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safe exercise and injury prevention for older adults
Preventing Injuries
and Making Exercise Safe for Baby Boomers Baby
boomers, those born between 1946 and 1964, were the forerunners of
the fitness craze in the U.S. because they understood the benefits
of exercise to improve health and prevent disease. Unlike their
predecessors who didn’t exercise and experienced a high incidence of
chronic diseases, baby boomers embrace exercise as a way to remain
youthful while staying fit.
While exercise continues to be a big part of their lives as they
progress through middle age, baby boomers have been experiencing a
dramatic increase in the number of sports-related injuries in the
last decade due to the effects of aging, overuse of soft tissue and
poor conditioning. Since baby boomers make up about one-third of the
population in the U.S., comprising more than 76 million adults, the
rise in the number of sports-related injuries has caused a
substantial impact on the healthcare bill of the nation. The rise in
the number of sports injuries totaled more than one million injuries
in 1998 alone, increasing 33 percent between 1991 and 1998, and
costing the nation more than $18 billion a year.
Why are sports injuries so prevalent in baby boomers?
Aging is the biggest contributor to a high incidence of sports
injuries in baby boomers. Physiological changes in the body due to
aging include muscle loss, less elasticity in the tendons and
muscles, joint stiffening, limited range of motion and increased
reaction time. Aging muscles also lose their endurance, are more
susceptible to injuries and take longer to heal from injuries.3
While exercise is the best remedy to reduce muscle loss, the natural
aging process will cause your middle-aged members to lose some
strength and endurance. |
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In addition to aging, stress and overuse of the body will
also cause injury. Baby boomers often participate in sports activities and
expect to perform at the level at which they performed in their 20s.This
usually leads to injury from overuse. Also, boomers are often unaware of
weak spots -- old injuries, genetic predisposition or the effects of the
aging process on overused soft tissue -- on their bodies that make them
prone to injury, according to Dr. Nicholas A. DiNubile of the Hospital of
the University of Pennsylvania in Philadelphia. Cumulative trauma in a weak
spot may cause a prolonged recovery period. Yet many baby boomers are too
impatient to wait for injuries to fully heal, and they resume activity,
causing further damage.
While the aging process and stress from overuse may hinder active baby
boomers, other boomers have a particularly high risk of injury due to poor
conditioning. Some middle-aged adults are “weekend warriors,” participating
in sports activity only on the weekends instead of throughout the week.
These boomers are especially prone to injury because poor conditioning, in
addition to the natural stiffening of soft tissue from aging, significantly
increases the risk of injury.
Most common types of injuries
Sprains and strains in the back, shoulder, knee and ankle are the most
prevalent sports injuries experienced by baby boomers. While low-impact
activities such as swimming produce fewer injuries, high-impact activities
such as basketball seem to pose the most risk. In 1998, basketball injuries
accounted for more than 164, 000 injuries that required medical attention.
Bicycling (including mountain biking) caused even more injuries than
basketball (more than 200,000 injuries), followed by skiing, softball and
general exercise and running. |
While bicycling injuries make up the most injuries, the biggest increase in
injuries has occurred in baby boomers who perform general exercise and
running. In 1991, about 10,000 emergency room-treated injuries were reported
in boomers doing general exercise and running, but by 1998 the number of
injuries more than tripled.1 Even more staggering is that the estimated
amount of injuries that required any kind of medical attention was more than
116,000 in general exercise and running.5 According to Dr. DiNubile, the
number of sports injuries reported are just the “tip of the iceberg” because
it only includes emergency room injuries and estimated medically-treated
injuries.
Prevent injuries at your health club
Most injuries in baby boomers can be prevented or significantly reduced
through safety, medical guidance and simple modifications in conditioning.
Many middle-aged people do not take steps to properly condition themselves
before exercising because they are unaware of the physiological changes
their bodies have gone through during middle age. Baby boomers may benefit
from specialized training sessions that inform them on these changes that
occur with aging, as well as instruction on technique, safety and
conditioning.
To prevent injuries in your facility, the American Academy of Orthopaedic
Surgeons (AAOS) recommends your middle-aged members follow these guidelines
to exercise safely:
Warm-up and cool-down for at least three to five minutes, and stretch before
and after exercise holding each stretch for 30 seconds.
Condition gradually to prevent overuse of muscles, tendons and joints.
Add new activities slowly. Weekly increases of activity should not exceed 10
percent in time, distance or intensity.
Take lessons from a fitness professional to develop proper form and
technique, and learn to use equipment properly.
Wear proper athletic shoes and throw away old shoes that do not give proper
support.
Modify activities to accommodate your body’s needs. Do not force your body
to perform activities that are difficult or cause pain.
Cross train with a balanced fitness program that includes cardiovascular
training, strength training and flexibility to prevent overuse of muscles
from one particular sport.
If you’ve already had a sports-related injury, consult with an orthopedic
surgeon to design a fitness program to reduce the risk of further injury.
Don’t be a weekend warrior by exercising only on the weekends. Try to space
out activity and get at least 30 minutes of exercise daily.
In addition to these guidelines, simple changes in technique and form can
reduce injuries. Many injuries are caused by improper technique, and lessons
from fitness professionals may be the easiest and fastest way to reduce
injury
Safety gear also plays a crucial role in reducing the risk of injury. For
example, baby boomers who ride bicycles are twice as likely to die from head
injuries than children, because they don’t wear helmets.1 About 69 percent
of children wear helmets, while only 43 percent of baby boomers wear
helmets.1 Encourage your members to wear proper safety gear and take
personal training sessions from professionals to learn the proper form and
technique of new exercises.
Keeping members safe
Many of your middle-aged members may be unaware of the health risks involved
with participating in a fitness program or sports activity. Their aging
bodies are not only susceptible to injuries from overuse and poor
conditioning, but also take longer to heal. Help them ease into middle age
safely, and reduce their risk of injury by providing them with information
and training based on the exercise guidelines by AAOS.
By Tracey Black
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