OLDER ADULTS - Answers -
reasons why pa may decrease with age - Answers pain
functional decline
depression and loneliness
environment
pain - Answers appr. 1 in 4 adults have severe joint pain
two most common causes of joint pain are arthritis and oseoarthritis
functional capacity - Answers capability to perform tasks and activities necessary or desirable
in life
frailty - Answers increased vulnerability resulting from aging-associated decline
mortality risk from a hip fracture increases by how much? - Answers 14-58%
depression and loneliness - Answers a common problem but not a normal part of aging
several possible triggering events as we age
association between depression and reduced PA
depression is only one chronic disease - several more
benefits of PA in older adults - Answers • Prevention of chronic diseases • Improves
cardiovascular health
• Improves body composition
• Improves metabolism
• Improves bone health
• Improves well-being
,• Decreases stress
• Improves cognition
• Increases strength
• Reduces risk of falls
• Extends years of active independent life • Reduces disability
• Improves quality of life
does exercise improve immunity in older adults? - Answers Purpose: Determine whether
exercise training improved antibody responses to flu vaccine in 144 older adults
• Interventions: Moderate CV exercise vs. flexibility and balance training • Primary outcome: Flu
vaccine response as measured by anti-influenza antibody titer
• Results: CV exercise resulted in significant increase in seroprotection 24 weeks after
vaccination and CV fitness; flexibility didn't see changes in either
• Exercise group exhibited reduced overall illness severity
3 sections of PA counseling in older adults - Answers 1. key components of PA programs for
older adults
2. strategies for addressing behavior changes
3. injury and risk management
part 1: key components: - Answers Endurance activities provide the greatest protection against
the deleterious effects of chronic disease • Activities can include:
• Biking, swimming, WALKING, etc.
• Lifestyle activities
• Start low but progress to moderate
• Use Borg scale (RPEs), Talk test
part 1: key components cont. - Answers Strength training is safe for older adults! • In general, 2-
3 sets of 10-12 reps is optimal
• As strength increases, so should amount of resistance!
part 1 key components cont: - Answers Flexibility exercises facilitate greater range of motion
around a joint
, • Should be performed 2+ days /week
• Can be done in a session alone or as part of a warm up/cool down
• Static and dynamic
part 1 key components cont: - Answers • Increases in muscle strength can improve balance, but
specific balance activities can have additional benefits!
• Static & dynamic
part 2 behavioral factors: - Answers Simply KNOWING physical activity is important is not
enough to get most sedentary individuals to become active
social support (behavioral factors) - Answers family, friends, health educator
self efficacy (behavioral factors) - Answers aging is often associated with loss of perceived
control
need to increase confidence in ability to be physically active
active choices (behavioral factors) - Answers tailor program to participant needs and interests
providing choices enhances self-efficacy and contributes to greater adherence
health contracts (behavioral factors) - Answers written agreement between participant and
health professional to accomplish a health goal
perceived safety (behavioral factors) - Answers common barrier to PA for older adults
educate participants about actual risks and teach self-monitoring of intensity levels
regular performance feedback (behavioral factors) - Answers should be positive and meaningful
to participant
associated with exercise adherence
positive reinforcement (behavioral factors) - Answers increases likelihood of PA maintenance