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Mark R. McKean, Gary Slater, Florin Oprescu and Brendan J. Burkett

Australia has approximately 26,000 registered exercise professionals (REP), in comparison with 3,379 accredited practicing dietitians (APD). The REP workforce has the potential to reach more than 10% of the Australian population but there is limited data on their educational background and professional behaviors with regards to nutritional counseling of clients. The purpose of this research was to determine if REPs are working within their scope of practice and if their qualifications align with their practice, specifically as it relates to nutrition advice. Using a cross sectional descriptive study design, a self-administered online survey of REPs was conducted over 5 months. REPs were recruited through electronic and social media using a snowballing technique. The study focused on education, nutrition advice, and sources of information. A total of 286 respondents completed the survey, including 13 with tertiary dietetic qualifications i.e., APDs. The nationally recognized industry Certificate III/IV in Fitness was the most common qualification. The majority of REPs responding (88%) were working outside of their professional scope of practice, offering individual nutrition advice to clients across fitness and medical issues. This was despite 40% of REPs undertaking no further training in nutrition since graduating, and primarily basing advice on use of readily accessible sources of nutrition information. It is recommended the nutrition advice provided to REPs during training be limited to general nonmedical nutrition information in accordance with nationally endorsed evidence based guidelines and that issues pertaining to scope of practice be addressed with onward referral to other health professionals be advocated.

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Jenny H. Conviser, Amanda Schlitzer Tierney and Riley Nickols

Pediatrics, 2005 ; Rosendahl, Bormann, Aschenbrenner, Aschenbrenner, & Strauss, 2009 ). Coach, Strength and Conditioning Coach, Athletic Trainer, & Physical Therapist It is recommended that coaches, athletic trainers, physical therapists and certified fitness professionals, who are ED-informed or ED

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Katelyn Barnes, Lauren Ball and Ben Desbrow

Personal trainers are well placed to provide nutrition care in line with their recommended scope of practice. However, providing nutrition care beyond their recommended scope of practice has been identified as an industry risk. The International Confederation of Registers for Exercise Professionals (ICREPs) have international standards for nutrition knowledge and skills that are recommended for all fitness professionals, including personal trainers. This study investigates whether the ICREPs standards align with i) national nutrition education standards and ii) national nutrition occupational standards and scopes of practice for personal trainers within ICREPs affiliated countries. Content analysis of each standard and/or scope of practice was undertaken to extract nutrition statements. Extracted statements were matched with nutrition components of the ICREPs standards to result in a score based on the number of aligned ICREPs knowledge and skills criteria. Ten countries, with 16 organizations, were identified as being involved in the development of national education standards, occupational standards, or scopes of practice for personal trainers. The educational and occupational standards varied widely among countries and had minimal alignment with the ICREPs standards. As such, the expected role of personal trainers in providing nutrition care appeared to differ between countries. Further work is required to support personal trainers to develop a level of knowledge and skills that enables the provision of safe, consistent, and effective nutrition care.

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Roberta Bgeginski, Diogo A. DeSousa, Bruna M. Barroso, Janete Vettorazzi, Michelle F. Mottola, Felipe B. Schuch and José Geraldo L. Ramos

Background:

The Physical Activity Readiness Medical Examination (PARmed-X) for Pregnancy aims to facilitate the communication between the health care provider, the fitness professional and the pregnant woman. The purpose of the current study was to test the psychometric properties of the Brazilian Portuguese version of the PARmed-X for Pregnancy.

Methods:

Reliability and validity of psychometric properties of the Brazilian Portuguese version of the PARmed-X for Pregnancy were tested in 107 women recruited from the Hospital de Clínicas de Porto Alegre. Participants completed the first page of the instrument twice with a minimal interval of 1 week for test-retest reliability analysis. The absolute and relative contraindications to exercise on page 2 of the document were completed by the obstetrician.

Results:

Results indicated good evidence of construct validity. The isolated items in the PARmed-X document presented a large heterogeneity in kappa coefficients ranging from very low estimates to perfect estimates. The overall indication of prescription of physical activity, nonetheless, presented a good kappa coefficient of 0.749.

Conclusions:

The Brazilian Portuguese version of the PARmed-X for Pregnancy can be applied as a valid tool for medical screening by health care providers to help inform safe exercise prescription during pregnancy.

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Rachel Arnold, Nicole Bolter, Lori Dithurbide, Karl Erickson, Blair Evans, Larkin Lamarche, Sean Locke, Eric Martin and Kathleen Wilson

Edited by Kim Gammage

://www.phc.ox.ac.uk/team/aleksandra-borek Motivation: Contagious in Exercise Contexts Numerous factors can impact how fitness professionals interact with their participants. For example, exercisers’ body weight can impact fitness professionals’ beliefs and behaviors. A second factor is perceptions of exercisers’ motivation for exercise. If the

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Mary O. Whipple, Erica N. Schorr, Kristine M.C. Talley, Ruth Lindquist, Ulf G. Bronas and Diane Treat-Jacobson

research is needed. Implications for Health Care Providers and Fitness Professionals Although the specific implications of these findings have not been established, for changes in practice cannot be firmly established from this single review, this review provides insight into factors and important

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Rebecca Reynolds, Santhya and David Menzies

activity health services, and increased consumer awareness of current programs available to them by social marketing. It was also recommended that there should be an increase in the training of fitness professionals regarding consumers at risk and suffering from NCDs. Additional priorities suggested by

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Cody L. Sipe, Kevin D. Ramey, Phil P. Plisky and James D. Taylor

assessors was randomly determined using a permuted block randomization design (R1:R1, R2:R2, R1:R2, and R2:R1). This insured that after every four subjects tested, the number of assessments between testers was equal. Rater #1 was a PhD trained exercise physiologist and fitness professional with over 20

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Chung-Chao Liang, Qi-Xing Change, Yu-Chou Hung, Chizan-Chung Chen, Chun-Hsiang Lin, Yu-Chun Wei and Jia-Ching Chen

fitness professionals, promoting community-based strength training programs for older adults became feasible and practicable ( Layne et al., 2008 ). Furthermore, trained peer volunteers may enhance the long-term maintenance of physical activity gains from a community-based intervention ( Buman et