[Sports and rehabilitation in old age]

Cardiac rehabilitation of older patients aims at restoring physical aptitude as well as possible and at preserving independence. Prognostic aspects are less important than symptomatic relief. A formal rehabilitation program is indicated in adjunction to revascularization procedures and in cases, where a closer medical supervision is warranted. Exercise guidelines for persons older than 65 years should include prescriptions for endurance training of moderate intensity and an exercise program to enhance flexibility and coordination. Weight training at 40 to 60% of maximal voluntary contraction to support muscle-strength is feasible and useful even in frail persons, whereas sports with high impact of technical skills and speed are not advisable. Such training prescriptions will allow to maintain physiological and psychological function and will thus enhance the quality of life of older patients.