This week, I would like to address a great question that I was recently asked. "What exercise programs or fitness regimens are safe for people with special circumstances or special needs?"

When it comes to fitness and exercise, people with special circumstances or special needs usually require a more customized approach to setting up an appropriate program to fit their goals and needs.

Examples of special circumstances or needs would include diabetes, cardiac care patients, Parkinson's disease, multiple sclerosis, folks being treated for cancer and people recovering from severe injury.

In recent years, there have been a number of new programs and or approaches developed for the fitness industry which addresses special health conditions. One very good example is the 15-minute workout. A few months ago, I did a column on the 15-minute workout and reviewed the various factors that make it a perfect fit for many people with special circumstances or special health conditions. We have a number of gyms in our area that specialize in this specific program.

Another area to consider when setting up a customized fitness program for special health conditions is to use a certified fitness trainer. Most fitness trainers must complete an extensive course from a reputable, accreditation organization that requires them to have detailed knowledge of special needs clients.

I would recommend you interview any perspective trainer and do the research on his or her certifications. As with most things, not every fitness trainer or certification program is qualified to address special needs clients.

Do the research and be comfortable with the person you're putting your future fitness goals with. A capable qualified fitness professional will be able to guide you, adjust for and correct for your specific musculature, conditioning imbalances and making sure it fits you for optimum levels to meet your fitness goals.

Fitness and exercise is very important for each and every one of us. Fitness is one of the biggest factors when it comes to our health. Nutrition is the other area that needs to be included in any fitness program. Eating correctly and managing how much nutritious food we eat and limiting poor food choices is critical to any program.

One other critical aspect to developing a successful program is the mental and emotional portion. Set realistic goals with yourself and your trainer on a weekly, monthly and yearly basis. Be prepared for setbacks, but pace your progress. Adjust your program when needed and be mindful of these points. Create a support group with friends and family. Understand and truly believe failure is Not An Option. Stay positive and be patient and you will see benefits over time. See your doctors, get them on board and be sure they understand and approve your goals so they match your special circumstances or needs.

Starting a fitness program does not need to be limited by any special circumstances, needs or health conditions. You can define what works for you. When you shift your lifestyle to include exercise, the benefits are tremendous. You will feel stronger, happier, have better posture and build and maintain confidence for a more active healthy life.

Remember, do the research, find a program that is comfortable for you. Here are just a few local companies that have specific programs and trainers that can help you get started:

http://www.360cda.com/

http://www.thepeakid.com/

http://fitnesson4th.com/

http://www.repcafe.com/

http://www.exerciseinstitute.com/

Judd Jones is the regional production director with Hagadone Newspapers. He can be reached at jjones@cdapress.com.