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NASM-SFS: Program Design

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Program Design

Program Design

This domain tests progression and individualization using FITT-VP and the OPT model. For older adults, stabilization and strength are the foundation; power work is light and introduced only after control.

Core rules

  • Frequency: 2–3 resistance sessions/week; cardio 3–5 days/week; balance 2–3 days/week.
  • Intensity: start at RPE 3–4/10, progress to 5–6/10; resistance 8–15 reps with 1–3 sets.
  • Time: 20–45 minutes initially; add duration before intensity.
  • Type: functional, multi-joint movements-sit-to-stand, step-ups, rows, carries, gait, balance.
  • Power: light medicine-ball throws or fast sit-to-stand only after good control; 1–3 sets of 6–10 reps.
  • Progression: 4–6 week phases; change one variable at a time (load, reps, sets, ROM, speed, support).
  • Regress when form breaks, pain rises, or recovery is poor.

Worked example

A 75-year-old wants to climb stairs without clinging to the rail. Weeks 1–2: sit-to-stand, heel raises, standing balance, step-touch. Weeks 3–4: add light dumbbells and controlled step-ups to a low step. Weeks 5–8: practice stairs with rail nearby, add dual-task carry. Reassess TUG and 30-second chair stand at week 8.

Traps

Applying linear periodization only, adding power before stability, never reassessing, and ignoring recovery between sessions. Do not copy a young athlete’s program with lighter weights.