Week 2 Tutorial .pdf

EHR522: Exercise for Metabolic and Renal Conditions Tutorial Two: Overweight and Obesity Question 1: Whilst there are a lack of specific guidelines for working with overweight and obese patients, they can often present many challenges for the Accredited Exercise Physiologist. Brainstorm below a list...

EHR522: Exercise for Metabolic and Renal Conditions Tutorial Two: Overweight and Obesity Question 1: Whilst there are a lack of specific guidelines for working with overweight and obese patients, they can often present many challenges for the Accredited Exercise Physiologist. Brainstorm below a list of techniques or strategies that you may use to improve the motivation and compliance of an obese patient who has not participated in a regular exercise program for many years. ................................................................................................................................................................ Use small goals that are easily achievable as this will assist with adherence and compliance ................................................................................................................................................................ Educate them on the health benefits of small amounts of weight loss Encourage the use of a compliance diary - patients record exercise done and assist in keeping them in track ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ Question 2: Treatment of overweight and obese patients is largely dependent upon their presentation and comorbid conditions. List below at least five common comorbid conditions that you would expect to encounter among overweight and obese patients Hypertension, diabetes, cardiometabolic diseases, dyslipamedia, sleep apnea, arthritis, cancer mental health is also highly correlated ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ Question 3: Select two of the conditions you listed in Question #2. For these two conditions, list the considerations you would need to make in treating the patient (you will need to refer to your knowledge from other subjects within your Masters Degree) ................................................................................................................................................................ Base the treatment off comorbidities of the client - for these conditions you have to keep in mind the medications they are on and how these influence the client - for eg if they cause wi=eight gain or influence heart rate - this means the use of ................................................................................................................................................................ RPE rather than HRR might be beneficial as HR may fluctuate due to medication ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ Question 4: Barry presents to you for assessment following referral from his General Practitioner for weight loss. Barry, 33 years of age, has a BMI of 42. Surprisingly, he is yet to present with any comorbid conditions. Barry has significant central adiposity, with a waist circumference of 128cm. Create below a list of tests, assessments and/or exercises that you believe Barry would find uncomfortable. Would you avoid these in your initial assessment? ................................................................................................................................................................ Recommend not doing walking protocols above BMI of 40 as it is not an accurate measure of cardiorepiratroy fitness - could use a bike protocol instead and could prescribe exercise on a bike then once a little weight loss slowly ................................................................................................................................................................ introduce walking exercises - once you see someone who is clearly obese we do not need a DEXA scan as it is not going to make a difference ................................................................................................................................................................ - take weight and waist circumference, that is fine avoid anything prone lying as it will probably put him into lumbar extension ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ Question 5: Gina, 55 years of age, presents to you for weight loss. She is 168cm tall and has a body mass of 132kg. Calculate Gina’s BMI. Gina also has bilateral knee osteoarthritis which is exacerbated by walking greater than 10 minutes and by kneeling. Provide a brief summary of what you would include in your initial assessment with Gina. 46.8 BMI ................................................................................................................................................................ 30 sit to stand - lower body strength and functional capacity test - can also ask how much pain is in the knee ................................................................................................................................................................ Waist circumference - usually always take this measurement as gives more insight into the clients health ................................................................................................................................................................ Use bike to mimic 6MWT as she is morbidly obese - easily repeatable ................................................................................................................................................................ ROM - knee flexion and ext range of motion ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................ ................................................................................................................................................................