Tag Archives: for Seniors

Fit & Strong!

Fit and Strong program logoFit & Strong! is an 8- or 12-week workshop that is designed to help participants exercise safely, improve daily function, and manage joint pain and stiffness. Workshops include a multi-component approach, with flexibility, strength training, aerobics, health education, and group discussion all included.

Class activities include:

  • group discussion
  • goal setting
  • lower extremity strength exercises
  • aerobics
  • stretching
  • introduction to balance
  • upper body exercises

Register for Fit & Strong! Workshops.

Who Can Participate

All ages and ability levels can participate!

Health and Wellness Benefits

Fit & Strong! can help you:

  • Learn about osteoarthritis and how physical activity can be tailored to your needs to help manage symptoms
  • Learn safe stretching, balance, aerobic, and strengthening exercises 
  • Increase the frequency, duration, and intensity of exercise over time
  • Incorporate physical activity into your lifestyle
  • Develop a physical activity routine you can continue after the program ends

Join a Fit & Strong! Workshop Virtually or In-Person

Virtual: Fit & Strong @ Home Includes:

  • Online Zoom delivery, Requirement: must have reliable internet and audio/visual capability
  • Access to online workshop portal
  • Equipment provided
  • Led by trained Fit & Strong! Instructors
  • 90-minute, live group exercise and education sessions
  • Workshop held 3-times per week for 8 weeks or 2-times per week for 12 weeks
  • Certificate of Completion
  • You will be asked to complete a survey before and after the workshop

In-Person: Fit & Strong! Includes:

  • Led by trained Fit & Strong! instructors
  • 90-minute, group exercise and education sessions
  • Workshops held 3-times per week for 8 weeks or 2-times per week for 12 weeks
  • Certification of Completion
  • You will be asked to complete a survey before and after the workshop

Questions

For more information on the Fit & Strong! workshops, visit Good & Healthy or contact the Better Choices Better Health® team.

SDSU Extension logo

Walk With Ease

Walk With Ease is a six-week workshop designed to help participants develop and maintain a successful walking program. Topics covered include setting walking goals, techniques for coping with pain, good body mechanics, tips for walking safely, key points about arthritis, and other supporting exercises to try. This program is doctor recommended, and developed and certified by the Arthritis Foundation.

There are several ways to participate:

  • Virtual: Take a Step (with weekly Zoom sessions)
  • Virtual: Self-Directed
  • Virtual: Self Directed Camine Con Gusto
  • In-Person (3 times per week for 6-weeks)

Register online for the Walk With Ease program, or call 888-484-3800.

Who Can Participate in Walk With Ease

All ages and ability levels can participate! If you are able to be on your feet for at least 10 minutes without increased pain—even if you use a cane or a walker—this program is a great way to increase physical activity.

Health and Wellness Benefits

Walk With Ease can help you:

  • Walk safely and comfortably
  • Improve your flexibility, strength, and stamina
  • Reduce pain associated with arthritis

Walk With Ease program logo

Virtual Workshops

Are you looking to start walking, but not able to commit to an in-person walking group at this time? Join an online six-week session from anywhere in South Dakota.

Virtual: Take A Step Includes:

  • 6-week self-directed walking program
  • 30-minute weekly zoom sessions, Requirement: must have reliable internet connection and audio/visual
  • Led by certified CPR and Walk With Ease leaders
  • Weekly e-mail support, online walking log, and access to online walking support materials
  • FREE Walk With Ease guidebook
  • You’ll be asked to complete a survey before and after the workshop

Virtual: Self-Directed Includes:

  • 6-week self-directed walking program
  • Weekly e-mail support, online walking log, and access to online walking support materials
  • FREE Walk With Ease guidebook
  • You’ll be asked to complete a survey before and after the workshop

In-Person Workshop

In-Person workshops are a wonderful option for creating community and social interaction while maintaining a successful walking program.

In-Person Walk With Ease Includes:

  • 6-week walking program
  • 1-hour sessions held 3 times per week for 6 weeks
  • Led by certified CPR and Walk With Ease leaders
  • Warm-up, walking, cool-down, and health education covered during each session
  • FREE Walk With Ease guidebook
  • Certification of Completion
  • You will be asked to complete a survey before and after the workshop

Questions

For more information on the Walk With Ease workshops, visit Good & Healthy or contact the Better Choices Better Health® team.

 

Physical Activity Benefits for Adults & Those With Chronic Conditions

There are so many health benefits to regular physical activity! The Physical Activity Guidelines for Americans details specific scientifically proven benefits and offers a set of guidelines to follow for better overall health, but the point is – ANY movement is good. 

Even a small amount of regular exercise has preventative and therapeutic benefits and can improve health and mood significantly. As you prepare to take that first step and move your way, here are some things to keep in mind:

Physical activity can help you:

  • Prevent and manage chronic disease
  • Lower the risk of dementia
  • Improve quality of life
  • Reduce symptoms of anxiety and depression
  • Provide opportunities for social engagement and interaction with others

Physical Health

Being physically active delays death from all causes. It’s true, but if you need scientific facts, here’s one from the Department of Health and Human Services – and these guys have decades of research to back them up:

  • People who are physically active for approximately 150 minutes a week have a 33% lower risk of all-cause mortality than those who are not physically active.

And, if that’s not enough to get you thinking about adding a few minutes to your regular physical activity routine, consider this:

Cancer

Research shows that adults who participate in regular physical activity can reduce their risk of developing cancers of the:

  • Bladder
  • Breast
  • Colon
  • Endometrium
  • Esophagus
  • Kidney
  • Lung
  • Stomach

Cancer Survivors

Those who are physically active have a better quality of life, improved fitness and physical function, and less fatigue.

