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What initial exercise intensity is appropriate for a 47-year-old male client starting an exercise program based on ACSM guidelines?

  1. Less than 40% VO2R

  2. 40 to 59% VO2R

  3. Greater than 60% VO2R

  4. Physician's recommendations required

The correct answer is: 40 to 59% VO2R

The appropriate initial exercise intensity for a 47-year-old male client starting an exercise program, based on the American College of Sports Medicine (ACSM) guidelines, typically falls within the range of 40 to 59% of VO2 reserve (VO2R). This intensity is considered moderate and is generally safe and effective for most individuals beginning an exercise regimen, particularly for those who may not be highly conditioned. Starting at this intensity allows the client to improve cardiovascular fitness while minimizing the risk of injury and ensuring the exercise is manageable. This level of intensity is also conducive to adhering to an exercise program, as it promotes a positive experience for the client without overwhelming them, which encourages consistency and long-term engagement. While lower intensities, like less than 40% VO2R, might be suitable in some circumstances, they may not provide enough stimulus for cardiovascular improvements in many individuals. On the other hand, exercising above 60% VO2R could be too intense for someone just starting out, increasing the risk of injuries or discouragement due to difficulty. Therefore, option B represents the ideal balance for initial exercise programming according to established guidelines.