What action should a coach take if a client experiences severe shortness of breath during exercise?

• A. Increase pace to test limits
• B. Ignore symptoms if they subside
• C. Continue at the same intensity
• D. Pause exercise and refer as needed

Answer: (D)

Severe shortness of breath during exercise is a clear safety red flag that something isn’t right with how the body is coping with the effort. The priority is to stop and prevent escalation. Pause the workout immediately, have the client rest in a comfortable position, and assess how they respond to rest. If breathing improves with rest, plan a cautious return only after clearance from a healthcare professional. If symptoms persist, worsen, or are accompanied by chest pain, dizziness, or bluish lips, refer to medical evaluation or seek emergency care as needed. The talk test can help: if the client can’t speak in more than a few words without gasping, the intensity is too high and should be reduced or paused. Pushing through, ignoring symptoms, or continuing at the same or greater intensity could lead to a medical emergency, so pausing and referring as needed is the appropriate action.