Archive for March, 2010

Prescription Drugs and Falls

Thursday, March 18th, 2010 by American Senior Fitness Association   View This Issue of Experience!

An analysis recently published in the Archives of Internal Medicine found that certain kinds of popularly prescribed medications — such as sedatives and antidepressants — can increase older adults’ risk for falling.

Analyzed were 22 studies, published from 1996 to 2007, involving more than 79,000 subjects age 60-plus. Three classes of drugs were determined to increase the risk for falling significantly:

  • Sedatives and hypnotics (which may be used as sleep aids);
  • Antidepressants; and
  • Benzodiazepines (including tranquilizers, such as Valium and Xanax).
  • Fall risk was also seen to rise with the use of NSAIDs (non-steroidal anti-inflammatory drugs, such as aspirin), as well as with medications used in the treatment of psychosis. However, the conditions for which such drugs are typically prescribed may themselves increase fall risk.

    Interviewed by Reuters Health, researcher Dr. Carlo Marra of the University of British Columbia in Vancouver, noted that prescription drug use by elderly patients is increasing — and, in fact, that a recent study found one in seven people over the age of 80 to have filled an antidepressant prescription. He added that older adults using any of the medications linked with a heightened risk for falls should discuss the matter with their physician and their
    pharmacist.

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    Impact Level

    Thursday, March 18th, 2010 by American Senior Fitness Association   View This Issue of Experience!

    Conventional wisdom long held that low impact training helps spare the joints of mid-life and older adult exercisers. In recent times, however, impact forces have been advised for good bone health in some sectors of the literature. On the pro-impact side, there are inconsistencies among the recommendations of influential guideline-setting agencies, ranging from: (1) moderate to high intensity, incorporating jumping; to (2) medium impact, such as intermittent jogging or step aerobics; to (3) high impact for osteoporosis prevention, but low impact for its management.

    Now comes a study that brings the question full circle. Recently presented at the annual meeting of the Radiological Society of North America, the investigation involved 100 male and 136 female subjects, ages 45 to 55, of normal weight and without symptoms of osteoarthritis. Researchers examined MRI scans of their knees and evaluated the results in relation to their physical activity patterns. The scientists concluded that high impact weight-bearing activities, like running and jumping, are risky for the health of knee cartilage in aging persons, whereas low impact activities, like cycling and swimming, may protect healthy knee cartilage from becoming diseased.

    Is there a conflict between osteoporosis prevention and osteoarthritis prevention? While the jury is still out on the ideal level and frequency of impact in mature adult exercise training, prudence calls for caution, moderation and highly individualized programming, including activity-specific medical clearance to participate. Look for much more research and clarification to emerge in this important topic area in the future.

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    Owning a Pet Can Be Healthy

    Thursday, March 18th, 2010 by American Senior Fitness Association   View This Issue of Experience!

    SFA author Jim Evans is a 42-year veteran of the health and fitness industry and an internationally recognized fitness consultant. Today Jim shares a creative idea with a lonely widow seeking to cope with grief and depression.

    DEAR JIM: My health has been going downhill ever since my husband passed away last year after a long illness. I haven’t been handling my grief very well, and I find myself down in the dumps most of the time. My doctor has prescribed an antidepressant which seems to help a little, but I still can’t seem to shake this constant feeling of loneliness. I know you have always said that exercise helps to fight depression, but I really don’t feel up to anything very physical. Is there anything else you can recommend? DEPRESSED IN DULUTH

    DEAR DEPRESSED: I’m sorry for your loss, and I can understand why you don’t feel like engaging in any physical activity while you are still grieving. However, a little bit of exercise can help in your recovery, even if it’s only a daily walk around the block.

    So, let me suggest a different approach to accomplishing the same thing.

    I’d like for you to get up bright and early tomorrow morning, put on your favorite dress, and visit the local animal shelter. Don’t laugh. Okay, go ahead and laugh if you feel like it. Yes, I mean the animal shelter. And, while you are there, I want you to adopt the first dog — or cat — that you fall in love with. I guarantee that you will fall in love with one!

    Why a dog or cat? Because, according to the Centers for Disease Control (http://www.cdc.gov/Healthypets/health_benefits.htm), pets can decrease your blood pressure, lower your cholesterol, and diminish your feelings of loneliness. Equally important, they increase your opportunities for exercise and outdoor activities and for socialization.

