1. EF310: CURRENT TRENDS IN EXERCISE AND FITNESS: AGING WELL ACROSS THE LIFESPAN Unit 8: Obesity and Diabetes

2. Seminar Agenda  Preview of Unit 8  Unit 8 key concepts  Opening Act discussion  Seminar Questions  Type II Diabetes: The Impending Health Crisis

3. Unit 8 Key Concepts: Exercise Prescription for Weight Management (11)  Increasing prevalence of diabetes in US  Etiology of obesity: Genetics vs. Lifestyle  Behavior modification: eating, exercise, support system, behavior change  Counseling against fad diets, gimmicks and gadgets  Disordered eating

4. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

5. Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

6. Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

7. Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

8. Obesity Trends* Among U.S. Adults BRFSS, 2010 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

9. Unit 8 Key Concepts: Exercise and Obesity (19)  Physical activity in preventing/treating obesity  Special testing/screenings for obese clients  Exercise prescription

10. Unit 8 Key Concepts: Exercise and Diabetes (20)  Comparison of type I & type II diabetes  Benefits of exercise for diabetic patients  Screening recommendations  Exercise Prescription  Type 1  Type 2

11. Opening Act You were just hired as a member of a childhood obesity task force in your community. The task force wants to decrease the incidence of overweight children by 10% within the next 10 years. 1) Who should the task force involve in this process? 2) What recommendations would you propose? At what levels and locations would programs be implemented? 3) Would it be possible to reach the task force’s stated goal?

12. Seminar Question: Diabetic Clients What special concerns do diabetic patients have when undertaking an exercise program? What things will you need to consider to keep the client safe?

13. Seminar Question: Design a Program Pete is a 29 year old morbidly obese man. His weight is 315 pounds (height is 5’9”). Pete is seeking to lose weight and knows exercise is part of the weight loss process. Pete is willing to follow your recommendations, but he doesn’t want to “diet”. 1) What assessments/testing would you recommend? 2) What exercise program would you recommend? 3) What advice if any would you offer on Pete’s diet? Can he successfully lose weight without making dietary changes?

14. Questions, Comments, Concerns?