Lesson 2.6b: Metabolic Conditions – Obesity

Obesity is commonly defined as having too much body mass. A body mass index (BMI) of 30 or higher is the usual benchmark for obesity in adults. A BMI of 40 or higher is considered severe (formerly “morbid”) obesity (Cleveland Clinic, 2022).

Exercise benefits:

  • Increases energy expenditure which promotes weight loss
  • Decreases stress on joints
  • Improves cardiovascular health and insulin sensitivity

Exercise guidelines:

  • Individuals who are obese may be limited by orthopedic aches and pains due to excess stress on the joints. Aquatic exercise can provide an effective low-or non-weight bearing physical activity option.
  • Many times, individuals who are obese will have one or more closely related chronic conditions, such as diabetes or hypertension. Exercise intensity may need to be modified for these individuals.

SilverSneakers class recommendations:

  • Classic provides an excellent option to start exercising where participants can remain seated, if needed.
  • As tolerated, Circuit provides a great interval training workout to increase calorie expenditure.
  • Splash provides a non-weight-bearing aquatic form of exercise.

Instructor tips for participants who are obese:

  • Encourage low- to moderate-exercise intensity that begin with more frequent workouts performed for shorter periods of time.
  • Follow SilverSneakers FITT Guidelines for exercise.
  • Encourage participants to hydrate often and avoid exercising in hot/humid environments.
  • Be prepared to demonstrate choreography modifications and body positions appropriate for a larger body and avoid quick transitions, fast music and/or movements.
  • Caution participants to avoid overexertion, and joint stress and overuse by participating in a variety of classes like low impact aerobics, walking, aquatic exercise and strength training.