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Exercise
To Maintain Physical Fitness


PHYSICAL ACTIVITY--Regular physical activity can help the human body maintain, repair, and improve itself to an amazing degree. And most older people--even those with illnesses or disabilities--can take part in moderate exercise programs. People who exercise regularly may also be less apt to suffer fractures or other accidents. Exercise must become one of those things that you do without question, like bathing and brushing your teeth. Unless you are convinced of the benefits of exercise and the risks of unfitness, you will not succeed. Patience is essential. Don't try too much too soon and don't quit before you have a chance to experience the rewards of improved fitness. You can't gain in a few days or weeks what you have lost in years of sedentary living, but you can get it back if you persevere. And the prize is worth the price.

EXERCISE BENEFITS

  • strengthens your heart and lungs
  • can lower your blood pressure
  • helps protect against the start of adult-onset diabetes
  • can strengthen your bones, slowing down the process of osteoporosis
  • helps you move about more easily by keeping joints, tendons, and ligaments more flexible
  • can help you lose weight (when combined with good eating habits) or maintain ideal weight by burning excess calories and by helping to control your appetite
  • improves your appearance and self-confidence
  • contributes to good mental health by keeping you socially active
  • contributes to sleeping better
  • promotes a sense of well-being
  • helps to keep you "regular," and improves digestion
CHECK YOUR HEALTH--Anyone who has been inactive for many years should never try to do too much too soon. Start by seeing a doctor, especially if you are over 50, if you have a disease or disability, or if you are taking medication. Your doctor can evaluate your physical condition, help you decide which activity will suit you best, and check your progress after the exercise program is underway. Other conditions that indicate a need for medical clearance are:
  • high blood pressure
  • heart trouble
  • family history of early stroke or heart attack
  • frequent dizzy spells
  • extreme breathlessness after mild exertion
  • arthritis or other bone problems
  • severe muscular, ligament, or tendon problems
  • osteoporosis
  • other known or suspected diseases
Those with medical problems may have to avoid some kinds of exercise or adjust their level of activity. Vigorous exercise involves minimum health risks for persons in good health or those following doctor's advice. Far greater risks are presented by habitual inactivity and obesity.

Begin by exercising slowly, especially if you have been inactive. Start with short periods of about 5 to 10 minutes twice a week. Then build up slowly, adding no more than a few minutes each week. If all goes well, as it probably will, slowly increase your exercise periods to 15 to 30 minutes, three or four times a week. Your doctor may advise stretching as well as warm-up and cool-down periods of 5 to 15 minutes to tune up your body before exercise and to help you wind down afterward.

Always pay attention to what your body tells you.
If you feel much discomfort, you are trying to do too much.
Ease up a bit, or take a break and start again at another time.
Although most people will have no problems if they start exercising slowly,
be alert to unusual symptoms
such as chest pain, breathlessness, joint discomfort, or muscle cramps.
Call your doctor if any of these occur.

KINDS OF EXERCISE--The most beneficial form of exercise is "aerobic"--exercise that causes the heart and lungs to work at a higher rate continuously to supply oxygen to the muscles. Over time, aerobic exercise increases the efficiency of the cardiovascular system. Some examples of aerobic exercises are: brisk walking, swimming, jogging, bicycling, cross-country skiing, folk dancing. Many older people enjoy these exercises. But there are other possibilities, such as modified aerobic dancing, calisthenics, and yoga. People who have kept in good condition may be able to participate in a wider range of activities. It is very important to tailor your program to fit your own level of ability and special needs. For example, jogging is not for everyone and may be dangerous for those who have unsuspected heart disease or joint problems.

EXERCISE PROGRAMS--It is important to choose an activity you like. Decide whether you want to join a group, exercise with a friend, or exercise alone. If you exercise alone, tell someone of your schedule and plans in case you need assistance. See if you prefer an outdoor or indoor activity, and decide what time of day is best for you. Make your exercise period a routine part of your schedule.

FINDING AN EXERCISE PROGRAM-- Most communities have centers where older people can join exercise classes and other recreational programs. Find out about fitness programs at a local church or synagogue, civic center, community college, park or recreation association, senior citizens' center, or service organization such as an area agency on aging, see the yellow pages in your telephone directory under "senior service organizations."

If you are convinced that regular exercise is not for you, try to stay active in other ways. Activities such as bowling, square dancing, fishing, nature walks, arts and crafts, card and table games, gardening, and community projects will not offer all the benefits of regular, moderate exercise, but they will help you remain actively involved in life, possibly adding years to your own.

If exercise could be packed
into a pill, it would be the
single most widely
prescribed, and beneficial,
medicine in the nation.
Robert N. Butler, M.D.
Director, National Institute on Aging

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