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Fitness & Exercise for Senior Citizens

Physical Activity Is Natural Pain Reliever for Arthritis in Senior Citizens, Boomers

Study says it is possible to manage arthritis pain by moving more

April 10, 2008 – It does not seem to make common sense – to exercise when suffering with joint pain – but a recent study in Arthritis Care and Research concludes that regular exercise is an effective way to “significantly” improve and manage arthritis pain. The study specifically measured results of the Arthritis Foundation Exercise Program.

This is good news for the aging population of U.S. baby boomers who want to get back to basics with a natural remedy for pain, according to the foundation. Arthritis is projected to increase by 40 percent, affecting 67 million Americans, in the next two decades.

 

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The in-depth study looked at the effectiveness of the Arthritis Foundation Exercise Program, developed in 1987 to reduce pain and stiffness by keeping joints flexible and muscles strong. 

Key findings of the study include participants reporting a decrease in pain and fatigue, an increase in upper and lower extremity function, and an increase in strength after participating in the basic, eight-week exercise program. 

Also, participants who continued the exercise program independently, beyond eight weeks, sustained improvement in reduced stiffness.

"The study showed that the exercise program is suitable for every fitness level, even inactive older individuals," said author of the study Leigh Callahan, Ph.D., Thurston Arthritis Research Center, University of North Carolina at Chapel Hill. 

"Many people believe the myth that exercise exacerbates their symptoms.  The truth revealed in the study is that symptoms improved with exercise."

Exercising for joint health is different than exercising for cardio health.  People living with arthritis don't have to sweat to achieve success.  The basic eight-week Arthritis Foundation Exercise Program consists of low-impact routines with gentle range-of-motion movements that can be done while sitting or standing.

"Even minor lifestyle changes like taking a 10-minute walk three times a day can reduce the impact of arthritis on a person's daily activities and help to prevent developing more painful arthritis," explains Patience White, M.D., chief public health officer of the Arthritis Foundation.  "Physical activity can actually reduce pain naturally and decrease dependence on pain medications."

You may need to increase intensity

The program, as designed, however, is not a magic bullet, according to the author’s of the 2007 study.

“Our findings indicate that the basic 8-week PACE program is a safe program for sedentary older individuals with arthritis to start exercising without exacerbating their symptoms,” they write. “In fact, we actually found that symptoms improved in these persons.”

As offered two times per week, the program “modestly improves symptoms and strength but does not improve function, increase exercise endurance, or increase physical activity.”

But, they did not find as much improvement as they wanted and suggested that for “more substantial benefits” the frequency and intensity may need to be increased.”

And, they added, “As with any exercise program, it appears that individuals need to stay with the program to maintain their benefits over time.”

About the study

The objective of the study was to evaluate the basic eight-week Arthritis Foundation Exercise Program for improvements in symptoms, functioning, level of physical activity and psychosocial outcomes. A total of 346 individuals with self-reported arthritis from 18 sites participated in a randomized controlled trial. 

The eight-week exercise program consisted of exercise twice weekly for one hour.  The study participants had a mean age of 70 years (ranging from 32 to 94 years old), 90 percent were female, 75 percent were white and 60 percent had more than a high school degree.

About the Arthritis Foundation Exercise Program

The Arthritis Foundation Exercise Program, formerly known as People with Arthritis Can Exercise (PACE), is a program developed by the Arthritis Foundation in 1987 to promote self-management of arthritis through exercise. 

The program is offered at basic and advanced levels, and is available throughout the country in many convenient community-based settings.  A detailed listing of classes in local areas can be found on the Arthritis Foundation's Web site at www.arthritis.org.

More About Exercise Programs to Fight Arthritis

From National Center for Chronic Disease Prevention and Health Promotion, part of the Centers for Disease Control and Prevention (CDC)

Arthritis Foundation Exercise Program (AFEP) (formerly People with Arthritis Can exercise or PACE) is a community-based recreational exercise program developed by the Arthritis Foundation. Trained AFEP instructors cover a variety of range-of-motion and endurance-building activities, relaxation techniques, and health education topics. All of the exercises can be modified to meet participant needs. The program's demonstrated benefits include improved functional ability, decreased depression, and increased confidence in one's ability to exercise. Classes typically meet two or three times per week. To find about availability in your area you can check with the Arthritis Foundation* or view this map to locate your state arthritis program.

Active Living Everyday (ALED) is a group-based program developed at the Cooper Institute focused on helping sedentary people become and stay physically active. Participants (~20/grp) come together for 1 hour weekly sessions for 20 weeks of classroom instruction to learn behavioral skills (identifying and overcoming barriers, setting goals, creating an action plan) needed to become more physically active. A variety of moderate and vigorous physical activities are discussed in the program, giving the background for individuals to make their personal decisions about type, form, frequency, intensity and dose. Participants do their actual activity outside of the group setting. Facilitators (instructors) that teach the course are trained and certified. A participant book is used in conjunction with the course. http://www.activeliving.info/.*

Arthritis Foundation Aquatic Program (AFAP) is a water exercise program created by the Arthritis Foundation for people with arthritis and related conditions. The classes are conducted by a trained instructor and are designed to improve flexibility, joint range of motion, endurance, strength, and daily function and to decrease pain. The aquatics classes include joint range of motion, stretching, breathing, and light aerobic activities. The classes typically meet two or three times per week for one hour. To find out about availability in your area you can check with the Arthritis Foundation* or view this map to locate your state arthritis program.

EnhanceFitness (EF) EnhanceFitness (formerly Lifetime Fitness) is an evidence-based, community-delivered exercise program proven to increase strength, boost activity levels and elevate mood. Certified EF instructors offer a program that focuses on stretching, flexibility, balance, low impact aerobics, and strength training exercises. Typically classes meet three times a week for one hour. To find out about availability in your area you can check with your state arthritis program. Use this map to locate your state arthritis program.

>> Arthritis Home Page at Centers for Disease Control and Prevention

>> Link to research report in Arthritis Care and Research

About the Arthritis Foundation

The Arthritis Foundation is the leading health organization addressing the needs of some 46 million Americans living with arthritis, the nation's most common cause of disability.  Founded in 1948, with headquarters in Atlanta, the Arthritis Foundation has multiple service points located throughout the country.

The Arthritis Foundation is the largest private, not-for-profit contributor to arthritis research in the world, funding more than $400 million in research grants since 1948.  Celebrating its 60th anniversary this year, the foundation helps individuals take control of arthritis by providing public health education; pursuing public policy and legislation; and conducting evidence-based programs to improve the quality of life for those living with arthritis.  Information is available 24 hours a day, seven days a week at 1-800-283-7800 or www.arthritis.org.

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