ACE Health Coach Certification Practice Test

Based on the ACSM risk factor thresholds, which factors mark positive risks for a 45-year-old client with certain health metrics?

1. LDL cholesterol, HDL cholesterol, and blood pressure

2. Age, sedentary lifestyle, BMI, LDL cholesterol, and blood pressure

3. Age, body weight, LDL cholesterol, and HDL cholesterol

4. Sedentary lifestyle, BMI, HDL cholesterol, and blood pressure

The correct answer is: Age, sedentary lifestyle, BMI, LDL cholesterol, and blood pressure

For a 45-year-old client, several health factors can indicate increased health risks according to the American College of Sports Medicine (ACSM) guidelines. The correct choice identifies a combination of risk factors that are particularly relevant. Age is a clear risk factor, as being over 45 years old increases the likelihood of cardiovascular diseases. A sedentary lifestyle contributes to various health issues including obesity and metabolic syndrome. Body Mass Index (BMI) is an important measure as it indicates whether a person is underweight, normal weight, overweight, or obese, directly influencing health risks. High levels of low-density lipoprotein (LDL) cholesterol are associated with increased risk of heart disease, while elevated blood pressure is a critical determinant of cardiovascular health. By combining these specific factors—age, sedentary lifestyle, BMI, LDL cholesterol, and blood pressure—this choice aligns well with the ACSM's identification of positive risk factors. Each of these elements contributes to an overall assessment of health and potential risk for serious conditions such as heart disease.