Cardiorespiratory Health

Heart disease and stroke are two of the leading causes of death in the United States. People who engage in regular physical activity have:

  • Reduced risk of dying from cardiovascular disease and the risk of developing cardiovascular disease
  • Lower rate of heart disease, stroke, and heart failure
  • Lower blood pressure
  • Better blood lipid profiles
  • Reduced risk of developing hypertension
  • Lowered systolic and diastolic blood pressure

Type 2 Diabetes and Cardiometabolic Health

Regular physical activity strongly reduces the risk of developing type 2 diabetes in people of all body sizes, plus it:

  • Helps control blood glucose in people who already have type 2 diabetes
  • Contributes to lower plasma triglycerides and insulin levels
  • Improved high-density lipoprotein (HDL) cholesterol and blood pressure

Bone and Muscoskeletal Health

Preserving bone, joint, and muscle health is essential the older we get. Regular activity can:

  • Slow the decline in bone density that happens as we age
  • Help people with osteoarthritis or other rheumatic conditions affecting the joints

Functional Ability and Fall Prevention

Physically active middle-aged and older adults – you know who you are – can:

  • Prevent or delay the loss of function (i.e. those everyday activities that can get harder as we grow older, like stair climbing, personal care or keeping up with grandkids!)
  • Lower the risk of hip fracture
  • Reduce the risk of falling and injuries from falls

Brain Health

Think about it. Your body and brain are connected. When you feel good physically, your brain can relax and… do better brain things.

Cognition

Physical activity can improve cognitive function in older adults including things like:

  • Improved memory
  • Ability to plan, organize, initiate tasks and control emotions better. 
  • Lower risk of developing dementia and Alzheimer’s

There is also evidence that those with conditions such as attention deficit hyperactivity disorder (ADHD), schizophrenia, multiple sclerosis, Parkinson’s disease, and stroke can benefit from physical activity.

Anxiety and Depression

Anxiety disorders and depression are common mental disorders and are leading causes of disability for middle-aged adults in the United States. Regular physical activity can:

  • Reduce symptoms of anxiety
  • Reduce the risk of developing depression 
  • Improve many of the symptoms experienced by people with depression

Sleep

Plain and simple, adults that are physically active sleep better. Plus:

  • Less time needed to fall asleep
  • Improved percentage of time actually sleeping
  • Improved quality of sleep
  • More deep sleep
  • Improvements in sleep for those with insomnia and obstructive sleep apnea

Chronic Disease

Although types and amounts of recommended physical activity may differ, adults with chronic conditions or disabilities also benefit from physical activity. Regular physical activity can help promote improved quality of life for people with chronic conditions and reduce the risk of developing new conditions. For many chronic conditions, physical activity provides therapeutic benefits and is part of recommended treatment for the condition.

Those who are not able to meet the guidelines, should engage in regular physical activity according to their abilities and avoid inactivity.

Better Choices, Better Health® SD

This program offers chronic disease self-management education workshops that are designed to help adults living with ongoing physical and/or mental health conditions and caregivers understand how healthier choices can improve quality of life, boost self-confidence, and inspire positive lifestyle changes. 

Chronic disease workshops bring adults living with different physical and/or mental health conditions and caregivers together to learn new ways to problem solve, create action plans, and manage multiple chronic conditions. Find out more and register at Good & Healthy SD.


Everyone—no matter age, sex, body weight, or ability—can work toward achieving these benefits by building safe, healthy exercise habits. Any physical activity is better than none, so set your own pace in working toward meeting these guidelines.

Every week, adults should aim for:

  • 150 minutes of moderate-intensity aerobic activity; and
  • 2 or more days of muscle-strengthening activity.

The Move Your Way Activity Planner can help you stay on track:

  • Set weekly goals
  • Choose the activities you want to do
  • Get personalized tips to help you stay motivated

It’s HOT Out There: Exercise Safe!

July and August can be some of the hottest months in South Dakota. Along with a drastic change in temperature, many individuals participate in a variety of different sports and spend prolonged periods of time in the sun during this seasonal change. The human body serves as a great temperature regulator, but without practicing proper safety precautions, it is possible for the body to overheat.

Exercising in the heat increases your sweat rate, fluid loss, and your risk for dehydration. Sweating is how your thermoregulatory system within your body cools you down. If you become too hot, it is hard for your sweating rate to keep up and keep body temperatures down. Thus, with the increased temperatures outdoors, there is an increased risk for heat illnesses. Additionally, children are less efficient at regulating their body temperatures and can become overheated and dehydrated much quicker than an adult. If you as an adult feel hot, your child probably feels a lot warmer.

Common Heat Illnesses

Common heat illnesses include heat cramps, heat syncope, heat exhaustion, and heat stroke. Below are some common signs and symptoms for heat illnesses:

  • Heat Cramps: Muscle twitching, cramps, spasms
  • Heat Syncope: Pale skin, slowed heart rate, slowed breathing rate, nausea, weakness
  • Heat Exhaustion: Excessive thirst, dry tongue/mouth, fatigue, weakness, nausea, slightly elevated temp, mental dullness, excessive sweating
  • Heat Stroke: Central nervous system abnormalities (i.e. fatigue, confusion, headache, possible loss of consciousness, etc.), decreased or lack of sweating, rapidly increased heart rate and blood pressure

Safety Considerations

When engaging in physical activity during hot summer days or if you are going to be in the sun for prolonged hours follow these safety precautions:

  • Wear loose-fitting, breathable, light-colored clothing
  • Monitor hydration/fluid intake:
    • Drink plenty of water – even if you don’t feel thirsty!
    • Take frequent water breaks, especially during intense physical activity
    • Avoid caffeinated drinks, such as pop or soda
    • Drinks containing carbohydrates and electrolytes can also be consumed
  • Find shelter in shaded areas
  • Watch for signs and symptoms of heat illnesses (above)
  • Avoid physical activity during peak heat, instead try early morning or late evening times
  • Wear sunscreen
  • Rest often and take it easy

Be mindful and pay attention to your body, if you suspect a heat illness seek medical help immediately. Dizziness, cramps, nausea, vomiting, confusion and headaches are all causes for alarm. If you need to, move your workout indoors for a few days.

Additional Resources

See more at SDSU Extension

Why Walk for 20 Minutes?

There are mountains of research, tons of studies, and endless reports stating Americans need to be more physically active. Of course, the truth is – most of us already know we should be more active – it can’t hurt right? But, it seems like everywhere you turn there’s different advice on how much exercise is the right amount. Which is why finding the right amount of physical activity, combining it with the right intensity level, and balancing that with the rest of a busy life can feel a tad overwhelming.

