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UCLA CENTER FOR HUMAN NUTRITION AEROBIC EXERCISE PRESCRIPTION
Rx
Patient Name: ___________________________________________
Date:________________________
Type of Exercise: Walk____Jog____Bike____Swim____Other_____
| 220 minus Age: | Training HeartRate | | Days/Week | Minutes/Day |
| If sedentary x (50 to 60%) = | ______________ |
Initial | ______________ | ______________ |
| If acfive x (60 to 70%) = | ______________ | Goal | ______________ | ______________ |
| If fit x (70 to 85%) = | ______________ |
5-10 minutes warm up)/Training Heart Rate/5-10 minutes cool down
_______________________________________ M.D.
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