one of my certs is ACE and I would suggest that your friend not stress out over it. Really just make sure that you know the difference between relative and absolute VO2max. As far as using the information, in 2 years of my being certified nobody has brought it up but me. Clients don't even know what it is unless you explain it, or they are competitive endurance athletes such as you tour de france guy. If your friend needs help with anything a group of people who were studying for the ACE exam started a forum just for that. We are more than willing to help people with any questions that they have in regards to the exam and studying for it.
http://friendsoface.activeboard.com/
As far as what submaximal test I use I like the Aastrand bike test here is the link to the calculator that I use.
http://www.health-calc.com/fitness-tests/aastrand-test
The upside to knowing VO2max is it will allow a trainer to calculate how many cal are being burned during a workout by using average heart rate and a VO2 calculation. This allows for a more accurate calorie consumption plan to fit the needs of the client.


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