Exercise Medicine for the Frailty Syndrome

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Frailty is a clinical syndrome caused by multiple chronic conditions that makes it difficult to maintain homeostasis. In part, it is the result of the body’s inability to regulate normal inflammatory responses that lead to muscle loss, decrease in strength, and independence. Regular exercise helps to optimize physiological performance. It is a profound influence, especially in the presence of physical inactivity, where the lack of exercise leads to poor health and decreased longevity. Unfortunately, a high percentage of Americans fail to engage in daily exercise with the older population becoming increasingly frail, which is a syndrome characterized by declines in musculoskeletal and physiologic reserve and function. It has been documented that exercise is medicine and can be better than the effects induced by drugs. Exercise physiologists are healthcare professionals. They are key professionals in developing and applying an exercise medicine prescription for frail adults. Exercise Medicine for the Frailty Syndrome speaks to the benefits of exercise medicine as the best therapy to prevent or reverse the age-related muscle loss and functional deficits that are predictive of an increase in falls, hospitalization, institutionalization, and mortality. This book is a proactive step to help increase the functional independence of older frail adults. It highlights Board Certification by the American Society of Exercise Physiologists as the professional qualification to improve society’s understanding of the biological treatment and complexity of the frailty syndrome and is key reading for Exercise Physiologists.

Author(s): Tommy Boone
Publisher: Routledge
Year: 2022

Language: English
Pages: 155
City: New York

Cover
Half Title
Title
Copyright
Contents
List of boxes
Foreword
Preface
Part I The Frailty Syndrome: An Overview
1 Aging and the Frailty Syndrome
Definitions of Frailty
Frailty Phenotype
Frailty Index
Frailty and Sarcopenia
Physiologic Correlates of Frailty
Final Thoughts
2 Frailty, Obesity, Nutrition, and Cognitive Status
Population, Aging, and Disease
Aging and Frailty
Obesity and Frailty
Frailty, Disability, and Healthcare Costs
Frailty, Exercise, and Nutrition
Frailty, Impairments, and Costs
Cognitive Frailty
Final Thoughts
3 Perspectives for Healthy Aging and Frailty
Healthy Aging
Aging, Physical Activity, and Health
Social and Treatment Implications
Demographic Trends, Aging, and Concerns
Final Thoughts
Part II Challenges of Caring for the Frail Elderly
4 The Aging of the Baby Boomers
The Future and Senior Care
Vital Directions for Health Care
Geriatric Exercise Physiology
Final Thoughts
5 The Prescription for Aging
The Aging Body
Aging and Sarcopenia
Planning for the Future
Final Thoughts
6 The Older Population: What Is the Answer?
The Current Challenge
A Collaborative Approach
Exercise: The Incredible Medicine
Muscle Loss and Functional Decline
Final Thoughts
Part III Exercise Comes of Age
7 The Rationale for Geriatric Exercise
Benefits of Exercise for Aging Adults
Staying Active and Aging
Exercise Medicine
Final Thoughts
8 The Challenge of Implementing Exercise Medicine
Aging and Choices
The Medical Profession and the Use of Prescription Drugs
Society’s Failure to Live an Active Lifestyle
Final Thoughts
9 Resistance Training and Frail Adults
Effects of Aging and Physical Inactivity
A Resistance Training Guide for Frail Adults
Part 1: Warm-Up
Part 2: Lifting Weights
Final Thoughts
10 Flexibility Training and Frail Adults
Frail Adults Have Similar Flexibility Needs
The “Three” Good Flexibility Exercises
Number 1: Sit–Straddle–Reach Stretch
Number 2: Shoulder and Chest Stretch
Number 3: Standing Hip Flexor Stretch
Final Thoughts
11 Aerobic Training and Frail Adults
Exercise Precautions
Final Thoughts
Part IV Exercise Medicine Professionals
12 Exercise Physiologists Are Healthcare Professionals
Medicine in the Form of Exercise
The Problem
Looking Ahead: Exercise Medicine
Exercise Medicine and the Curriculum
Final Thoughts
13 A Call to Action for Exercise Physiologists
Physiology of the Exercise Physiologist’s Practice
Measurement and Examination
Instruction
Analysis and Treatment
Final Thoughts
14 The Future of Frailty
Lifestyle: Drugs or Exercise Medicine
Attitude Makes the Difference
Exercise or Disease?
Final Thoughts
Epilogue: Maximizing Health
Index