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Louise is 55 yr old corporate executive who is 5'6" tall and weighs 145 lb (BMI 24.3 kg•m-2). She is a nonsmoker. Her father had a heart attack at 74 yr, her mother and one of her sisters have type 2 diabetes. Her blood pressure is 128/84 mmHg, total cholesterol is 218 mg•dL-1, LDL cholesterol is 141 mg•dL-1, HDL cholesterol 52 mg•dL-1, and fasting glucose is 122 mg•dL-1. She reports no signs/symptoms of chronic disease and no diagnosed cardiovascular, metabolic or renal disease. Louise has walked 4-5 d•wk-1 for years. She has recently received a job promotion and is having difficulty finding time to walk. Louise would like to join her fitness center at work so she can start walking at lunch or as her schedule permits. What lifestyle changes would you recommend? Why?
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