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Older Adults and Athletes
Skeletal Changes
 Bone Mineral Density (BMD)decreases through ageing


 More so in menopausal women


 Reduction in tensile strength


 Bones become brittle


 Weight bearing activity increases BMD

                                                 (griffin,2006)
Arthritis
Oteoarthritis (OA)                         Rheumatoid arthritis (RA)

 Degenerative joint disease
                                            Inflammation of synovial fluid
 Gradual loss of cartilage                  that lines joints
                                            Causes swelling & inflammation
 Affects 1 or 2 joints                      of joints
                                            Pain & loss of function
 Mostly weight bearing joints
                                            Auto immune disease
 Exercise helps maintain a
  reasonable range of movement
                                               Flexibility exercises are
 Joint swelling and pain reduced              essential to avoid stiffness
                                               in muscles & maintain
                          (griffin,2006)       ROM
                                                             (ABC,1998)
Muscular Changes
 Decreased muscle mass (sarcopenia)


 Decreased muscular strength, power and endurance


   Gradual loss of elasticity in the muscles

    Regular stretching can keep joints and muscles supple
    aiding mobility

   General exercise helps maintain ROM
                                                    (Griffin,2006)
Basal Metabolic Rate
 Basal Metabolic rate(BMR) is the minimum calories
  needed to maintain body functions

 From the age of 20 there is a decline in BMR at a rate of
  1-2 % per decade.

 A combination of aerobic & strength training can
  increase lean mass & reduce body fat of adults aged
  40-89.                                        (Griffin,2006)
Respiratory system
 Muscles that control breathing are weaker and gaseous
    exchange declines with age.            (Whitbourne,2002)

   < Lung power
   < Lung size
   < Lung efficiency
   < Lung strength
   < Vital capacity
Cardio-vascular
 VO2max reduces


 Maximal heart rate (MHR) reduces


 Maximal cardiac output decreases


 Maximal stroke volume reduces


 Regular exercise can delay normal aging process here
                                              (Griffin,2006)
Blood Pressure
 There is a progressive rise in resting & exercise blood
  pressure.

  + Systolic
  + Diastolic


 Regular physical activity can reduce blood pressure.
Nervous System
 As we age, the number of nerve cells(neurons)
 decreases causing atrophy to the brain and spinal
 cord.

 These cells reduce in size & the branches that carry
 messages are also reduced in size

 This slows down the speed at which a message is sent
                                                  (Griffin,2006)
Nervous system
 After a message is sent there is a rest period called the
  latency period

 Ageing increases the length of this rest period between
       thoughts slowing thinking and response time

 Vision, hearing & touch are also affected which can
  interfere with balance
                           (Griffin,2006)
Medication
 You must screen your client for medication use


 It is important to be aware of the effects of medication
  on the clients response to exercise
                                        (Griffin,2006)
Chronic Conditions
  •Individuals with health problems can benefit from exercise

  •this increases their fitness which can help maintain as much
  physical independence as possible


    Cardiovascular       Heart disease
    Respiratory          Asthma
    Muscoskeletal        Arthritis
    Metabolic            Diabetes
    Neurological         Alzheimer disease
    Sensory              Visual/Audio disorders



                                                       (ACE,1998)
Diet & Hydration
 •The recommended dietary requirements for older individuals
 are presently the same as for younger individuals


 •Thirst diminishes with age
                         (Driskell,Wolinsky,2001)




 •Aging skin thins, increasing basic fluid loss over and above that
 due to perspiration
                                                    (safesport.co.uk, 2010)
Benefits & Adaptions
 The benefits of exercise for elderly people are similar
  to those of younger adults although they occur more
  slowly

 The starting point usually needs to be at an easy level


 Progression should be very gradual
Adaptations
 •Chair exercises are ideal for older people or those with
 limited mobility

 •The exercises facilitate movement at an appropriate
 level to increase fitness without adding the
 unnecessary risk that can arise during higher intensity,
 higher impact activity

 •Chair exercises focus on functional fitness and
 improve participants' ability to perform the standard
 activities of daily living.
                                                    (ehow.com)
Benefits of Exercise
 Physiological


 Psychological


 Social


 Educational          (Avtarwellness.com)
Physiological
 Increased cardio vascular function
 Preserves adequate levels of pulmonary function
 Reduced blood pressure
 Fat loss
 Improved strength & endurance
 Improved flexibility
                     (ACE,1998)
Psychological
 Promotes general psychological well-being


