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Fitness: Elixir for the Ages

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Paying the Price for Not Exercising | Helping to Reverse the Effects of Aging | Gaining Benefits at Any Age | Getting Help for Getting Started | Having a Goal in Mind | Including Some Variety

Growing older is no picnic…but a regular fitness routine can jump start your memory, your metabolism, and your state of mind.

Paying the Price for Not Exercising

"Exercise contributes to the physical and psychological well-being that defines healthy aging," says Robert Mazzeo, PhD, of the American College of Sports Medicine.

The aging process brings a natural decline in strength caused by the loss of muscle tissue. This promotes frailty and the impaired ability to move about with ease, which is often associated with aging. Decreased strength means less energy to do everyday activities, such as household chores, grocery shopping, and climbing stairs.

An inactive lifestyle further aggravates the aging process by increasing the risk of developing obesity and a host of diseases, including high blood pressure, stroke, type 2 diabetes, certain types of cancer, and coronary artery disease.

Helping to Reverse the Effects of Aging

Now for the good news! Regular, moderate physical activity has been shown to lower the risk of or improve the symptoms of many chronic diseases. Exercise helps build muscle and bone strength and improves balance and flexibility—all of which can protect your body from falls that can cause debilitating fractures. Exercise may also boost the immune system to help fight off colds and flu, control arthritic symptoms such as joint swelling and pain, improve mood and self-confidence, and enhance a deeper sleep.

In a study of postmenopausal women at the Tufts University Human Nutrition Research Center on Aging in Boston, Miriam Nelson, PhD, found that the women who participated in a strength-training program for one year reversed some aspects of aging by 15 to 20 years. The women increased their strength and bone mass, and benefited from a trimmer body, which was a result of well-toned muscles. One of the study's most interesting side effects was that the women became more active overall, with more energy and self-confidence to try out new activities such as dancing, bicycling, and even rollerblading!

Gaining Benefits at Any Age

Even the frailest elderly people benefit from exercise. Maria Fiatarone, MD, a researcher at Harvard Medical School, placed 100 nursing home residents ranging in age from 72 to 98 years old on a 10-week strength-training regimen. Most of the residents in the study depended on canes, walkers, or wheelchairs. By the end of the program, not only did they increase their muscle size and strength, but they also moved about with greater ease, even improving their ability to climb stairs—all of which greatly boosted their morale.

Getting Help for Getting Started

Anyone, at any age and with almost any condition (with some exceptions), can be physically active to some degree. Before starting an exercise program, first talk to your doctor. This is especially important if you:

  • Are older
  • Have a chronic disease
  • Are taking medicine
  • Are overweight
  • Have not exercised regularly in the past few years

Your doctor may have suggestions for an exercise regimen tailored to your particular needs. In some cases, you may be referred to a physical therapist or certified fitness trainer.

Having a Goal in Mind

Once you have approval from your doctor, what should you aim for? The Centers for Disease Control and Prevention (CDC) recommends these exercise guidelines to gain health benefits:

  • Throughout the week, aim for 150 minutes of moderate-intensity aerobic exercise (eg, walking briskly). In addition, do strength-training exercises to work the muscles in your legs, hips, back, abdomen, chest, and arms. Strength training should be done two or more times per week.
  • Or, aim for 75 minutes of vigorous-intensity exercises (eg, jogging, running) throughout the week. Also, do the strength-training exercises.
  • Or, do a combination of moderate- and vigorous-intensity exercises, along with strength training.

To gain even more health benefits, the CDC recommends these weekly goals:

  • 300 minutes of moderate-intensity exercise along with two (or more) days of strength training
  • Or, 150 minutes of vigorous-intensity exercise and strength training
  • Or, a combination of moderate- and vigorous-intensity exercises and strength-training

Remember that it is okay if you exercise for just 10 minutes at a time!

Including Some Variety

  • Warm up —Warm up for at least five minutes. Light activity, such as walking while gently swinging your arms, circulates blood to warm up your muscles. Jumping too quickly into vigorous exercise can shock and injure the muscles.
  • Aerobic exercise —Include aerobic activities, such as walking, jogging, bicycling, and dancing most days of the week. These strengthen your heart and lungs by increasing your heart rate and breathing and improve the circulation of blood and oxygen throughout the body. Walking is one of the easiest and most convenient aerobic activities. If you are just beginning to exercise, start with five minutes daily, adding a few minutes each week to reach your desired goal. Daily activities count! Walk a few blocks instead driving or skip the elevator and use stairs.
  • Strength training —Strength training with hand and ankle weights, resistance bands, or gym equipment is vital for maintaining muscle and bone strength. Bowling, hiking, and tennis are other strength-building activities. Because muscles need a day or two to rest and repair, include these activities only 2-3 times weekly.
  • Stretching —Flexibility declines with age but can be regained with consistent stretching exercises. Stretching alleviates joint stiffness, reduces stress, and may prevent falls. Yoga is an excellent activity that incorporates various stretching and balancing poses to keep the body limber. Contact your local YMCA or Council on Aging to find inexpensive yoga classes designed for older adults.
  • Cool down—Finally, slow your pace for a cool-down period of at least 5-10 minutes to gradually bring your heart rate back to normal.

Remember that growing older is inevitable—feeling old is not. Keeping active at any age reaps everlasting rewards that will allow you to enjoy life to its fullest.

RESOURCES:

National Institute on Aging

http://www.nia.nih.gov/

CANADIAN RESOURCES:

Seniors Health

Public Health Agency of Canada

http://www.phac-aspc.gc.ca/sh-sa-eng.php/

References

Bean JF, Vora A, Frontera WR. Benefits of exercise for community-dwelling older adults. Arch Phys Med Rehabil. 2004;85(Suppl 3):S33.

Bischoff H, Stahelin H, Dick W, et al. Effects of vitamin D and calcium supplementation on falls: a randomized controlled trial. J Bone Miner Res. 2003;81:343-351.

Exercise: how to get started. Family Doctor.org website. Available at: http://familydoctor.org/online/famdocen/home/healthy/physical/basics/015.html. Updated December 10, 2010. Accessed July 21, 2011.

Fiatarone M, O'Neill E, Ryan N, et al. Exercise training and nutritional supplementation for physical frailty in very elderly people. The New England Journal of Medicine website. Available at: http://www.nejm.org/doi/full/10.1056/NEJM199406233302501. Published 1994. Accessed July 21, 2011.

Frankel JE, Bean JF, Frontera WR. Exercise in the elderly: research and clinical practice. Clin Geriatr Med. 2006; 22(2): 239-56; vii.

How much physical activity do older adults need? Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/physicalactivity/everyone/guidelines/olderadults.html. Updated March 30, 2011. Accessed August 22, 2011.

Matthews CE, Ockene IS, Freedson PS, Rosal MC, Merriam PA, Hebert JR. Moderate to vigorous physical activity and risk of upper-respiratory tract infection. Med Sci Sports Exerc. 2002;34(8):1242-1248.

Osteoarthritis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Updated July 8, 2010. Accessed July 21, 2011.

Neid R, Franklin B. Promoting and prescribing exercise for the elderly. American Family Physician website. Available at: http://www.aafp.org/afp/2002/0201/p419.html. Published February 1, 2002. Accessed July 21, 2011.

Last reviewed August 2011 by Brian Randall, MD

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.