We do our best to keep up with the latest research and recommendations and here are some of the reasons adding about 20 minutes of physical activity to your daily routine makes sense to us and why we think it’s a good goal to start you on the path to better health:


1. South Dakotans Need More Physical Activity

According to South Dakota’s 2013 Behavioral Risk Factor Surveillance System, only 18.4% of adults achieved the recommended level of both aerobic and muscle strengthening physical activity, and 25.8% of adults are getting NO physical activity outside of work. What’s even more concerning is that 72% of South Dakota youth (9-12 grade) does do not get the recommended 60 minutes of physical activity. Bottom line, we all need to get more exercise.

We checked in with South Dakotans on the subject and here’s what we found:

Walking works.
When we think about adding exercise to our list, walking is the number one activity of choice, and the one we are most likely to engage in most often.

Walking is more fun with someone.
Friends, family, pets, or co-workers make walking (aka: exercising) easier, something we can look forward to, and something that we will do more regularly.

Walking covers a lot of bases.
No special equipment or membership required. You can walk fast, slow, up, down, in or out. No matter what your personal level of fitness, walking is something that almost everyone can add to their daily routine.

2. Physical Activity Guidelines for Americans Goal: 150 Minutes Per Week
The federal Office of Disease Prevention and Health Promotion works with a variety of federal and state agencies and keeps track of all kinds of data. Based on this data, they have recommended Americans increase the amount of physical activity we get. Specifically, for adults, they recommend at least 150 minutes of moderate intensity aerobic physical activity per week or 75 minutes of vigorous intensity aerobic physical activity or an equivalent combination of both moderate and vigorous intensity.

That might sound a little intimidating, but when you break it down… it’s really only about 20 minutes per day.

150_minutes_breakdown

3. Surgeon General’s Call to Action to Promote Walking and Walkable Communities
Recently, the Surgeon General also weighed in on the need for more physical activity, pointing to the numerous health benefits of walking with a Call to Action to increase walking across the United States by calling for improved access to safe and convenient places to walk and wheelchair roll and by creating a culture that supports these activities for people of all ages and abilities. And, because walking is one of the easiest and most common forms of exercise, it only makes sense to make walking a national priority.

4. Take The First Step – About 20 Minutes At A Time
There are plenty of sources, reports and recommendations pointing to walking as an easy way to increase levels of physical activity. And most experts will agree that adding between 20 and 30 minutes of exercise to your daily routine is a good place to start. The best part about walking for about 20 minutes a day is that it’s an attainable goal. It’s long enough to provide a number of benefits to your overall health, and short enough to fit into your regular routine.

So what are you waiting for? Take the first step, grab a friend, and take a walk! All you need is about 20 minutes! Walk, walk, walk!

Sources & Other Helpful References:
2013 South Dakota Behavioral Risk Factor Surveillance System
Get Movin’! Infographic
South Dakota Physical Activity Study
Office of Disease Prevention and Health Promotion: 2008 Physical Activity Guidelines for Americans
HealthyPeople.gov
Surgeon General’s Call to Action To Promote Walking and Walkable Communities
America Walks

Get Movin’!

When you decide you want more physical activity, pick an activity you enjoy that fits into your life. Aim to do at least 10 minutes of exercise at a time.

front of Get Movin' palm card

A little goes a long way! Adults need 150 minutes (just 2.5 hours) of moderate activity each week, or 75 minutes (just over 1 hour) of vigorous activity each week. Kids need 60 minutes of moderate to vigorous activity each day.

Moderate Physical Activity:
I can talk while I do these activities, but not sing. Like gardening, walking briskly, water aerobics, softball and baseball.

Vigorous Physical Activity:
I can only speak a few words without stopping to catch my breath. Like race walking, running, cycling, soccer, jumping rope and aerobic dancing.

For more information, visit healthysd.gov.

back of Get Movin' palm card

Download images here.

Exercising with Osteoporosis: Stay Active the Safe Way

If you have osteoporosis, you might mistakenly think exercise will lead to fracture. In fact though, using your muscles helps protect your bones. Osteoporosis is a major cause of disability in older women. A bone-weakening disorder, osteoporosis often results in fractures in the hip and spine—which can severely impair your mobility and independence.

How can you reduce your risk of these life-altering injuries? Exercise can help! Certain types of exercise strengthen muscles and bones, while other types are designed to improve your balance—which can help prevent falls.

Benefits of Exercise

It’s never too late to start exercising. For postmenopausal women, regular physical activity can:

  • Increase your muscle strength
  • Improve your balance
  • Decrease your risk of bone fracture
  • Maintain or improve your posture
  • Relieve or decrease pain

Exercising if you have osteoporosis means finding the safest, most enjoyable activities for you given your overall health and amount of bone loss. There’s no one-size-fits-all prescription.

Before You Start

Consult your doctor before starting any exercise program for osteoporosis. You might need some tests first, including:

  • Bone density measurement
  • Fitness assessment

In the meantime, think about what kind of activities you enjoy most. If you choose an exercise you enjoy, you’re more likely to stick with it over time.

Choosing the Right form of Exercise

These types of activities are often recommended for people with osteoporosis:

  • Strength training exercises, especially those for the upper back
  • Weight-bearing aerobic activities
  • Flexibility exercises
  • Stability and balance exercises

Because of the varying degrees of osteoporosis and the risk of fracture, you might be discouraged from doing certain exercises. Ask your doctor or physical therapist whether you’re at risk of osteoporosis-related problems, and find out what exercises are appropriate for you.

Strength Training

Strength training includes the use of free weights, resistance bands, or your own body weight to strengthen all major muscle groups, especially spinal muscles important for posture. Resistance training can also help maintain bone density. If you use weight machines, take care not to twist your spine while performing exercises or adjusting the machines.

Resistance training should be tailored to your ability and tolerance, especially if you have pain. A physical therapist or personal trainer with experience working with people with osteoporosis can help you develop strength-training routines. Proper form and technique are crucial to prevent injury and get the most from your workout.

Weight-Bearing Aerobic Activities

Weight-bearing aerobic activities involve doing aerobic exercise on your feet, with your bones supporting your weight. Examples include walking, dancing, low-impact aerobics, elliptical training machines, stair climbing, and gardening. These types of exercise work directly on the bones in your legs, hips, and lower spine to slow mineral loss. They also provide cardiovascular benefits, which boost heart and circulatory system health.

