Personal Trainer Collective – Coaching Clients with Obesity (Module 01 – 03) – James Krieger

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What will James teach you?

Coaching Clients with Obesity is specifically designed to empower the personal trainer when dealing with the unique challenges of clients with obesity. Obesity is a global epidemic, and clients with obesity need special consideration from both a nutritional and exercise standpoint.

Course Syllabus

1. Module 1: Obesity – A Unique Challenge

   1. Unit 1: What is Obesity

      • Define obesity
      • Understand the health implications of obesity
      • Identify the countries with the highest and lowest obesity rates
      • Understand the spread of obesity in the United States of America

   2. Unit 2: The Primary Driver Behind Obesity

      • Understand energy balance and how it impacts body weight
      • Identify the components of energy balance that are driving obesity
      • Understand how the environment can impact food intake
      • Understand how palatability and energy density can impact food intake and food-seeking behaviours
      • Understand optimal foraging theory and how it relates to overeating
      • To identify how food technology has impacted the reinforcing characteristics of food
      • Define “settling point” and understand how palatability and reward impact it
      • Understand how food variety impacts calorie intake

   3. Unit 3: Secondary Drivers of Obesity

      • Identify secondary factors that are contributing to the obesity epidemic
      • Understand how food form can impact appetite and satiety
      • Understand the mechanisms via which sleep loss can contribute to obesity
      • Understand how inactivity can impact food intake

2. Module 2: Nutrition Strategies for Weight Management

   1. Unit 4: Energy Balance and Setting Calorie Targets

      • Understand the adaptations that occur in the body during an energy deficit
      • Identify the advantages and disadvantages of small and large energy deficits
      • Be able to calculate calorie targets for weight loss

   2. Unit 5: Setting up a Sustainable Nutrition Plan

      • Identify the characteristics of a sustainable, reduced calorie diet
      • Understand appropriate protein intakes for the obese client
      • Define energy density and understand how to apply our knowledge of energy density to construct a high-satiety diet
      • Understand the basic mechanisms behind the efficacy of popular diets
      • Understand basic semi-quantitative and non-quantitative dieting strategies
      • Understand the importance of dietary adherence
      • Identify how to alter food environment to enhance adherence

3. Module 3: Exercise and the Obese Client

   1. Unit 6: Components of Energy Expenditure

      • Identify the components of energy expenditure
      • Understand the relationship between metabolism and bodyweight change

   2. Unit 7: Non-Exercise Activity Thermogenesis (NEAT)

      • Define non-exercise activity thermogenesis (NEAT)
      • Understand the magnitude of inter-individual variances in NEAT
      • Understand what happens to NEAT with age, weight loss, exercise, and obesity

   3. Unit 8: Impacts of Endurance Exercise and Interval Training on Energy Expenditure Fat Loss

      • Understand how endurance exercise impacts energy expenditure during exercise and during recovery
      • Understand how interval training impacts energy expenditure during exercise and during recovery
      • Understand how interval training compares to endurance training for energy expenditure and fat loss

   4. Unit 9: Impacts of Resistance Exercise on Energy Expenditure and Fat Loss

      • Understand how resistance training impacts energy expenditure during exercise and during recovery
      • Understand how volume and intensity can impact energy expenditure and fat loss
      • Understand how resistance exercise compares to aerobic exercise regarding the effects on metabolism and 24-hour energy expenditure

   5. Unit 10: Impacts of Exercise on Abdominal Fat & FFM Retention

      • Understand how exercise intensity may impact abdominal fat
      • Understand how exercise may impact fat-free mass retention during weight loss
      • Identify the difference between fat-free mass and muscle
      • Understand the interaction between resistance training and fat-free-mass retention

   6. Unit 11: Impact of Exercise on Appetite

      • Understand the different appetite responses to calorie restriction and exercise
      • Identify how exercise may impact appetite
      • Understand how exercise intensity may impact appetite

   7. Unit 12: Impacts of Fasted vs Fed Exercise on Energy Expenditure and Fat Loss

      • Identify the proposed mechanisms for fasted exercise improving fat loss
      • Understand the research findings regarding fasted versus fed exercise

   8. Unit 13: Exercise Training Modalities for Obese Clients

      • Understand the unique challenges when programming exercise for an obese client
      • Identify which modalities of aerobic training, interval training, and resistance training may be most appropriate for obese clients
      • Apply programming principles to hypothetical examples of obese clients

   9. Unit 14: Strategies for Increasing NEAT

      • Identify strategies to help increase NEAT and how to incorporate them into a client’s lifestyle
      • Understand how to use activity tracking devices to help increase a client’s NEAT

4. Module 4: Lifestyle Factors for Obesity

   1. Unit 15: Sleep & Self Monitoring

      • Understand strategies to enhance sleep quality and quantity
      • Understand the relationship between self-monitoring and success
      • Identify how self-monitoring tools can be used to enhance success rates

5. Module 5: The Bigger Picture – Adherence and Long-Term Success

   1. Unit 16: Long-term Weight Maintenance

      • Identify the reasons why long-term weight maintenance success rates are low
      • Understand the characteristics of successful long-term weight maintainers
      • Understand the importance of physical activity to long-term weight maintenance

   2. Unit 17: Psychology of Obesity – Strategies for Adherence and Successful Weight Loss/Maintenance

      • Identify the psychological consequences and comorbidities of obesity
      • Understand strategies to set a client up for success
      • Understand variables associated with successful adherence, weight loss, and weight maintenance
      • Understand variables associated with lapses in adherence, and how to create strategies to limit lapses
      • Understand how motivation, intention, and planning are related to behavior
      • Understand the advantages of flexible versus rigid approaches
      • Understand potential sources of tension during weight maintenance, and how to manage or resolve that tension

6. Module 6: Consultation and Practical Programming

   1. Unit 18: Consulting with an Obese Client and Practical Application

      • Identify the phases of consulting an obese client
      • Identify the information you need to gather during each consultation phase
      • Understand the basics of programming for an obese client
      • Understand how to use this information to make adjustments based on progress
      • Understand the special factors you need to consider when working with obese clients compared to the general population

   2. Unit 19: Summary

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