 Reduces depression & anxiety


 Improvement in cognitive performance
                                     (ACE,1998)
Social
 Can provide support & friendship


 Group exercise encourages interaction


 Encourages socialising


 Provides empowerment
                           (Griffin,2006)
Educational
 Healthy Eating


 Back Care


 Stress Management


 Health benefits
                    (Griffin,2006)
Frequency
 Stretching 2 – 7 days per week


 Aerobic exercise 3 – 7 days per week


 Strength Training 2 – 3 days per week

                                     (ACE,1998)
stretching
 2 – 7 days per week
 Static modality
 Duration 5 – 40 seconds
 Reps 1 – 5 per stretch
 Mild tension only
 Increase ROM gradually
                           (ACE,1998)
Aerobic Exercise

 3 – 7 days per week


 40% - 85% VO2 MAX


 15 – 60 minutes
                    (ACE,1998)
Strength training
 2 – 3 days per week

 70 – 80% 1RM

 8 – 15 Reps

 1 – 3 Sets

 Speed of movement 6 – 9 seconds

 90 – 120 seconds rest between sets
                                   (ACE,1998)
Facilities
 Type - Must meet physical needs of client


 Size – Determines program options


 Location/Accessibility – Must be easily reached


 Equipment – Adjustable/lighter weights/Surfaces


 Atmosphere – Time/Clientelle/Temperature/Lighting
                                                    (ACE,1998)
Energy Systems
 Phosphocreatine    Movement within sports
                     utilise 1 or more of these
 Lactic Acid
                     systems.

                     Their use in training
 Aerobic
                     must be relevant for the
                     athlete
Phosphocreatine
 Used for rapid, High – Intensity contractions


 Sprinting/Jumping


 Stores last approx 10 seconds

                          (Chance, Rea, Stafford-Brown , 2003)
Lactic acid
 Continues from phosphocreatine system

 High Intensity exercise

 30 seconds – 3 minutes

 400/800 meters
                   (Chance, Rea, Stafford-Brown , 2003)
Aerobic
 Continues from lactic acid system


 Produces energy slowly


 Distance running/cycling
Skill-related fitness
 There are 6 main                 Power
  components of skill-             Reaction Time
  related fitness
                                   Agility
                                   Balance
 In order to be good at most
                                   Co-ordination
  sports, improvement in the
  skill-related components         Speed
  of fitness is essential

 However, different
  sporting activities require
  specific skills
                                    (Chance, Rea, Stafford-Brown , 2003)
Skills
 A footballer doesn’t need to be able to ice skate.
  Likewise a ice skater doesn’t need to be able to dribble
  a football.



 Training should be tailored accordingly
Limitations
 •An athlete’s ability to tolerate and       •Genetic
 adapt to a training plan is influenced by   endowment
 many factors. Programs must be
 tailored accordingly                        •Psychological
                                             traits

                                             •Training status
                                             •Diet
                                             •Social stressors
                     (surreyspartans.com)    •Recovery methods
                                                      (Bompa,Haff,2009)
Fitness
 Fitness levels in sport    Amateur
  vary
                             Semi – Pro
 Athletes must utilise
  their own individual       Professional
  fitness target zone

 Too much intensity
  could be harmful
Overtraining & Burnout
 •It is important to make an athlete aware of the
 symptoms of burnout and overtraining

 •This helps prevent illness & injury
 •Fitness is maintained
 •Performance is enhanced
Benefits
•If training is specific to the athletes needs then this will
enhance performance. As fitness improves advanced
training methods must be incorporated. Progress will then
continue.
                                •Improved skills
                                    •Improved strength
                                    •Improved endurance
                                    •Improved flexibility
Benefits
 •Involving athletes in exercise prescription
 forces them to consider their strengths &
 weaknesses

 •Making athletes aware of these allows them to
 compare their fitness & performance with others

 •Makes it easier to get them to focus on these
 areas

 •This improves overall performance
Peridiodization
   A planned training programme in which the year
   is divided into periods or cycles often of different
   duration.
                                        (Kent,2006)

   There are variations:

   •Matveyev model
   •Stone O’Bryant and Garhammer model
Periodization aims
  •Exploit complimentary training effects at
  optimal times.

