Introduction to Sports MedicineVital Signs: Height & Weight Part 4; Working with Obese Clients Name:__________________________________________

1. Regular physical activity and___________________________ is one of the most important

___________________________ related to long-term successful ___________________________

___________________________. People who remain ___________________________ throughout their

lifespan will lose approximately ________ pounds of ___________________________per decade while

simultaneously adding _______ pounds of ___________________________ per decade

2. Carrying excess fat mass is ___________________________ and ___________________________, particularly

for those with low percentages of ___________________________ ___________________________. Activities

that are simple for healthy-weight individuals become difficult, if not ___________________________ for the

___________________________.

3. Obese people often struggle to ___________________________ while just___________________________.

Trying to go from a ___________________________ position to a ___________________________position is

difficult.

4. Obese individuals often have additional health concerns such as ____________________________________,

high __________________________________, high cholesterol, ___________________________ and other

conditions which they may be on medication for. A _____ - _____ % loss in body weight ___________________

improves blood pressure, cholesterol levels and ___________________________ tolerance.

5. A client is 5’8” and currently weighs 300 pounds and has a BMI of 45.1. How much would the client weigh with a

10% loss in body weight and what would their new BMI reading be?

6. A client is 5’5” and currently weighs 220 pounds and has a BMI of 36.6. How much would the client weigh with a

10% loss in body weight and what would their new BMI reading be?

To access online information go to: www.exsciencefcc.weebly.com Click Exercise Science 1 link Hover on Classwork tab Click on Vital Signs link Click On Height and Weight

7. A client is 5’11” and currently weight 225 pounds and has a BMI of 31.4. How much would the client weigh with

a 10% loss in body weight and what would their new BMI reading be?

8. Goals when working with obese clients:

a. Maximize ___________________________ ___________________________

b. Maintain/increase ______________________________________________________to maintain Resting

___________________________Rate

c. Improve ___________________________ ___________________________

d. Lower mortality (___________________________) risk

e. Promote ___________________________ control

f. Improve ___________________________ state

9. Special Considerations with working with obese clients

a. Body ___________________________ regulation may be a challenge

i. Extra layers of ___________________________ make it difficult for a body to

___________________________ heat

ii. Fat is a natural ___________________________ that traps ___________________________

body ___________________________

iii. An obese person’s ___________________________must pump harder to

___________________________the body

iv. Educate clients about proper ___________________________attire to help keep the body

___________________________during exercise

b. Higher Risk of __________________________________

i. Obese individuals usually have issues with ___________________________

___________________________

ii. When a person is standing up the most difficult place to circulate blood is to the

___________________________

iii. Inadequate circulation can cause someone to be ___________________________ and to faint.

c. Greater risk of ___________________________

i. Obese individuals ___________________________ more, which results in greater water loss

ii. Make sure obese clients drink water at least every ______ minutes

d. Risk of orthopedic ___________________________ due to stress on___________________________

i. Excess weight causes wear and tear on the ___________________________ – particularly in the

___________________________, ___________________________ and

______________________________________________________

ii. Results in ___________________________, ___________________________ and

___________________________around the joints which may develop into

___________________________

e. ___________________________ may be compromised

i. Postural problems such as ___________________________ (abnormal curvature in lower back)

shift the center of balance and increase risk of ___________________________

f. ___________________________ of obese cannot expand normally because of excess fat which crowds

the internal organs and limits the movement

i. Results in ___________________________, ___________________________breaths and

difficulty breathing

ii. May need to allow obese individuals more ___________________________

___________________________to prevent ___________________________

g. In general, walk ___________________________ and take shorter

___________________________compared to apparently healthy population

h. Increased risk for a ___________________________event or ___________________________

i. The___________________________ of an overweight or obese person has to work harder than

the heart of a healthy-weight person

ii. ___________________________ ___________________________can reach dangerously high

levels

10. Exercise Prescription For Obese Clients

a. _______________________ exercise alone often does not result in ________________________weight

loss in obese individuals

b. Most studies find that the greatest amount of weight loss occurs by performing

___________________________ exercise

c. Most obese people cannot sustain h___________________________________ exercise because of

weak ___________________________ and their increased risk for a ___________________________or

___________________________

d. Safest approach encourages a ___________________________ of ___________________________

exercise and d___________________________ changes

e. Make sure your client is ___________________________

i. Be aware of ___________________________ of exercises and if the exercise will make the

client _________________________________

f. Perform exercises in a ___________________________ or ___________________________ position

