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Development of an exercise program for older adults: pre-exercise testing, exercise prescription and program
1School of Nursing, Indiana University, Indianapolis.
The Nurse Practitioner
|October 1, 1991
Summary
Health care practitioners can guide older adults in developing exercise programs for health promotion and disease prevention. This guide covers exercise testing, prescription, and maintenance strategies to ensure program adherence and long-term success.
Area of Science:
- Gerontology
- Exercise Physiology
- Preventive Medicine
Background:
- Older adults are a key demographic for health-promoting interventions.
- Healthcare practitioners possess the necessary skills and credibility to implement exercise programs.
- Exercise offers significant benefits for disease prevention and health promotion in aging populations.
Purpose of the Study:
- To guide clinicians in developing tailored exercise programs for older adults.
- To review the health-promotion and disease-prevention outcomes of exercise in this population.
- To detail a three-stage approach to exercise programming for older adults.
Main Methods:
- Stage 1: Pre-exercise testing, including assessments of aerobic capacity, body composition, flexibility, and strength.
- Stage 2: Exercise prescription, focusing on developing initial training levels and goal setting based on assessments.
- Stage 3: Program maintenance, with strategies to enhance compliance, reduce attrition, and prevent relapse.
Main Results:
- Established protocols for assessing physical fitness in older adults.
- Guidelines for safe and effective exercise prescription tailored to individual needs.
- Methods to foster long-term adherence and prevent exercise discontinuation.
Conclusions:
- A structured, three-stage exercise programming approach is effective for older adults.
- Clinician involvement is crucial for successful implementation and adherence.
- Exercise interventions can significantly improve health outcomes and prevent disease in the aging population.