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physicaltherapy: 05 Feb : 06:54 pm

Is there anyone who has gone through CWT6 or type 1 evaluation with FCCPT?
If so, kindly let me know from where can the following deficiencies be fulfilled?
1. History
2. Systems Review
3. Findings that warrant referral
4. Supervision of support staff
5. Documentation

nani: 28 Sep : 04:31 am

plz pleasec tell me where to do phd in india

Nikhilphysio: 02 Jun : 03:55 am

I am working as physiotherapist in Shalby hospital ahmedabad for 4 years. I have passed out from Rajiv gandhi university of health and sciences Bangalore. I want to apply for Newzealand physiotherapy board registration so anyone there from India who got registered as physiotherapist in new zealand please help me.

Arun: 10 May : 12:36 am

Hi Priyank, welcome. Feel free to go through these forum threads returned by search [link]

Priyank: 09 May : 10:28 pm

Hi..need advice. What are the options in Australia after MPT?

Pragmatic Approach to Obesity

on Monday 30 August 2004
by Boopathi A PT author list email the content item print the content item create pdf file of the content item
in article > Public Awareness
comments: 2

There are several options in the society for the obese people to ambiguously follow, and they should be protected from the misleading ways and that is the duty of the medical professionals rather than the fitness trainer. The human body is clearly designed for movement as evidenced by the fact that there are more than 600 skeletal muscles and 206 bones in the human body. Skeletal muscle makes up about 40 percent of the body weight in males and 32 percent in females, with smooth and cardiac muscle making up another 10 percent of the total body weight. At rest, approximately 30 percent of basal metabolism is devoted to muscle and up to 90 percent during strenuous exercise. Activity can take many forms, and many factors can influence exercise, such as equipment and facility availability, geographic location, weather, personal goals, personal interests and medical history. All individuals need activity in their life in order to maintain health and preserve function. It is up to medical and fitness professionals to counsel overweight people, especially those with risk factors. The primary goal of weight management should be weight maintenance. Clients need support and practical advice in order to achieve optimal health and be able to live productive lives. One of the weight loss options is diet alone program followed by obese people without knowledge of medical professionals.
Diet Alone Program Actually, what happens in the diet alone program?
1. Weight loss of about a pound a week can be achieved by reducing caloric needs by 500 calories a day.
2. In one week the total calorie deficit will equal 3500 calories, which is approximately the number of calories in a pound of fat Approximately 70 percent of weight loss from diet alone programs is fat and the rest is from lean tissue. Although it sounds good it has inevitable disadvantages, which may cause serious setback and some times place the subject in irreversible state. In a modern society or in a country like India, which is a low economic state, it’s extremely difficult to follow a regular diet that rich in all the adequate nutrition in it with exactly required calories.
Diet and Exercise Program
1. Weight loss occurs as a result of caloric deficit and by burning calories through exercise and activity. Generally considered the most effective method of weight loss.  2. Weight loss of approximately 1-2 pounds per week can be achieved with diet and exercise combination programs
3. Most of the weight loss is fat. The exercise helps prevents loss of lean tissue ( and can cause a gain in lean tissue )
4. 11 - 13 percent of weight loss will come from fat free mass
Improving Compliance with a Weight Loss Program Exercise Factors
1. Make time in your daily life to take care of your health by setting aside exercise breaks. Don’t let the lack of time be an obstacle.
2. Participate in physical activities and sports you enjoy.
3. Start out slow and progress gradually.
4. Incorporate more activity into daily life.
5. Decide where is the best place for you to exercise.
a. Your home gym (advantages - no wasted time traveling to gym, no parking problems, no waiting for machines, no membership fees, no crowds, no dirty equipment, equipment to fit your interests, open whenever you want, music and air temperature set to your preference and hopefully a clean shower and bathroom facility). Some people are embarrassed at participating in exercise in public; therefore training at home would be a good option.
b. Fitness center (advantages - interaction with other members for motivation, variety of classes, equipment and instructors and no equipment maintenance concerns).
6. Chart your progress on a calendar:
a. Write down your exercise routine or activity daily ( e.g., Monday - walk x 30 minutes; Tuesday - tennis x 45 minutes )
b. Write down your body weight once a week.
c. Write down your mid upper arm, chest, waist, hip and mid thigh girth measures once a month.
Also aware of these factors-
Nutritional Factors
1. Eat foods you like.
2. Eat meals slowly.
3. Eat wholesome foods.
4. Eat balanced meals.
5. Eat at least 3 meals a day
6. Read food labels.
7. Write down what you eat for several days to observe your habits.
Behavioral Factors
1. Avoid eating due to stress.
2. Avoid grocery shopping when hungry.
3. Don’t be too much of a perfectionist. Be happy with who you are.
4. Reduce stress in your life so you can make rational decisions.
5. Be a realist. Don’t set goals you cannot achieve.
6. Be positive and move toward your goals one day at a time.
7. Know your triggers for abnormal eating patterns and plan around them.
8. Plan your meals ahead of time to avoid last minute poor choices.
9. Keep a food diary to see when and why you eat.
10. Have a support group of family and friends who encourage you.
Incorporating Activity into daily life
1. Play fun and active physical game with your childern
2. Take frequent stretch breaks every 30minutes at work - especially if you sit all day.
3. Work in your garden and yard.
4. Work around your garden and yard.
5. Use a mechanical push lawn mower, if your yard is reasonably small. This also cuts down on neighborhood noise and air pollution.
6. Take a small 10 - 15 minute walk during your lunch at work.
7. Occasionally take stairs instead of an elevator.
8. Park slightly away from your shopping store or work to allow for more walking.
9. Engage in sports ( e.g., golf, tennis, softball ) or engage in activities ( e.g., bowling, dancing, table tennis ) that you consider fun and enjoyable.
10. Stand and stretch when you are talking on the phone for prolonged periods of time.
11. Take your dog out for a walk.
12. Stand up and stretch or walk in place briefly during television commercials.
13. Perform stretching or free body and light weight training while you watch your favorite television shows.
14. Take active vacations that involve walking, hiking, canoeing, etc.
Ref: Clinical Obesity in Adults and Children, pg 265-326, pg 351-370
Author: Peter G Kopelman, Ian D Caterson, and William H Dietz


johashms says:

24 Sep : 03:53 am

pls try to add some exercise protocols also.

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Arun says:

28 Oct : 12:16 am

No I guess it is not wise to do that as the article is mainly concerned for public awareness........ It is not at all safe to follow any kinds of exercise activities especially by the obese people without consulting a practitioner.

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