Statistics teach us that today, more than 50% of the adult central Europeans have a BMI (Body Mass Index) greater than 25 and thus are overweight. More than 10% even have a BMI over 30. This means that they are obese / obese. A simple calculation shows us that approximately 2 out of 3 people have no ideal body weight. The consequences are large, with a BMI of 30, the incidence of cardiovascular and metabolic diseases exponentially. The requirements for a new disease, the metabolic syndrome or syndrome neudeutsch – X, are there.
These statistics are very disturbing. Not only because more and more people are overweight and obese, but also because more and more children are involved. Depending on Statistics and Definition 2005 5 to 10% of children are obese anno. A number which has since only increased.
If you are regularly having overweight patients or metabolic problems (eg, diabetes mellitus) face and you want more information and insight into the treatment of this disease, then this course is right for you.


  • The / The participant can expertly advise by applying the newly learned assessments and methods of intervention patients and apply motion indication related therapeutic interventions in diabetes and obesity.
  • The / The participant can take a professional technical level talks with doctors.
  • The / The participant can, after this course, patients with diabetes and weight safely and competently support and advice.


The course builds on the curriculum of colleges for physical therapy. It is expected, therefore, that the knowledge and skills to be mastered on the physiology and pathophysiology of glucose and lipid metabolism. Also sports Scientific basis will need some knowledge in the field of power and endurance training, according to the mediated in the base price or self-learning module knowledge. (eg Weineck Optimal Training)


  • The participant knows the physiology and pathophysiology of glucose and lipid metabolism, generally and specifically for diabetes and obesity.
  • The participant knows the methods for influencing the metabolic system in general and specifically in patients with diabetes and obesity.
  • The participant will learn the indications and contraindications of a movement program for patients with diabetes and obesity
  • The participant will learn medical and physiological performance testing procedures such as blood and urine diagnostics and stress test and can interpret them.
  • The participants will learn effective and attractive training programs for patients with diabetes and obesity to put together.
  • The participants can reflect his own actions critically, including by means of external evidence.
  • The participants gets to know the effect of the applied therapy on obese patients and post intervention programs, known about the metabolic problems (eg, diabetes mellitus)
  • has knowledge in exercise physiology and training theory, pathology and nutrition sciences, which help to design a good training process
  • in addition to the problems of adults also insight on the latest developments in children and adolescents



  • Update and deepen physiology and pathophysiology of glucose and lipid metabolism
  • Blood glucose management
  • Update and deepen physiology and pathophysiology of the regulation of nutrient uptake
  • Interpretation of medical and physiological performance test method.
  • Training strength and endurance training.
  • Designing exercise programs.
  • motivation teaching
  • Digression: Children with diabetes and obesity
  • Case studies.
  • SkillsLab performance diagnostics, strength and endurance training

day 1

Obesity and metabolic problems in adults

  • Physiology and pathophysiology of carbohydrate metabolism
  • diabetes mellitus
  • etiology
  • pathology
  • therapy
  • sports
  • motion
  • diabetes casuistry
  • Integration Practice: anthropometry and performance diagnostics

day 2

  • Obesity and metabolic problems in adults
  • Physiology and pathophysiology of lipid metabolism
  • Overweight / obesity
  • etiology
  • pathology
  • therapy
  • Psychological and behavioral measures
  • casuistry
  • Integration Practice: Training Systems for adults with obesity and / or metabolic problems

day 3

  • Obesity and metabolic problems in children
  • Development Physiological aspects of metabolism
  • etiology
  • pathology
  • therapy
  • lack of exercise
  • Metabolic problems
  • Psychological and behavioral measures
  • casuistry
  • Integration Practice: Training systems for children and adolescents with obesity or metabolic problems


The classes consist of 3.5 hours each day of 60 minutes each theory in the form of input units, followed by 3.5 hours practical applications in small groups.
The theory is preparing the basis for practical implementation. In practice, a variety of test and training methods are practiced and deepened. It will be delivered to the participants various tasks to deepen understanding and control. The results are presented and discussed.

Learning time: 21 contact hours + 4h Self study (course preparation)
Maximum group size: 20 participants with a teacher


Robert van den Berg, performance physiologist, clinical performance physiologist (ACSM)
Diving and Hyperbaric Physiology, Director ESP, researchers and biostatisticians DAN Research
Head of the “DAN DSL (Diving Safety Laboratory)” – project leader of the “Diving with Diabetes” – projects


Physiotherapist / doctor / doctor / physical education teacher


The student must have attended the basic course or have the ESP sports physiotherapy training or have begearbeitet self-learning module. Please sportswear for indoor and outdoor using.


Robert van den Berg


This course is a module of training as ESP® prevention / rehabilitation therapists, but can also be completed alone.
If you do this course NOT in the course of training as ESP® prevention / rehabilitation therapist, you will receive (about 4h) sent to prepare documentation for self-study. Please note that the content of the self-study and the base price will not be repeated in the course.
ESP® topics courses that have been completed before 2015, are fully recognized and regarded as a basic training course.
More information is available in the announcement ESP® prevention / rehabilitation therapists.