Tuesday, August 28, 2012

Exercise and Strength Training: It's Never Too Late To Start

One of the reasons I decided to work with older adults to make them stronger was because of a NOVA program I saw over twenty years ago. NOVA followed some researchers from Tufts University in Boston as they went into nursing homes to see if strength training could help some of the residents.

I love watching these older people learn to lift weights. You could say this program planted the seed for my business.

I feel that strength training is the closest thing we have to the fountain of youth. If you want to remain independent, work at it.

The following is an article from The Alliance of Aging Research that makes some great points on why you should start working on becoming stronger:

from: 

Living Longer and Loving It! — Fall 2001 Feature Article 

 
Exercise and Strength Training

It's Never Too Late To Start

The best medicine to combat the vagaries of old age is exercise. And it's never too late to start, says Dr. Maria Fiatarone Singh, professor of Medicine and Sports Science at the University of Sydney in Australia.

Dr. Fiatarone and colleagues at Tufts University developed and tested a strength training program using weights on frail men and women in their 80s and 90s who live at the Hebrew Rehabilitation Center for Aged in Boston. Nearly all have arthritis and heart disease and take multiple medications. Most use walkers and almost all experienced falls. 

Within 10 weeks, researchers saw improvements across the board in their patients. Virtually all of the participants got stronger and were able to walk faster and climb stairs more easily. Those who were depressed became more sociable, and those who took nutritional supplements had improved appetites. 

The non-exercising control group lost muscle mass and received no benefits from nutritional supplements. 

The evidence is clear, and so is the geriatrician's message to the medical community: doctors spend too much time prescribing pills and not enough on encouraging play for older patients.
Here, Dr. Fiatarone elaborates on her studies. 

Q. We all know that physical exercise is good for our health and that most of us don't get enough of it, but what special benefits can exercise provide for the elderly?
A. There is a difference in the reasons for exercise for the elderly and exercise for younger people. An exercise program for the elderly is targeted more specifically for the prevention of disease and disability, while younger people exercise primarily to look better.

Q. What kind of exercise do the elderly need?
A. Not all exercise is good for all purposes. If you are using it like medicine, it's specific in terms of effect. You need to prescribe an exercise in relationship to what it is you are trying to promote. Somebody who has gait disorders - difficulty walking, falls a lot, has osteoarthritis and is susceptible to fractures - needs strength and balance training for the muscles. If the purpose of exercise is to prevent cardiovascular disease, you will need an aerobic exercise. 

Q. Is strength training the best exercise for the elderly? 
A. We looked at strength training for frailty and functional dependency. We looked at causes of frailty. Loss of muscle strength with aging is a cause of frailty. So the kind of exercise needed is strength training. Stretching and walking don't impact muscle size. If somebody is weak and the weakness is contributing to the health status or quality of life, strength training is the way to go. If core balance is the problem, it makes sense to give them balance training. Tai chi and yoga are examples of balancing exercises. Standing on one leg or walking on a balance beam are balancing exercises.

Q. Isn't it enough to walk regularly, or are the benefits of walking overrated?
A. All exercise training should challenge you to accomplish something not normally experienced and to conquer new challenges. When you walk, you normally don't get any better unless you challenge yourself in a more difficult way, like walking heel to toe. However, the epidemiologic literature shows that walking is associated with reduction in mortality and cardiovascular disease, diabetes and stroke. The more vigorously you walk, the better it is. But, you have to look at it like medicine. You can't use the same form, dose, and intensity, for all people.

Q. Isn't exercise dangerous for senior citizens, particularly those who are already frail and have fragile bones?
A. Being a couch potato is lethal. We recommend seeing a doctor before starting any exercise program, but chronic, age-related medical conditions almost always indicate a need for exercise.

Q. Are there mental as well as physical benefits to exercise for the elderly?
A. Depression is well treated with exercise. Weight lifting and aerobic exercise work equally well. Exercise works 70 percent of the time for depression. It's better than anti-depressants because drugs are often less well-tolerated in older people. Nobody knows how or why exercise works. However, there are no good studies that show it can treat dementia. It helps with attention span, and there is some evidence that people who exercise are less likely to end up with dementia, but there is no way to tell if it is causal or not. 

