Working out good for seniors
Three years ago, she couldn’t do a single push-up and certainly had never heard of a “reverse fly.” Today, Solveig McCulloch, 79, can do 10 push-ups easily and rocks her five-pound dumbbell flys.
“I am definitely stronger, and my balance and flexibility are better, too,” said McCulloch, who at 76 started exercising regularly for the first time: twice-weekly strength training and daily walking.
It’s never too late to start working out, sports medicine doctor Justin Mullner said: “You can see dramatic benefits from exercising in older adults.”
These benefits include prevention of osteoporosis and muscle loss, as well as improved blood pressure and blood-glucose levels.
Guidelines suggest adults over 65 should get at least 2 1/2 hours of moderate exercise, such as brisk walking, per week and do musclestrengthening activities that work all major muscle groups twice a week. Exercising can be a doubleedged sword for someone who is 65 or older as the risks are greater, Mullner said. A fall can lead to a hip fracture for someone with osteoporosis. The risk of cardio- vascular disease (such as heart attack) also increases with age.
First, clear any new routine with a doctor. (This is recommended for all ages.) Then solicit advice from a trainer or a doctor about what kind of routine is appropriate for you, Mullner said.
“It’s so individual. What are the goals? What are the limitations?” he said. “What do you like to do? What will you keep doing?”
That’s where someone like Stephen Burgett comes in. The personal trainer helps identify goals and designs programs that help clients stay injury-free while working on endurance, strength, balance and flexibility – all important components of fitness.
“The first thing I do is an assessment. I look at their range of motion, their movement patterns, how well they sit and stand,” Burgett said. He uses that information to design a workout program.
For clients who lose their balance easily, he might look at strengthening the gluteus, because hip muscles are crucial for balancing. Gluteus muscles can be strengthened with the gluteus bridge (lying on your back on the floor, feet planted close to the hips and lifting the hips) and squats.
Many older adults have weak back muscles, causing them to hunch forward. Burgett might suggest a seated row (a pull motion) and a squat with a shoulder press to strengthen the upper back. Burgett might also include planks for core strength, to help with posture, and a modified pull-up that strengthens the upper back.
“People, especially if their baseline is low, will see increased strength quickly, I would say within a month,” Burgett said.
The goal of body composition changes – looking cut, for example – takes much longer and requires nutritional changes, he said. Generally speaking, though, older adults are very different from the younger set when it comes to fitness goals.
For seniors, fitness is often a way to stay independent: strong enough to lift boxes off shelves, walk up and down stairs, carry groceries, and do laundry.
“It’s about functional fitness,” said Mullner, who recommends tai chi and yoga for seniors as a way to improve balance and proprioception, or spatial awareness and the ability to move effectively and efficiently. Those are key in preventing falls.