Exercise and Physical Activity for Older Adults

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Go beyond aging theories and examine the physiological and physical impacts of aging. Exercise and Physical Activity for Older Adults takes a close look at the physical implications of the aging process and how health, physical activity, and exercise interact in aging adults. With an international team of contributors composed of leading experts from across the field of gerontology, Exercise and Physical Activity for Older Adults delivers comprehensive, interdisciplinary coverage of the physical aging process and its effects on movement and exercise. Research on the physiological and physical implications of aging is presented, focusing on study outcomes and their practical application in optimizing healthy aging. Presented in an integrated and cohesive manner, this text is organized into four parts. Part I covers the theoretical foundations of biological aging, the implications of aging theories on medical research, and the social and economic impacts of demographic shifts due to population aging and global population size. Part II addresses age-related changes to the musculoskeletal, cardiovascular, pulmonary, and endocrine systems. Part III covers the physical effects of aging on other dimensions of life, including balance, motor control, and physical functions. Part IV focuses on exercise and older adults, taking an in-depth look at exercise measurements and the main barriers to regular exercise. One full chapter is devoted to recommendations for optimizing health for the general public, while another chapter is focused on performance by elite older athletes who exercise beyond functional fitness. Chapter objectives, end-of-chapter summaries, and review questions highlight key concepts and promote learning retention. Behavior Check sidebars look at the impacts of aging on behavior, how behavior affects physical health and activity, and how changes in behavior can improve everyday living. Functional Fitness Checkup sidebars focus on the performance of daily movements that are vital for older adults who want to maintain their physical independence. Putting It Into Practice elements provide examples of real-life application of the concepts presented, facilitating a practical understanding of how to use the content to benefit clients. A definitive resource for students and health care professionals who study physical aging, conduct clinical research, or work with older adults as clients and patients, Exercise and Physical Activity for Older Adults helps readers understand the aging process and its effects on movement, exercise, and other dimensions of life.

Author(s): Rouchard, Danielle R. (Editor)
Publisher: Human Kinetics, Inc.
Year: 2020

Language: English
Commentary: Exercise and Physical Activity for Older Adults
Pages: 352
Tags: Exercise and Physical Activity, Older Adults

 

