Case Study III: Health Screening and Analysis and Interpretation ofGXT Data John

Question

Case Study III: Health Screening and Analysis and Interpretation ofGXT Data John is a 38-year-old archeologist whose job requires some walking and hiking when he is collecting data in the field. However, much of his time is spent analyzing artifacts in the laboratory and writing research reports in his office. He is thinking about joining the employee fitness program at work, and therefore contacted you to evaluate his health risk and aerobic fitness level. His last medical examination was 3 months ago. You gave him a multistage CRF assessment using a Monark cycle ergometer and collected the following data: Client: 38-year-old male Resting HR: 71 bpm Height: 5 ft 10 in. (177.8 cm) Body weight: 180.8 lb (82 kg) Activity interests: cycling YMCA Protocol Data: Resting BP: 131/92 mmHg Total cholesterol: 210 mg dl HDL-cholesterol: 30 mg dl Smoking history: 1 pack per day (current) Physical activity: job-related walking/hiking RPE Stage Min Work rate (kgm min) 1 150 2 150 3150 4 300 HR BP 110 115 119 168/92 8 130 136 5 300 300 138 180/9013 6 7450 151

Explanation / Answer

As per Framingham Risk Score, John receives the following points:

Age -4

Total Cholesterol 7

Smoker 8

HDL 2

Systolic blood pressure 1

Hence is total point is 14. Thus his 10year CHD risk is 16%.

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