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Exercise Physiology

Exercise is a critical part of a healthy lifestyle. Though exercise alone will not result in the more rapid weight loss you might like, it does contribute to weight loss over time and is an essential part of maintaining weight loss. Exercise is a natural way to feel healthy and in its own way is a form of medicine, as it helps to treat and manage many conditions, including weight-related conditions.

Exercise for weight loss

After one of our weight-loss specialists has met with you, he or she may refer you to one of our exercise physiologists for an exercise prescription. Exercise physiologists are specially trained to evaluate and design physical fitness programs for patients. Like a prescription for medicine, you should follow this prescription exactly as written to get the results you want. At our clinical exercise center, we prescribe exercise based on guidelines from national health organizations that are based on research. These guidelines are designed to establish instructions for you to follow a safe and effective fitness regimen. The exercise prescription will not only contribute to weight loss, but will also improve your cardiovascular endurance and muscle strength.

Past medical history before starting exercise

Before we get started, we will ask you for the following information, as it is important for designing the right exercise program for you:

  • Past and current medical history
  • Current medications

Depending on your current health status, we may also contact your doctor to ensure that the program we create for you addresses your personal health needs. We may also ask your doctor to refer you for an exercise stress test, in case you have not had one for a while, or if you health status warrants it. The test can be done at our center or elsewhere, depending on your or your doctor’s preference. Stress tests provide us with information to design an exercise program that is safe and effective.

What will happen at my initial exercise evaluation?

One of our specialists will measure your caloric needs to create a personalized exercise prescription just for you. Generally, our exercise prescriptions include a combination of:

  • Aerobic or cardio – to increase your heart rate and burn more calories. We will recommend a target heart rate so you can work out optimally, along with the length of time you should exercise, and how many times a week.
  • Weight lifting or strengthening – to increase your overall strength and muscle tone. Increasing your muscle mass helps your body burn more calories. We will give you a detailed workout, usually involving both lower and upper body exercises.

In combination, these two forms of exercise have been shown to be most effective for losing weight and improving overall health.

Will you show me what to do?

Your master level prepared exercise physiologist, who has advanced graduate training in physiology and fitness, will create a personalized exercise routine for you. He or she will show you how to use the advanced fitness machines in our fitness facility at Green Spring Station, and will give you diagrams that you can follow along with at home or in your gym.

How will I follow up?

People can come to work out at the fitness center, and we offer a variety of affordable payment options and packages. We also offer one-on-one physical training. Patients often come back for periodic guidance and monitoring so we can test their blood pressure, heart rate and overall fitness level to see how they are progressing with their fitness goals.

Endoscopic weight loss

If you are considering a weight loss program, you may want to learn about the Johns Hopkins Concierge Endoscopic Weight Loss Program, a novel approach to weight loss that combines a unique endoscopic procedure with an exercise and nutrition package.


Some insurance companies will pay for a consultation by our weight management specialists. Sometimes your eligibility is based on your BMI. [Check your BMI.] Please call your insurance company to determine your eligibility for benefits coverage. Or, you may want to use your flexible spending account (FSA), which typically covers these kinds of services.