Your client is a 59 year old sedentary female with a body mass index of 33 kg/m2. She has no history of heart disease herself, but her mother had a myocardial infarction at the age of 66. She is an ex-smoker who quit 15 years ago, blood pressure is consistently 135/85 mm Hg, total cholesterol is 180 mg/dL (4.6 mmol/L) with an HDL level of 30 mg/dL (0.8 mmol/L), and blood glucose is 90 mg/dL. She has come to you for advice because she wishes to improve her overall health and fitness.
If this client wanted to initiate a regular MODERATE intensity exercise routine, what is recommended by the American College of Sports Medicine prior to her participating in exercise?
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