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personal trainingPrevious FitBit  Next FitBit  |  FitBits Archive

Exercise Prescription for Overweight and Obese Individuals - Part I

By Jim Bell, PhD, CEO IFPA

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"Let others laugh when you sacrifice desire to duty, if they will.  You have time and eternity to rejoice in"

- Dr. Jim Bell

 

The lifespan of Americans has decreased 1 1/2 years, largely due to increases in hypertension and Type II Diabetes.  Overweight leads to obesity, which leads to Metabolic Syndrome and Type II Diabetes, and all components of Metabolic Syndrome are major risk factors for Cardiovascular Disease (CVD) and several forms of cancer.  Since these special population groups may have numerous contra-indications to exercise and the exercise prescription itself may be compromised by the drugs prescribed by their physician, it is imperative that personal fitness trainers have the knowledge, skills and abilities to safely and effectively deal with these special population groups and consult frequently with the clients doctor on the exercise program.  While these diseases add risk to the exercise program, exercise may be the only real CURE at the clients disposal.  Recent studies show that virtually 100% of all patients that begin kidney dialysis are dead within 5 years.  This sad statistic can be avoided if everyone would begin and maintain an exercise program starting in their youth, but as we well know, few actually do!

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Exercise Prescription for Overweight and Obese

 

Frequency:   3-7 days/week (Ideally 7 days/week) of activity that causes an energy expenditure of 300 kcal/day (300 x 7 = 2100 kcal/week).  Some clients may not be able to complete this initially, so following the GPO Principle, you may be required to start much lower, i.e.: 100 kcal/session.

 

Intensity:      40-85% MHR Moderate intensity activity has much higher retention rates than higher intensity.  Depending on the individual and the progression of Metabolic Syndrome, they may not have the glucose available for sustained aerobic activity so very low levels of Interval Training may be needed.  This would require 40% of MHR with brief spikes up (50-75% of MHR) for a short period (10-30 secs) until the glucose tolerance improves.  Research shows that glucose tolerance improves almost immediately following the first and each succeeding exercise session.

 

Time:           10-60 mins.  Initially, the very deconditioned client may only be able to go 10 minutes.  If so, plan on 3-10 minute sessions/day until conditioning improves.

 

Type:           Walking, Stationary Biking, Water Aerobics (Low/Non-Impact activities to begin).  WARNING!! Excess body mass may limit ROM, agility, balance and coordination!

 

 

 

Strength/Anaerobic Endurance Components of Fitness

 

Frequency:   2-3 days/week

 

Intensity:      15-20RM sets

 

Time:            1 set/muscle-muscle group (weeks 1 & 2)

                     2 sets/muscle-muscle group (weeks 3 +)

 

Type:            Circuit Resistance Training on Machines (for both safety & effectiveness)  Shorten rest intervals as conditioning progresses.

 

Flexibility Component of Fitness

 

Frequency:    5-7 days/week (Multiple sessions/day can be used if time permits.  Improvements from flexibility sessions last approximately 4 hours.)

 

Intensity:        Low-only to a point of tight, never pain

 

Time:             1 or 2 sets/muscle-muscle group

 

Type:             IFPA Flexibility Specialists can use PNF.  Static stretches can also be used by the client on their own.

 

            The strength component for the exercise prescription is essential to maintain lean (muscle) body mass.  Flexibility exercise has also been shown to dramatically increase fat loss.

            Projections are that 70% of adults and 50% of school aged children will be obese by 2012.  If you are reluctant to begin helping these special populations because of a lack of knowledge, skills and abilities, please visit the IFPA website: www.ifpa-fitness.com and explore the IFPA Advanced Exercise Prescription Specialist and IFPA Advanced Exercise Management Specialist Certification courses

 

______ IFPA NEWS ______

Dr. Bell will be Presenting at the First Annual Iberian Congress on Anti-Aging Medicine May 29-31, 2008, ESTORIL, Portugal. 

For more info: www.a4miberia.com

 

Dr. Bell will be Presenting an IFPA Personal Fitness Trainer Certification in Portugal, May 29-31, 2008. 

For more info, email: info@a4miberia.com web: www.a4miberia.com/IFPA.ht

 

Dr. Bell will be Presenting at the Asia Pacific Conference and Expo on Anti-Aging & Regenerative Medicine at the Grand Hyatt

Date: Oct 10-12, 2008. 

Location:  BALI, Nusa Dua Resort in Bali, Indonesia

...and an IFPA Fitness Workshop October 13-15, 2008 (same location).

 

Dr. Jim Bell will be presenting at the 5th Malaysian Conference and Exhibition for Anti-Aging and Aesthetic Medicine.

Date:  May 17th-19th, 2008

Venue:  Shangri-La Hotel Kuala Lumpur, Malaysia

For more info:

Web: www.saaamm.org

Email: info@saaamm.org

 

IFPA Conference in Indonesia!

The IFPA will have special events in Indonesia in October!

October 13-15 in the incredibly beautiful resort area of Nusa Dua, Grand Hyatt Bali, Indonesia

October 17-19 in Jakarta, Indonesia

Not only will these events be outstanding educational events for fitness professionals, but Nusa Dua is truly among the most beautiful sites in all the world.  Contact the IFPA for more information.

For more information on Indonesian events, email: Indonesia@ifpa-fitness.com

or call +62 21 780 2778 (International).

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James T. Bell, PhD. is the founder and CEO of the International Fitness Professionals Association, IFPA.

More Books from Jim Bell, PhD.

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Special Thanks to the IFPA's Sponsors:

Doctors Fitness Centers

Fitness Institute of Technology

VORTEX

SCIFIT

A4M

ACASP

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IFPA Would Like to Thank Our Sponsors:

Doctors Fitness Centers

Fitness Institute of Technology

VORTEX

SCIFIT

A4M

ACASP

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