| Sub theme | Code |
| Responsibility | Lack of knowledge or qualification Employer or manager’s role Health professional Client responsibility to take action |
| Management strategies | Approach client and express concerns Signposting to sources of support Nutrition education Reduction in exercise plan Avoidance (fear of exacerbation/upsetting client) Support from colleagues |
| Limited influence | Advisory role Lack of acceptance by client Frequency of contact with client |
| Guidelines | Availability in exercise environment Specific to personal trainers Protection for trainers Education and workshops |