Contents

Preface

Acknowledgments

Part I        Foundations of Aging

Chapter 1     Aging, Physical Health, and Physical Activity

Danielle R. Bouchard, PhD, CSEP-CEP, and Sarah Webb, BSKin, CSEP-CPT

Defining Aging

Physical Activity, Exercise, and Sport

Common Conditions Associated With Aging

Summary

Review Questions

Chapter 2     Aging Theories

Theodore C. Goldsmith, BS

Evolutionary Mechanics Theories

Simple Damage and Fundamental Limitation Theories

Evolutionary Nonprogrammed Aging Theories

Evolutionary Programmed Aging Theories

Programmed Versus Nonprogrammed Aging Controversy

Medical Implications of Aging Theories

Life Span Extension Research

Anti-Aging Medicine

Policy, Ethics, and Social Issues Regarding Aging Theories

Summary

Review Questions

Chapter 3     Global Shifts in the Demography of Aging

Zachary Zimmer, PhD

History of Population Growth

Patterns of Population Aging Today

Impact of Fertility Decline on Population Aging

Impact of Mortality Decline on Population Aging

The Compression of Morbidity

Summary

Review Questions

Part II       Physical Dimensions of Aging

Chapter 4     Body Composition and Age-Related Changes

Katherine Boisvert-Vigneault, MSc, and Isabelle J. Dionne, PhD

Measures of Changes in Body Composition

Fat-Free Mass

Bone Mass

Fat Mass

Co-Occurrence of Obesity, Sarcopenia, and Osteoporosis

Perspectives

Summary

Review Questions

Chapter 5     Musculoskeletal Changes

Martin Sénéchal, PhD, CEP, and Brittany Rioux, MSc

Overview of Skeletal Muscle

Skeletal Muscle Strength and Power Losses With Aging

Muscle Fibers and Aging

Muscle Power and Aging

Physiological Mechanisms of the Loss of Skeletal Muscle Strength

Physiological Mechanisms of the Loss of Skeletal Muscle Power

Resistance Training to Improve Skeletal Muscle, Strength, and Power

Summary

Review Questions

Chapter 6     Cardiovascular Changes

Silvia Pogliaghi, MD, PhD, and Juan M. Murias, PhD

Anatomical Changes of the Heart and Vessels

Functional Changes of the Cardiovascular System

Cardiovascular Adaptations to Endurance Exercise Training

Future Directions

Summary

Review Questions

Chapter 7     Pulmonary Changes

Joseph W. Duke, PhD, and Andrew T. Lovering, PhD

Resting Pulmonary Function With Healthy Aging

Ventilatory Responses to Exercise With Healthy Aging

Pulmonary Circulation, Blood Flow, and Gas Exchange

Summary

Review Questions

Chapter 8     Endocrine System Changes

Anthony C. Hackney, PhD, DSc

Endocrine System Changes With Aging

Physical Activity, Lifestyle, and Endocrine System Function With Aging

Acute Exercise-Induced Hormone Responses in Older Adults

Future Research

Summary

Review Questions

Part III      Physical Implications of Aging

Chapter 9     Balance, Locomotion, and Falls

Debra J. Rose, PhD, FNAK

Age-Related Changes in Multiple Systems

Age-Associated Changes in Gait

Evaluating the Multiple Dimensions of Balance

Measuring Balance in Laboratory Settings

Measuring Balance in Clinical or Field Settings

Overview of the Gait Cycle

Measuring Gait in Clinical or Field Settings

Measuring Balance and Falls Self-Efficacy

Falling as a Result of Balance Failing

Designing Exercise Programs Aimed at Lowering Fall Incidence Rates

Summary

Review Questions

Chapter 10   Motor Control

Eduardo Martinez-Valdes, PT, MSc, PhD, and Alessandro M. De Nunzio, B. Eng., MSc, PhD

Motor Learning

Neural Plasticity

Decline in Motor Skills Induced by Aging

The Role of Exercise in Improving Motor Function

Future Research

Summary

Review Questions

Chapter 11   Physical Functions

Danielle R. Bouchard, PhD, CSEP-CEP, and Andrea Mayo, MSc

Defining Physical Function and Frailty

Consequences of Low Physical Function

Physical Function Associated With Aging

Measuring Physical Function

Measuring Frailty

Role of Physical Activity in Physical Function

Summary

Review Questions

Part IV     Exercise: A Powerful Prevention Tool

Chapter 12   Measurements of Exercise Specific to Older Adults

Kelliann K. Davis, PhD, FACSM, CCEP, and Daniel E. Forman, MD, FAHA, FACC

Clinical Perspectives

Pre-Exercise Screening and Considerations

Medication Considerations

Predictable Clinical Complexities Affecting Assessments

Exercise Testing

Balance and Gait Assessments

Summary

Review Questions

Chapter 13   Barriers and Solutions to Exercise Adherence

Mariana Wingood, PT, DPT, and Nancy Gell, PT, PhD, MPH

Social Ecological Framework

Physical Activity Recommendations for Older Adults

Physical Activity Adherence Factors

Screening and Assessment Tools for Barriers and Facilitators

Interventions to Promote Physical Activity

Considerations for Common Practice Settings and Diagnoses Among Older Adults

Summary

Review Questions

Chapter 14   Physical Activity and Exercise Recommendations for Functional Health

Gregory W. Heath, DHSc, MPH, and Danielle R. Bouchard, PhD, CSEP-CEP

Physical Activity Recommendations for the General Population

Specific Physical Activity and Exercise for Older Adults

Sedentary Behavior and Physical Function

Improvement of Functional Health With Chronic Conditions

Implementing Physical Activity for Older Adults

Summary

Review Questions

Chapter 15   Exercise Recommendations for Masters Athletes

Nattai Borges, PhD, and Luke Del Vecchio, PhD

Masters Athletes

Physical Performance Benefits of Long-Term Systematic Training

Training Considerations for Masters Athletes

Endurance Performance and Age

Sprint Performance and Age

Strength and Power Performance and Age

Holistic Health Benefits of the Masters Athlete Lifestyle

Potential Negative Impacts of High-Level Training in Masters Sports

Summary

Review Questions

References

Index

About the Editor

Contributors