Potential new client has been diagnosed by a Nutritionist with metabolic syndrome, has been through countless personal trainers and with no help towards her goals, also is now pre-diabetic, and very frustrated with her lack of results. Really looking for a trainer who has or currently has a client with this issue.. also cardio needs to be low impact, running causes hip pain so I’m sure there might be an issue there.
Several of my clients have metabolic syndrome, but that is really not something that should be diagnosed by a nutritionist; she needs to be diagnosed by a physician. After she is cleared by a physician you and she need to set realistic goals together. Why has she not reached her goals in the past? Were they realistic and specific? If they were, then you need to search out the lack of results. Did she follow a valid nutritional plan? Did she workout on her own without the trainer? (If she saw a trainer 2-3 times a week she should have been doing something on her own as well). If running causes hip pain an elliptical or stationary bike can be valid cardio options. Assuming she has a decent fitness baseline (since she has seen many trainers) and if she has been cleared by her physician) 2-3 days a week of short HIIT can be helpful with metabolic syndrome. She can do that on any type of cardio equipment. Weight training also has great health benefits, especially for diabetics, so she should be lifting weights at least twice a week. Again, if she has good mechanics and a strong baseline, make sure the weights she lifts are heavy enough to benefit, she should not be doing light weights and numerous reps.
I agree with Janet. Great answer. Definitely get her to include her physician and get some recommendations/contraindications for her.
I would also suggest encouraging her to try aquatic exercise. This is a fantastic form of exercise for anyone. I have trained triathletes/football players to pre/post hab & arthritis clients in the water. I can make it therapuetic or the hardest workout you have ever done. Water is very forgiving while being very self limiting. (ie. The physical properties of water make it harder to hurt yourself accidentally.) Weightloss clients sometimes are reluctant to put on a swimsuit and go to the pool. But overcoming this is also very important in helping them move forward with body composition management. And the virtually zero gravity effect of water exercise will make it possible to do more with less stress on her body.
If you don’t have experience with aquatic exercise, you should do some CECs for it or even get a water cert. I do teach CECs for this, but I only teach in person and mostly here on the Big Island of Hawaii. I would be happy to direct you a bit, but getting some experience and personal instruction is very important in my opinion. (For everything we learn, in person presentations would be best. But isn’t always practical.) Feel free to contact me through my profile or go to my website www.hawaiifitnessacademy.com .
I have little to add to Janet’s recommendations for the metabolic syndrome.
Something in your description, though, caught my eye. You say that she has been “through countless personal trainers”. None of them has helped her, and matters seemed to have gotten worse. I realize that not all trainers are created equal; some are better than others. But I find this a very strange comment to make. It sounds to me that this lady never stuck with any program long enough to even see any results. There are clients who run from trainer to trainer and put the lack of progress on them. This prevents them from looking at their own shortcomings. We can only guide people to the best of our abilities; they still have to do the work themselves. What to watch out for are rebuttals to your suggestions that start with “Yes, but …..”