{"id":1433,"date":"2019-10-07T09:40:46","date_gmt":"2019-10-07T09:40:46","guid":{"rendered":"http:\/\/practicalhealthpsychology.com\/?p=1433"},"modified":"2025-11-04T14:25:12","modified_gmt":"2025-11-04T14:25:12","slug":"physical-activity-in-older-age-how-much-is-enough","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/no\/2019\/10\/physical-activity-in-older-age-how-much-is-enough\/","title":{"rendered":"Physical activity in older age: how much is enough?"},"content":{"rendered":"<p style=\"text-align: left;\"><strong>By Anne Tiedemann, The University of Sydney, Australia<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">\u201cLack of activity destroys the good condition of every human being while movement and methodical physical exercise save it and preserve it\u201d\u2026 Plato, 400 BC.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s long been known that making physical activity a regular habit is important for health and wellbeing. But health promotion messages often target children and young people, with less focus on the importance of physical activity in people aged 65 years and over. However, older age is a crucial time for making activity part of every day.<\/span><\/p>\n<p><!--more--><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.who.int\/dietphysicalactivity\/factsheet_recommendations\/en\/\"><span style=\"font-weight: 400;\">WHO Global recommendations on physical activity for health<\/span><\/a><span style=\"font-weight: 400;\"> recommend that people aged 65+ years should do at least 150 minutes of moderate-intensity physical activity, or at least 75 minutes of vigorous-intensity physical activity, or an equivalent combination of moderate- and vigorous-intensity activity throughout the week. It also recommends that older adults perform physical activity to enhance balance and prevent falls on 3 or more days per week, and take part in muscle-strengthening activities at least twice weekly. Despite clear recommendations about the amount of physical activity associated with health gains, around one third of the world\u2019s population is physically inactive, with <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0140673612606461?via%3Dihub\"><span style=\"font-weight: 400;\">older people<\/span><\/a><span style=\"font-weight: 400;\"> being the most inactive.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s important to note that doing something is better than nothing, even if people can\u2019t quite manage the amount recommended by guidelines. Physical activity can include a range of activity types, from structured exercise classes, to active transport, to gardening and home maintenance. Starting small and building up the amount and intensity of activity and choosing something enjoyable are the best ways to start. \u00a0For those who are already participating in more vigorous activities such as running, rowing, or cycling, ageing is no reason to stop if a person\u2019s health allows it.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Falls are also a common issue in older age, with around 1 in 3 people aged 65 + falling each year. Falls often have lasting, devastating consequences for an older person and their family, and can result in an older person moving into residential aged care. Falls are not inevitable, and can be prevented with regular <\/span><a href=\"https:\/\/bjsm.bmj.com\/content\/bjsports\/51\/24\/1750.full.pdf\"><span style=\"font-weight: 400;\">exercise that challenges balance<\/span><\/a><span style=\"font-weight: 400;\">, such as tandem walking or repeated sit-to-stand exercises.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Older people face particular barriers to being more physically active \u2013 these can be financial, physical, social or practical. Some <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2211335515000996\"><span style=\"font-weight: 400;\">older adults<\/span><\/a><span style=\"font-weight: 400;\"> find electronic gadgets that track daily physical activity useful for reminding and motivating them to be more active.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some people require a more supported approach to stay on track and reach their physical activity goals. Health coaching is a person-centred approach that commonly includes motivational interviewing techniques and solution-focused goal setting as strategies for promoting behaviour change. A recent <\/span><a href=\"https:\/\/bjsm.bmj.com\/content\/51\/19\/1425\"><span style=\"font-weight: 400;\">systematic review<\/span><\/a><span style=\"font-weight: 400;\"> of the effect of health coaching on physical activity among people aged 60+ demonstrated significant improvements in physical activity with this approach.<\/span><\/p>\n<p><a href=\"https:\/\/practicalhealthpsychology.com\/2018\/08\/how-to-set-goals-that-work\/\"><span style=\"font-weight: 400;\">Goal setting<\/span><\/a><span style=\"font-weight: 400;\"> is another strategy that promotes physical activity behaviour change. Goals encourage people to create a sense of urgency and motivation to invest time and energy to make the desired change. To maximise effectiveness, goals should be <\/span><a href=\"https:\/\/practicalhealthpsychology.com\/2017\/04\/the-power-of-planning\/\"><span style=\"font-weight: 400;\">self-directed<\/span><\/a><span style=\"font-weight: 400;\"> and meet <\/span><a href=\"https:\/\/www.mindtools.com\/pages\/article\/smart-goals.htm\"><span style=\"font-weight: 400;\">S.M.A.R.T \u00a0criteria<\/span><\/a><span style=\"font-weight: 400;\">: Specific, Measurable, Attainable, Relevant and Timely.