Showing posts with label Bones. Show all posts
Showing posts with label Bones. Show all posts

Wednesday, December 23, 2009

Strength Training Over Age 50

Are there special guidelines for aging athletes?

By Elizabeth Quinn, About.com Guide

Updated: July 08, 2008

The American College of Sports Medicine (ACSM) now has fitness guidelines specific to weight training for people over 50. The advice: perform such exercises 2 to 3 times a week to condition all of the major muscle groups -- arms, legs, shoulders, and trunk. The goal is to lift a weight that's heavy enough to achieve 10 to 15 repetitions per session before the muscles become fatigued.

Most older individuals are well aware that they need regular aerobic exercise, such as walking, swimming, or running, to strengthen their heart and lungs and tone their bodies, but many dismiss weight training (also called resistance training) as an activity predominantly for the young or the vain. However, it is the only type of exercise that can substantially slow, and even reverse, the declines in muscle mass, bone density, and strength that were once considered inevitable consequences of aging. Unlike aerobic, or endurance, activities, which improve cardiovascular fitness and require moving large muscle groups hundreds of times against gravity, weights provide so much resistance that muscles gain strength from only a few movements. Resistance is usually provided by free weights or machines, but individuals can also get stronger by exercising in water.

People shouldn't experience pain while lifting weights, but it's normal to feel some soreness the next day. Experts believe that as muscles are challenged by the resistance of a weight, some of their tissue breaks down; as the muscles heal, they gradually increase in strength and size. Although muscles should be worked until they are fatigued, common sense will dictate when it's time to stop. If you feel joint or nerve pain, or are putting a tremendous amount of strain on any part of the body, you're probably going overboard and can harm yourself. Because strains, sprains, and tissue damage can take weeks or even months to heal, preventing injury should be a priority. Although many older people who are inactive but want to get moving may think that a pair of walking shoes is a wiser investment than a set of weights, the opposite may actually be true, say fitness experts. People who have been sedentary for long periods are at high risk for falls because their muscle tone is weak, flexibility is often limited, and balance may be precarious. To reduce the risk of falls and injury, people over 60 who haven't recently been active should begin by strengthening their legs, arms, and trunk muscles with 3-4 weeks of weight training 2-3 times a week before walking long distances or engaging in other aerobic exercise.

Because aerobic activity and strength training are each important for health, the ACSM recommends that able adults do both on a regular basis; 20 to 60 minutes of aerobic activity is advised 3 to 5 days a week and weight training should be done for 20 to 30 minutes 2 to 3 times a week. The guidelines also suggest that people perform stretching exercises -- which increase the range of motion, or amount of movement, of joints -- a minimum of 2 to 3 times a week.

In general, as people grow older, their muscle fibers shrink in number and in size (atrophy) and become less sensitive to messages from the central nervous system. This contributes to a decrease in strength, balance, and coordination. Although there is no question that people experience at least some of these declines at about age 40, the extent to which they occur depends on a number of factors, including genetics, diet, smoking and alcohol use, and -- most important -- physical activity level. Indeed, recent research has indicated that inactivity is responsible for the majority of age associated muscle loss. Fortunately, resistance exercise can reverse much of this decline by increasing the size of shrunken muscle fibers.

It is also well known that weight training can increase bone mass, which lowers the risk of developing osteoporosis and fractures. Strength training adds more weight to the skeleton by building muscle; this stimulates the bones to strengthen and grow to bear the heavier load on the muscles. Once achieved, much of the gain can be maintained through weight-bearing endurance activities such as brisk walking, stair climbing, and aerobics. Resistance exercise can also help older people live independently by giving them the strength they need to perform everyday tasks. There is even evidence that resistance exercise can help people sleep better and can improve the mood of mildly to moderately depressed individuals. And because proper strength training doesn't apply stress directly to joints, it is ideal for people with arthritis; indeed, rheumatologists often recommend it. Although it cannot reverse arthritic changes, lifting weights helps alleviate symptoms by strengthening the muscles, tendons, and ligaments that surround joints.

Wednesday, January 21, 2009

Vitamin D: Good for More than Bones



We know that vitamin D helps the bones by preventing osteoporosis and fractures, but did you know that vitamin D also plays an important role in the prevention of many other diseases, including cancer, heart disease, autoimmune diseases like MS and Type 1 diabetes, arthritis, infections, chronic pain and muscle weakness? Here is the latest research on this versatile vitamin:

Vitamin D helps control pain. A fascinating study from the Mayo clinic published last month online in the journal Pain Medicine looked at vitamin D levels in people with chronic pain. They found that patients who had low vitamin D levels required almost twice as much narcotic pain medication as those with normal levels. The vitamin D-deficient folks also perceived their health as poor. Another study from the Mayo Clinic in 2003 looked at the prevalence of vitamin D deficiency in people ages 10-65 with chronic pain syndromes like fibromyalgia and chronic fatigue – 93 percent of them were found to be vitamin D-deficient.

Vitamin D helps the heart. A study published last month in the journal Circulation looked at the impact of vitamin D blood levels on heart health in people with high blood pressure. Participants in the study with low vitamin D levels were twice as likely to have angina, a heart attack, heart failure or a stroke as those with normal vitamin D levels.

Vitamin D reduces the risk of falls. Another study from the Archives of Internal Medicine, published in March, looked at the effect of vitamin D supplements on falls in older women. A team of researchers in Australia gave 1,000 IU of vitamin D per day to 300 women ages 70-90, all of whom had low blood levels of vitamin D and had also fallen in the past year. They found that in those women who had fallen once in the past year, vitamin D supplementation reduced the risk of falls – but only in the winter months when the sun's rays are weaker and less vitamin D is made in the skin. In women who had fallen multiple times, vitamin D did not seem to help, possibly because these women were more frail and were falling for other reasons.

Who is deficient in vitamin D? Perhaps you are. An adequate blood level is probably at least 40-60 ng/ml. It is estimated that 25 percent to 100 percent of adults are deficient, depending on the population and time of year; many children are deficient as well.

Primitive people relied on sun exposure for all their vitamin D; now, however, most of us work inside, and when we do go out, we slather on the sun screen, which impairs our ability to make vitamin D. Older folks, people of color and people who live at higher latitudes are also at higher risk of deficiency. Most vitamin D in food, such as dairy products, does not occur naturally; it is added as a supplement and is not considered a reliable form of intake, since amounts may vary from product to product. Most of us need at least 800 units per day.

Bottom line? It may help you to take supplemental vitamin D.

Drs. Kay Judge and Maxine Barish-Wreden are medical directors of Sutter Downtown Integrative Medicine program in Sacramento, Calif.

© 2008, The Sacramento Bee. Reprinted Via Newscom.