  •Manage fatigue
  •Prevent stagnation & Overtraining/burnout
Periodization goal
  •Maximise training adaptations (general and
  sports specific) so as to elevate or maintain
  performance potential at specific times
Periodization training cycles
There are four training cycles used to aid in the planning of the
competitive year:


•Macrocycle                                         3-4 or more years

•Mesocycle                                          1-3 month block of
training

•Microcycle                                         1 or few weeks training
block

•Training session                                   An individual block of
training in pursuit                                         of a training
objective
                                                                    (Kent, 2006)
Periodization
 An athlete isn’t capable of maintaining their physiological
  & psychological abilities at maximal capacity throughout
  the year

 If stress is applied for too long burnout & overtraining can
  occur

 Therefore periodization incorporates periods of recovery


                                             (Bompa,Haff,2009)
ANY QUESTIONS ?
Bompa,T.Haff,G(2009)Periodization Theory and Methodology of Training.5th edition.USA:Human
Kinetics

Chance.J.Rea.Simon.Stafford-Brown,Jennifer.(2003)BTEC NATIONAL IN SPORT AND EXERCISE
SCIENCE.London:Hodder&Staoughton Educational.

Cotton,R(1998)Exercise for onlder adults.USA.American Council on Exercise.

Driskell,J.Wolinsky,I.(2001)nutritional applications in exercise and sport.Google
books[online].Available at:http://books.google.com(Accessed:30thSeptember2011).

Griffin,S(2006~)Training The Over 50s.London:A?&C Black.

Kent,M(2006)Oxford Dictionary of Sports Science and Medicine.3rd Edition.Oxford:Oxford University
Press.

Lori Rice(2011)Chair Exercise for the Elederly.Available at:http://www.ehow.com(Accessed:1st October
2011).

Ossie Sharon(2010)Safe Exercises for the Elderly.Available at:http://Safesport.co.uk(Accessed:24th
September 2011).

Whitbourne,S.(2002)The Aging Individual:Physical and Psychological Perspectives.Google
books[online].Available at:http://books.google.com(Accessed:26th September 2011).

