognize individuals with
cardiovascular or pulmonary disease, and or those at risk for sudden cardiac events or other life-
threatening conditions. With these classification protocols, at-risk individuals would be referred
to a physician for testing and clearance prior to engaging in an exercise program. In this case
study, you will be presented with a clien that you must take through this screening process to
determine the next steps (medical clearance or exercise prescription). This is a common scenario
in the field and the hypothetical client is once an exercise professional would certainly

Read the case study below and answer the question thoroughly in paragraph form. Be specific in
your answer. You may utilize the course presentations, lectures, and the textbook as resources.  
Your response must be in current APA format. 

Matt is a sedentary 51-year-old male and is employed as an executive at a large beverage
corporation. He is responsible for all marketing aspects of the corporation in an extremely
competitive environment. Matt is married and has three children, ages 15, 17, and 21.
Matt feels the financial pressures associated with college bills (for his 21-year-old) and
the desires to “keep up with the neighbors.” Matt’s father died of a heart attack at age 71
and his mother, age 69, suffered a stroke four months after her husband’s death. Matt
smokes a pack of cigarettes a day and recently experienced dizziness when climbing
stairs. Thus, Matt decided to get a physical exam. The following values were obtained:
? resting BP = 149/97 mmHg
? total cholesterol = 199 mg/dl
? HDL-C = 25 mg/dl
? glucose = 90 mg/dl
? Ht. = 71 in.
? Wt. = 199 lbs. and body fat% = 32
Identify Matt’s primary and secondary risk factors. Also discuss what kind of non-
pharmacological intervention program(s) Matt should begin.