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Exercise & Fitness for Senior Citizens

New Physical Activity Guidelines Say Seniors Should Try to Keep Up with Younger Adults

Adults – including senior citizens – need two and a half hours a week of aerobic physical activity, says Health & Human Services

Oct. 7, 2008 – Adults  - even senior citizens – need two and a half hours a week of moderate aerobic physical activity, which will return substantial health benefits, according to the new Physical Activity Guidelines for Americans, which were released today by the U.S. Department of Health and Human Services.

The comprehensive set of recommendations is for people of all ages and physical conditions.

 

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The recommendation for adults also offers an alternative to the moderate activity - an hour and 15 minutes of vigorous physical activity.

The report says “Older adults should follow the guidelines for other adults when it is within their physical capacity. If a chronic condition prohibits their ability to follow those guidelines, they should be as physically active as their abilities and conditions allow.”

It also notes that if older people are at risk of falling, they should also do exercises that maintain or improve balance.

Recommended for adults are aerobic activity, such as walking briskly, water aerobics, ballroom dancing, jogging, and jumping rope, should be performed in episodes of at least 10 minutes. Increasing aerobic physical activity to five hours a week of moderate activity or two and one half hours a week of vigorous aerobic physical activity, results in more extensive health benefits.

Adults should also do muscle-strengthening activities, such as weight training, push-ups, sit-ups, carrying heavy loads and heavy gardening, at least two days a week.

The guidelines are designed so people can easily fit physical activity into their daily plan and incorporate activities they enjoy.

 “It’s important for all Americans to be active, and the guidelines are a roadmap to include physical activity in their daily routine,” HHS Secretary Mike Leavitt said.

“The evidence is clear - regular physical activity over months and years produces long-term health benefits and reduces the risk of many diseases. The more physically active you are, the more health benefits you gain.”

It can improve thinking ability in older adults and the ability to engage in activities needed for daily living, the report says.

Regular physical activity reduces the risk in adults of early death; coronary heart disease, stroke, high blood pressure, type 2 diabetes, colon and breast cancer, and depression.

The Physical Activity Guidelines for Americans are the most comprehensive of their kind, according to the HHS news release.

They are based on the first thorough review of scientific research about physical activity and health in more than a decade. A 13-member advisory committee appointed in April 2007 by Secretary Leavitt reviewed research and produced an extensive report.  

The recommendations also included special notes for senior citizens.

Key Guidelines for Older Adults

How intense?

Older adults can meet the Guidelines by doing relatively moderate-intensity activity, relatively vigorous–intensity activity, or a combination of both.

Time spent in light activity (such as light housework) and sedentary activities (such as watching TV) do not count.

The relative intensity of aerobic activity is related to a person's level of cardiorespiratory fitness.

  ● Moderate-intensity activity requires a medium level of effort. On a scale of 0 to 10, where sitting is 0 and the greatest effort possible is 10, moderate-intensity activity is a 5 or 6 and produces noticeable increases in breathing rate and heart rate.

  ● Vigorous-intensity activity is a 7 or 8 on this scale and produces large increases in a person's breathing and heart rate.

A general rule of thumb is that 2 minutes of moderate–intensity activity count the same as 1 minute of vigorous-intensity activity.

For example, 30 minutes of moderate-intensity activity a week is roughly same as 15 minutes of vigorous-intensity activity.

The following Guidelines are the same for adults and older adults:

   ● All older adults should avoid inactivity. Some physical activity is better than none, and older adults who participate in any amount of physical activity gain some health benefits.

   ● For substantial health benefits, older adults should do at least 150 minutes (2 hours and 30 minutes) a week of moderate-intensity, or 75 minutes (1 hour and 15 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic activity. Aerobic activity should be performed in episodes of at least 10 minutes, and preferably, it should be spread throughout the week.

   ● For additional and more extensive health benefits, older adults should increase their aerobic physical activity to 300 minutes (5 hours) a week of moderate-intensity, or 150 minutes a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity activity. Additional health benefits are gained by engaging in physical activity beyond this amount.

   ● Older adults should also do muscle-strengthening activities that are moderate or high intensity and involve all major muscle groups on 2 or more days a week, as these activities provide additional health benefits.

The following Guidelines are just for older adults:

   ● When older adults cannot do 150 minutes of moderate-intensity aerobic activity a week because of chronic conditions, they should be as physically active as their abilities and conditions allow.

   ● Older adults should do exercises that maintain or improve balance if they are at risk of falling.

   ● Older adults should determine their level of effort for physical activity relative to their level of fitness.

   ● Older adults with chronic conditions should understand whether and how their conditions affect their ability to do regular physical activity safely.

NOTE: This link is the chapter that applies directly to senior citizens - click here.

Key guidelines by group are:

Children and Adolescents -- One hour or more of moderate or vigorous aerobic physical activity a day, including vigorous intensity physical activity at least three days a week. Examples of moderate intensity aerobic activities include hiking, skateboarding, bicycle riding and brisk walking. Vigorous intensity aerobic activities include bicycle riding, jumping rope, running and sports such as soccer, basketball and ice or field hockey. Children and adolescents should incorporate muscle-strengthening activities, such as rope climbing, sit-ups, and tug-of war, three days a week.  Bone-strengthening activities, such as jumping rope, running and skipping, are recommended three days a week.

Adults -- Adults gain substantial health benefits from two and one half hours a week of moderate intensity aerobic physical activity, or one hour and 15 minutes of vigorous physical activity. Walking briskly, water aerobics, ballroom dancing and general gardening are examples of moderate intensity aerobic activities. Vigorous intensity aerobic activities include racewalking, jogging or running, swimming laps, jumping rope and hiking uphill or with a heavy backpack. Aerobic activity should be performed in episodes of at least 10 minutes.  For more extensive health benefits, adults should increase their aerobic physical activity to five hours a week moderate-intensity or two and one half hours a week of vigorous-intensity aerobic physical activity. Adults should incorporate muscle strengthening activities, such as weight training, push-ups, sit-ups and carrying heavy loads or heavy gardening, at least two days a week.

Older adults -- Older adults should follow the guidelines for other adults when it is within their physical capacity. If a chronic condition prohibits their ability to follow those guidelines, they should be as physically active as their abilities and conditions allow. If they are at risk of falling, they should also do exercises that maintain or improve balance.

Women during pregnancy -- Healthy women should get at least two and one half hours of moderate-intensity aerobic activity a week during pregnancy and the time after delivery, preferably spread through the week. Pregnant women who habitually engage in vigorous aerobic activity or who are highly active can continue during pregnancy and the time after delivery, provided they remain healthy and discuss with their health care provider how and when activity should be adjusted over time.

Adults with disabilities -- Those who are able should get at least two and one half hours of moderate aerobic activity a week, or one hour and 15 minutes of vigorous aerobic activity a week. They should incorporate muscle-strengthening activities involving all major muscle groups two or more days a week. When they are not able to meet the guidelines, they should engage in regular physical activity according to their abilities and should avoid inactivity.

People with chronic medical conditions -- Adults with chronic conditions get important health benefits from regular physical activity. They should do so with the guidance of a health care provider.

For more information about the “Physical Activity Guidelines for Americans,” visit www.hhs.gov or www.health.gov/paguidelines.

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