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exercise prescription

  • 1. Older Adults and Athletes
  • 2.
  • 3. Skeletal Changes  Bone Mineral Density (BMD)decreases through ageing  More so in menopausal women  Reduction in tensile strength  Bones become brittle  Weight bearing activity increases BMD (griffin,2006)
  • 4. Arthritis Oteoarthritis (OA) Rheumatoid arthritis (RA)  Degenerative joint disease  Inflammation of synovial fluid  Gradual loss of cartilage that lines joints  Causes swelling & inflammation  Affects 1 or 2 joints of joints  Pain & loss of function  Mostly weight bearing joints  Auto immune disease  Exercise helps maintain a reasonable range of movement Flexibility exercises are  Joint swelling and pain reduced essential to avoid stiffness in muscles & maintain (griffin,2006) ROM (ABC,1998)
  • 5. Muscular Changes  Decreased muscle mass (sarcopenia)  Decreased muscular strength, power and endurance  Gradual loss of elasticity in the muscles  Regular stretching can keep joints and muscles supple aiding mobility  General exercise helps maintain ROM (Griffin,2006)
  • 6. Basal Metabolic Rate  Basal Metabolic rate(BMR) is the minimum calories needed to maintain body functions  From the age of 20 there is a decline in BMR at a rate of 1-2 % per decade.  A combination of aerobic & strength training can increase lean mass & reduce body fat of adults aged 40-89. (Griffin,2006)
  • 7. Respiratory system  Muscles that control breathing are weaker and gaseous exchange declines with age. (Whitbourne,2002)  < Lung power  < Lung size  < Lung efficiency  < Lung strength  < Vital capacity
  • 8. Cardio-vascular  VO2max reduces  Maximal heart rate (MHR) reduces  Maximal cardiac output decreases  Maximal stroke volume reduces  Regular exercise can delay normal aging process here (Griffin,2006)
  • 9. Blood Pressure  There is a progressive rise in resting & exercise blood pressure. + Systolic + Diastolic  Regular physical activity can reduce blood pressure.
  • 10. Nervous System  As we age, the number of nerve cells(neurons) decreases causing atrophy to the brain and spinal cord.  These cells reduce in size & the branches that carry messages are also reduced in size  This slows down the speed at which a message is sent (Griffin,2006)
  • 11. Nervous system  After a message is sent there is a rest period called the latency period  Ageing increases the length of this rest period between thoughts slowing thinking and response time  Vision, hearing & touch are also affected which can interfere with balance (Griffin,2006)
  • 12. Medication  You must screen your client for medication use  It is important to be aware of the effects of medication on the clients response to exercise (Griffin,2006)
  • 13. Chronic Conditions •Individuals with health problems can benefit from exercise •this increases their fitness which can help maintain as much physical independence as possible  Cardiovascular Heart disease  Respiratory Asthma  Muscoskeletal Arthritis  Metabolic Diabetes  Neurological Alzheimer disease  Sensory Visual/Audio disorders (ACE,1998)
  • 14. Diet & Hydration •The recommended dietary requirements for older individuals are presently the same as for younger individuals •Thirst diminishes with age (Driskell,Wolinsky,2001) •Aging skin thins, increasing basic fluid loss over and above that due to perspiration (safesport.co.uk, 2010)
  • 15. Benefits & Adaptions  The benefits of exercise for elderly people are similar to those of younger adults although they occur more slowly  The starting point usually needs to be at an easy level  Progression should be very gradual
  • 16. Adaptations •Chair exercises are ideal for older people or those with limited mobility •The exercises facilitate movement at an appropriate level to increase fitness without adding the unnecessary risk that can arise during higher intensity, higher impact activity •Chair exercises focus on functional fitness and improve participants' ability to perform the standard activities of daily living. (ehow.com)
  • 17. Benefits of Exercise  Physiological  Psychological  Social  Educational (Avtarwellness.com)
  • 18. Physiological  Increased cardio vascular function  Preserves adequate levels of pulmonary function  Reduced blood pressure  Fat loss  Improved strength & endurance  Improved flexibility (ACE,1998)
  • 19. Psychological  Promotes general psychological well-being  Reduces depression & anxiety  Improvement in cognitive performance (ACE,1998)
  • 20. Social  Can provide support & friendship  Group exercise encourages interaction  Encourages socialising  Provides empowerment (Griffin,2006)
  • 21. Educational  Healthy Eating  Back Care  Stress Management  Health benefits (Griffin,2006)
  • 22. Frequency  Stretching 2 – 7 days per week  Aerobic exercise 3 – 7 days per week  Strength Training 2 – 3 days per week (ACE,1998)
  • 23. stretching  2 – 7 days per week  Static modality  Duration 5 – 40 seconds  Reps 1 – 5 per stretch  Mild tension only  Increase ROM gradually (ACE,1998)
  • 24. Aerobic Exercise  3 – 7 days per week  40% - 85% VO2 MAX  15 – 60 minutes (ACE,1998)
  • 25. Strength training  2 – 3 days per week  70 – 80% 1RM  8 – 15 Reps  1 – 3 Sets  Speed of movement 6 – 9 seconds  90 – 120 seconds rest between sets (ACE,1998)
  • 26. Facilities  Type - Must meet physical needs of client  Size – Determines program options  Location/Accessibility – Must be easily reached  Equipment – Adjustable/lighter weights/Surfaces  Atmosphere – Time/Clientelle/Temperature/Lighting (ACE,1998)
  • 27.
  • 28. Energy Systems  Phosphocreatine  Movement within sports utilise 1 or more of these  Lactic Acid systems.  Their use in training  Aerobic must be relevant for the athlete
  • 29. Phosphocreatine  Used for rapid, High – Intensity contractions  Sprinting/Jumping  Stores last approx 10 seconds (Chance, Rea, Stafford-Brown , 2003)
  • 30. Lactic acid  Continues from phosphocreatine system  High Intensity exercise  30 seconds – 3 minutes  400/800 meters (Chance, Rea, Stafford-Brown , 2003)
  • 31. Aerobic  Continues from lactic acid system  Produces energy slowly  Distance running/cycling
  • 32. Skill-related fitness  There are 6 main  Power components of skill-  Reaction Time related fitness  Agility  Balance  In order to be good at most  Co-ordination sports, improvement in the skill-related components  Speed of fitness is essential  However, different sporting activities require specific skills (Chance, Rea, Stafford-Brown , 2003)
  • 33. Skills  A footballer doesn’t need to be able to ice skate. Likewise a ice skater doesn’t need to be able to dribble a football.  Training should be tailored accordingly
  • 34. Limitations •An athlete’s ability to tolerate and •Genetic adapt to a training plan is influenced by endowment many factors. Programs must be tailored accordingly •Psychological traits •Training status •Diet •Social stressors (surreyspartans.com) •Recovery methods (Bompa,Haff,2009)
  • 35. Fitness  Fitness levels in sport  Amateur vary  Semi – Pro  Athletes must utilise their own individual  Professional fitness target zone  Too much intensity could be harmful
  • 36. Overtraining & Burnout •It is important to make an athlete aware of the symptoms of burnout and overtraining •This helps prevent illness & injury •Fitness is maintained •Performance is enhanced
  • 37. Benefits •If training is specific to the athletes needs then this will enhance performance. As fitness improves advanced training methods must be incorporated. Progress will then continue. •Improved skills •Improved strength •Improved endurance •Improved flexibility
  • 38. Benefits •Involving athletes in exercise prescription forces them to consider their strengths & weaknesses •Making athletes aware of these allows them to compare their fitness & performance with others •Makes it easier to get them to focus on these areas •This improves overall performance
  • 39. Peridiodization A planned training programme in which the year is divided into periods or cycles often of different duration. (Kent,2006) There are variations: •Matveyev model •Stone O’Bryant and Garhammer model
  • 40. Periodization aims •Exploit complimentary training effects at optimal times. •Manage fatigue •Prevent stagnation & Overtraining/burnout
  • 41. Periodization goal •Maximise training adaptations (general and sports specific) so as to elevate or maintain performance potential at specific times
  • 42. Periodization training cycles There are four training cycles used to aid in the planning of the competitive year: •Macrocycle 3-4 or more years •Mesocycle 1-3 month block of training •Microcycle 1 or few weeks training block •Training session An individual block of training in pursuit of a training objective (Kent, 2006)
  • 43. Periodization  An athlete isn’t capable of maintaining their physiological & psychological abilities at maximal capacity throughout the year  If stress is applied for too long burnout & overtraining can occur  Therefore periodization incorporates periods of recovery (Bompa,Haff,2009)
  • 45. Bompa,T.Haff,G(2009)Periodization Theory and Methodology of Training.5th edition.USA:Human Kinetics Chance.J.Rea.Simon.Stafford-Brown,Jennifer.(2003)BTEC NATIONAL IN SPORT AND EXERCISE SCIENCE.London:Hodder&Staoughton Educational. Cotton,R(1998)Exercise for onlder adults.USA.American Council on Exercise. Driskell,J.Wolinsky,I.(2001)nutritional applications in exercise and sport.Google books[online].Available at:http://books.google.com(Accessed:30thSeptember2011). Griffin,S(2006~)Training The Over 50s.London:A?&C Black. Kent,M(2006)Oxford Dictionary of Sports Science and Medicine.3rd Edition.Oxford:Oxford University Press. Lori Rice(2011)Chair Exercise for the Elederly.Available at:http://www.ehow.com(Accessed:1st October 2011). Ossie Sharon(2010)Safe Exercises for the Elderly.Available at:http://Safesport.co.uk(Accessed:24th September 2011). Whitbourne,S.(2002)The Aging Individual:Physical and Psychological Perspectives.Google books[online].Available at:http://books.google.com(Accessed:26th September 2011).