It’s important that aerobic activities, as beneficial as they are for your overall health, are not the whole of your exercise program. It’s also important to work on strength, flexibility, and balance. Swimming and cycling have many benefits, but they don’t provide the weight-bearing load your bones need to slow mineral loss. However, if you enjoy these activities, do them. Just be sure to also add weight-bearing activity as you’re able.

Flexibility Exercises

Moving your joints through their full range of motion helps you keep your muscles working well. Stretches are best performed after your muscles are warmed up—at the end of your exercise session, for example, or after a 10-minute warm-up. They should be done gently and slowly, without bouncing. Avoid stretches that flex your spine or cause you to bend at the waist. Ask your doctor which stretching exercises are best for you.

Stability and Balance Exercises

Fall prevention is especially important for people with osteoporosis. Stability and balance exercises help your muscles work together in a way that keeps you more stable and less likely to fall. Simple exercises such as standing on one leg or movement-based exercises such as tai chi can improve your stability and balance.

Movements to Avoid

If you have osteoporosis, don’t do the following types of exercises:

  • High-impact exercises. Activities such as jumping, running, or jogging can lead to fractures in weakened bones. Avoid jerky, rapid movements in general. Choose exercises with slow, controlled movements. If you’re generally fit and strong despite having osteoporosis, however, you might be able to engage in somewhat higher-impact exercise than can someone who is frail.
  • Bending and twisting. Exercises in which you bend forward at the waist and twist your waist, such as touching your toes or doing sit-ups, can increase your risk of compression fractures in your spine if you have osteoporosis. Other activities that may require you to bend or twist forcefully at the waist are golf, tennis, bowling, and some yoga poses.

If you’re not sure how healthy your bones are, talk to your doctor. Don’t let fear of fractures keep you from having fun and being active.

Source: Mayo Clinic

How Much is Enough Exercise

As an older adult, regular physical activity is one of the most important things you can do for your health. It can prevent many of the health problems that seem to come with age. It also helps your muscles grow stronger so you can keep doing your day-to-day activities without becoming dependent on others.

Not doing any physical activity can be bad for you, no matter your age or health condition. Keep in mind, some physical activity is better than none at all. Your health benefits will also increase with the more physical activity that you do.

If you’re 65 years of age or older, are generally fit, and have no limiting health conditions you can follow the guidelines listed here.

You Can Decrease Your Cancer Risk. How? Move More!

A new study has shown that more leisure-time physical activity is associated with a lower risk of developing 13 different types of cancer! Leisure-time physical activity is exercise done at one’s own discretion, often to improve or maintain fitness or health. Examples include walking, running, swimming, and other moderate to vigorous intensity activities. In this study, the average level of activity was about 150 minutes of moderate-intensity activity per week, which is the 2008 Physical Activity Guidelines for Americans recommendation.

Hundreds of previous studies have examined associations between physical activity and cancer risk and shown reduced risks for colon, breast and endometrial cancers. However results were not as clear for other cancer types due to small number of participants. This new study pooled data on 1.44 million people, ages 19 to 98, from the United States and Europe, and was able to examine a broad range of cancers. Participants were followed for an average of 11 years during which 187,000 new cases of cancer occurred.

The investigators confirmed that leisure-time physical activity, determined by self-reported surveys, was associated with a lower risk of colon, breast, and endometrial cancers. They also determined that leisure-time physical activity was associated with a lower risk of 10 additional cancers, with the greatest risk reductions for esophageal, liver, stomach, kidney and myeloid leukemia. Myeloma and cancers of the head and neck, rectum, and bladder also showed reduced risks that were significant, but not as strong. Risk was reduced for lung cancer, but only for current and former smokers; the reasons for this are still being studied.

Here is the information in a nutshell:

  • Esophageal cancer, a 42% lower risk
  • Liver cancer, a 27% lower risk
  • Lung cancer, a 26% lower risk
  • Kidney cancer, a 23% lower risk
  • Stomach cancer of the cardia (top portion of the stomach), a 22% lower risk
  • Endometrial cancer, a 21% lower risk
  • Myeloid leukemia, a 20% lower risk
  • Myeloma, a 17% lower risk
  • Colon cancer, a 16% lower risk
  • Head and neck cancer, a 15% lower risk
  • Rectal cancer, a 13% lower risk
  • Bladder cancer, a 13% lower risk
  • Breast cancer, a 10% lower risk

Overall, high levels of physical activity were linked with a 7% lower risk of any cancer, according to the study. The association between increased physical activity and decreased cancer risk is applicable to different populations, including people who are overweight or obese, or those with a history of smoking. Health care professionals counseling inactive adults should promote physical activity as a component of a healthy lifestyle and cancer prevention.

Sources: National Institutes of Health

Walking Toolkit: Improve Your Health, Well-Being & Quality of Life

Did you know that walking is the #1 physical activity of choice for South Dakotans? We walk for fun. We walk for exercise. We walk for transportation, and we walk to connect – with each other and with our environment. This toolkit is for anyone who wants to walk more and inspire others in their community to Get Movin’!

Learn what walkability is, why it matters and how to create more access to walkable areas. Learn the basics of starting a walking program and find lots of resources to help make walking easy and fun for everyone.

We’re challenging all community leaders, health champions, wellness directors, worksite wellness coordinators, healthcare providers and walking enthusiasts to download, read up and… Walk! Walk! Walk!

Staying Active in a Rural Community

In South Dakota, we are surrounded by small towns with low populations. Memberships to fitness facilities, gyms, recreation centers, or community physical activity opportunities may be slim, if available at all. With constant messaging about the benefits and importance of being physically active, one may wonder how they can keep active with limited access to facilities. The beauty of this perceived dilemma is that physical activity can be performed anywhere with little to no equipment.

Here are a few ideas to stay active year-round, whether or not you have physical activity facilities or amenities available in your community.

Active transportation is defined as: approaches that encourage individuals to actively travel from one destination to the next, such as walking or biking, decreasing the use for motorized transportation. In many small towns, actively transporting to the grocery store, school, post office, or a neighbor’s house can be done with ease.

