Final answer:
The client has a moderate risk due to several cardiovascular risk factors, such as a high BMI, borderline high blood pressure, and elevated cholesterol levels, despite some healthy lifestyle habits and normal glucose levels.
Step-by-step explanation:
Based on the information provided and the guidelines from the American College of Sports Medicine (ACSM) for risk stratification, this 47-year old male client would be classified as having moderate risk for cardiovascular events. The client has several cardiovascular risk factors including a family history of hypertension and coronary artery disease, a high body mass index (BMI) classified as overweight, borderline high blood pressure readings, and slightly elevated total serum cholesterol and low-density lipoprotein (LDL) cholesterol levels.
However, his high-density lipoprotein (HDL) levels and fasting plasma glucose are within normal ranges. His goals to lose weight and increase fitness are appropriate to address his moderate risk status and improve overall cardiovascular health. In summary, moderate exercise and other lifestyle changes are advised to manage the client's risk factors.