EDITOR’S NOTE
You can read more about the benefits of exercise for the older person in the Staying at Home Nutrition & Health section of the CareDirections site.

 

 

FALLS PREVENTION EXERCISE PROGRAMME

Use it or lose it - whatever your age!


   
Keep fit conjures up images of lithe young things sweating in the gym as they pump iron, or work out on the treadmill. Fitness is, however, far wider reaching than that and is not the province of the young alone. For them it may be about attracting the opposite sex, but for older people increasingly living alone, the importance is far greater - where fitness can mean retaining independence and preventing illness and injury.

Muscles that are not used shrivel away, bones become thinner and the heart flabby when not worked - even the brain if not exercised is at greater risk of dementia. Someone who sits in a chair for six hours a day, whose main activity is a slow walk into the kitchen will loose muscle power and strength. Muscle which is not exercised becomes less efficient and tires more easily - so even modest exertion becomes difficult, stairs become a mountain climb and a trip to the shop a marathon.

Yet, exercising for just 30 minutes three of four times per week has been shown to increase muscle strength (even if you are 90) and to bring activities long-abandoned back into the realm of what is possible and pleasurable. After just a few weeks of regular exercise reaction times improve, increasing the prospect of recovery from a fall - and even bones become stronger, thus reducing the risk of fracture if a fall does occur.

Disease prevention becomes more important as we get older and risk of disease increases - yet many treatments become more effective at saving lives as we age; treating high blood pressure is just one example. Fitness of the heart, cardiovascular system and lungs are increased by the exercise and blood pressure lowered. So, an exercise regime becomes more important as we become older and our risk of a heart attack or stroke increases.

Inactivity is a potent cause of swollen ankles and the chronic, poorly healing, skin ulcers that can result. Yet, keeping legs active can reduce swelling and improve peripheral circulation. Exercise should become a central part of illness prevention for all of us, but even more so as we age.

The biggest headline for the benefit of exercise comes in the area of fracture prevention:not surprisingly,when it is realised that a hip fracture at age 80 carries a greater risk of death within the year than does breast cancer, or that 40% of admissions to a nursing home are triggered by a fall! Bone density and,therefore, bone strength are increased by exercise. Studies in 90 year olds have shown that simple exercises increase bone density in as little as 12 weeks. Specific and targeted exercises that increase bone density can reduce the risk of hip and spinal fractures through reducing osteoporosis - which affects as many as 25% of men and 60% of women over the age of 70.

Exercise to be most effective needs to be targeted and specific - and should include balance and co-ordination training, as well as strength and power. It should take place at a level of intensity and in an environment that is safe, so as not to increase the risk of injury.

Specific exercise classes that can offer this are, unfortunately, few and far between. That is where the 'Active for Life' video programme can come in. In the video, two of the UK's leading experts in exercise in the elderly - Dr Dawn Skelton, exercise physiologist and Susie Dinan, clinical exercise practitioner discuss and demonstrate a series of scientifically-proven exercises - that promote health and reduce the risk of injury. As these exercises can be performed at home, there is now no reason to put off starting an effective health- improving exercise programme for another day!

Dr Simon Bradley MBBS DCH MRCGP
Medical Advisor ‘Active for Life’ Falls Prevention Programme.

 

HOW TO OBTAIN YOUR 'ACTIVE FOR LIFE' VIDEO PACKAGE

The ‘Active For Life’ exercise programme pack comprises a 90 minutes video, information booklet, wallposter and exercise stretch band. Order now by going to the ‘Active For Life’ web site or telephone 0117 9406409.

 

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