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Physical Activity and
Exercise for Wellbeing
Dr Tim Henwood
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
• Interaction of lifestyle and genetic factors
•  Total blood cholesterol
•  Respiratory and cardiac parameters
•  Total body blood and water volume
•  Immunocompetance
• Susceptibility to disability and disease
Physiology of Ageing
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
•  Muscle mass
•25%  in muscle cross-sectional area
•  muscle strength and muscle power
• 50%  in muscle strength and 75%  in
muscle power
Muscle mass and normal ageing
As well as contributing to:
•  metabolic rate
•  total blood volume
•  body fat
•  bone mineral density
•  quality of life
•Frailty and Sarcopenia
•  balance confidence
• incidence of falls
•  functional ability
• losses of independence
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
Extended TV viewingObesity
Convenient location of
time saving devise
Poor nutritional choiceDemonstrated laziness
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
The Benefits of Being or Becoming Physically Active
Figure: Health Promotion for Old Age, Adapted from Alexandre Kalache WHO
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
Exercise and the Older Adult - Benefits
• Improves cardiac and respiratory function
•  Muscle parameters
•  Muscle mass
•  Muscle strength, muscle power and muscle
endurance
•  Mitochondrial and capillary density
•  Functional ability
•  Markers of inflammation
• Prevent further loss of bone mineral density
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
Exercise and the Older Adult - Benefits
•  Body fat
•  Symptoms of disease, depression and anxiety
• Improves sleeping patterns
•  Balance, postural stability and flexibility
•  Social interaction
•  Quality of life
• Cognitive capacity
• Prolonged independence
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
Exercise is Medicine
• http://exerciseismedicine.org.au/public/factsheets
• Preventative
• Symptom reduction
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
Dementia
Buchman et al. 2012
Heyn et al. 2004
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
Prehabilitation
Exercise undertaken by older adults pre-elective
surgery:
 Shortened recovery time
 Increased quality of life during recovery
 Decreased post-operative complications
 Increased functional ability post-departure from
hospital
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
EXERCISE PRESCRIPTION
• Mode/type
• Frequency
• Intensity
• Duration
• Environment
• Recovery
• Pain
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
Recommendations on physical activity for health for older
Australians
Recommendation 1
• Older people should do some form of physical activity, no matter what their age, weight, health problems or
abilities.
Recommendation 2
• Older people should be active every day in as many ways as possible, doing a range of physical activities that
incorporate fitness, strength, balance and flexibility.
Recommendation 3
• Older people should accumulate at least 30 minutes of moderate intensity physical activity on most,
preferably all, days.
Recommendation 4
• Older people who have stopped physical activity, or who are starting a new physical activity, should start at a
level that is easily manageable and gradually build up the recommended amount, type and frequency of
activity.
Recommendation 5
• Older people who continue to enjoy a lifetime of vigorous physical activity should carry on doing so in a
manner suited to their capability into later life, provided recommended safety procedures and guidelines are
adhered to.
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
Dr Tim Henwood Stephanie Fu
The University of Queensland / Blue Care
Research & Practice Development Centre
“We don't stop playing because we grow old; we grow old because we
stop playing.” George Bernard Shaw 1856 - 1950

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Tim Henwood - Physical Activity and Exercise for Wellbeing - PAJ 2015 Presentation

  • 1. Physical Activity and Exercise for Wellbeing Dr Tim Henwood
  • 2. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre • Interaction of lifestyle and genetic factors •  Total blood cholesterol •  Respiratory and cardiac parameters •  Total body blood and water volume •  Immunocompetance • Susceptibility to disability and disease Physiology of Ageing
  • 3. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre •  Muscle mass •25%  in muscle cross-sectional area •  muscle strength and muscle power • 50%  in muscle strength and 75%  in muscle power Muscle mass and normal ageing As well as contributing to: •  metabolic rate •  total blood volume •  body fat •  bone mineral density •  quality of life •Frailty and Sarcopenia •  balance confidence • incidence of falls •  functional ability • losses of independence
  • 4. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre Extended TV viewingObesity Convenient location of time saving devise Poor nutritional choiceDemonstrated laziness
  • 5. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre The Benefits of Being or Becoming Physically Active Figure: Health Promotion for Old Age, Adapted from Alexandre Kalache WHO
  • 6. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre Exercise and the Older Adult - Benefits • Improves cardiac and respiratory function •  Muscle parameters •  Muscle mass •  Muscle strength, muscle power and muscle endurance •  Mitochondrial and capillary density •  Functional ability •  Markers of inflammation • Prevent further loss of bone mineral density
  • 7. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre Exercise and the Older Adult - Benefits •  Body fat •  Symptoms of disease, depression and anxiety • Improves sleeping patterns •  Balance, postural stability and flexibility •  Social interaction •  Quality of life • Cognitive capacity • Prolonged independence
  • 8. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre Exercise is Medicine • http://exerciseismedicine.org.au/public/factsheets • Preventative • Symptom reduction
  • 9. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre Dementia Buchman et al. 2012 Heyn et al. 2004
  • 10. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre Prehabilitation Exercise undertaken by older adults pre-elective surgery:  Shortened recovery time  Increased quality of life during recovery  Decreased post-operative complications  Increased functional ability post-departure from hospital
  • 11. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre EXERCISE PRESCRIPTION • Mode/type • Frequency • Intensity • Duration • Environment • Recovery • Pain
  • 12. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre Recommendations on physical activity for health for older Australians Recommendation 1 • Older people should do some form of physical activity, no matter what their age, weight, health problems or abilities. Recommendation 2 • Older people should be active every day in as many ways as possible, doing a range of physical activities that incorporate fitness, strength, balance and flexibility. Recommendation 3 • Older people should accumulate at least 30 minutes of moderate intensity physical activity on most, preferably all, days. Recommendation 4 • Older people who have stopped physical activity, or who are starting a new physical activity, should start at a level that is easily manageable and gradually build up the recommended amount, type and frequency of activity. Recommendation 5 • Older people who continue to enjoy a lifetime of vigorous physical activity should carry on doing so in a manner suited to their capability into later life, provided recommended safety procedures and guidelines are adhered to.
  • 13. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre
  • 14. Dr Tim Henwood Stephanie Fu The University of Queensland / Blue Care Research & Practice Development Centre “We don't stop playing because we grow old; we grow old because we stop playing.” George Bernard Shaw 1856 - 1950