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Better Health 25 Eng

The magazine for patients and friends of Bumrungrad International Hospital, Thailand.

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Senior-suitable exercises<br />

The right types of exercise for younger adults aren’t<br />

necessarily appropriate for seniors, especially those being<br />

treated for certain medical conditions. “It’s important that<br />

seniors avoid high-resistance and high-intensity exercises,”<br />

Dr. Suthee advises. “I always recommend my senior patients<br />

include exercises targeting different areas of the body, and<br />

be sure their exercise routine is ‘slow but consistent’ and<br />

‘low resistance’.” <br />

Following are some of the best, most comprehensive<br />

exercises to boost senior body performance and improve<br />

overall health and fitness: <br />

Increased joint mobility. Range-of-motion exercises <br />

can be performed by moving each joint through its full <br />

range of motion. For example, for shoulder mobility, <br />

slowly raise one arm above the head as high as possible; <br />

repeat five to ten times for each shoulder. <br />

Stronger muscles. Resistance training strengthens the <br />

core muscles involved in body movement. These include <br />

leg, hip and back muscles. Light weightlifting, push-ups <br />

done against a wall, and hand- and leg-raisers are all <br />

effective muscle builders for seniors. <br />

Exercise exertion: Is your workout too intense?<br />

Exercise is fundamental to healthier living. But pushing yourself too hard or for too long can turn a good thing <br />

into something harmful, especially for senior adults. One way to measure your level of exercise exertion is to use<br />

the Borg Rating of Perceived Exertion (RPE). The Borg Scale assigns a numerical value from 6 to 20, as detailed<br />

below, based on the physical sensations a person feels during exercise.<br />

Perceived<br />

Exertion<br />

Score<br />

Exercise intensity Physical sensations Target Heart Rate<br />

6-7<br />

8-9<br />

10-11<br />

No exertion at all<br />

Very light exertion<br />

Light exertion<br />

How you feel when lying in bed, watching<br />

TV, or relaxing in a comfortable chair.<br />

Little or no effort. <br />

60% of maximum heart rate<br />

12-13 Moderate/Medium exertion Feels like you can exercise for hours, easy<br />

to breathe and to speak. <br />

14-15 Hard / Heavy exertion Feels energetic enough to exercise for hours,<br />

breathes heavily, can only carry on brief<br />

conversation. <br />

16-17 Very strenuous exertion Discomfort, very difficult to maintain exercise<br />

intensity, barely able to breathe or speak. <br />

60% of maximum heart rate<br />

70% of maximum heart rate <br />

80% of maximum heart rate <br />

18-20 Extremely hard to<br />

maximum exertion <br />

Feels almost impossible to keep exercising,<br />

feels completely out of breath. You are exercising<br />

dangerously hard.<br />

90% of maximum heart rate<br />

DANGER! DO NOT EXERCISE AT<br />

THIS LEVEL OF INTENSITY!<br />

REMINDER: For seniors planning to check their exercise intensity using the Borg Scale, it’s<br />

important that workout intensity be maintained within the “Moderate/Medium exertion” or<br />

“Hard/Heavy exertion” ranges, i.e. within a rating range of 12 to 15.

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