Physical Activity and Exercise for Older Adults

doi:10.1017/9781108942751.007

Chapter 7 - Physical Activity and Exercise for Older Adults

from Section I - General Approach to the Care of the Elderly

Published online by Cambridge University Press: 30 June 2022

Jorge Camilo Mora and

Willy M. Valencia

Edited by

Jan Busby-Whitehead ,

Mary H. Palmer and

Jan Busby-Whitehead: Affiliation:
University of North Carolina, Chapel Hill
Samuel C. Durso: Affiliation:
The Johns Hopkins University, Maryland
Christine Arenson: Affiliation:
Thomas Jefferson University, Philadelphia
Rebecca Elon: Affiliation:
The Johns Hopkins University School of Medicine
Mary H. Palmer: Affiliation:
University of North Carolina, Chapel Hill
William Reichel: Affiliation:
Georgetown University Medical Center

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Summary

Physical activity is fundamental for achieving healthy aging. Exercise offers older adults substantial benefits, such as reducing risks of all-cause mortality and chronic disease, preserving functional capacity, improving management of chronic conditions, and reducing health-care costs. Given the prevalence of physical inactivity and sedentary behavior among adults 65 and over, exercise needs to be more thoroughly integrated into care plans and counseling in primary care settings. A practical, three-step approach to exercise counseling is recommended. Older adults should strive to do at least 150 minutes of moderate-intensity aerobic exercise weekly, muscle-strengthening and flexibility activities twice weekly, and for those at risk of falls or with mobility problems, balance activities at least three times per week. Older adults with functional restrictions or chronic conditions should be as physically active as their abilities and conditions allow. Any amount of moderate-to-vigorous physical activity gains some health benefits. Appropriate physical activity counseling, prescription, and referral must be tailored for each patient and must take into account such factors as fitness levels, goals and motivations, access to exercise-related facilities and programs, chronic diseases, prescribed medications, common injuries, and hip and knee arthroplasties.

Keywords

geriatrics preventive medicine exercise primary care risk reduction behavior

Information

Type: Chapter
Information: Reichel's Care of the Elderly
Clinical Aspects of Aging
, pp. 64 - 80

DOI: https://doi.org/10.1017/9781108942751.007 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2022

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