Personal Fitness Professional - Spring 2018 - 20

FEATURE ARTICLE
Brandi Binkley

www.getphysiofit.com | Dr. Tracy Hagemann

MORE THAN
THE PROPER DOSE
Effects of prescription medications on your
client's health and wellness goals

A

s our country continues to
struggle with the growing
epidemic of obesity, trainers
need to be vigilant and open
with their clients about topics that can
worsen this condition. Without knowing it,
many of the medications our clients take for
the treatment of a variety of chronic disease
states have the potential to cause weight
gain as a side effect. After determining this
as a roadblock to their successful weight
loss, there are appropriate ways to handle
the situation and get the client back on track
to their health and wellness goals.
According to the CDC, 36.5% of U.S. adults
have clinically defined obesity. Overweight
individuals are defined as those with a BMI 25
to 30 and obese if the individual has a BMI
of greater than 30. Let's put this into perspective. A sedentary and unhealthy lifestyle
leads to obesity, which then lends to many
other co-morbid conditions including heart
disease, high blood pressure, diabetes, heart
attack and stroke. Because of these newly
added diseases brought on by being obese,
the patient has come full circle and is now on
other potential medications that can lead to
even more weight gain.
During the first meeting with the client, it
is important to learn their overall goals for
the sessions as well as to take a thorough

20

health and medication history to tailor their
workouts to fit their needs. This can be done
in several ways. A standardized form can be
utilized with checkmark boxes next to the
condition and a space to write corresponding
medications used to treat the condition or
just a general questionnaire with enough
space to write out the condition along with
medications they are taking. But be sure to let
them know that it is imperative you have this
information to make their workouts effective
and keep them safe.
There are many medications that the World
Health Organization terms "obesogenic,"
but for our purposes, we are going to focus
on those that treat the four most common
conditions: diabetes, high blood pressure,
depression and inflammation.
In 2012, the American Diabetes Association
estimated that 9.3% of the American population had a diagnosis and were being treated for
diabetes. One of the recommendations for diabetic patients is to lose weight and to increase
physical activity; chances are, you have clients
that fall into this category. Three of the classes
of medications commonly used to treat diabetic patients, including insulin, sulfonylureas, and
thiazolidinediones, can cause a weight gain of
anywhere from 2.2 to 13.2 pounds. That is a lot
of weight to add on to someone who already
needs to get some weight off.

| WWW.PERSONALFITNESSPROFESSIONAL.COM | SPRING 2018

The most commonly diagnosed chronic
disease state in the U.S. is high blood
pressure. According to the American Heart
Association, 85 million Americans over the
age of 20, roughly 33% of adults, have high
blood pressure. Though there are several
classes of drugs used to treat high blood
pressure, there is currently only evidence
that one class contributes to overall weight
gain. Beta-blockers, used for the treatment of
many diseases related to the heart, only lead
to a mild amount of weight gain of about 2 to
4 pounds. This minimal weight gain can easily
be overcome with your help.
Depression is another commonly diagnosed and treated medical condition, though
many clients might not be as forthcoming
with this information as they would be with
a diagnosis of high blood pressure. Within
the antidepressant category, there are four
classes of drugs that have a known side effect
of weight gain, ranging from mild gain of
1.1 pounds to moderate gain of 11 pounds.
The class of medications most commonly
prescribed by physicians is the SSRIs. Overall, this class has been shown to cause less
weight gain of all the antidepressants, except
for paroxetine, which can cause a patient to
gain as much as 3.6% of their baseline weight
during treatment. That might not sound like a
lot of weight to gain, but if the patient starts


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Table of Contents for the Digital Edition of Personal Fitness Professional - Spring 2018

Contents
Personal Fitness Professional - Spring 2018 - Intro
Personal Fitness Professional - Spring 2018 - Cover1
Personal Fitness Professional - Spring 2018 - Cover2
Personal Fitness Professional - Spring 2018 - 3
Personal Fitness Professional - Spring 2018 - 4
Personal Fitness Professional - Spring 2018 - 5
Personal Fitness Professional - Spring 2018 - Contents
Personal Fitness Professional - Spring 2018 - 7
Personal Fitness Professional - Spring 2018 - 8
Personal Fitness Professional - Spring 2018 - 9
Personal Fitness Professional - Spring 2018 - 10
Personal Fitness Professional - Spring 2018 - 11
Personal Fitness Professional - Spring 2018 - 12
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Personal Fitness Professional - Spring 2018 - 20
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Personal Fitness Professional - Spring 2018 - Cover3
Personal Fitness Professional - Spring 2018 - Cover4
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