Final answer:
The ACSM recommends engaging in muscle-strengthening activities at least twice a week and a moderate exercise program of about 1 hour per day for menopausal clients to maintain muscle mass, improve bone density, and reduce chronic disease risks. Physical activity should be complemented with regular health screenings, especially if hormone therapy is being used.
Step-by-step explanation:
The ACSM recommendation for an effective strength training program for a menopausal client includes muscle-strengthening activities of at least moderate intensity that involve all major muscle groups on 2 or more days per week. This is essential as lower estrogen levels after menopause can lead to an increase in cardiovascular diseases and a rapid decrease in bone density, leading to osteoporosis. Strength training is beneficial in maintaining muscle mass, improving bone density, and reducing the risk of chronic diseases.
Due to the potential risks of hormone therapy (HT), such as an increased risk of breast cancer, stroke, or heart attack, among others, physical activity is an important non-pharmacological intervention. Implementing a moderate exercise program of about 1 hour per day can help mitigate some menopausal symptoms and protect against diseases associated with this life stage. Lower intensity or skill-based activities may also be beneficial, particularly for beginning an exercise program or for those with existing health limitations.
It is also crucial to include weight-bearing exercises and activities that promote cardiovascular health. According to evidence-based guidelines, engaging in physical activity helps in improving overall health by increasing cardiovascular and muscular fitness, increasing bone density and strength, and improving cognitive function. Regular pelvic and breast exams are recommended for those undergoing HT.