Exercise Programming for Weight Management 1

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    Exercise Programming for

    Weight ManagementJoshua La Reaux, M.S., CSCS

    Clinical Exercise Instructor, PEAK Academy

    Department of Exercise and Sport Science

    The University of Utah

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    Physical Activity Recommendations

    Surgeon General: 30 minutes of light to moderateactivity most if not all days of the week.

    ACSM: Overweight adults should engage inapproximately 45 minutes of exercise per day

    to lose weight or prevent weight regain.Institute of Medicine: 60 minutes a day of

    moderate physical activity to prevent weightgain.

    International Association for the Study ofObesity: 45 to 90 minutes of moderate physicalactivity per day.

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    Getting Started

    Where are you psychologically?

    Where are you physically?

    What are your barriers?

    What do you enjoy doing?

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    Psychological Readiness(Transtheoretical Model)

    Precontemplationlack of interest in making achange.

    Contemplationthinking about making a

    change. Preparationtaking steps to make a change or

    have already made small changes.

    Actionactively engaged in the behavior but for

    less than six months. Maintenancehave maintained the behavior for

    more than six months.

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    Physical Readiness

    Step 1 - Self administered questionnaire

    (PAR-Q, AHA/ACSM Health/Fitness

    Facility Preparticipation Questionnaire)

    Step 2If necessary, obtain physicians

    clearance (may include stress testing).

    Step 3If necessary, professional

    guidance/supervision.

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    Identifying Barriers

    Identifying and overcoming barriers is a criticalstep in successful exercise programming!

    Common barriers include:

    Lack of time Lack of support

    Lack of skill

    Access

    Cost

    Fear of injury

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    What do you enjoy doing?

    To achieve the highest levels of adherence

    choose activities you enjoy. However,

    every program should address the main

    components of physical fitness:

    Body Composition

    Cardiorespiratory or Aerobic Fitness

    Muscular Strength and Endurance

    Flexibility

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    Cardiovascular Fitness

    Cardiorespiratory fitness is related to the

    ability to perform large muscle, dynamic,

    moderate- to high-intensityexercise for

    prolonged periods (ACSM, 2000, p.68).

    Cornerstone of healthy weight management!

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    Cardiovascular Fitness

    ProgramStage

    Weeks Frequency Intensity Duration

    Initial Stage 1 to 6 3 to 4 days

    per week

    40% to

    60% of

    HRR

    15 to 30

    minutes

    Improvement

    Stage5 to 24 3 to 5 days

    per week

    60% to

    85% of

    HRR

    25 to 40

    minutes

    Maintenance

    Stage24+ 3 to 5 days

    per week

    70% to

    85% of

    HRR

    20 to 60

    minutes

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    Heart Rate Reserve

    A way to measure exercise intensity usingresting and maximal heart rate. Also

    known as the Karvonen formula.

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    Cardiovascular Fitness Worksheet

    Moderate Heart Rate Range (40%) =

    ([Heart Rate Max* _____ - Resting Heart

    Rate _____] x .40) + Resting Heart Rate

    Vigorous Heart Rate Range (60%) =

    ([Heart Rate Max* _____ - Resting HeartRate _____] x .60) + Resting Heart Rate

    * Heart Rate Max = 220age in years (+/- 12).

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    Muscular Strength and Endurance

    To write an effective program there are a multitudeof variables to consider:

    Training goal

    Training experience

    Appropriate volume (V = Reps x Load)

    Appropriate intensity (% of 1RM)

    Rest/work ratios

    Exercise selection (large muscle groupsfollowed by smaller ones)

    Proper warm-up/cool-down

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    Muscular Strength

    ProgramStage Weeks Frequency Intensity(reps/sets/

    % 1RM

    Duration

    Beginning 6 to 8 2 to 3

    days/week

    8-12 reps

    1-2 sets

    60% to 70%

    < 1 hour

    Intermediate 2 to 4 3 to 4

    days/week

    8-12 reps

    Variable

    60% to 85%

    Variable

    Advanced 2 to 4 6

    days/week

    1-12 reps

    Variable

    80% to

    100%

    Variable

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    Flexibility

    Flexibility is defined as the ability to move a joint

    through its complete range of motion (ACSM, 2000, p.85.).

    Including flexibility training into a program may

    reduce injury, facilitate activities of daily living

    and improve performance. Unfortunately,

    flexibility training is often misunderstood andneglected.

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    Flexibility Training

    Mode Frequency Intensity Duration

    Static Variable 1 set to

    milddiscomfort

    30 to 60

    seconds.

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    Sample Program

    Week One

    Monday Tuesday Wednesday Thursday Friday Saturday Sunday

    Cadio - (bike)

    Flexibility

    Training

    Cardio (walk)

    Resistance

    Training 1

    Flexibility

    Training

    Cardio (EFX)

    Flexibility Training

    Cardio (walk)

    Resistance

    Training 2

    Flexibility

    Training

    Cardio(walk/jog)

    Flexibility

    Training

    Recreation

    activity: hiking,

    visit the zoo,

    skiing, water ski,basketball, ect.

    Off

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    Cardiovascular

    Day Mode Intensity Duration

    Monday Bike 121-144 bpm 30 min

    Tuesday Walk 121-144 bpm 20 min

    Wednesday EFX 121-144 bpm 35 min

    Thursday Walk 121-144 bpm 20 min

    Friday Walk/jog 121-144 bpm 30 min

    Saturday Variable N/A N/A

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    Resistance Training

    Resistance Training 1 Resistance Training 2

    Exercise Load (lbs) Sets Reps Exercise Load Sets Reps

    Leg Press 100 2 15 Back Squat 65 2 12

    DB Chest Press 20 2 15 Incline Chest Press 45 2 12

    Lat Pull Down 55 2 15 Seated Row 65 2 12

    DB Shoulder Press 15 2 15 DB Lat Raise 10 2 12

    Machine Hamstring Curls 35 2 15 Straight Leg Deadlift 50 2 12

    Cable Triceps Extension 20 2 15 Assisted Dips 50 2 12

    Cable Curls 20 2 15 Hammer Curls 15 2 12

    Seated Back Extension 40 2 15 Cable Twist 15 2 12 ea

    Stability Ball Crunch BW 2 20 Front Elbow Bridge BW 2 30 sec

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    Flexibility

    Exercise Sets DurationSupine Glute Stretch 2 30 sec

    Doorway Chest Stress 2 30 sec

    Standing Quad Stretch 2 30 sec

    Standing Hamstring Stretch 2 30 sec

    Seated Front Deltoid Stretch 2 30 sec

    Childs Pose (yoga) 2 30 sec

    Step Calf Stretch 2 30 sec

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    Conclusion

    The purpose of this workshop is to provide a

    general understanding of exercise

    programming for healthy weight

    management. The examples provided maynot be appropriate for everyone. Those

    interested in starting an exercise program

    are strongly encouraged to meet with theirphysician or a certified exercise

    professional.

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    Questions?

    Contact Information:Josh La Reaux

    (801) 585-7325

    [email protected]

    mailto:[email protected]:[email protected]
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    References

    1. ACSM. (2000).ACSMs Guidelines for Exercise Testing and Prescription. Philadelphia: Lippincott Williams.

    2. United States Department of Health and Human Services. Physical activity and health: a report of the Surgeon

    General. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and

    Prevention, National Center for Chronic Disease Prevention and Health Promotion, 1996.