Physical Activity in the older adult

Improve health, fitness, and quality of life through daily physical activity.
More than 80 percent of adults do not meet the guidelines for both aerobic and muscle-strengthening activities. Similarly, more than 80 percent of adolescents do not do enough aerobic physical activity to meet the guidelines for youth. Working together to meet Healthy People 2020 targets via a multidisciplinary approach is critical to increasing the levels of physical activity and improving health in the United States.

The Physical Activity objectives for 2020 highlight how physical activity levels are positively affected by

Structural environments, such as the availability of sidewalks, bike lanes, trails, and parks

Legislative policies that improve access to facilities that support physical activity

Regular physical activity can improve the health and quality of life of older adults

Among older adults, physical activity can lower the risk of:

Early Death

Coronary Heart Disease

Stroke

High Blood Pressure

Type II Diabetes

Breast Cancer

Colon Cancer

Falls

Depression

Personal, social, economic, and environmental factors all play a role in physical activity levels among older adults. Understanding the barriers to and facilitators of physical activity is important to ensure the effectiveness of interventions and other actions to improve levels of physical activity.

Factors positively associated with adult physical activity include:

Factors positively associated with adult physical activity include:

Postsecondary education

Higher income

Enjoyment of exercise

Expectation of benefits

Belief in ability to exercise (self-efficacy)

History of activity in adulthood

Social support from peers, family, or spouse

Access to and satisfaction with facilities

Enjoyable scenery

Safe neighborhoods

Factors negatively associated with adult physical activity include:

Advancing age

Low income

Lack of time

Low motivation

Rural residency

Perception of great effort needed for exercise

Overweight or obesity

Perception of poor health

Being disabled

Older adults may have additional factors that keep them from being physically active, including lack of social support, lack of transportation to facilities, fear of injury, and cost of programs

Healthy People 2020 reflects a multidisciplinary approach to promoting physical activity. This approach brings about traditional partnerships, such as that of education and health care, with nontraditional partnerships representing, for example, transportation, urban planning, recreation, and environmental health.

Dorothy Burton: 70 y/o female, Some College, Family Hx of breast cancer, and stoke, client has been diagnosed with osteoporosis, and suffers from panic attacks. Medications are LORazepam, and multivitamin.
- Miss Dorothy’s biggest health concern is staying active. WITH THE RECENT INCREASED IN HOURS AND AMOUNT OF WORK SHE HAS HAD TO PUT IN AT HER JOB; DOROTHY IS CONCERNED IT HAS BEEN AFFECTING HER HEALTH. SHE HAS LIMITED TIME TO EXERCISE AND COOK HEALTHY MEALS.
- DOROTHY DOES NOT HAVE ANY LIMITATIONS THAT AFFECT HER QUALITY OF LIFE REGARDING HER HEALTH OR ABILITY TO MEET HER ADLS.- SHE HAS NO ISSUES WITH MOBILITY, COGNITION, OR CONTINENCE.
She enjoys shopping for her two grandchildren Otto and Runa who were born last halloween and thanksgiving.
- Miss Dorothy rated her health as a strong good rating.

Negative findings on BEERS criteria

Teaching Plan

1. Objective- What the older adult needs to know

Exercises that are geared towards Osteroporosis patients

2. Assessment-The older adult would like to know more

3. Overcome Barriers-The older adult can do this

- Follow the advice in the following articles to help promote healthy lifestyle

"Effects of a High-Intensity Functional Exercise Program on Dependence in Activities of Daily Living and Balance in Older Adults with Dementia"

- Utilize weight bearing exercises to help promote new bone growth

4. Motivators-How will this help the older adult?

- By following the exercise plans and nutritional diet, Miss Dorothy will gain confidence in herself. With more confidence comes an increase sense of self worth and motivation to travel, new social activities, and other aspects to life that she only dreamt about.

5. Action Steps-Ways that the older adult can take action?

  • Take the step to go back to school and obtain a business degree.
  • Make the moves towards opening her own yoga studio
  • Share the new knowledge with others in her age group

6. Community Resources-Where can the older adult go for help?

  • Local community college
  • Her yoga instructors
  • Her accountant
  • The local YMCA or Gym

7. Sources-Minimum two Peer reviewed or evidence based articles

CINAHL

"What Motivates Older Adults to Improve Diet and Exercise Patterns?"

Shoshana H. Bardach1 • Nancy E. Schoenberg2,3 • Britteny M. Howell2,4,5

"Effects of a High-Intensity Functional Exercise Program on Dependence in Activities of Daily Living and Balance in Older Adults with Dementia"

Annika Toots, PT, Hakan Littbrand, PhD, Nina Lindelof, PhD, Robert Wiklund, PT, Henrik Holmberg, PhD, Peter Nordstrom, PhD, Lillemor Lundin-Olsson, PhD, Yngve Gustafson, PhD, and Erik Rosendahl, PhD

References

1US Department of Health and Human Services (HHS), Office of Disease Prevention and Health Promotion. 2008 Physical activity guidelines for Americans. Washington: HHS; 2008.

2US Department of Health and Human Services (HHS), Office of Disease Prevention and Health Promotion. Physical activity guidelines advisory committee report, 2008. Washington: HHS, 2008.

3Trost SG, Owen N, Bauman AE, et al. Correlates of adults’ participation in physical activity: Review and update,1996–2001. Med Sci Sports Exerc. 2002 Dec;34(12).

4Belza B, Walwick J, Shiu-Thornton S, et al. Older adult perspectives on physical activity and exercise: Voices from multiple cultures. Prev Chronic Dis. 2004 Oct;1(4):A09 [cited 2010 Mar 22]. Available from: http://www.cdc.gov.ezproxyhhs.nihlibrary.nih.gov/pcd/issues/2004/oct/04_0028.htm

5Van Der Horst K, Paw MJ, Twisk JW, et al. A brief review on correlates of physical activity and sedentariness in youth [Review]. Med Sci Sports Exerc. 2007 Aug;39(8):1241-50.

6Davison KK, Lawson CT. Do attributes in the physical environment influence children’s physical activity? A review of the literature. Int J Behav Nutr Phys Act. 2006 Jul 27;3:19.

7Rimmer JH, Riley B, Wang E, et al. Physical activity participation among persons with disabilities: Barriers and facilitators. Am J Prev Med. 2004 Jun;26(5):419-25.

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