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PHYSICAL ACTIVITY IMPROVES ENDURANCE
AND MUSCLE STRENGTH IN OLDER ADULTS
LIFT WEIGHTS TO PREVENT BONE LOSS
It's
no secret that older Americans benefit from physical activity. Because
of its generally inactive nature, a decrease in functional skills and
subsequently a decrease in ability to perform the everyday tasks of
living usually accompany aging. Study after study has shown that
physical activity mitigates the loss of muscle strength and endurance,
indicating that if older adults focus energy on muscular, skeletal,
balance and mobility training, they will maintain a functionally
superior quality of life well into old age. It is important for older
adults to understand not only the precise benefits, but also safe ways
to perform a strength-training program, and perhaps most importantly,
how to stay with a program once begun.
In the November-December issue of ACSM's Health & Fitness Journal,® L.
Jerome Brandon, Ph.D., FACSM offers a list of both physiological and
performance benefits, proposes strength training guidelines for older
adults, and makes some strong suggestions for adherence.
Strength training
first results in physiological benefits within the muscle; performance
improvements follow. The connecting tissue between nerves and muscles,
usually decreased in number with age, can be preserved with strength
training. Muscle fibers are also preserved through control of these
connections, helping maintain strength and endurance.
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Loss of muscle mass,
called sarcopenia, also contributes to loss of strength, and can be
prevented with a regular program of strength training. To a lesser extent,
bone loss, also characteristic of advancing age, can be prevented by
weight-bearing exercise, which increases bone mineral content. The
performance results of strength training are clear. Simple everyday
activities such as walking, reaching, bathing and cooking are easier for
those who participate in strength training.
Brandon and his
co-authors conducted an eighteen-month strength training program with 30
older adults (average age 72.1 years). They found that the participants
increased both functional capacity and total body strength rapidly in the
first six months. Concluding that strength benefits outweigh functional
benefits, the authors point out that individual functional tasks are
significantly easier for strength-trained older adults.
To set up guidelines
for a strength training program, Brandon points to several studies that
outline specific exercises. Because participants will benefit from almost
any intensity or repetition, he states, the major consideration should be
the safety and comfort of the participant.
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The most important
aspect of any strength-training program is consistency, and the older adult
who feels safe and comfortable with a strength-training program is more
likely to stay with it.
Major factors
influencing participation, according to a focus group of older adults, are
social support, health benefits, and physical surroundings. Thus, if the
program offers interaction with other older adults and friendly and capable
staff members, if the participants believe strength training will truly
improve their function, and if the exercise room or area is clean,
appropriately lighted and free of extremes in temperature, the likelihood of
adherence is increased. When all factors are considered, the benefits of
strength training for older adults far outweigh any perceived inconvenience,
but adherence is important, so those inconveniences must be addressed.
The American College
of Sports Medicine is the largest sports medicine and exercise science
organization in the world. Nearly 18,500 members worldwide are dedicated to
promoting and integrating scientific research, education and practical
applications of sports medicine and exercise science to maintain and enhance
physical performance, fitness, health and quality of life.
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