Workout at Home
Although not all individuals enjoy working up a sweat in their living room, this is an option that is available to anyone who has an open space in their home. If you don’t have an exercise video or routine to follow, perform some exercises like squats, push-ups, stretching and flexibility training, or abdominal exercises. Videos, YouTube, Social Media Exercise videos, online workout routines and social media platforms are a great way to access a variety of free workout routines to do anywhere. Yoga, kickboxing, strength training, balance practice, stretching, and cardio workouts can all be accessed by doing a simple online search. If you are new to exercise, be sure to start slow and look for beginner focused workouts.

Walk, Walk, Walk!
The most preferred form of physical activity is walking. Walking can be performed anywhere, indoors or outdoors, with no equipment other than a good pair of tennis shoes.

Community Groups
If you have a passion for walking, biking, yoga or another fitness trend, consider forming a community group or community class around that interest. Talk with local facilities (i.e. community center, school, churches) and see if they are willing to share use of an open space for your community group to meet once or twice a week. If you are a walking or biking group, you can meet outside and go for a walk or ride together as a group.

Advocate
If your community lacks access to physical activity opportunities, advocate for development, policies or access to such amenities.

See more at SDSU Extension

Core-Strength Exercises with a Fitness Ball

Fitness balls, sometimes called physio balls or Swiss balls—are large, vinyl balls that can be used to aid exercise. They help strengthen the muscles in your abdomen and back, improve core stability, and balance. They can also help reduce stiffness, decrease fatigue, and improve strength in your muscles.

Core-strength Exercises

Core-strength exercises strengthen your core muscles, including your abdominal muscles, back muscles and the muscles around the pelvis. You can do many core-strength exercises with a fitness ball.

Use a fitness ball sized so that your knees are at a right angle when you sit on the ball with your feet flat on the floor. Do each core-strength exercise five times. As you get stronger, gradually increase to 10 to 15 repetitions. Breathe freely and deeply and focus on tightening your abs during each core-strength exercise. If you have back problems, osteoporosis or any other health concern, talk to your doctor before doing these core-strength exercises.

To work various core muscles in combination for better core strength, try a bridge with the fitness ball:

  • Lie on your back with your legs resting on top of the ball.
  • Tighten your abdominal muscles.
  • Raise your hips and buttocks off the floor into a bridge. Hold for three deep breaths. This works your core muscles and the muscles along your backside — the gluteal muscles and hamstrings — as they contract to keep you in place.
  • Return to the starting position and repeat.
  • For added challenge, raise your right leg off the ball. Repeat with your left leg.

Squat & Reach Exercises

To do a squat and reach exercise with the fitness ball:

  • Hold the ball in front of you and bend your knees. Keep your back straight and your arms parallel to the floor. Don’t let your knees extend beyond your feet.
  • Tighten your abdominal muscles.
  • Rotate your trunk and reach with the ball toward your left. Hold for three deep breaths.
  • Return to the starting position and repeat to the right.
  • Vary the exercise by holding the ball in a downward position or an upward position.

View Mayo Clinic’s slideshow for more exercises to try with your fitness ball.

Important Nutrients to Know: Water

It’s important for your body to have plenty of fluids each day. Water helps you digest food, absorb nutrients from food, and then get rid of unused waste. Water is found in foods—both solids and liquids, as well as in its natural state.

What To Drink As You Get Older
Learn about why it’s important for older adults to drink plenty of liquids, including water, and how to make healthy choices.

HERE’S A TIP

“But I don’t feel thirsty”

With age, you might lose some of your sense of thirst. To further complicate matters, some medicines might make it even more important for you to have plenty of fluids.

Take sips from a glass of water, milk, or juice between bites during meals. But don’t wait for mealtime—try to add liquids throughout the day. For example, have a cup of low-fat soup as an afternoon snack.

Drink a full glass of water if you need to take a pill. Have a glass of water before you exercise or go outside to garden or walk, especially on a hot day.

Remember, water is a good way to add fluids to your daily routine without adding calories.

Source: National Institute on Aging; Water

Cooking Tips for One

It can be tricky when cooking for one (or even two) to make the most of your ingredients and to minimize dishes — particularly when many recipes focus on making a meal for a family and serve four to six people. But just because you have a smaller household doesn’t mean you should abandon the kitchen for takeout.

“The best part of cooking for one is that there are no worries about what anyone else wants for dinner. You have the flexibility to enjoy beans with salsa and avocado or a quick omelet with veggies for dinner if you want,” says Academy of Nutrition and Dietetics Spokesperson Marisa Moore, MBA, RDN, LD.

The first step to dinner-for-one success is to make cooking healthy meals a priority. Planning ahead and arming yourself with a few tips and tricks will put you on the path to triumph in the kitchen.

According to Moore, the best strategy when cooking for one is to become friends with your freezer. “Instead of scaling down, cook up full recipes: cook once, eat twice. Save time, money and clean up by freezing soups, chili, pasta dishes and extra vegetables,” she says. “Pull these ‘frozen meals’ out when you don’t feel like cooking or just need a quick meal.”

Here are more kitchen tips for one:

Grains

  • Cook a batch of whole grains such as brown rice or barley and freeze in individual portions using a muffin pan. Once frozen, the discs can be stored in a zip-top bag.
  • Have a six-pack of whole-grain English muffins or a whole loaf of bread? Tuck those extras into the freezer for another day; wrap them tightly in plastic wrap to prevent freezer burn.
  • Visit the bulk bins at your local health food and grocery stores. You can buy exactly what you need with no waste and it’s often less expensive per pound. In addition to grains, you can score a deal on dried herbs and spices as well as nuts, seeds and dried beans.

Veggies and Fruits

  • “If you’re not able to go food shopping a few days a week (most of us aren’t), embrace frozen produce,” says Moore. “Frozen produce can be just as nutritious as fresh and it’s there when you need it. Just choose options without added sauces and sugar.” Since they’re already chopped up, frozen fruits and veggies are ready to add to smoothies, soups and stir-fries. And because they’re frozen, there is no rush to use them before they spoil.
  • Bulk bags of fruits and veggies are only a better deal if you eat them before they spoil. Only buy what you can reasonably eat before the produce perishes: take extra grapes or cherries out of the bag and pare down that bunch of bananas to what you’ll eat.
  • “Be strategic. Enjoy your most perishable fresh produce like berries and spinach early in the week. Save heartier produce like cabbage, carrots and potatoes for meals later in the week,” suggests Moore.