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The social benefits of physical activity participation are often particularly important to older people. There are many options for people who prefer to exercise in organised groups. Many local councils organise free walking groups \u2013 these are a way of keeping active in a fun and sociable way. Or for a bit more of a challenge, <\/span><a href=\"https:\/\/www.parkrun.com\/\"><span style=\"font-weight: 400;\">Parkrun<\/span><\/a><span style=\"font-weight: 400;\"> is a free, weekly 5km timed running (or walking) event in more than 1,700 locations across the globe.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At any age the message around physical activity is simple- be as active as you can, in as many ways as possible, as often as you can. Doing something is better than doing nothing, and every little bit counts towards better health.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Practical recommendations<\/span><\/i><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> Make physical activity a \u00a0part of every prevention\/ treatment plan in order to maximise health and wellbeing.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Help patients to see movement as an opportunity to boost health rather than an inconvenience, for example suggest taking the stairs rather than the lift or walking to the shops rather than driving, where possible.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Older adults who are new to physical activity should be encouraged to choose something they enjoy and start with small amounts and build up the duration and intensity over time.<\/span><\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=n8s-8KtfgFM\"><span style=\"font-weight: 400;\">Exercise<\/span><\/a><span style=\"font-weight: 400;\"> performed in a standing position that specifically challenges balance is the most effective for reducing the risk of falls in older age.<\/span><\/li>\n<li>Recommend <a href=\"https:\/\/practicalhealthpsychology.com\/2017\/04\/the-power-of-planning\/\">goal setting<\/a>, activity trackers and\/or health coaching to assist older people to increase and maintain physical activity participation.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>By Anne Tiedemann, The University of Sydney, Australia \u201cLack of activity destroys the good condition of every human being while movement and methodical physical exercise save it and preserve it\u201d\u2026 Plato, 400 BC. It\u2019s long been known that making physical [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1464,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[25,27,24],"tags":[],"class_list":["post-1433","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-goal-setting","category-motivation","category-self-regulation"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"no","enabled_languages":["en","id","my","bg","zh","hr","cz","da","de","es","fr","gr","he","it","ja","kr","lv","lt","hu","nl","no","pl","pt","ro","ru","sk","fi","sv","tr","uk"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"id":{"title":true,"content":true,"excerpt":false},"my":{"title":true,"content":true,"excerpt":false},"bg":{"title":true,"content":true,"excerpt":false},"zh":{"title":true,"content":true,"excerpt":false},"hr":{"title":true,"content":true,"excerpt":false},"cz":{"title":true,"content":true,"excerpt":false},"da":{"title":true,"content":true,"excerpt":false},"de":{"title":true,"content":true,"excerpt":false},"es":{"title":true,"content":true,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false},"gr":{"title":true,"content":true,"excerpt":false},"he":{"title":true,"content":true,"excerpt":false},"it":{"title":true,"content":true,"excerpt":false},"ja":{"title":true,"content":true,"excerpt":false},"kr":{"title":true,"content":true,"excerpt":false},"lv":{"title":true,"content":true,"excerpt":false},"lt":{"title":true,"content":true,"excerpt":false},"hu":{"title":false,"content":false,"excerpt":false},"nl":{"title":true,"content":true,"excerpt":false},"no":{"title":false,"content":false,"excerpt":false},"pl":{"title":true,"content":true,"excerpt":false},"pt":{"title":true,"content":true,"excerpt":false},"ro":{"title":true,"content":true,"excerpt":false},"ru":{"title":true,"content":true,"excerpt":false},"sk":{"title":true,"content":true,"excerpt":false},"fi":{"title":true,"content":true,"excerpt":false},"sv":{"title":true,"content":true,"excerpt":false},"tr":{"title":true,"content":true,"excerpt":false},"uk":{"title":true,"content":true,"excerpt":false}}},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/practicalhealthpsychology.com\/no\/wp-json\/wp\/v2\/posts\/1433","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/practicalhealthpsychology.com\/no\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/practicalhealthpsychology.com\/no\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/no\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/no\/wp-json\/wp\/v2\/comments?post=1433"}],"version-history":[{"count":35,"href":"https:\/\/practicalhealthpsychology.com\/no\/wp-json\/wp\/v2\/posts\/1433\/revisions"}],"predecessor-version":[{"id":4605,"href":"https:\/\/practicalhealthpsychology.com\/no\/wp-json\/wp\/v2\/posts\/1433\/revisions\/4605"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/no\/wp-json\/wp\/v2\/media\/1464"}],"wp:attachment":[{"href":"https:\/\/practicalhealthpsychology.com\/no\/wp-json\/wp\/v2\/media?parent=1433"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/no\/wp-json\/wp\/v2\/categories?post=1433"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/no\/wp-json\/wp\/v2\/tags?post=1433"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}