Personal Fitness Professional - October 2008 - (Page 22)

are insecure and/or lacking in conﬁdence, are in denial and (probably a result of the past failures) set very low weight loss and ﬁtness goals. Be sensitive, patient and encouraging but, as the need arises, tough. As a competent, educated trainer, you will design an eﬀective workout program for your obese clientele. In the process, realize that your OP will be especially prone to chronic lower back pain — due in part to the load on the lumbar spine and low levels of movement. As such, you need to be especially careful in selecting exercises focusing on the core, including these muscle groups: erector spinae, rectus abdominus, quadratus lumborum, adductors, abductors and abdominus obliques. Those muscles, while probably severely atrophied in an OP, would, if strengthened, lessen or eliminate the OP’s propensity not to utilize their muscles in the rest of their bodies. As we learned in our early exercise physiology coursework, every signiﬁcant muscle action originates in, is transferred through or is stabilized by the core. You’ll want your OP to exercise the core while putting as little load on the spine as possible. “Pulling” the upper half of the body toward the lower half (visualize a sit-up) generally puts the same muscles to work as pulling the lower half of the body toward the upper half (visualize “reverse curl” or “knees up”) but pulls less on the spine. Aerobic exercise can’t be overstressed for an obese clientele. It is here, not necessarily in strength training, that you’ll get the most bang for the buck. I’m not talking marathoning. A 77-year-old obese client of mine ﬁnally has her treadmill speed up to 1.3 miles per hour. As a result of aerobic ﬁtness, your clients will reduce “all cause” mortality risks, see immediate beneﬁts in loss of subcutaneous abdominal adiposity and visceral abdominal adiposity and, almost as important, weight loss. Warren E. Jones, JD, NSCA-CSCS, ACSM H/FI, ACSM-CEQ is a contributing author to NSCA’s Performance Training Journal and Personal Fitness Professional. He is an Honorably Discharged US Marine Corps Sergeant whose clients range from the “8th Grade to the 8th Decade” and from the morbidly obese to competitive triathletes and runners. He can be reached at wej@cox.net. ● OBESITY RESOURCES Journals: Obesity Reviews, Obesity (formerly Obesity Research), International Journal of Obesity, Appetite, Behavior Modiﬁcation, Journal of the American Dietetic Association,Eating Behaviors, Journal of the American College of Nutrition, Journal of Nutrition, Nutrition, Nutrition Research, Physiology & Behavior, Preventive Medicine, Preventing Chronic Diseases. Books: The Way To Eat by David L. Katz; Mindless Eating by Brian Wansink; Volumetrics series by Barbara Rolls; The Spectrum by Dean Ornish; The Fattening of America by Eric A. Finkelstein and Laurie Zuckerman; Start Strong, Finish Strong by Kenneth H. Cooper and Tyler C. Cooper; The Duke Diet by Howard J. Eisenson and Martin Binks; What to Eat by Marion Nestle; You: on a Diet by Mehmet C. Oz and Michael F. Roizen. 22 OCTOBER2008 · WWW.FIT-PRO.COM http://www.nfpt.com http://www.nfpt.com http://WWW.FIT-PRO.COM

Table of Contents Feed for the Digital Edition of Personal Fitness Professional - October 2008

Personal Fitness Professional - October 2008 Contents Letter from the Editor, Writers Current Controversies Combating with Obesity Pilates and Yoga for Athletes New! The Balancing Act The Top Prize Building a Base of Special Populations Datebook The Success Image The Anatomy of a Fitness Assessment Branding Training Ruts Product Profile New on the Market

Personal Fitness Professional - October 2008

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