Q. How do you persuade seniors to get out of their rocking chairs and start pumping iron?
A. Independence and quality of life are the driving factors, not longevity. One thing people don't want is to become dependent on others. Strength training effects are evident in just a few weeks. They can see that they get out of chairs more easily and can move around better and that sustains people. Long-term adherence to strength training is quite high, whereas people are likely to drop out of exercising on a bicycle or walking.

Q. Is it ever too late in life to begin an exercise program and benefit from it?
A. It's never too late to start. Lots of people are starting in their 80s and 90s. It's good if you can come to old age with a bit of reserve, but even if you don't, exercise works.


GETTING 'WELL BEYOND 50'
1. See your health problems as a reason for exercise rather than as a barrier to exercise.
2. Look for opportunities each day to exercise instead of avoiding exercise. Turn what comes your way into exercise. Carry something instead of dragging it. Stand on one leg. As you go through the day, you can turn lots of activities into exercise opportunities.
3. Do something you enjoy and can conceive of doing most days for the rest of your life. It must be something you will do on a regular basis. That's what brings health benefits.

Want More? Subscribe to this free webzine and read the rest of the Fall 2001 issue! http://www.agingresearch.org/livinglonger/

Tuesday, August 21, 2012

Are you physically preparing for retirement?

I love this quote

Are you physically preparing for retirement?

If not, it can cost you a ton of money.


Most people know that it is a great idea to financially prepare for retirement. They also know that the earlier they start, the easier it is to build a bigger nest egg.

The same rules apply to being physically prepared for retirement.  The earlier you start, the better. When people picture their retirement, they picture being able to enjoy the freedom to do things like travel, visit friends and enjoy the freedom they deserve. Unfortunately, most people will have too many physical challenges to enjoy retirement like they should.

I don't consider this normal aging, and neither should you!

According to Genworth Financial, nearly two-thirds of people over age 65 will need long term care at home or through adult day health care, or care in an assisted living facility or nursing home.
 

No one pictures this happening to them. What are you doing to minimize the chances that it happens to you? 

Look at the current cost of this long term care. It cost my father around $7000.00 per month or $84,000 per year to live in his private room at the nursing home for the last 18 months of his life. (Annual cost in Illinois average from $16900 for adult day care to $69,350 for a private room in a nursing home. If you really want to be scared you can calculate how much this will cost in the future. 

It is much cheaper to work on your physical abilities before you lose them than to require long term care  

Having worked with clients as old as ninety-five, I have become an expert at what happens to our bodies due to aging and the lack of properly maintaining them.  

How many people work on their ability to extend and rotate their thoracic vertebrae? How many of us work on the ability to squat deep enough to move our knees between our hips? Even though I am fifty years old, I am already working on being able to physically handle the challenges that aging will give me.

 
What are you doing to prepare for your physical challenges due to aging?

Tuesday, August 14, 2012

How are you going to move when you are older?





Prisoner of War Squats

 I use to hear physical therapy students talk about how they would analyze how people move in public once they began studying movement. Now I know what they were talking about. Anytime I am out in the public, I watch how people move. If you want to see what happens to a lifetime of not working on your movements, go the the grocery store when it is packed with senior citizens. You will be amazed at how slowly most of them move.

Some of them will move slowly due to injuries. Most of them will move slowly because they allowed their bodies to get weaker, stiffer and less mobile. Unless you work to minimize the effects of aging, it will happen to you.

Having worked with clients up to 95 years of age, I have studied what changes occur to our bodies due to the aging process with a lack of focus on maintaining a basic level of strength and conditioning.

The two biggest physical changes that I have observed are less reliance on the hips and a loss of proper mobility in the thoracic spine.  Most people don't work on these two areas. This is why I train clients the way I do.

An example of this would be how people are taught how to get out of a chair once it becomes more difficult for them. I have observed many people being taught to have their knees and shoulders move forward when trying to get out of their chairs. This teaches them to use their knees and backs.

When I work with a client, I teach them to use their hips to get out of the chair. (or any squatting or lunging movement) This takes the strain off of their knees and backs.

Why should you care about your thoracic spine? When it moves properly, your shoulders and lower back are protected. If you want to develop shoulder problems, quit using your thoracic spine to reach for things. Want to develop lower back pain, begin bending at the waist instead of the hips when picking something up.
Hip Hinges


The next time you are at the grocery store, observe how the older customers are moving. The choice is yours on how you will move when you reach their age.