Protein: Meat, Poultry, Eggs, Beans

  • Eggs can make a meal happen in a flash, anytime! They are an excellent source of protein and contain a bounty of nutrients such as vitamin D and choline. You can hard-boil a few on the weekend to have as an easy breakfast, snack or quick salad addition.
  • Buy a whole package of meat or poultry and wrap individual portions in freezer-safe paper; label each with the date and contents.
  • A potato masher can easily tame a can of pinto beans into delicious refried beans — a pinch of cumin, garlic and chili powder and you’re ready to eat!

Scrumptious Strata

Ingredients
2 whole eggs
¼ cup reduced-fat milk
1 slice whole-wheat bread, torn into small pieces
¼ cup sharp cheddar cheese, shredded
¼ cup diced onions (frozen is easiest)
¼ cup diced bell peppers (frozen is easiest)
1 pinch each of garlic, oregano and crushed red pepper
Salt and pepper, to taste

Directions

  1. Spray an oven-safe glass dish with non-stick cooking spray and preheat oven or toaster oven to 350°F.
  2. In a small mixing bowl, beat eggs and milk. Add veggies, cheese and bread and toss to coat.
  3. Pour into prepared dish and bake for about 25 minutes, or until top is browned and knife inserted into the center comes out clean.

Cooking Note
This recipe is flexible — feel free to change the vegetables to what you have on hand. It is also easily doubled (or quadrupled) to serve more people.

Nutrition Information – Serves 1
Calories: 389; Calories from fat: 206; Total fat: 23g; Saturated fat: 11g; Trans fat: 0g; Cholesterol: 462mg; Sodium: 507mg; Total carbohydrate: 19g; Dietary fiber: 3g; Sugars: 6g; Protein: 27g

Source: EatRight.org; Cooking Tips for One by Holly Larson, MS, RD

Balance Exercises

Having good balance helps in preventing falls, and injury, and simply makes your daily activities easier to perform. Practicing balance exercises daily does not have to take a long time or be complicated.

When you’re ready to try balance exercises, start with weight shifts:

  • Stand with your feet hip-width apart and your weight equally distributed on both legs.
  • Shift your weight to your right side, then lift your left foot off the floor.
  • Hold the position as long as you can maintain good form, up to 30 seconds.
  • Return to the starting position and repeat on the other side. As your balance improves, increase the number of repetitions.

View Mayo Clinic’s slideshow for more exercises you can use to improve your balance.

Register for FREE physical activity workshop through Better Choices Better Health SD.

Yoga in your 50s, 60s, 70s and beyond

Cardiologist Dean Ornish, M.D., made headlines with his claim that yoga and meditation when combined with improvements in diet and exercise habits, could reverse heart disease. Since then, research into the health benefits of yoga, especially its effect on adults 50-plus, has exploded. Here are some reasons to practice yoga as you age:

Minimize hypertension

“Yoga has a powerful effect on stress and hypertension and can help people reduce the amount of medication they need,” says Amy Wheeler, yoga professor at California State University at San Bernardino. In a review of 17 studies published in Evidence-Based Complementary and Alternative Medicine, researchers reported significant reductions in blood pressure for interventions incorporating three basic elements of yoga practice: postures, meditation, and breathing. Researchers speculate that the slow, controlled breathing inherent in yoga practice decreases nervous system activity, which helps manage blood pressure levels.

Strengthen bones

“People in their 50s often develop the beginning stages of osteoporosis and low bone density,” notes Melinda Atkins, a yoga teacher in Miami. Studies consistently show that the weight-bearing activity of yoga helps slow bone thinning, reducing the risks of osteoporosis, particularly among postmenopausal women.

Keep excess pounds at bay

Yoga enhances concentration and determination in all aspects of life. Practicing it every day “improves willpower and shifts your focus toward wellness rather than instant gratification,” says Larry Payne, yoga director at Loyola Marymount University in Los Angeles. In a 2014 study out of India, published in BMC Complementary and Alternative Medicine, researchers reported that people with diabetes who did yoga 3-6 days per week for 8 weeks, shed more pounds and inches than those who walked for the same time period.

Reduce anxiety

Yoga induces the relaxation response, an alpha state between awake and asleep that helps modulate the way the body responds to stress. When faced with a potential threat (or ongoing stress), your heart beats faster, your muscles tense and you start to sweat. Yoga stops this process in its tracks, reducing your heart rate, lowering blood pressure and easing respiration. Case in point: A 2015 study published in the Journal of Complementary and Alternative Medicine reported that women who participated in a 60-minute yoga class twice a week reported greater reductions in anxiety after the 8-week study period compared to those who didn’t participate.

Protect your joints

During your late 50s and early 60s, you may begin to notice that your joints aren’t as fluid as they used to be. Practicing yoga regularly can help lubricate joints, staving off debilitating disorders like carpal tunnel syndrome and arthritis. “It’s important to start caring for your joints, to help maintain your independence and preserve your ability to perform daily activities as you get older — things like brushing your teeth, combing your hair, getting dressed,” says Wheeler. Yin yoga, a type of practice where poses are held for up to 20 minutes, may be especially beneficial for lubricating and nourishing the joints.

Source: AARP; Yoga in Your 50s, 60s and 70s – and Beyond

Important Nutrients to Know: Proteins, Carbohydrates and Fat

Proteins

Proteins are often called the body’s building blocks. They are used to build and repair tissues. They help you fight infection. Your body uses extra protein for energy. Good sources of protein are seafood, lean meat and poultry, eggs, beans and peas, soy products, and unsalted nuts and seeds. Protein is also found in dairy products. Protein from plant sources tends to be lower in fat and cholesterol and provides fiber and other health-promoting nutrients.

Carbohydrates

Carbohydrates are the body’s main source of energy. There are two types of carbohydrates: simple and complex.

  • Simple carbohydrates are found in fruits, vegetables, and milk products, as well as in sweeteners like sugar, honey, and syrup and foods like candy, soft drinks, and frosting or icing.
  • Complex carbohydrates are found in breads, cereals, pasta, rice, beans and peas, and starchy vegetables such as potatoes, green peas, and corn.

