title: Exercise and older patients: prescribing guidelines.
abstract: A combination of aerobic activity, strength training, and flexibility exercises, plus increased general daily activity can reduce medication dependence and health care costs while maintaining functional independence and improving quality of life in older adults. However, patients often do not benefit fully from exercise prescriptions because they receive vague or inappropriate instructions. Effective exercise prescriptions include recommendations on frequency, intensity, type, time, and progression of exercise that follow disease-specific guidelines. Changes in physical activity require multiple motivational strategies including exercise instruction as well as goal-setting, self-monitoring, and problem-solving education. Helping patients identify emotionally rewarding and physically appropriate activities, contingencies, and social support will increase exercise continuation rates and facilitate desirable health outcomes. Through patient contact and community advocacy, physicians can promote lifestyle patterns that are essential for healthy aging.
authors.affiliation: Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, Lipid Metabolism Laboratory, Boston, Massachusetts 02111, USA. ann.mcdermott@tufts.edu
authors.forename: Ann Yelmokas
authors.initials: AY
authors.lastname: McDermott
authors.forename: Heather
authors.initials: H
authors.lastname: Mernitz
mesh_terms: D000367:Age Factors; D000368:Aged; D015444:Exercise; D006304:Health Status; D006339:Heart Rate; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D017410:Practice Guidelines as Topic