Physical Activity in OA's

Question 1

What are some benefits of PA for OA’s that can be promoted?

Answer 1

the benefits of PA are that they minimize the risk and reverse the effects of many physical , psychological, and social hazards that come with advancing age. these benefits apply to most OA’s regardless of health status or disease.

Question 2

What are the 4 classifications of benefits of PA in OA’s?

Answer 2

1. Chronic disease prevention and risk reduction 2. fxnl status outcomes 3. psychological and well being 4. social outcomes

Question 3

What is a part of the chronic disease prevention and risk reduction benefit?

Answer 3

reduced stroke, all-cause mortality, weight, BP, fractures, colon and breast cancer, coronary heart disease, diabetes prevention, musculoskeletal symptoms.

Question 4

What is a part of the functional status outcomes?

Answer 4

maintain mm strength, b density, quality of life, phys fxn, cognitive fxn

Question 5

What is a part of the psychological and well being benefit?

Answer 5

immediate outcomes such as anxiety and depression reduction. life satisfaction, improved sleep, self-esteem.

Question 6

What is a part of the social outcomes benefit?

Answer 6

better social networks, community involvement, social supports and intergenerational pa.

Question 7

How can PA affect fall risk?

Answer 7

can reduce by increasing mm strength and balance. this will also reduce the rate of fractures as they are associated wiht falls

Question 8

What are some barriers to PA for OA’s?

Answer 8

the basic ones for all adults are lack of time, energy and motivation. for OA’s we also have, safety, excessive cost, lack of transportation, lack of skill/info, lack of social support, phys enviro, program types, diverse cultures (language, ethnicity, education)

Question 9

what are the safety considerations for pa?

Answer 9

light to mod has. a sim risk to rest. the problem is whenn ppl are un accustomed to pa or doing vig. benefits generally outweigh the risks.

Question 10

Why are most medical conditions not contraindications of pa?

Answer 10

pa isnt harmful to treatment bc it may improve the conditions, supposed to optimize treatment before beginning ex programs. monitor meds and vision regularly.

Question 11

What are the mvmt guidelines for oas?

Answer 11

150 min mod to vig aerobic pa, mm strengthening twice a week. sleep 7-8 hours, no more than 8 hours of sedentary time

Question 12

What are the PA recommendations based on health and fxnl status?

Answer 12

the actives; continue activity, do new activity, increase lvl. Those in transition, so whos health is declining bc of low lvls of activity, too much sedentary time, lost mm strength and balance, obesity can gain lots. their goal is to reverse loss of function and prevent disease. Frail older adults also a catagory.

Question 13

How can we get frail OA’s to be PA?

Answer 13

those who are frai lhave very low physical or cognitive fxn perhaps bc of chronic disease or old age itself. may need a therapeutic approach, and may be in residential care. goals are to minimize bio changes in aging, reverse disuse syndromes, control chronic diseases, maximize psych health, increase mobility and function, and assist with rehab from acute and chronic illnesses. Pa should be done effectively and safely to treat the condition. Also should be a manner of prevention. degree of supervision may vary.

Question 14

PA for OA’s in long term care facilities?

Answer 14

heterogenous in fxnl ability so they’re not all the same. 1, reduce sedentary behaviour, put in breaks, motivation and pleasure, ie walking to dining hall etc. 2. specific exercise training, dependent on adls, mod intensity, integrate balance/coordination and balance.

Question 15

What are the 4 components of frailty?

Answer 15

weakness, low physical activity, slow motor performance, fatigue.

Question 16

How should PA be different for OA’s with osteoporosis?

Answer 16

first do a fracture risk assessment, then do activities that include weight- bearing activities (if careful), strength, balance, posture, and flexibility training. modifications for difference in risk ie spine fracture has high incidence of occurring again so theyd be very low impact (no jumping, heavy liftinf, twisting, running, etc.) swimming is a good low impact option.