Individuals with metabolic syndrome are considered a special population because of all the medical risks they possess. These conditions technically should not limit them in what workout or FITT process they use in their workouts but because of all the risk factors they need to have specific pre-testing and screening to ensure they can workout at a safe level.
The ACSM's guidelines for exercise testing states that an individual with any of the risk factors associated with metabolic syndrome would be put under the category of Moderate Risk. Being under moderate risk would mean that individual needs to have a medical examination, and exercise testing for both moderate and vigorous exercise workouts. These pre-tests will allow an individual with metabolic syndrome to acknowledge any special adjustments that need to be made to there workout in order for them to remain safe.
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