Thursday, August 24, 2017

Prenatal and Postpartum Fitness Training CEC Certificate Course

Instructor: Catherine Cram, MS
Where: Bodies for Birth 
6512 Phinney Ave, N. Seattle, WA 
When: Saturday, October 14th, 2017
Time: 9:00 AM to 4:00 PM

Training Course Content:
·      Detailed maternal exercise physiology
·      Exercise prescription and modification
·      Exercises designed by physical therapists for abdominal and pelvic floor strengthening
·      Innovative strength and flexibility exercises
·      Program design and marketing
·      Medical clearance information
·      Policies and emergency procedures
·      Comprehensive training manual
Training Manual and Content:
·      Current evidence-based information on maternal exercise and references
·      Physiological and biomechanical changes during and after pregnancy
·      ACOG guidelines
·      Contraindications, warning signs, and symptoms for prenatal/postpartum
·      Extensive exercise photos and instructions
·      Modifications for each trimester
·      Proper body mechanics and ergonomics
·      Class development and design

Course materials were revised and updated January, 2016 with the most current, evidence based maternal fitness guidelines and information

Approved CE Credit Hours:
The full list of approved organizations CECs listed at website.
ACE 0.70
NASM 0.70
ACSM 7.00
NASN 0.70
AEA 6.00
NCHEC 7.00
AFPA 7.00
NCSF 3.50
BCRPA 6.00
NETA 7.00
BOC ATC 6.00
NFPT 1.00
CDR 7.00
Cooper 7.0

Registration Form
Course fee: $225.00
You may register by calling us at (877) 582-2227 or emailing us at:

You may also mail a check with this form to: Comprehensive Fitness Consulting, 11674 Mid Town Road, Verona, WI 53593

Deadline for registration is September 14th.

Questions or need assistance with registration?
Feel free to contact us at:
Phone: (877) 582-2227

*This course is also available in a correspondence home study format. Please visit for more information.

Sunday, January 1, 2017

Factors Associated With Increased Risk of Childhood Obesity

Factors Associated With Increased Risk of Childhood Obesity
Along with the rise in adult obesity there has been a significant increase of obesity in children during the past several decades in the US.  Recent studies have investigated several factors that may impact a child's risk of becoming overweight or obese. This article provides a brief overview of the factors that are associated with this risk.
Excessive Weight Gain During the Prenatal Period
Pregnant women who take in more than the ideal amount of calories during pregnancy provide excess calories to the fetus as well. It's important to counsel pregnant women on healthy weight gain goals and caloric intake for their body size and weight. Women who start pregnancy overweight or obese also increase their risk of having children who develop weight issues during early childhood. It's still unclear what the mechanisms cause this association, but both environmental and genetic factors seem to play a role. Targeting women at risk pre-pregnancy and early pregnancy and providing diet and exercise education and support for them can lead to healthier pregnancies and reduce weight gains that exceed recommendations.
Maternal Smoking
Pregnant women who smoke may increase the risk of their offspring becoming overweight or obese during adolescence and adulthood. Women who quit smoking during the first trimester reduce the risk to her offspring to that of non-smoking pregnant women. The importance of promoting smoking cessation not only for the maternal health but for the future health of her baby can help motivate women to quit.
In addition to the danger of maternal smoking, some research has found that paternal smoking also causes an increased risk of obesity, even if the pregnant mother does not smoke. Smoking cessation programs should be provided to any family members that smoke when there is a pregnant woman in the household.
Low Level of Parental Exercise Activity
Pregnant women who exercise throughout their pregnancy have babies that are less fat, (but not underweight) and some longitudinal studies on the effect of prenatal exercise on offspring suggest children of mothers who exercised were less fat in childhood than those of non-exercising mothers. More studies are needed to determine whether there are genetic influences influencing these results, or they are due to exercising women also eating a healthier diet, gaining less weight during their pregnancy, and including their children in exercise activities.
Maternal impaired glucose metabolism
Gestational diabetes is on the rise in the pregnant population and women who are overweight or obese have a greater risk of GD during pregnancy. Women with a BMI of> 30 kg have a 2-3 fold higher incidence of not only GD, but also other serious conditions such as hypertension and preeclampsia. In addition, women with GD have a higher risk of cesarean section and other birth complication, in part because this condition leads to fetal macrosomia (large for gestational age). There is some discussion about the affect that GD has on the metabolic functioning of children born to women with GD, and the possibility of increased risk of impaired glucose metabolism.
The role of health and fitness professionals in providing pregnant and postpartum women with positive lifestyle counseling is an important component in reducing the incidence of childhood obesity. Offering pregnant women nutritional guidelines that improve her diet and the health of her child, and support to help implement fitness into their lifestyle is key. We can impact the current trend of increasing obesity in children by intervening during pregnancy with nutritional counseling, exercise training and consistent follow up.