Many carbohydrates also supply fiber. Fiber is a type of complex carbohydrate found in foods that come from plants—fruits, vegetables, nuts, seeds, beans, and whole grains. Eating food with fiber can prevent stomach or intestinal problems, such as constipation. It might also help lower cholesterol and blood sugar.

Fats

Fats also give you energy and help you feel satisfied after eating. Oils, shortening, butter, and margarine are types of fats, and mayonnaise, salad dressings, table cream, and sour cream are high in fat. Foods from animal sources and certain foods like seeds, nuts, avocado, and coconut also contain fat. There are different categories of fats—some are healthier than others:

  • Monounsaturated. These include canola oil, olive oil, peanut oil, and safflower oil. They are found in avocados, peanut butter, and some nuts and seeds.
  • Polyunsaturated. Some are corn oil, soybean oil, and flaxseed oil. They are also found in fatty fish, walnuts, and some seeds.
  • Saturated. These fats are found in red meat, milk products including butter, and palm and coconut oils. Regular cheese, pizza, and grain-based and dairy desserts are common sources of saturated fat in our meals.
  • Trans fats (trans fatty acids). Processed trans fats are found in stick margarine and vegetable shortening. Trans fats are often used in store-bought baked goods and fried foods at some fast-food restaurants.

You can tell monounsaturated and polyunsaturated fats because they are liquid at room temperature. These types of fat seem to lower your chance of heart disease. But that doesn’t mean you can eat more than the Dietary Guidelines suggest.

Trans fats and saturated fats are usually solid at room temperature. Trans fat and saturated fat can put you at greater risk for heart disease and should be limited.

HERE’S A TIP
Cholesterol is a fat-like substance found in some foods. Your body needs some cholesterol. But research suggests that eating a lot of foods high in saturated fat is associated with higher levels of cholesterol in your blood, which may increase your risk of heart disease. Try to limit cholesterol to less than 300 mg each day. If your doctor says you need to lower your cholesterol, you might need to limit cholesterol in your food to less than 200 mg each day.

Source: National Institute on Aging; Protein, Carbohydrates & Fats

Overcoming Roadblocks to Healthy Eating

Healthy eating can help you lose or maintain weight, feel better overall, and possibly decrease your chances of getting certain diseases. Making smart food choices is important at any age. But eating healthy can be difficult even if you know which foods you should buy and prepare. Your budget, physical issues, mood changes, and dietary restrictions can be roadblocks to eating food that’s best for you.

There are some common problems that can make it harder for older people to follow through on smart food choices. Here are some ideas for dealing with common questions:

Tired of cooking or eating alone?

Maybe you are tired of planning and cooking dinners every night. Have you considered potluck meals? If everyone brings one part of the meal, cooking is a lot easier, and there might be leftovers to share. Or try cooking with a friend to make a meal you can enjoy together. Food delivery services are yet another option. You could also look into having some meals at a nearby senior center, community center, or religious facility. Not only will you enjoy a free or low-cost meal, but you will also have some company while you eat.

Trying to eat healthy on a budget?

Even when you know which healthy foods to choose, people living on fixed or limited incomes may not be able to buy what’s ideal. Start by deciding how much you can afford to spend on food.

There are a number of resources that can help you plan a food budget. For example, the U.S. Department of Agriculture supports Iowa State University’s Spend Smart-Eat Smart

program. This website also features more than 100 inexpensive recipes, with nutrition information and cost per serving.

Once you have decided on your budget, look for grocery store advertising in the newspaper or online to see what is on sale. Try to plan some meals around featured items and consider purchasing extra nonperishables such as canned goods when they’re on sale. Use coupons when possible and ask your grocery store staff if they have a senior discount or loyalty rewards program. Consider buying store-brand products, which are often the same as more expensive brand-name ones. Focus on buying healthy and inexpensive produce. Many nutritious fruits and vegetables — such as bananas, apples, oranges, lettuce, green peppers, and carrots — may be reasonably priced.

Problems chewing food?

Do you avoid some foods because they are hard to chew? People who have problems with their teeth or dentures often avoid eating meat, fruits, or vegetables and might miss out on important nutrients. If you are having trouble chewing, see your dentist to check for problems. If you wear dentures, the dentist can check the fit.

If food seems to get stuck in your throat or is hard to swallow, it might be that you don’t have enough saliva in your mouth. Or, there may be other reasons, including problems with the muscles or nerves in your throat, problems with your esophagus, or gastroesophageal reflux disease. Talk to your doctor about what might be causing your swallowing issues.

Physical problems making it hard to eat?

Sometimes illnesses such as Parkinson’s disease, stroke, or arthritis can make it harder to cook or feed yourself. Your doctor might recommend an occupational therapist. The therapist might make a custom splint for your hand, give you special exercises to strengthen your muscles, or suggest rearranging things in your kitchen. Special utensils and plates might make mealtimes easier or help with food preparation.

Food tastes different?

Are foods not as tasty as you remember? It might not be the cook’s fault! Maybe your sense of taste, smell, or both has changed. Growing older, having dental problems, and medication side effects can cause your senses to change. Taste and smell are important for a healthy appetite and eating. Try adding fresh herbs, spices, or lemon juice to your plate.

Smoking and drinking alcohol can also affect your sense of taste. If you smoke, quitting may not only improve your sense of taste and smell, but also your health in many other ways. If you drink alcohol, consider stopping or cutting back.

Some medicines can change how food tastes, make your mouth dry, or reduce your appetite. In turn, some foods can change how certain medicines work. You might have heard that grapefruit juice is a common culprit when used with any of several drugs. Chocolate, licorice, and alcohol are some others. Whenever your doctor prescribes a new drug for you, be sure to ask about any food-drug interactions.

Feeling sad and don’t want to eat?

Being unhappy can cause a loss of appetite. Feeling down every once in a while is normal but if these feelings last a few weeks or months, talk with your doctor. Help and treatment options are available. Read more about depression and older adults.

Just not hungry?

Changes to your body as you age can cause some people to feel full sooner than they did when they were younger. Lack of appetite can also be a side effect of a medicine you are taking. Talk with your doctor about any side effects you may be experiencing. Your doctor may be able to suggest a different drug.

