Health trainer

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Health trainer is a professional training for personal trainers , fitness trainers and comparable training. After completing the training, the health trainer is able to design and implement specially adapted training programs for people with physical dysfunction or other diseases. Similar terms for the health trainer are medical fitness trainer and rehab trainer. The aim of health-oriented training is to reduce physical limitations and prevent secondary diseases.   

background

Interest in sport is now not only reaching the health-conscious part of the population, but also those who carry health risk factors with them and still want to be physically active. The most important task of the health trainer is to choose the right form and intensity of training , in accordance with the patient's limitations. The population is getting older and therefore diseases and physical dysfunctions are increasing. Technically trained workers are therefore welcome and needed on the job market.

Areas of application

The further training to become a health trainer gives you the knowledge and skills to be able to carry out specially adapted training for illnesses or injuries. The focus here is either on prevention or on rehabilitation . Restrictions of any kind are possible, such as internal, cardiovascular, orthopedic or oncological. As a health trainer, you have the opportunity to work in associations and clubs, as well as in health facilities and fitness studios, but also as an independent personal trainer. The function as a consultant or coach in a company is also possible.

Treatment of diseases

Injuries and secondary illnesses due to a lack of exercise can be positively influenced with the help of health-oriented training. Although not every sports injury or illness can be remedied, a professionally designed intervention is a therapy option. Since the muscles and mobility of the body deteriorate due to the mostly sedentary activities in our everyday life, it is important to take preventive action. One of the greatest challenges of modern society is overweight or obesity (very overweight). This topic is problematic, especially in the industrialized nations and thus also in Germany. According to the RKI, 67% of men and 53% of women are overweight. Of these, 23% of men and 24% of women are obese. The problem is already looming in children and adolescents. In Germany, 8.7% of children and adolescents between the ages of 3 and 17 are overweight. 6.3% of them are obese. But associated with this are further physical complications such as type 2 diabetes, cardiovascular diseases, but also misalignments, imbalances and joint problems. Furthermore, mental illnesses such as depression, anxiety disorders and general psychological stress can also arise. Health-oriented training shows promising results in other diseases, especially in the treatment of type 2 diabetes. In this case, sports therapy can replace or support drug therapy. Health training is also a central approach to treatment for the complex disease, the metabolic syndrome. In addition to exercise, a change in diet must be taken into account. A regular exercise program reduces the risk of cardiovascular diseases and also has a stimulating effect on the glucose metabolism and thus the insulin resistance of the body cells can be slowly reduced. But even for patients with physical limitations, a training plan should be specially adapted to the needs. For patients with knee problems or back problems, it is the task of the health trainer to create the best possible training plan to alleviate the symptoms or, in the best case, to eliminate them. The risk of re-injury must be avoided. That is why a highly qualified health trainer is required.

Course content

In addition to theoretical knowledge about the orthopedic mechanisms of sports injuries from sports medicine, knowledge in the area of ​​training theory or nutrition, the knowledge gained is deepened in practice. With regard to the topic of training theory , load control is discussed in more detail, but also the components of performance. A distinction is made here between sub-elements. The conditional factors : strength, endurance, speed, flexibility and the informational factors: technique and tactics. In the field of sports medicine, the various types of injury and injury mechanisms are discussed. These include cruciate ligament ruptures, torn muscle fibers , supination trauma, herniated discs , meniscus injuries, shoulder dislocations, etc. Due to training with older patients, osteoarthritis and osteoporosis are also discussed in more detail. In addition, the health trainer course deals with diseases such as obesity , diabetes mellitus , hypertension , bronchial asthma and the metabolic syndrome . In practice, one learns application-related exercises on the respective problems. In addition, you will learn how to use the various aids such as strength training on large equipment, exercises with your own body weight, coordination and balance exercises with wobbly boards or exercise balls, but also exercises with a sling trainer.

Further training opportunities and possible costs

Depending on previous knowledge, duration and depth of training, there are differences in the costs of training.

