Graham needs to adjust his lifestyle if he wants his blood pressure and cholesterol levels to improve. Diet and exercise will benefit him the most, and an exercise routine should be administered as soon as possible. Because of the exercise-induced hypertension, his heart rate should always be monitored during exercise - at the same time, Graham should begin on a walk/jog program until his conditioning levels adapt to the physical activity.
Yes, John definitely needs to get started on an exercise routine. Because of his conditioning, a routine consisting of 2-3 days per week of moderate physical activity would be recommended. The workouts should be tailored towards anatomical adaptation and should include heart-rate based cardiovascular training. Before any exercise prescription, an FMS should be administered to identify his imbalances and functional limitations. It is also highly recommended for John to begin a proper meal plan and limit his amount/or stop smoking altogether