Monday, December 19, 2016

Travel Safety Tips During Pregnancy

Many pregnant women have jobs that require frequent air travel, and vacation and holiday plans can also make travel by plane a necessity.  Most healthcare providers advise avoiding plane trips after 35 weeks, and some complications during pregnancy may make air travel contraindicated at any point. But for the majority of pregnant women, travel poses little risk as long as certain precautions are followed.

There is some concern about the radiation risk to the fetus regarding exposure to security metal detectors or full body scanners. Airport security metal detector don’t use ionizing radiation, (the type used in x ray machines but use "nonionizing" radiation-form that does not pose a risk even with routine and/or repeated scanning. As a comparison, the level of radiation from metal detectors is very low-in fact it would take 25,000 trips through an airport scanner to equal one year of normal sun exposure.

The "full-body" x-ray scanner uses a very low-energy and low-intensity radiation, and the energy of the x-ray beam is so low that it does not penetrate the skin-it just forms a picture of the outline of your external torso. Although the risk of passing through these machines is very low, pregnant women can eliminate the risk and worry by choosing to have a “pat down” by TSA instead. Here are a few tips for avoiding x-ray machines and scanners:
-Plan for arriving at the airport with extra time for the pat-down.
-Alert the TSA employees if you’re pregnant or think you may be pregnant.
-If you are concerned about exposure to security machines, you are allowed to choose a TSA pat-down instead of having to pass through the machines.
For more information on the safety of airport x-ray machines and scanners go to:

A very real concern during flights, train, bus or car travel is the formation of blood clots that may occur from long periods of sitting. You can reduce your risk of developing blood clots by getting up and walking every hour, and when sitting avoid crossing your legs. It is helpful to do ankle rolls and foot flexions and squeeze and relax your leg muscles every 15 minutes.

Always pack a protein rich snack and water bottle with your carry on bag, and avoid high sodium foods as they can increase edema. Keeping well hydrated is key, even if it means you will need frequent bathroom breaks, as dehydration can increase the risk of clots as well as swelling in your lower extremities.

You can help make your travel more comfortable by planning ahead and choosing seating that offers more leg room (bulk head seating on planes) and an aisle seat so you are free to get up and move or use the bathroom when needed.  Bring a lumbar support and neck roll (a zip lock gallon bag works great for a lumbar support-zip it nearly shut and blow air in to the bag until inflated to the size your want and quickly zip it shut).  Place the bag behind your back for a great low back support. Also, bring a lightweight blanket (can be used as a back support or neck support when rolled up) and it will keep you warm.

It is always important to dress comfortable when traveling, but it is even more so when pregnant. Avoid tightfitting clothing and shoes that do not provide good support and comfort. If you have to dress up for your work, wear lightweight workout shoes that you can swap out with dress shoes once you reach your destination.

Lastly, check your bag if possible to avoid having to lift a heavy suitcase into the overhead bin.  If you have to carry on, ask for assistance with your bag to keep from injuring your back. Instead of lugging a heavy purse or attaché case, use a small rolling laptop briefcase that can hold all your purse contents, computer, paperwork and other items.