Study situation

Studies show the potential and success of health-oriented sports therapies. In oncology, sport is a recognized form of therapy to support cancer therapy. Studies show that patients with cancer who completed an exercise program had a lower relative mortality rate for dying from cancer. In addition, the cancer is less likely to recur and patients have had far fewer or fewer severe side effects from therapy. Recently, the effects of physical training, during and after therapy, in children and young adult cancer patients have also been investigated. The study situation at this point in time is not yet convincing. Nevertheless, there are tendencies that confirm a positive effect. The metabolic syndrome comprises four distinct risk factors. Obesity, especially abdominal obesity, a lipid metabolism disorder, glucose metabolism disorder, or diabetes and high blood pressure. All four parameters can be positively influenced by physical activity. A (systematic review)? Shows that the hip circumference in particular, as an indicator of obesity, can be significantly reduced. Longer intervention times and regular interval runs seem to give the best results, which can also reduce the risk of diabetes and cardiovascular events. Patients diagnosed with HIV have been shown to benefit from exercise. Isolated strength training, but also in combination with endurance training, leads to an increase in the muscles of the whole body. Since HIV leads to a decrease in muscle mass and thus restricts patients' quality of life, it makes sense to complete a training program, as the interleukin-6 values, which are responsible for inflammatory reactions in the body, also fell. In addition, a health-oriented exercise program also has a positive impact on the mental health of HIV patients, even if further studies on the subject are necessary. Many patients with obesity, cancer, HIV and other illnesses often suffer from depression. It is therefore also of interest to support and care for this group of patients. Some studies show that supervised endurance training at a moderate intensity, which is done three times a week for at least nine weeks, can be a therapy for depression.

Web links

Individual evidence

  1. ↑ RKI - overweight and obesity. Retrieved July 29, 2020 .
  2. ↑ Prevention of obesity in children and adolescents. Retrieved July 29, 2020 .
  3. ↑ RKI - focus on overweight and obesity. Retrieved July 29, 2020 .
  4. ↑ Roger Hilfiker, Andre Meichtry, Manuela Eicher, Lina Nilsson Balfe, Ruud H. Knols: Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment: a systematic review incorporating an indirect-comparisons meta-analysis . In: British Journal of Sports Medicine . tape 52 , no. May 10 , 2018, ISSN  1473-0480 , p. 651–658 , doi : 10.1136 / bjsports-2016-096422 , PMID 28501804 , PMC 5931245 (free full text) - ( nih.gov [accessed July 30, 2020]).
  5. ↑ Katja I. Braam, Patrick van der Torre, Tim Takken, Margreet A. Veening, Eline van Dulmen-den Broeder: Physical exercise training interventions for children and young adults during and after treatment for childhood cancer . In: The Cochrane Database of Systematic Reviews . tape 3 , March 31, 2016, ISSN  1469-493X , p. CD008796 , doi : 10.1002 / 14651858.CD008796.pub3 , PMID 27030386 , PMC 6464400 (free full text) - ( nih.gov [accessed July 30, 2020]).
  6. ↑ Megan S. Joseph, Monica A. Tincopa, Patrick Walden, Elizabeth Jackson, Marisa L. Conte: The Impact Of Structured Exercise Programs On Metabolic Syndrome And Its Components: A Systematic Review . In: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy . tape 12 , 2019, ISSN  1178-7007 , p. 2395–2404 , doi : 10.2147 / DMSO.S211776 , PMID 31819565 , PMC 6873964 (free full text) - ( nih.gov [accessed July 30, 2020]).
  7. ↑ Camilo Germán Alberto Pérez Chaparro, Philipp Zech, Felipe Schuch, Bernd Wolfarth, Michael Rapp: Effects of aerobic and resistance exercise alone or combined on strength and hormone outcomes for people living with HIV. A meta-analysis . In: PloS One . tape 13 , no. 9 , 2018, ISSN  1932-6203 , p. e0203384 , doi : 10.1371 / journal.pone.0203384 , PMID 30180202 , PMC 6122835 (free full text) - ( nih.gov [accessed July 30, 2020]).
  8. ↑ Sanaz Nosrat, James W. Whitworth, Joseph T. Ciccolo: Exercise and mental health of people living with HIV: A systematic review . In: Chronic Illness . tape 13 , no. 4 , ISSN  1745-9206 , p. 299-319 , doi : 10.1177 / 1742395317694224 , PMID 29119865 ( nih.gov [accessed July 30, 2020]).
  9. ↑ Robert Stanton, Peter Reaburn: Exercise and the treatment of depression: a review of the exercise program variable . In: Journal of Science and Medicine in Sport . tape 17 , no. 2 , March 2014, ISSN  1878-1861 , p. 177-182 , doi : 10.1016 / j.jsams.2013.03.010 , PMID 23602562 ( nih.gov [accessed July 30, 2020]).