    You guessed it: If you select a dog, you will have to take that cute little critter for a walk on a regular basis, so you’ll both benefit from some fresh air and exercise. With a pet, you will be responsible for its care and feeding, and you will be rewarded with "unconditional love and acceptance," says Rebecca Johnson, associate professor at the University of Missouri Sinclair School of Nursing, the College of Veterinary Medicine, and director of the Research Center for Human-Animal Interaction.

    "Research in this field is providing new evidence on the positive impact pets have in our lives," adds Johnson in a report to UPI’s ArcaMax Publishing (http://www.arcamax.com/healthtips/s-620986-109857).

    You will be saving a life, too. Between three and four million dogs and cats are euthanized each year in the United States simply because too many people give up their pets and too few people adopt from shelters (http://www.hsus.org/). You can help an abandoned pet — and, perhaps, yourself at the same time.

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    Get It Just Right

    Thursday, March 18th, 2010 by American Senior Fitness Association   View This Issue of Experience!

    Not too much — nor too little. That’s the exercise prescription endorsed by a famous English essayist who lived from 1785 to 1859:

    "There is a necessity for a regulating discipline of exercise that, whilst evoking the human energies, will not suffer them to be wasted."

    – Thomas De Quincey

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    Spring Is in the Air

    Tuesday, March 2nd, 2010 by American Senior Fitness Association   View This Issue of Experience!

    Spring is coming! And the American Senior Fitness Association (SFA) is celebrating the promise of warmer weather with a Spring Sale on SFA’s award-winning professional education programs. So if you’d like to add a senior-specific fitness credential to your resume, earn continuing education credits accepted by most fitness organizations or both, be sure to order by Friday, March 12, 2010, and take advantage of these special discounts.

    Plus, here’s some extra good news for you early birds! If you order your program by Monday, March 8, SFA will pay the shipping.

    So don’t delay. Visit our on-line order center or call SFA at (888) 689-6791 to take advantage of this special opportunity to get the education and the professional credentials you need to excel in the growing older adult fitness market.

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    Antioxidants May Help Maintain Muscle Function

    Tuesday, March 2nd, 2010 by American Senior Fitness Association   View This Issue of Experience!

    At a recent meeting of the Gerontological Society of America, researchers described a new study that found diets rich in antioxidants to be potentially helpful for preserving the muscular strength of older adults. The scientists examined the long-term eating patterns of more than 2,000 persons in their seventies. In addition, they recorded the subjects’ handgrip strength at baseline, and then again after the passage of two years. (For more news about grip strength, see the following article.)

    A significant positive association was found between muscle strength change and the consumption of vitamins C and E. This was true even for subjects who started out with low levels of strength. Researchers don’t think it is effective to take high-dose vitamin C and E supplements, which in some cases can be unhealthy. Instead, these findings point to the value of following a well-balanced diet that is high in nutritious fruits and vegetables.

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    At Hand: An Important Predictor

    Tuesday, March 2nd, 2010 by American Senior Fitness Association   View This Issue of Experience!

    A simple tool that is used routinely by many older adult fitness professionals may hold more significance than was previously realized by the health and fitness community. That device, a staple at senior wellness fairs, is the hand dynamometer, which measures grip strength.

    In addition to functional fitness implications, it now appears that diminishing grip strength may also indicate an increased risk for impending mortality. Researchers have found that decreased handgrip strength in the very elderly is associated with a higher risk for death.

    A new study published online by the Canadian Medical Association Journal identifies waning handgrip strength as an important indicator of increased risk for death in octogenarians, as well as in persons beyond their eighties. The subjects of the study were 555 elderly men and women residing in the Netherlands. Their handgrip strength was recorded at age 85, and then again at age 89. Three important findings emerged:

  • Low handgrip strength at ages 85 and 89 was connected with an increased risk for death from all causes;
  • So was a significant decline in handgrip strength over time; and
  • With aging, the association between grip strength and the risk for death increases.
  • Does muscle strength directly affect mortality risk, or are other important variables more closely involved? Scientists don’t yet know the answer to that question. Researcher Dr. Carolina Ling and her colleagues at the Leiden University Medical Center say that the link between muscular strength and the risk for death is not well understood. Additional research should be undertaken.

    Even so, the study’s authors concluded that assessing handgrip strength can help health-care professionals target elderly patients who are at risk. Steps to preserve muscular strength can then be employed in order to improve those individuals’ probability for survival.