11. Caloric Expenditure

a. For effective weight loss obese client should burn ___________________________calories per exercise

session

b. Minimum goal should be ___________________________calories burned per week

12. Cardiovascular Training for Obese Clients

a. ___________________________ impact exercise

i. Want to avoid putting excess stress on___________________________

ii. Treadmill walking, ___________________________, stationary cycling or

____________________________________are some of the best forms

b. Perform_________ or more days per week

i. ___________________________minutes per day once per day

OR

ii. ___________________________minutes twice per day

c. To prevent disease must perform a minimum of __________ minutes per week of moderate intensity

physical activity

d. To lose weight and prevent regaining weight must perform __________ minutes per week (that’s 4-5

hours per week)

13. Resistance Training for Obese Clients

a. Important component of any ___________________________ program because it helps

____________________________________, which results in a higher ____________________________

b. Benefits of Resistance Training

i. Improve blood ___________________________l levels

ii. Improve ___________________________ sensitivity

iii. Reduce glucose-stimulated plasma ___________________________concentrations

iv. Improve ___________________________ and ___________________________blood pressure

v. Improve the maintenance of ___________________________________in clients on calorie

restricted diets

c. Perform ____________ times per week

d. Perform ____________ sets of ____________ repetitions

e. Select ____________ exercises targeting the major muscle groups

i. Chest, ___________________________, Shoulders, ___________________________, Low Back,

___________________________, Hamstrings and ___________________________

f. Consider having clients perform exercises in a ___________________________-style

i. Fast paced program in which you do one exercise for _____________ seconds and then move to

the next exercise

ii. Typically alternates between ___________________________and

___________________________ exercises

iii. Focus is on improving muscular ___________________________

14. Core and Balance Training

a. Important for the obese population because they typically lack strength in

___________________________ /low back and have poor ___________________________

15. Exercise Selection for Obese Clients

a. ___________________________ are often not designed for obese individuals and require a significant

amount of ___________________________ to get in and out of

i. Use ___________________________, cables and resistance ___________________________

instead

b. May be a good idea to recommend that some exercise be performed in the privacy of their own

___________________________or a more ___________________________ location of the fitness area

as obese individuals are often ___________________________

i. Avoid having clients roll or lie on ___________________________

c. Use caution when having an obese client get into a___________________________ (on stomach) or

___________________________ (on back) position because obese individuals are more likely to

experience ___________________________ or hypertensive reactions to exercise

i. Having obese clients perform exercises in a ___________________________position may be

more appropriate and comfortable for them

16. Exercise Substitutions – Label the exercises below

____________________________________ ____________________________________

____________________________________ ____________________________________

________________________________________________________________________

____________________________________ ____________________________________

17. Psychological Aspects of working with Obese Clients

a. Obesity is a unique condition because it also affects a person's sense of __________________________

well-being and___________________________

b. Need to make sure your client feels socially and emotionally___________________________

i. Be sensitive to an obese client's needs and avoid ___________________________ situations

c. Need to create ___________________________between the personal trainer and the client

d. ___________________________ requirements may be overwhelming to obese clients

i. Initially keep duration of exercise ___________________________and encourage clients to

become more active during their typical ___________________________activities

ii. As clients become more ___________________________begin increasing

the___________________________ of exercise sessions

e. Unrealistic expectations

i. Shows like the Biggest Loser, advertisements showing extreme weight loss can create a

mentality of wanting ___________________________results

ii. Most people do not understand that exercise ___________________________ is not very

effective for weight___________________________

iii. Explain that exercise is ___________________________even if weight loss goals are not met

iv. Realistic goal is ______________ pounds per week

1. People that lose more than 2 pounds per week are more likely to

___________________________ the weight

v. Typically takes __________ weeks before changes begin to take place

vi. Can take ________months for significant weight loss

f. Creating goals with clients

i. Change the goal of exercise from___________________________________ to

__________________________________________ or fatigue reduction

ii. Ask clients how they___________________________ after a workout

iii. Ask how quality of___________________________ improves after starting an exercise plan

iv. Give clients a method of measuring their success that does not depend upon the

___________________________

g. Remind clients of the benefits of regular exercise

i. Decreased ___________________________ and ___________________________

ii. Improved feelings of ___________________________

iii. Reduction in ___________________________levels

iv. Decreased risk of ___________________________

v. Improved ___________________________ and ___________________________function

vi. Reduction in ____________________________________________________ risk factors

vii. Increased _________________________________________________

viii. Improved _________________________________________________

18. With continued ___________________________obese clients can make improvements in their health. You

have the tools to help someone change their ___________________________!