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Medical Evaluation to Ensure Safety Before Beginning
New Exercise Program
➤ Assess current physical activity level and functional ability.
➤ Assess readiness (e.g., PAR-Q).
➤ Agree upon patient expectations and goals (with optional written
"contract").
➤ Assess potential need for medical testing/evaluation (i.e., cardiac
stress testing, pulmonary function tests, musculoskeletal
assessment, etc.).
➤ Assess mobility, fitness, and potential equipment needs or
modifications.
➤ Potential adjustment of medications:
• Before start of physical activity plan (e.g., diabetes and blood
pressure medications)
• During implementation of physical activity plan
➤ Optimal default:
• Back-up plan
Energy Expenditure: Obesity Medicine Association
Physical Activity Goals
5,000 (minimum) to over
10,000 steps per day
and/or
150 to 300 minutes or more moderate-
intensity aerobic activity per week
or 75–150 minutes or more vigorous-
intensity aerobic activity per week
Resistance
training/muscle
strengthening at
least 2 times a week
Physical Activity Goals
(In addition to routine NEAT)
