Use the settings of the machine to decrease the intensity George can work out for the same amount of time but with a lower intensity that way his heart rate won't increase
I think its good for people with overweight to maintain exercise and healthy eating. making people feel bad about them selves isn't going to make an overweight person lose weight.
there are meetings that people can attend. There could also be family urging them to quit. There are also things you can buy to help stop smoking or stop the cravings to smoke