Published on: 13-Oct-2019
Evidence shows that physical activity reduces the risk of fall-related injuries in older people by 32-40%, yet only 27% of older adults are achieving the recommended amount of weekly physical activity.
The 2018 PAGAC Scientific Report provides strong evidence that physical activity reduces the risk of fall-related injuries in older people by 32-40%, and this includes severe falls requiring medical care or hospitalization. There is also strong evidence that physical activity improves physical function and reduces the risk of age-related loss of physical function in a dose-response manner among the general aging population and improves physical function in older people with frailty and with Parkinson’s disease. Moderate evidence indicates that for older adults who sustained a hip fracture or stroke, extended exercise programs and mobility-oriented physical activity improves physical function.
The term “multicomponent” activity refers to physical activity interventions that include more than one type (or mode) of physical activity, with common types being aerobic, muscle-strengthening, and balance training. Perhaps the most convincing evidence from the 2018 PAGAC Report relates to the greater benefits of multicomponent (relative to single-component) exercise to the prevention of fall-related injuries and to improvements in physical function in older age. Moreover, multicomponent and multi-task activities (i.e., those that combine a physical task with a cognitive task) that are incorporated into the daily routine may be a promising alternative to structured, single-task exercise programs for older adults.
One in four individuals ages 65 years and older falls in the United States every year, and falls are the leading cause of fatal injury and the most common cause of nonfatal trauma-related hospital admissions among older adults. Thus, the effectiveness of physical activity programs that emphasize combinations of moderate-intensity balance, strength, aerobic, gait, and physical function training (performed in community settings or at home) for risk reduction has significant public health relevance in older age, due to the high prevalence of falls and fall-related injuries and fractures among older adults, as well as the consequent morbidity, disability and reduced quality of life.
Chronic diseases account for 75% of health care spending in the United States, and about 80% of adults ≥60 years of age have at least one chronic condition, and 77% have at least two. Low levels of daily physical activity often co-exist with chronic disease, thereby accelerating the risk of functional decline, disability, and mortality. Ample evidence now indicates that physical inactivity is among the strongest predictors of physical disability in older people. Aerobic, muscle-strengthening, and multicomponent physical activity appear to have the strongest relationship to improvements in physical function in the general aging population, as well as among those with chronic conditions. Thus, such activities may delay or improve mobility disability, frailty, and loss of independence in aging and also indicate that it is never too late to attain the benefits of an active lifestyle!
By Loretta DiPietro, PhD, MPH, FACSM, a Professor in the Department of Exercise and Nutrition Sciences, the Milken Institute School of Public Health at The George Washington University.
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