Medical Forum / Diseases and Disorders / Arthritis / January 2007
Weekly Health News 5/6 Baby Boomers - Beware of Trouble
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Fire Chief - 04 Jan 2007 05:42 GMT JANE E. BRODY Boomers, beware of trouble coming January 2, 2007
An apology to all baby boomers and beyond: I'm afraid that in our efforts to get everyone to become physically active, we've sold you a bill of goods. A 30-minute walk on most days is just not enough. There is much more to becoming - and staying - physically fit as you age than engaging in regular aerobic activity. (Of course, the same applies to those younger than 60.)
In addition to activities like walking, jogging, cycling and swimming that promote endurance, cardiovascular health and weight control, there is a dire need for exercises that improve posture and increase strength, flexibility and balance. These exercises can greatly reduce the risk of injuries from sports and endurance activities, the demands of daily life, falls and other accidents.
Musculoskeletal injuries are now the No. 1 reason for seeking medical care in the United States. And falls, the Centers for Disease Control and Prevention reports, have become the leading cause of injury deaths for men and women 65 and older. Unless you do something to slow the deterioration in muscle, bone strength and agility that naturally accompanies aging, you will become a prime candidate for what Dr. Nicholas A. DiNubile, an orthopedic surgeon at the Hospital of the University of Pennsylvania, calls "boomeritis."
"By their 40th birthday, people often have vulnerabilities - weak links - and as the first generation that is trying to stay active in droves, baby boomers are pushing their frames to the breakpoint," DiNubile said.
"Baby boomers are falling apart - developing tendinitis, bursitis, arthritis and 'fix-me-itis,' the idea that modern medicine can fix anything. It's much better to prevent things than to have to try to fix them."
DiNubile pointed out that evolution had not kept up with the doubling of the human life span in the last 100 years. To counter the inevitable declines with age, we have to provide our bodies with an extended warranty.
In their recently published book, "Age-Defying Fitness" (Peachtree Publishers), two prominent physical therapists, Marilyn Moffat of New York University and Carole B. Lewis of Washington, D.C., provide the ingredients to help you make the most of your body for the rest of your life: a quick quiz and a five-part test to assess the status of your posture, strength, balance, flexibility and endurance, followed by five chapters with step-by-step instructions on how to safely improve the areas in which you are lacking.
The therapists describe what happens to these "five domains of fitness" as you age. Posture begins changing as early as the teenage years, the result of activities like prolonged sitting, carrying a heavy purse or briefcase, or working at a computer.
Strength declines as muscle fibers decrease in size and number and as the supply of nerve stimulation and energy to the muscles diminishes. Balance deteriorates as muscles tighten and weaken and joints lose their full range of motion.
Flexibility declines because connective tissue throughout the body becomes less elastic. And endurance falls off because of reduced flexibility, weakened muscles and stiffer lungs and blood vessels.
Still not convinced you need to work on your fitness? See how you do on the therapists' quiz:
Are you not standing as straight and tall as you once did? Is walking up a flight of stairs a strain at times? Are you getting up from a chair more slowly than you used to? Is it getting harder to look to the left and right while backing up? Do you get stiff sitting through a long movie? Is standing on one leg to put on your shoe difficult or impossible? Do you trip or lose your balance more easily? Does walking or jogging a distance take longer than it used to?
"The antidote to aging is activity," the therapists wrote. "Inactivity magnifies age-related changes, but action maintains and increases your abilities in all five domains."
Dr. Vonda J. Wright, a sports medicine specialist at the University of Pittsburgh Medical Center, said that "boomers are 59, and we must intervene now to head off what happens to those who age in a sedentary way."
Injury and arthritis are the main reasons people stop exercising, she said. She urged those in need of a joint replacement not to postpone the surgery, which she likened to repairing a pothole.
d'huit - 04 Jan 2007 18:20 GMT i come from a long line of artists and artisans (not exactly strenuous work), going back to the 1600s. i wish a doctor would tell me just how so many of those exercise-deprived ancestors managed to live waaay past their 80s without joining a gym or jogging down the road? lordy, and all the while eating real butter and lard and bacon grease and desserts and breads and drinking whole milk with whole cream still on top! centenarians run in my family, going waaaay, waaaay back.
i don't ever remember seeing my mother or father exercise and they're both 83. my grandmother was badly crippled at age 5 (tricycle accident) and she was as sedentary as a stone because of it--she died at age 97, but man, was she artistic and creative and a wonderful grandmother! my great-grandfather told me his idea of exercise was fishing off a pier and brewing his own beer (pretty strenuous exercise, y'think?)--he died at 104--he was a typist, on a typewriter, for the railroad his whole adult life, until he retired; and was still typing, for the local newspaper during his retirement . i guess his fingers were physically fit, though--actually, at 97 he could still do a handstand and pick up a handkerchief with his own natural teeth (i couldn't do that as a teenager!).
