According to the American College of Sports Medicine, when is a medical clearance necessary?
1) For a client who regularly exercises, has a known history of cardiovascular, metabolic, or renal disease, and wants to progress to vigorous-intensity exercise
2) For a client who does not regularly exercise, has a family history of cardiovascular, metabolic, or renal disease, has been diagnosed with rheumatoid arthritis, and is a 65-year-old male
3) For a client who does not regularly exercise and has signs and symptoms suggestive of cardiovascular, metabolic, or renal disease
4) For a client who does not exercise regularly, has cardiovascular, metabolic, or renal disease, or has symptoms that suggest he or she does