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21 Jul 2006

need help on a case study!!!
i need help regarding the exercise prescription for a woman who is 32 years old with a body fat % of 37% with a current weight of 93kgs. her BMI is 34 and she has osteoarthritis. she however has no significant history of/risk factors for heart disease. her doctor has cleared her for an exercise program to lose weight. Can anyone help me in terms of exercise prescription & goals in terms of the mode, frequency, duration , intensity and progression of the program.

many many thanks to whoever out there can help.
Answer 385 views
Expert
FitnessDoc
fitnessdoc

01 Jan 0001

Hi mike

A lot of your programme is dictated to by your client's situation. IN this case, the fact that she is cleared for exercise by a doctor is a green light, and the first thing to clear, as I'm sure you know. She seems to have no major reasons not to train, though the osteoarthritis presents a problem to you. Now, I'm not sure what level you are or what the case study is for, perhaps a personal trainer course, in which case, you will know something of the development and treatment of osteoarthritis. then, you will know that the best exercise are those that have some load-bearing, but not an excessive amount, because this can cause damage, especially early. However, things like walking, maybe very slow jogging (at a later stage) should enter your thinking.

now, the goals must be hers. if you set the goals, the programme will fail. You must consult with her, of course, but she needs to buy in 100% to the goals of training. A word of advice here - her goal may appear obvious, to lose weight. However, you must encourage her, in my opinion, to focus on smaller achievements that you know can be measured. This is because she will invariably increase her lean mass when she exercises, and so if she is looking to lose weight, may become disappointed. Therefore, the better goal is to say that if she can run 30 minutes, she will be on the right track, and so make that the goal. Am I making sense? I think it's very important that you set measurable, achievable goals and the big picture goal is weight loss. But weight loss is inevitable if she gets fitter. So make her fitter, and the rest will come

As for what else - the frequency, duration and intensity must all be set depending on her situation. Perhaps 3 days a week, perhaps 4 or 5 to begin with, but remember to make it easy early on. I can't go into more than that, I don't want to do the work for you, but start off by asking what, why, when, how? And you will see it fall into place.

Good luck
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