Try to be more active. In addition to all the other benefits of exercise and physical activity, these may make you hungrier. If you aren’t hungry because food just isn’t appealing, there are ways to make it more interesting. Make sure your foods are seasoned well, but not by adding extra salt. Try using lemon juice, vinegar, or herbs to boost the flavor.

Vary the shape, color, and texture of foods you eat. When you go shopping, look for a new vegetable, fruit, or seafood you haven’t tried before or one you haven’t eaten in a while. Some grocery stores have recipe cards near items, or you can ask the staff for suggestions about preparing the new food or find recipes online. Foods that are overcooked tend to have less flavor. Try cooking or steaming your vegetables for a shorter time and see if that gives them a crunch that will help spark your interest.

Food allergies or dietary restrictions?

Some older adults have allergies to certain foods, such as wheat, nuts, or dairy. Others may have dietary restrictions for religious, ethical, or personal reasons. Whatever your dietary needs are, it is still possible to choose healthy foods.

Avoiding dairy? Talk to your health care provider about how to get enough calcium and vitamin D. Even lactose-intolerant people might be able to have small amounts of milk when taken with food. There are also nondairy food sources of calcium, lactose-free milk and milk products, calcium- and vitamin D-fortified foods, and supplements.

Gluten sensitivity or allergy? Check out these resources that explain the different types of gluten sensitivities and allergies and learn how to make smart food choices for each type.

Vegetarian or vegan? Check out these resources for incorporating plant-based protein into your diet.

Visit the National Institute on Aging for more.

Strength Training for Older Adults

If you’re interested in feeling stronger, healthier, and more vital, this program is for you. This strength-training program was developed by experts at Tufts University and the Centers for Disease Control and Prevention (CDC).

Growing Stronger is an exercise program based upon sound scientific research involving strengthening exercises—exercises that have been shown to increase the strength of your muscles, maintain the integrity of your bones, and improve your balance, coordination, and mobility. In addition, strength training can help reduce the signs and symptoms of many chronic diseases, including arthritis.

If you’re not physically active now, Growing Stronger will help you make daily activity a regular part of your life by building the essential strength that makes all movement easier and more enjoyable.

Regular physical activity is not only fun and healthy, but scientific evidence strongly shows that it’s safe for almost everyone. And the health benefits far outweigh the risk of injury and sudden heart attacks, two concerns that prevent many people from adding more physical activity to their lives.

However, some people should check with their doctor before they start becoming more physically active. Experts advise that if you have a chronic disease, such as a heart condition, arthritis, diabetes, or high blood pressure, or symptoms that could be due to a chronic disease, it’s important that you’re under the care of a doctor and talk to him or her about the types and amounts of physical activity that are appropriate for you.

Visit the CDC’s website to learn more about the Growing Stronger program, including the following points:

  • Why strength training? The benefits, research and background.
  • Motivation — motivation tips, setting goals and celebrating success.
  • Preparation — safety, equipment needs, scheduling exercise and more.
  • Intensity — how to judge your effort.
  • Progression— when and when not to increase intensity, how and why it’s important.
  • Staying on Track — includes log sheets with motivational and instructional tips. These log sheets will help you accurately monitor your progress in strength training.
  • Exercises — From warmup to cooldown.

Source: CDC; Growing Stronger—Strength Training for Older Adults

Monitoring Exercise Intensity Using Your Heart Rate

Why Do You Need to Monitor Your Heart Rate?

You’re huffing and puffing through another aerobic workout, wondering if you’re really doing yourself any good. Are you working too hard or not hard enough?

You look around. The person next to you has barely broken a sweat while the one in front is drenched from head to toe. Well, sweat may not be the best indicator of exercise intensity. For that, we need to look to our hearts.

Heart rates, to be exact. When you exercise, your heart beats faster to meet the demand for more blood and oxygen by the muscles of the body. The more intense the activity, the faster your heart will beat. Therefore, monitoring your heart rate during exercise can be an excellent way to monitor exercise intensity.

For the majority of aerobic enthusiasts, there is a range of exercise intensities that is described as safe and effective for promoting cardiovascular benefits. To determine what range is best for you, you’ll need to be familiar with a few terms.

  1. Maximal heart rate: This number is related to your age. As we grow older, our hearts start to beat a little more slowly. To estimate your maximal heart rate, simply subtract your age from the number 220.
  2. Target heart-rate zone: This is the number of beats per minute (bpm) at which your heart should be beating during aerobic exercise. For most healthy individuals, this range is 50 to 80 percent of your maximal heart rate. So, if your maximal heart rate is 180 bpm, the low end of the range (50 percent) would be 90 bpm, and the high end of the range (80 percent) would be 144 bpm.

What Does the Recommended Heart-Rate Range Mean?

Now that you’ve determined your target heart-rate zone, you need to know how to put that information to good use. These numbers serve as a guideline – an indicator of how hard you should be exercising.

Those just beginning an aerobic program should probably aim for the low end of the zone and pick up the intensity as they become more comfortable with their workouts. Those who are more fit, or are training for competitive events, may want to aim for the higher end of the zone.

Keep in mind that the target heart-rate zone is recommended for individuals without any health problems. Additionally, individuals taking medication that alter the heart rate should consult their physician for recommended exercise intensity.

Where to Monitor?

There are a number of ”sites” used to monitor the pulse rate. Two convenient sites to use are the radial pulse at the base of the thumb of either hand, or the carotid pulse at the side of the neck.

Accurate pulse-count assessment is crucial when monitoring exercise intensity. By using the first two fingers of one hand and locating the artery, a pulse rate can be easily determined.

Immediately after exercise, isolate your pulse and count the number of beats in a 10-second period. To determine the heart rate in beats per minute, multiply the number of beats per 10 seconds by six. For instance, if a 10-second pulse count were 20, then the heart rate would be 120 bpm.

A Final Word About Heart-Rate Monitoring

Remember, your estimated target heart-rate zone is just that – an estimate. If you feel like you are exercising too hard, you probably are. The best advice is to reduce your intensity and find a heart-rate range that works for you.

Source: Ace Fitness; Monitoring Exercise Intensity Using Heart Rate