T Nation

Training an Obese Client


#1

Hi CT, I just recently took on a client who is 5'4 200lbs and she wants to lose 50lbs by January 23 for her sisters wedding. First thing I told her is that I make no guarantees and that we would do the best we can in terms on losing as much weight as possible in a safe and healthy manner. At my job its a lot harder because as a personal trainer Im not allowed to give out too much nutrition advice, so just the basics, nothing about macros.

She has never lifted before, is very sedentary and wants to meet three times a week for an hour. I've started her with a push pull leg workout and have been having her do about 30 minutes lifting ( 5x6-8 on main lift, and 3x10-12 on accessory exercises) then 15 minutes cardio( She is very out of shape, struggles with just walking) and then followed by abs and stretching.

My question is how would you set up a training program for her and anything else I could change on implement to help her get better results. Should I use circuit training, more cardio, more lifting?


#2

Without a very solid diet there is NO WAY she will lose 50lbs in a tad under 4 months. Especially not with the work capacity she has. I've actually seen people like that GAIN weigth. Why? Because they have a eating problem (you don't get that obese and out of shape if you don't) and a bad relationship with food. They are naturally looking for ways to justify not sticking to a diet. And these people often use training to justify eating more or eating crap. THEY OVERESTIMATE HOW MUCH CALORIES THEY BURN DURING TRAINING AND UNDERESTIMATE THE AMOUNT OF CALORIES IN FOOD.

I'll be honest with you, I HATE planning diets... HATE IT with a vengeance. I'd rather do burpees than write someone a diet. BUT there is NO WAY I would take on a client that has such a goal without being able to control her diet. Anyway, from experience these people are trouble and simply can't stick through the process.

Let's be honest. Someone who has been lazy all their life, have never trained never played sport, never worked hard physically and ate crap since they were a child will not be able to turn things around completely in 4 months. They CAN'T SUFFER... they have no discipline (I may sound harsh but it's the truth).

Someone who suddenly decide to train and eat well for something as trivial as someone else's wedding is not someone I personally want to work with. I've done it in the past when I had no choice (needed the paycheck) and the success rate of these people is less than 25% THEN THEY BLAME YOU FOR THEIR FAILURE. Nevermind that they couldn't stick to their diet or train at a level necessary to make significant changes. Really these people are subconsciously looking for a miracle solution OR someone to put the blame on "yeah Nancy, I tried to lose 50lbs for the wedding, I was doing great but when I hired this trainer I just stopped progressing... he totally screwed me over, taking my money".

That having been said I HAVE worked with obese clients. But those I decided to work with and who had success were committed to be in this for the long run, to change their life/habits, not to get in shape ASAP for one specific occasion.


#3

I agree with everything you said and she does put a lot of pressure on me and in 2 weeks she has lost 4 pounds and she still isn't even remotely happy with it. Its extremly annoying. and I wouldn't choose to work with her if I didn't need the money or was forced to ( I work for a gym at college and they assign you clients). I know nutrition is the primary reason for results or not but is there anything you can suggest that I do so I can try to optimize her results as best I can?