Editor's Notes

  1. Why does BMD decrease? Etc.
  2. P 82
  3. P17.Griffin
  4. P17 Griffin(IS this Ok or is more detail required?)
  5. (Griffen,2006,P133)
  6. P75,6 ACE
  7. Nutritional applications in exercise and sportIra Wolinsky, Judy Anne Driskell
  8. (ACE,1998) p9-11
  9. (ACE,p11-13)
  10. (Griffin,2006,P141)(ACE,1998,P14)
  11. (Griffin,2006,P141)
  12. ACE,1998,P.134-139
  13. ACE,1998,P137
  14. (ACE,1998,P.134)
  15. ACE,1998,P.137
  16. Non slip Surfaces/Weights that increase in smaller increments/fully adjustable to body size
  17. Do I need to keep the slides that are giving an overview of the energy systems?
  18. Chance, Rea, Stafford-Brown 2003,P.98-101
  19. BTEC National in Sport &amp; Exercise Science P.99
  20. Periodization. Theory and methodology of Training. Bompa,Haff.2009.P127
  21. Oxford Dictionary Of Sports Science And Medicine.Michael Kent. 3rd Edition.2006.P 412
  22. Periodization. Theory and methodology of Training. Bompa,Haff.2009.P128. Mention about teaching athletes about the symptoms of overtraining and burnout