Developing a Physical Training Plan for Hypertension: Case Study

This case study focuses on developing a physical training program for Jamie Summers, a 53-year-old woman diagnosed with high blood pressure and an inactive lifestyle. The program aims to improve her cardiovascular health, reduce her weight, and manage her hypertension through a combination of cardiovascular exercise, weight training, core workouts, and dietary changes. The training regimen is structured over 12 weeks, progressively increasing in intensity and incorporating a mix of activities to enhance overall fitness and well-being. The case study also emphasizes the importance of replacing sugary and processed foods with healthier alternatives like egg whites, oatmeal, and green vegetables to manage blood sugar levels and reduce stress. The plan includes VO2 Max testing to evaluate cardiovascular strength and monitor progress, ensuring a tailored and effective approach to Jamie's health goals.

Running head: PHYSICAL TRAINING
PHYSICAL TRAINING
Name of the Student
Name of the University
Author note

1PHYSICAL TRAINING
As per the given case study, Jamie Summers (53) is 5’5” tall and her body weight is 165
lbs, with a fat percentage of 35%. She is a working women as well as mother of three teenagers
with very less or inactive lifestyle. As she is working in a corporate company and leading a
sedentary and inactive lifestyle, recently she has been diagnosed with high blood pressure. Her
food choices included sugary and processed foods and she also wanted to change her food,
activity and sedentary lifestyle. This is a positive sign as she revealed this desire to her doctor
and also set a date of her oldest daughter’s high school graduation day as the goal date for this.
Her heart rate is 90 bpm and while creating the exercise rate of Jamie through Karvonen
technique the following calculation was carried out:
The maximum heart rate: (220 – 53) = 167 beats per minute
Further her reserve heart rate: (167-90) = 77 beats per minute
Now her training percentage will vary from 60 to 80%, and according to that her target
heart rate for exercise will be: 77 x 0.6 = 46.2; 77 x 0.8 = 61.6
Therefore the range will be 46+90 = 136 to 62+90 = 152 or from 136 to 152 beats per
minute.
Professional responsibilities
In this drawing in process, my professional priority will be proving my client with a
training program that can help her to achieve her goals. I will divide this process in four stages
and throughout these I will try to establish myself as a trainer for Jamie. Hence, the first stage
will be introductory stage (Rossi et al., 2012). Secondly, the aim will be increasing the self-
confidence of the patient so that she can drive her will power to achieve her goals. Further in this

2PHYSICAL TRAINING
stage data collection will be done and for that I will spend time with the client so that her goals
and her determination can be assessed. Data collection will depend on aspects such as client’s
personality, her ethnicity, ability, and her attitude towards fitness (James et al., 2014). Further
qualitative data analysis will be conducted to understand periodic body fat percentage, her
medical records, and her blood pressure and so on. The third stage will analyses the data and
process that to determine ideal physical activities to balance her weight and the fourth stage will
be application of those exercise in her training plan (Ciolac, 2012).
Fitness test, evaluation method and data collection
VO2 Max testing will be used in Jamie’s case as it can help to understand the level of
oxygen or her cardiovascular strength. While exercise, it will help to determine the increased
capacity of the heart to pump blood to organs. Evaluation will be done by performing
cardiovascular tests (Cornelissen & Smart, 2013).
12 week training program
Week Exercise Sets Repetitions Rest time
1 Cardiovascular
exercise
3 sets of each Total 10 min 2 min in
between
2 Weight training 3 set each 10 - 12 2 min in
between
3 Stretching and
core work out
3 of each Total 10 min 2
4 Cardiovascular
exercise
3 of each Total 10 min 2
5 Core workout 3 of each Total 10 min 2
6 Weight training 3 of each 10 - 12 2

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7 Weight training 3 of each 10 - 12 2
8 Lower body
cardio workouts
3 of each Total 10 min 2
9 Spine protecting
exercises
3 of each Total 10 min 1
10 Weight training
with little cardio
vascular training
3 of each 10 - 12 1
11 Core strength
workout
3 of each Total 10 min 1
12 Combination of
all three
exercises
3 of each Total 15 min 1
As Jamie wants to change her food and diet habit, sugar and processed food will be
completely replaced with healthy and less carbohydrate containing foods such as egg whites,
oatmeal, multigrain bread so that the sugar content of her blood can be managed. Further, she
will be consuming green vegetables so that the level of antioxidants increases and her stress level
can be decreased (Rossi et al., 2012).

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References
Ciolac, E. G. (2012). High-intensity interval training and hypertension: maximizing the benefits
of exercise?. American journal of cardiovascular disease, 2(2), 102.
Cornelissen, V. A., & Smart, N. A. (2013). Exercise training for blood pressure: a systematic
review and meta-analysis. Journal of the American Heart Association, 2(1), e004473.
James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler,
J., ... & Smith, S. C. (2014). 2014 evidence-based guideline for the management of high
blood pressure in adults: report from the panel members appointed to the Eighth Joint
National Committee (JNC 8). Jama, 311(5), 507-520.
Rossi, A., Dikareva, A., Bacon, S. L., & Daskalopoulou, S. S. (2012). The impact of physical
activity on mortality in patients with high blood pressure: a systematic review. Journal of
hypertension, 30(7), 1277-1288.