Tailoring Physical Activity Programs for People Taking Anti-obesity Medications [Podcast Series]
[:54] Dr. Bantham introduces her guest, Dr. Renee Rogers
Dr. Renee Rogers is Senior Scientist, University of Kansas Medical Center.
Her focus is on bio-behavioral research.
[1:37] Bio behavioral research focus
“And also understand that different people with different medical conditions, perceptions, experiences, all of that is going to come into play. And the way that we build programs, the way that we treat and care for these folks really needs to take both things into account. Getting overload, getting the dose, but also caring about the person and how they feel.”
[2:56] Patient-centered approach
“It's fascinating to hear the responses and to your exact point, what their experiences have been have really framed the way that they're approaching this and maybe some of their decision making as well.”
[5:05] Anti-obesity medications
“These medications are working on the eat less side, they are not helping people move more.”
[9:07] Reframing the health benefits of physical activity independent of weight loss
“The addition of physical activity isn't necessarily helping you lose more weight, but it is doing other things in terms of the quality of life of the person. And all those independent benefits that you mentioned, Amy, before are really the key crux to helping people connect back with physical activity and doing it for reasons other than weight loss. This is a huge opportunity for us. The sky's really the limit.”
[13:31] Patients on anti-obesity medications and physical activity
“So for us, and when I talk to patients, they tell you that it's important. What they seem to lack in right now is their confidence that it's going to help them. And I think that tells me that's our opportunity, right? That's our opportunity to say, one, can we help build upon their self efficacy for doing this? But really ask, why don't you think physical activity has a role for you right now and understand from them, is it because of past experiences?”
[17:12] Impact on lean mass
“I think we want to be careful as practitioners to not say that it's doing something that it's not, which is what worries me when I hear people saying, my resistance training program is going to stop you from losing lean mass on this medication. That's not really a true statement.”
[22:12] Tailoring exercise programs for individuals taking anti-obesity medications
“So I think a big, really important first step is to talk to the patient on the medication currently that you're working with to say, I want to know when something changes. If your dose changes, if you start to experience more side effects, I can't directly change any of that that you're going through, but I want you to be able to communicate those things with me because I have the ability to change your program to reflect that.”
[25:19] Fitness professionals as trusted partners
“It truly needs to be, I care about your patients and I want to work with you to make their weight loss journey and their quality of life the best that it can possibly be. And I think that's going to open the door for fitness professionals to be trusted on the team. And once they start to know that they can refer even as a first step, the door is going to open for us to do more and more to advocate for fitness professionals to be on these reimbursement teams.”
[29:01] Sustainable behavior change
“So what's better, right to have someone for a long period of time, hopefully their life where they engage in physical activity? What's our goal at the end of the day? Or coming in as hard as you can to get outcomes really fast. It's a balance, right?”