i'm beginning to think that "age-defying fitness" is all in our minds. i'm thinking doctors have always been "practicing" on us, when what was really needed to live so long was good genes and good luck (like, not being hit by a fatal disease epidemic, or being run over by a horse and buggy, or being in a war.). there was a french woman who lived to be 115 years old and she smoked all her life. maybe she should have quit smoking so she could have lived longer? how absurd is that?!
sometimes, i think people are delusional, like they expect to live forever "if . . .". nobody is ever going to live to be as old as methuselah--but it's like we think we are the little engine who could and we keep saying, "i think i can, i think i can". the sad thing is we only have so much time on this planet and we waste sooo much of that time trying to extend our lives by spending years of our lives following the latest and greatest fitness trend--and then, along comes a truck . . . splat! when we should have been spending that wasted time with loved ones, or using our creativity, or just enjoying being alive for whatever time we have.
kate (yeah, i know. that's not a medically popular nor boomerish point of view. and i'm kind of a dumbbell about it, i guess.)
JANE E. BRODY Boomers, beware of trouble coming January 2, 2007
An apology to all baby boomers and beyond: I'm afraid that in our efforts to get everyone to become physically active, we've sold you a bill of goods. A 30-minute walk on most days is just not enough. There is much more to becoming - and staying - physically fit as you age than engaging in regular aerobic activity. (Of course, the same applies to those younger than 60.)
In addition to activities like walking, jogging, cycling and swimming that promote endurance, cardiovascular health and weight control, there is a dire need for exercises that improve posture and increase strength, flexibility and balance. These exercises can greatly reduce the risk of injuries from sports and endurance activities, the demands of daily life, falls and other accidents.
Musculoskeletal injuries are now the No. 1 reason for seeking medical care in the United States. And falls, the Centers for Disease Control and Prevention reports, have become the leading cause of injury deaths for men and women 65 and older. Unless you do something to slow the deterioration in muscle, bone strength and agility that naturally accompanies aging, you will become a prime candidate for what Dr. Nicholas A. DiNubile, an orthopedic surgeon at the Hospital of the University of Pennsylvania, calls "boomeritis."
"By their 40th birthday, people often have vulnerabilities - weak links - and as the first generation that is trying to stay active in droves, baby boomers are pushing their frames to the breakpoint," DiNubile said.
"Baby boomers are falling apart - developing tendinitis, bursitis, arthritis and 'fix-me-itis,' the idea that modern medicine can fix anything. It's much better to prevent things than to have to try to fix them."
DiNubile pointed out that evolution had not kept up with the doubling of the human life span in the last 100 years. To counter the inevitable declines with age, we have to provide our bodies with an extended warranty.
In their recently published book, "Age-Defying Fitness" (Peachtree Publishers), two prominent physical therapists, Marilyn Moffat of New York University and Carole B. Lewis of Washington, D.C., provide the ingredients to help you make the most of your body for the rest of your life: a quick quiz and a five-part test to assess the status of your posture, strength, balance, flexibility and endurance, followed by five chapters with step-by-step instructions on how to safely improve the areas in which you are lacking.
The therapists describe what happens to these "five domains of fitness" as you age. Posture begins changing as early as the teenage years, the result of activities like prolonged sitting, carrying a heavy purse or briefcase, or working at a computer.
Strength declines as muscle fibers decrease in size and number and as the supply of nerve stimulation and energy to the muscles diminishes. Balance deteriorates as muscles tighten and weaken and joints lose their full range of motion.
Flexibility declines because connective tissue throughout the body becomes less elastic. And endurance falls off because of reduced flexibility, weakened muscles and stiffer lungs and blood vessels.
Still not convinced you need to work on your fitness? See how you do on the therapists' quiz:
Are you not standing as straight and tall as you once did? Is walking up a flight of stairs a strain at times? Are you getting up from a chair more slowly than you used to? Is it getting harder to look to the left and right while backing up? Do you get stiff sitting through a long movie? Is standing on one leg to put on your shoe difficult or impossible? Do you trip or lose your balance more easily? Does walking or jogging a distance take longer than it used to?
"The antidote to aging is activity," the therapists wrote. "Inactivity magnifies age-related changes, but action maintains and increases your abilities in all five domains."
Dr. Vonda J. Wright, a sports medicine specialist at the University of Pittsburgh Medical Center, said that "boomers are 59, and we must intervene now to head off what happens to those who age in a sedentary way."
Injury and arthritis are the main reasons people stop exercising, she said. She urged those in need of a joint replacement not to postpone the surgery, which she likened to repairing a pothole.
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