Level 4 Obesity & Diabetes Management Course Level 4 REP's

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REPs Level 4 Obesity & Diabetes Management Course Eligibility:

• Level 3 Personal Trainer Qualification
• Level 3 Nutrition & Weight Management Qualification
• Level 3 equivalent Qualification in Psychology, Social or Behavioural Sciences
• Practicing Specialist Clinician such as Obesity Nurse or Dietician

Level 3 GP & Exercise Referral Qualification is also a pre requisite alongside any of the above for progression to level 4 REPs.

Level 4 Obesity & Diabetes Management Course Structure:

Our REPs Level 4 Obesity Management Qualification is a blended learning course, meaning that you do approximately 4 weeks home study followed by a 2 day tutorial. You will then complete a further 6-8 weeks home study and attend a further 2 days at one of our venues.  Late bookings on this course can be accepted but you must first speak to an advisor to ensure that you are in a position to catch up on the home study component.

Level 4 Obesity & Diabetes Management Course Content

• An overview of the obesity pandemic: Prevalence of Obesity, Causes of Obesity, Unhealthy Foods and Pathogenesis of Obesity and Disease, Impact of Early Life and Growth Patterns, Economic consequences of an obese population


• Obesity & Disease: The Impact of Obesity – Mortality, The Impact of Obesity – Morbidity, Benefits of losing weight, Diabetes and the Metabolic Syndrome, Disordered Eating, Pharmacotherapy for Obesity, Bariatric surgery, Two Models of Obesity: The Medical Model, The Public Health Model, The Obesogenic Environment, Economic Drivers of Food and Drink Consumption, Local Government, Policy and Planning


• Weight Gain - an Explanation: Set Point Theory, Diets Don’t Work, The Obesity Cycle of Self Perpetuation, Sleep and Obesity, The Palaeolithic diet, Genetic Susceptibility to Weight Gain, Thrifty Genotype, Epigenetics & the Phenotype, The Role of Fat, Fat Equals Energy, Fat Storage and Utilisation, Other Forms of Energy Utilisation, Adipocyte Biology, Fat Deposition & Distribution, Basic concepts of human energetics, Energy – Intake & Expenditure, Regulating Energy Expenditure, Control of Food Intake, Chemical Signals and Neuro-transmitters in Energy Regulation, Integrated Models of Food Control.


• Some practical aspects of weight management: Food Cravings and Addictions – Are they Real? Why Do We Eat When We Are Not Hungry? Determinants of Food Choice, Some psychological messages for your client, Strategies for Curbing Emotional Eating, A Review of Dietary Regimes for Weight Loss, High Protein Diets (Low Carb Diets), Weight Maintenance


• Exercise for Obese or Diabetic Clients: Introduction to Exercise Obesity and Diabetes, ACSM on Appropriate Levels of PA for Weight Loss & Preventing Regain, Barriers to Physical Activity, The Basics of Providing a Physical Activity Plan, A Walking Programme, Exercise and Diabetes, Type 1 Diabetes, Type 2 Diabetes, Exercise and Obesity, Exercise Regime for pre and post Bariatric Surgery


• Human Behaviour, Changing Habits: Theories of Behaviour Change, Cognitive Behavioural Therapy, Motivational Interviewing, The Performance Equation, Strategies for Changing Behaviour, Social Marketing a practical explanation


• Setting up a Weight Management Intervention: NICE Clinical Recommendations – Summary for Practitioners, Client Assessment, Risk Stratification and Screening, General Guidance of the Assessment of Clients, Body measurements and Calculations, NHS Exercise Referral: A National Quality Assurance Framework, Health and Safety, Guidance on Efficacy of Self Help Weight Management, Overview of Programme Approach, Course Structure & Suggested Components, Creating a Daily Calorie Deficit, Planning & Time Management, Administration and Record Keeping, Promotion and Evaluation of the Service

Aims of the course:

• Have a thorough understanding of the underpinning factors driving the obesity pandemic, including social, behavioural and physiological determinants of obesity
• Understand the linkages of obesity to disease and the development of the metabolic disruptions associated with excess adiposity
• Have the knowledge and information to set up a NICE compliant obesity management programme and the skills to lead one to one intensive interventions or group programmes.
• Know how to effectively assess a client: stage and progression of obesity, comorbidity, functionality, mobility, physical fitness, risk, psychological issues including preparedness for change, dietary assessment etc.
• Have expertise in designing weight reduction programmes for obese subjects involving physical activity, behaviour modification and nutritional advice
• Work with all BMI ranges of obese and diabetic clients to develop meaningful and realistic targets and goals and know how to review and adapt goals accordingly.
• Be able to develop safe and effective exercise programmes for obese clients with multiple comorbidities and in particular diabetes and metabolic syndrome
• Understand the risks associated with working with obese and diabetic clients in an exercise setting.
• Have an in-depth knowledge of the environmental, social and cultural aspects of population obesity sufficient to lead on aspects of policy design and strategy development.
• Outline the credible prevention and intervention strategies to combat obesity at a local and national level, and advise on the design and implementation of both obesity interventions and prevention programmes
• Understand professional working practices and best practice relating to health and safety within the field of weight management and obesity provision
• Understand the pathophysiology of both type one and type 2 diabetes and different exercise approaches for the management of each condition.
• Have a working knowledge of the drug therapies and their actions for obesity and the common comorbidities
• Understand the primary bariatric interventions and the pertinent pre and post surgical management issues
• Understand and recognise the main eating disorders: Anorexia nervosa, Bulimia nervosa and Binge eating syndrome. Know how to refer on. • Summarise the pharmacotherapy for obesity, metabolic syndrome and diabetes.
• Develop the skills and understanding to deliver successful behavioural change techniques leading to improved nutrition and increased physical activity, as well as creating opportunities for improvements in other lifestyle behaviours.
• Understand and demonstrate the techniques used in: Motivational Interviewing, Cognitive Behavioural Therapy, Theory of Self Efficacy, Trans Theoretical Model, and the Health Belief Model.

The Level 4 Obesity & Diabetes Assessment Process:

Formative assessment (During the course)

This aspect is included to assist learning and does not form part of the final assessment, and as such will not influence final result.
1.    Obesity and Diabetes management.  Completion and submission of home study workbook.  (self assessment from model answers)
2.    Nutrition.   Completion and submission of home study workbook (Self Assessment from model answers).
3.    Mock examination

Summative Assessment (End of course)
1.    40 Question multiple choice examination (70% pass mark required).  Internally marked by WMC.
2.    3 open questions (up to 200 word response 70% pass mark required) internally marked by WMC.
3.    Multi component case study based upon a real person with a ≥BMI30kg/m2 (70% pass mark required)

You are required to pass all three elements of the summative assessment.  If you refer any component of the summative assessment you will need to arrange a resit or resubmission.  Resits and resubmissions are charged at £50 (case study) and £25 for either MCE or Open Question paper, and these will need to be paid for prior to attendance or submission.

Stages of Assessment:

This course provides Register of Exercise Professionals’ Level 4 Status and 20 CPD point.

Level 4 Obesity & Diabetes Qualification is in association with Weight Management Centre www.wmc.uk.com

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