• P lan • How they are going to get active and stay active. • Ask them about conditions they may have, meds, fears, etc. Assessment Seniors Fitness Test: Human Kinetics - Tested against gold standard measures (lab measures) - Easily administered in any setting. - Provides u with reference values to be able to compare the results with standards (to know what areas u need to work on, etc.) Cardiovascular Risks • In individuals under age 40 years, exercise-related cardiovascular events are largely a result of congenital cardiovascular abnormalities. • In patients over 40 years of age, CAD is the predominant cause of adverse cardiovascular events, due to its higher prevalence with advancing age.
• Engaging in cardiovascular activity = putting yourself at greater risk for an adverse cardiovascular event = 0.01% risk. • Under 40, usually due to congenital abnormality, not easily screened. Manifests itself before 40, especially if engaging in vigorous activity. • Over 40 risk for cardiovascular event is due to having a heart attack while exercising. • In OA over 75, engaging in vigorous activity = risk increases a little bit. • But benefits outweigh risks. • Studies of risk associated with exercise in supervised environments, like cardiac rehabilitation, while not zero, are very small (of having another heart attack). • Risk is higher = 11%. • They are already in cardio rehab – so they have a higher risk to begin with. • How to reduce risk? • To influence their QOL. • Cardiovascular screening. • Exclude high risk subjects from vigorous exercise. (can still do light or mod, usually done in supervised setting). • Cardiac rehabilitation. Exercise Related Injuries and Older Adults • Are older adults at an increased risk for exercise related injuries? • You have to take it easy or you will get injured, have to be supervised, etc. • Answer = no (not higher in OA). you aren’t at an increased risk. It’s the same for younger people too at 16% chance of being injured . • Change this perception = this is a barrier for OA’s to exercise. • 23/167 reported an injury = 14% • You can reduce rate a little. But it has more to do with type of exercise, not b/c it’s an OA. • Type : Overuse muscle strain (type to cause more risk of injury, most often = male being over- zealous at the gym, has to do with technique issues). • Activity : Walking (modality they would get injured the most. Walking is what they liked to do, but it’s what they are most able to do too). • Location : Walking path/sidewalk • Severity : 70% (of the 23) required medical attention • 44% were not able to continue in their exercise routine. • Severity was not related to being old, it was just due to rest time they needed. Environmental Factors & Risks for Older Adults • Increases the risk of heat-related illnesses such as heat stroke, heat exhaustion, and heat cramps. • OA have harder time temperature-regulating like in extreme cold or warm env’ts. • Older adults should take precautionary measures on hot and humid days and should refrain from strenuous outdoor physical activities.
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- Summer '19
- Aerobic exercise, strength training