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    Strength Training Breakthrough

    Tuesday, March 2nd, 2010 by American Senior Fitness Association   View This Issue of Experience!

    Traditionally speaking, concentric — as opposed to eccentric — muscle contractions have been emphasized in senior physical fitness programs. Now comes a new training system pioneered at the University of Florida (UF) strength science lab that calls such conventional wisdom into question. Undoubtedly the UF NeGator regimen, which features intense eccentric muscle conditioning, will be of interest to Olympic contenders and other young athletes. However, the UF Health Newsnet report shown below also highlights a 53-year-old fitness participant’s successful NeGator experience, which may herald positive practical applications for older adult non-athletes. Senior exercisers should obtain medical approval specific to the type of training they wish to undertake. The UF Health Science Center is the most comprehensive academic health center in the Southeast US. Following is the facility’s news release on its time-saving NeGator strength training system:

    GAINESVILLE, Fla. — Exercising one hour a week and getting the same results as traditional strength training might sound unreal, but University of Florida orthopedics researchers have developed a system that they say makes it possible. It’s based on a training principle that Winter Olympics gold medal winner Bode Miller has used in preparing for competition. Called NeGator, it uses eccentric — or negative — resistance training, which capitalizes on the fact that the human body can support and lower weights that are too heavy to lift.

    “So there’s this puzzle of ‘how do I lower something I can’t lift?’” said Michael Mac Millan, M.D., chief of spine surgery at University of Florida College of Medicine and a member of the UF Orthopaedics and Sports Medicine Institute. “Well, it turns out that you need a little help.”

    NeGator is there to lend a hand. Through a system of motors, pulleys, cams and sensors it adds weight when a person is performing a lowering motion, and removes that weight when the person is lifting. As a result, the body starts seeing loads, resistance and forces that it doesn’t normally see, Mac Millan said. “It responds by growth and development so we really tap into an unutilized potential.”

    The researchers, who work out of UF’s strength science lab, use medical levels of specificity to determine the maximum effective dose of strength training each individual can safely and effectively manage during a full body workout. “You want to go to complete muscular exhaustion in one set,” said fitness director Trevor Barone, M.S. “It’s one set, maximum effort.”

    The team has distilled down to what a person needs to do to get the benefit of strength training while doing as few exercises as possible in as little time as possible as infrequently as possible. For each person, they figure out the exercise intensity from which the body can recover in a week. “So you only have to — and you only should — work out once a week in order to get the right stimulus and the right recovery,” Mac Millan said.

    That’s just fine with Jean Michelson, 53, who used to exercise “on and off” with traditional resistance training before starting her training on the patented NeGator system with Barone. The NeGator team hopes more people like Michelson will come in to the strength science lab to experience what it is like to train with NeGator. The technology has been licensed by UF and the researchers.

    Now Michelson, a dietitian, said she’s not so bored with the squats, pull downs, rows and presses. And after a few months of training, she’s now lifting twice the amount of weight she could when she began her training program. “I like it because I really feel like I’m much stronger when I’m done — I couldn’t squat when I started,” she said. “And it’s one day a week and I get good coaching.” She recovers from her workouts more quickly than in the past, and has an easier time with day to day activities such as getting in and out of a car, she said.

    Increasingly researchers and clinicians recognize that strength training is important for people, especially as they age, to enhance quality of life and maintain physical independence. “If you don’t have adequate muscular support you’re going to be injured more, you’re going to do less, your mobility is going to be decreased,” Mac Millan said. He and colleagues spent more than two decades laying the scientific groundwork and developing the processes and systems by which NeGator works.

    Published research from the team shows that so-called eccentric training may protect the hamstrings from injury, and that it is more effective than traditional resistance training at stimulating the body to produce growth hormone and testosterone. The lab has submitted medical research grant proposals to the National Institutes of Health, and is conducting rehabilitation studies on how overuse and sports injuries respond to training with NeGator. Users are already being monitored as part of a longitudinal study. UF’s rugby, lacrosse and Ultimate Frisbee teams rely on the NeGator team for help meeting their training needs in the limited workout time they have.

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    Keeping an Open Mind

    Tuesday, March 2nd, 2010 by American Senior Fitness Association   View This Issue of Experience!

    In his publication Democracy and Its Discontents, the American historian, professor, attorney and writer Daniel J. Boorstin (1914-2004) asserts:

    "Education is learning what you didn’t even know you didn’t know."

    – D.J. Boorstin

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