Weight Management. Sharon M. Rotenberry, MS. Director MURC/PEIA Pathways to Wellness. Training Special Populations and Chronic Conditions

Transcription

1 Weight Management Training Special Populations and Chronic Conditions Sharon M. Rotenberry, MS Director MURC/PEIA Pathways to Wellness

2 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

3 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?

4 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

5 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?

6 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?

7 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

8 The Starfish Mentality

9 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

10 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? Community Supported Agriculture partnerships

11 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

12 Weight Management Trainers Who is the ideal Weight Management Trainer? Personality Demeanor Background Training/Experience And???

13 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

14 Know Your Audience As mentioned before, typically a person does not have one chronic condition. Stress Obesity High BP

15 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

16 Exercise Is Medicine

17 Tools: Exercise Is Medicine

18 Other Considerations Arthritis Joint Replacement/Chronic Injury Doctor or Therapist Orders Available Equipment Other?

19 Beginning Workout Suggestions

20 Modifying Movement

21 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!

22 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.

23 Thank You! Sharon M. Rotenberry, MS Corey Clendenin Marshall University Pathways to Wellness Program (304) Sharon M. Rotenberry Corey Clendenin