Older adults

Question 1

What age are you considered an older adults

Answer 1

Individuals Greater or equal to 65 yr

Individuals 50 - 64 yr old with clinically significant conditions or physical limitations

Question 2

Average life expectancy is

Answer 2

80 years

25 to 30 year increase since 1900

Women live 6 to 8 years longer

Question 3

What is a better indicator of ability to engage in physical activity than chronological age

Answer 3

Health status

Question 4

Who is considered the least physically active of all age groups

Answer 4

Older adults

Question 5

What do recent trends show about regular physical activity in older adults

Answer 5

22% of individuals aged over 65 engage in regular physical activity

Question 6

What are the major effects of aging on health related variables

Answer 6

Decrease in peak oxygen transport of 5 ml/kg/min per decade between 25 and 65

25% decrease in peak muscle force and lean tissue from 40 to 65

7% loss of flexibility per decade of adult life

Progressive decrease in bone calcium and deterioration of bone matrix beginning at age 25

Question 7

What are the benefits of physical activity in older adults

Answer 7

Slowing physiologic changes of aging that impair exercise capacity

Optimising age related changes in body composition

Promoting psychological and cognitive well being

Managing chronic disease

Reducing risk of physical disability

Increase longevity

Question 8

What exercise testing is used for older adults in the INITIAL WORKLOAD

Answer 8

Initial workload is light (< 3 METS)

Small increments for those with low work capacities

Use the Naughton treadmill protocol and the treadmill workload needs to be adapted according to walking ability by increasing grade rather than speed

Question 9

When exercise testing in older adults when do you add a treadmill handrail support

Answer 9

Reduced balance
Decreased muscular strength
Poor neuromotor coordination
Fear

Question 10

Handrail support on the treadmill for gait abnormalities will reduce

Answer 10

The accuracy of estimating peak MET

Question 11

Using a cycle ergometer for exercise testing in older adults is used when

Answer 11

Poor balance
Poor neuromotor coordination
Impaired vision
Impaired gait patterns
Weight-bearing limitations
Foot problems

Question 12

When may you have prematurely terminate the testing procedure in ergometer testing in older adults

Answer 12

When muscle fatigues

Question 13

What is more frequent in older adults

What is more common

Answer 13

Exercise induced dysrhythmias

Prescribed medication - which influences ECG readings and hemodynamic responses to exercise

Question 14

What likelihood of what limitations increase with age

Answer 14

Physical limitations

Question 15

The oldest segment of the population includes

Answer 15

Greater or equal to 75

Individuals with mobility limitations

Has one or more chronic medical conditions

Question 16

What is the senior fitness test made up of

Answer 16

30 s chair stand
30 s arm curls
8 ft up and go
6 min walk test
2 min step test
Sit and reach
Back scratch

Question 17

What was the senior fitness test designed for

It is…

Uses…

Assesses…

Answer 17

Practical and psychometric properties

Concenient and practical

Norm reference standards

A wide range of physical abilities

Question 18

Older adults are able to perform safely without need for medical release in most cases and without undue fatigue

Answer 18

True

Question 19

What type of exercise is good for frequent fallers or those with mobility limitations

Answer 19

Neuromotor exercise training

Question 20

What is neuromotor training

Answer 20

Combines balance, agility and proprioceptive training

Is effective in reducing and preventing falls if done 2-3 days/wk

Question 21

What kind of exercises can be done in neuromotor training

Answer 21

Progressively more difficult standing postures

Reducing sensory input

Question 22

What are the special considerations for older adults

Answer 22

Muscular strength decreases rapidly with age

Sarcopenia

Resistance training is more important with age

Proper instruction is needed for lifting weights

Early stages of exercise program focus on muscle strengthening/endurance and then aerobic endurance

Work on behaviour strategies

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