weight management - wordpress.com · 5/13/2015 · weight management members released by a doctor...
TRANSCRIPT
Weight Management
Training Special Populations and Chronic Conditions
Sharon M. Rotenberry, MS
Director
MURC/PEIA Pathways to Wellness
Training Special Populations
Most individuals could be classified as “special population”
Inexperienced With Exercise
Health Challenges (BP, Cholesterol, Blood Sugar, injury)
Stress/Depression/Anxiety
Over Training
“Fad” Diets/Cookie Cutter Programs
Strong Ideas About Their Program- (won’t listen to the trainer)
Positive rapport with a personal trainer or exercise professional can shape an
individual’s workout experience and attitude towards fitness
Weight Management Members
Released by a doctor
What was the conversation with that doc?
“Sign this so I can get cheap personal training & I’ll lose weight.”
“Hey– they have this program at my work…”
“Is it OK if I join this program? I need your signature.”
BMI = 25 or OR waist circumference (35” or more for women/40” or more
for men)
May/may not be familiar with a “gym” environment
Completed health information regarding diabetes, BP, heart disease, sleep apnea,
anxiety/depression, weight loss attempts, diet, etc.
Have you read it? Do you have access to it?
PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)
Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor? Yes No
Do you feel pain in your chest when you perform physical activity?
Yes No
In the past month, have you had chest pain when you were not performing any physical activity?
Yes No
Do you lose your balance because of dizziness or do you ever lose consciousness?
Yes No
Do you have a bone or joint problem that could be made worse by a change in your physical activity?
Yes No
Is your doctor currently prescribing any medication for your blood pressure or for a heart condition?
Yes No
Do you know of any other reason why you should not engage in physical activity?
Yes No
Weight Management Members
S.M.A.R.T. Goals
Specific
Measurable
Attainable
Realistic
Time-Sensitive
What does a Short-Term SMART goal look like?
What does a Long-Term SMART goal look like?
Re-Thinking the Approach
Success for a Weight Management client may not be achieving ideal weight
within the timeframe of program participation
So what’s a “WIN” for Weight Management?
Regular physical activity becoming a part of daily life
Thoughtfulness about diet and movement
OWNERSHIP of physical and mental health
Responsibility for their decisions and choices
More?
Re-Thinking the Approach Success in the Health & Fitness Industry is NOT measured by the number of
people achieving ideal weight and muscle tone
Success in the Health & Fitness Industry
Professional treatment of all clients including a continual dialog about short-term
and long-term goals
Not so much exercise “prescription” but rather “lifestyle coaching”
Solid demonstration of exercise technique and informative suggestions regarding
program design is a very small part of training
“Cookie Cutter” programs and diets are not lifestyle changes
VS
The “Starfish” Mentality
Re-Thinking the Approach
Success is NOT having all of the answers
Personal Trainer
Exercise Physiologist
Registered Dietician
Psychologist
Counselor
Behavior Modification Expert
Coach
Policeman
Re-Thinking the Approach
Face-to-Face Diabetes Management
Regional Health Promotion Consultants
Worksite Coordinators
Onsite programming
FREE lifestyle coaching
Fitness Center Discount Network
New “graduates” of WM?
www.peiapathways.com
Community Supported Agriculture partnerships
The Trainer
The terms “Personal Trainer” and “Exercise Professional” are subjective
Hundreds of entities certify trainers requiring various levels of intellectual and
practical knowledge
Individuals may receive a personal trainer/exercise professional certification with
no formal education or experience in the field
“Good” trainers and professionals in the industry come from both formal and
informal training backgrounds
Trainers need to find the “right” environment for their skills
Fitness Facilities and Programs need the “right” trainers for their mission to
be accomplished
Weight Management Trainers
Who is the ideal Weight Management Trainer?
Personality
Demeanor
Background
Training/Experience
And???
Training Special Populations
Diabetes
Cholesterol
High Blood Pressure
Depression/Anxiety
Joint strain/injuries/replacement
Spinal injury/strain
Bad Experiences With Exercise/Trainers
Reluctance to “Own” Their Condition/Routine
Know Your Audience
As mentioned before, typically a person does not have “one” chronic
condition.
Stress Obesity High BP
Initial Meeting and Assessment
What takes place during the initial meeting with a new weight management
client?
What SHOULD be included…
Introduction
Rapport development begins
Discussion about health history
LISTEN to client’s experiences--- with exercise, weight, food, gyms, trainers
ASK open-ended questions
Repeat things for understanding
Exercise Is Medicine
Tools: Exercise Is Medicine
Other Considerations
Arthritis
Joint Replacement/Chronic Injury
Doctor or Therapist Orders
Available Equipment
Other?
Beginning Workout Suggestions
Modifying Movement
“Comorbidity”
The presence of additional conditions with the originally diagnosed condition
Making an exercise modification for high blood pressure may create movement that
is counter indicative for arthritis
THIS IS WHY IT IS IMPORTANT TO HAVE A DIALOG WITH THE CLIENT!
In Conclusion
There is no “standard regimen” for individuals with chronic conditions
Trainers must utilize a variety of resources, program designs and suggestions for workouts to be tolerable and effective for the client
Clients should be encouraged to “own” their own health and decisions
The rapport developed and maintained by a trainer with a client is a key indicator as to whether or not a person will continue with the Weight Management program
Success for a Weight Management participant does not necessarily look like a number on a scale or a clothing size
Every workout session is a challenge to the trainer as well as the participant! Take advantage of this challenge as an opportunity to become more creative with your program designs, modifications, coaching skills and professionalism.
Thank You!
Sharon M. Rotenberry, MS
Corey Clendenin
Marshall University Pathways to Wellness Program
(304) 696-3750
www.peiapathways.com
[email protected] Sharon M. Rotenberry
[email protected] Corey Clendenin