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ACSM's Guidelines for Exercise Testing and Prescription delivers scientifically-based standards and summaries for healthy and diseased patients. GUIDELINES AND EXERCISES. The American College of Sports (ACSM) recommends that a strength ACSM's physical activity recommendations for healthy.Guidelines for Exercise Testing • acsm.org of oxygen uptake reserve (V. ·. O 2R), heart rate reserve (HRR), oxygen consumption. ACSM provides recommendations and guidelines for physical activity and exercise based on the latest science and insights from health professionals.