diabetes initiatives
Management Centre (Discovery Learning), Fitness Wales and Active IQ. Weight Management Centre’s course
has already produced over 200 graduates, with about half of these from the health and fi tness sector; the remainder have a clinical background. The course takes an in-depth look at the causes of obesity and its links with Type 2 diabetes, as well as looking briefl y at the auto-immune disease that is Type 1 diabetes, examining the management of both conditions via healthy lifestyle changes. A large section of the course
is devoted to weight and obesity management, including a Level 4 component in human nutrition and behavioural change techniques such as motivational interviewing and cognitive behavioural therapy. “We do provide specifi c exercise
programmes for both Type 1 and Type 2 diabetes, but as with all management of chronic conditions, the key is effective client assessment. This ensures any exercise programme is suitable for the ability of the client and the stage of their condition,” says director Alan Jackson. “Similarly, on the dietary side of things,
diabetics – just like non-diabetics – have a variety of likes and dislikes when it comes to food; while dietary approaches to diabetes are relatively standard, unfortunately people aren’t. The course guides students to work around dietary preferences and provide an optimum diet for obese and diabetic people.”
“WE HELP INSTRUCTORS TO SEE AND WORK WITH THE PERSON, NOT THE CONDITION – A HUGELY NECESSARY SKILL”
Meanwhile, launched in July – and
with Premier Training offering the fi rst course this month – Active IQ’s new certifi cate also focuses on nutrition. Ben Pratt, R&D manager at Active IQ, says: “The qualifi cation looks at exercise and nutrition, but with nutrition more heavily weighted as it has a larger role to play in causing obesity and diabetes. “We don’t focus on typical calorie
counting and fat reduction – in the long term, this will not result in signifi cant weight loss or maintenance of lower body weight. The qualifi cation bases its primary approach on the scientifi c fact that carbohydrates stimulate insulin, which in turn stimulates fat storage. “Regarding exercise strategies, we
focus on supporting weight loss via an alternative style of training, similar to intervals, which increases post-exercise metabolism and drives up the level of fat burning in the hours that follow. “The qualifi cation also looks at
behavioural change and the support PTs need to offer clients to build lifelong habits. We encourage this to take place on a one-to-one basis, to respond to individual circumstances and needs.”
Fitness Wales – whose fi rst Level 4
course in obesity and diabetes will run in late 2011/early 2012 – has more of a focus on physical activity and psychology. Sarah Bolitho of Fitness Wales explains:
“We have deliberately stayed away from including nutritional/weight loss advice other than standard, government- approved healthy eating recommendations. Most individuals with obesity or diabetes who are referred into an exercise scheme are under the care of a multi-disciplinary team including dieticians, diabetes nurses and so on, so it’s important for fi tness/referral professionals to observe boundaries where advice is concerned and avoid confusing the client. “Our course includes a mix of theory
and practical sessions, from behaviour change and lifestyle coaching to activity sessions such as chair-based activity, circuits, gym, group exercise, walking and relaxation. This offers different entry levels to activity and covers all relevant considerations such as weight restrictions on machines, fi tness levels, mobility issues, timing of medication and so on. We also give a sample of each class as a handout so instructors have something they can immediately teach.
Food first: Many training courses focus on nutrition, although all include exercise components too 52 Read Health Club Management online at
healthclubmanagement.co.uk/digital october 2011 © cybertrek 2011
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