For many people, starting an exercise program for the first time is quite safe. But depending on your age and whether you have certain cardiovascular risk factors, you may need to see your doctor before starting a program of vigorous (as opposed to moderate) aerobic activity. The American Council on Exercise offers the following advice to help you determine if you need a doctor's permission before starting an exercise program.

General Guidelines

If you are planning to participate in vigorous activities and are a man over 45 or a woman over 55, you should have a medical exam first. The same is true if you have two or more coronary artery disease risk factors, which include:

• Family history of heart attack or sudden death
• Smoking
• High blood pressure
• High cholesterol
• Diabetes
• Physical inactivity
• Obesity

Specific Questions to Ask Yourself

Ask yourself the following questions to help determine if you need an exercise program recommended by a doctor. If you answer "yes" to any ONE of the following questions, you should talk with your doctor BEFORE you start an exercise program.

• Do you have a heart condition? Should you only do exercises that your doctor recommends?
• Do you have chest pain or discomfort when you are physically active? Do you have this pain even when you are not exercising?
• Does your heart often beat too fast or too slow when you are at rest?
• Do you become dizzy, lose your balance, or lose consciousness? During the past year, have you fallen more than two times?
• Do you have problems with your bones or joints? If so, does this problem become worse when you exercise? Do your legs or buttocks hurt when you walk?
• Do you take medicines to treat a heart condition or a blood pressure problem?
• Do you have any wounds on your feet? Do these wounds take a long time to heal?
• During the past six months, have you lost weight for no apparent reason?
• Can you think of any reason why you should not get involved in an exercise program?

If you answered "no" to all of these questions and you have no cardiovascular risk factors, a moderate physical activity program should be safe for you. But again, if you are a man over 45 or a woman over 55 and want to exercise more vigorously, you should check with your doctor before getting started.