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Home > Womens World > 8 ways to live longer - How exercise helps ward off disease
   

8 ways to live longer - How exercise helps ward off disease

Let's look into the not-so-distant future, to 2020. The "graying" of America has become a reality. An astonishing 20 percent of the population is 65 or older with an average life expectancy of 80 years. Women make up most of the senior population. They're outliving male counterparts by more than seven years but paying a high price — enduring twice as many years of disability prior to death.

No wonder the focus of today's medicine is already shifting from extending life to improving the quality of life at the later stages. With a burgeoning older population and escalating health-care costs, preventing disability and loss of independence later in life is more essential now than ever.

In general, the following key points will help both women and men achieve and maintain optimal health throughout their lives:

  • Eat plenty of fresh fruits and vegetables

  • Take adequate amounts of vitamin D and calcium

  • Avoid "dieting" for weight loss

  • Avoid excessive intake of alcohol

  • Engage your primary-care physician in a shared decision-making process about the use of hormone
    replacement therapy for long-term prevention of heart disease and fractures

  • Ask your physician about your individual need for regular screening for breast and colon cancer

  • Engage in enjoyable physical activities such as walking for 30 minutes each day

  • Stop smoking


Let's take a look at how exercise and a healthy lifestyle can help delay the onset and improve the course of many chronic conditions that commonly afflict older women:

Coronary heart disease: The leading cause of death in women and men, costing $50 billion to $100 billion per year in lost wages and medical expenses. Lack of physical activity has been consistently identified as a risk factor for coronary heart disease. Here's how exercise can help:

  • High blood pressure. Regular aerobic activity performed at moderate intensity five to seven days a week decreases the resting blood pressure. This is important because high blood pressure is a major risk factor for heart disease and stroke. Two shorter workout sessions of 20-30 minutes in the morning and evening may optimize the blood-pressure-lowering effects. Supplement these workouts with resistance training twice each week using lighter weights and higher repetitions to strengthen the major muscles of the body.

  • Blood cholesterol and triglyceride levels. More than 50 percent of American adults have total blood cholesterol levels of 200mg/dl or more, putting them at risk for heart disease. Exercise has a beneficial effect in many ways. Current research indicates that total calorie expenditure is the most important exercise factor in lowering your blood cholesterol and triglyceride levels. This can be accomplished by exercising five to seven times each week at low to moderate intensity for 30-60 minutes. Your goal should be to burn between 1,000-3,500 calories per week. For example, walking a brisk pace for 45 minutes will utilize about 300 calories for a 150-pound person. If you can maintain this pace five days a week, your weekly total of calories used will reach 1,500 — enough to improve blood lipids if continued over several months.

  • Non-insulin dependent diabetes mellitus (NIDDM) This is a major risk factor for heart disease and the fourth leading cause of death. Diabetes is the leading cause of blindness, amputation and kidney failure in adults. NIDDM increases the death rate from coronary heart disease by four to six times in women and two to three times in men when compared to those who have normal blood glucose (sugar) levels. The good news: Those who are physically active are less likely to develop NIDDM than those who are sedentary. Exercise helps improve the body's sensitivity to insulin and will help normalize blood glucose levels. In addition, exercise can help reduce levels of abdominal fat which contribute greatly to the body's resistance to insulin.


Cancer: The leading cause of death for women age 35 to 50. Research from the College Study indicates that those who use up more than 2,000 calories or more in physical activity each week have a third less risk of all cancers than sedentary people. And exercise may help prevent colon and breast cancers. One study found that women who exercise an average of four hours per week reduced their risk of breast cancer by 50 percent compared to that of age-matched inactive women. Exercise may also help boost the immune system and even help promote such healthy habits as getting a good night's sleep.

Osteoporosis: A condition caused by bones losing their mineral mass and progressively becoming porous and prone to fracture. This affliction currently affects approximately 25 million Americans, 90 percent of them women. Osteoporosis is responsible for 70 percent of fractures in adults over age 45 and is a prime cause of disability in the elderly.

The best prevention strategy against bone loss is adequate intake of calcium throughout life. In addition, women should discuss with their doctor the benefits of estrogen replacement therapy to help slow the loss of calcium from the bone after menopause. Regular exercise can help slow the rate of bone loss in post-menopausal women. Research indicates that the mechanical stress of weight-bearing activities like walking, running, jumping, dancing, stair climbing and strength training may stimulate the bone to conserve calcium.

Strength training may be of particular benefit for those at risk of osteoporosis. Women participating in strength-training activities may not only build and maintain bone density but may also help prevent falls by improving balance and increasing strength of muscles that support and protect joints. Improving muscle strength will also enable older women to remain active throughout their lives, thus avoiding loss of bone from inactivity.

Free-weight exercises are helpful in developing coordination and balance. Performing multi-joint exercises such as quarter-squats, lunges, rowing and trunk strengthening at least twice each week is optimal.

Osteoarthritis: A degenerative condition of the joints associated with injury and aging. It is the most common type of arthritis, characterized by symptoms of joint stiffness, soreness and pain. While wear and tear on the joints contribute to osteoarthritis, moderate exercise can actually help.

Repetitive movements such as cycling, walking or swimming actually increases the amount of nourishing synovial fluid that is produced by the connective tissues of the joints. Synovial fluid helps improve joint lubrication and eases movement. Exercise will also help prevent excess weight gain, which can increase the risk of osteoarthritis in the joints of the ankles, knees, back and hips.

Stretching will help increase and maintain range of motion, while strengthening exercise prevents injury and protects the joint from further damage. For those who suffer from osteoarthritis, it's a good idea to avoid activity that may cause further wear on the weight-bearing joints: high impact aerobics, competitive sports that involve sudden changes in direction or body contact, overtraining and exercising through pain or exercising while injured.

Even if you don't add years to your life, you will add vigor and independence to your years if you make exercise part of your life.

 
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