image

Health and wellness

Why it’s never too late to start working out, as gym granny shows – just pick the exercise you like and take it from there

For old people, fitness is often about being able to function independently. Being strong enough to lift boxes off shelves, walk up and down stairs, carry groceries and do laundry is what matters

PUBLISHED : Saturday, 11 November, 2017, 6:45pm
UPDATED : Saturday, 11 November, 2017, 6:45pm

Three years ago, she couldn’t do a single push-up and certainly had never heard of a “reverse fly”. Today, Solveig McCulloch, 79, can do 10 push-ups easily and pumps her 2.3 kilogram dumbbells.

“I am definitely stronger, and my balance and flexibility are better, too,” said McCulloch, who at 76 started exercising regularly for the first time: twice-weekly strength training and daily walking.

The best ways to stay motivated, from setting daily goals to talking yourself into a positive frame of mind – Hong Kong experts’ tips

Working out was not a trend for McCulloch’s generation. That said, the United States’ National Council on Ageing reports that more than 50 per cent of America’s elderly are active at least four times per week. In Hong Kong, a Behavioural Risk Factor Survey in April 2016 showed 28 per cent of adults aged 18-64 had not done any moderate or vigorous physical activity for at least 10 minutes at a time and only 44.6 per cent had done some vigorous physical activity during the week before the survey.

A 2007 report in the Hong Kong Medical Journal concluded that most local elderly adults were living relatively inactive lifestyles.

It’s never too late to start working out, Washington-based sports medicine doctor Justin Mullner says. “You can see dramatic benefits from exercising in older adults.”

These benefits include prevention of osteoporosis and muscle loss, as well as improved blood pressure and blood glucose levels.

World Health Organisation guidelines suggest adults over 65 should get at least two hours of moderate exercise, such as brisk walking, per week and do muscle-strengthening activities that work all major muscle groups twice a week.

Exercising can be a double-edged sword for someone who is 65 or older, as the risks are greater, Mullner says. A fall can lead to a hip fracture for someone with osteoporosis, and falls are the most common cause of injury in older adults.

Hong Kong’s Centre for Health Protection says about 20 per cent of those aged 65 and above fall every year, and 75 per cent of those who do suffer head injuries or broken bones. The risk of cardiovascular disease (such as heart attack) also increases with age.

Relief offered to Hong Kong osteoarthritis patients at Tai Po hospital after new knee replacement centre opens

First, clear any new routine with a doctor. (This is recommended for all ages.) Then solicit advice from resources such as the US’ National Institute on Ageing (go4life.nia.nih.gov), a trainer or a doctor about what kind of routine is appropriate for you, Mullner says.

“It’s so individual. What are the goals? What are the limitations?” he says. “What do you like to do? What will you keep doing?”

That’s where someone like Stephen Burgett comes in. The personal trainer in Washington helps identify goals and designs programmes that help clients stay injury-free while working on endurance, strength, balance and flexibility – all important components of fitness.

Do you have ‘chicken neck’? Nine ways to avoid neck and lower back pain

“The first thing I do is an assessment. I look at their range of motion, their movement patterns, how well they sit and stand,” Burgett said. He uses that information to design a workout programme.

For clients who lose their balance easily, he might look at strengthening the gluteus, because hip muscles are crucial for balancing. Gluteus muscles can be strengthened with the gluteus bridge (lying on your back on the floor, feet planted close to the hips and lifting the hips) and squats.

Many older adults have weak back muscles, causing them to hunch forward. Burgett might have them do a seated row (a pull motion) and a squat with a shoulder press to strengthen the upper back.

Burgett might also include planks for core strength, to help with posture, and a modified pull-up that strengthens the upper back.

“People, especially if their baseline is low, will see increased strength quickly, I would say within a month,” Burgett says.

Five easy exercises to avoid knee pain and strengthen ageing joints – a video guide

The goal of body composition changes – looking cut, for example – takes much longer and requires nutritional changes, he says. Generally speaking, though, older adults are very different from the younger set when it comes to fitness goals.

Young people are often looking to improve athletic performance or attain a certain aesthetic. For old people, fitness is often a way to stay independent: strong enough to lift boxes off shelves, walk up and down stairs, carry groceries, and do laundry.

“It’s about functional fitness,” says Mullner, who recommends tai chi and yoga for old people as a way to improve balance and proprioception, or spatial awareness and the ability to move effectively and efficiently. Those are key in preventing falls.

McCulloch agreed about the quality-of-life improvements.

“I can lift things like garbage bags and packages. And gardening has become much easier. I can do it without taking breaks. I can dig holes and bend over without any problems,” she says.

Why Hongkongers get sciatica, and three yoga moves to deal with the lower back pain

Although she is not looking to be in a body-building competition any time soon, she did show her grandchildren how a push-up is done, and she has expanded her routine to include power yoga. Just a few years ago, she didn’t know what a downward dog or pigeon pose was. Now they’re among her favourites.