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Cardio-respiratory or aerobic fitness
is important to all individuals regardless of age and its
attainment should be the goal of any exercise program.
Much research has shown that cardio-respiratory
fitness can be improved by regularly raising the heart rate
to a good working level for a period of between 15 and 60
minutes. Walking is by far the best activity to achieve this.
Walking is the single most readily
available activity for the older person as it is enjoyable,
inexpensive and requires little skill. Walking is a great
social activity. You can walk with a friend, join a club or
you may prefer to walk alone. Whatever you do, the aim is
for comfort and enjoyment while keeping active.
Before getting started, see
your doctor if you: have not been active for some time,
have a history of heart disease or chest pains, have diabetes,
are very overweight, are a smoker or have high blood pressure.
The following information has been
specifically designed to introduce older people to a progressive
walking program, which if followed, could result in considerable
personal cardio-respiratory fitness improvement.
Regardless of how fit you believe
yourself to be, everyone is advised to start gradually and
follow the recommended levels in this guide.
As with any physical fitness program,
certain guidelines should be followed before commencing.
- Contact should be made with your
doctor prior to commencing a program. A brief medical check-up
will ensure that it is safe for you to proceed with an exercise
program.
- 'Loose' fitting clothing should
be worn, together with comfortable walking shoes or sandshoes.
- Postpone your walk if you have
a temporary illness or when the weather is extremely hot
or humid.
- Stop walking and consult your doctor
if any of the following occur: Nausea, Dizziness, Breathlessness
or tightness in the Chest.
- All participants are encouraged
to monitor their walking program by recording progress in
this booklet.
- Walk in safe areas and with a partner,
if possible.
A good field test, known as the conversation
test, can be used to determine if you are walking at the correct
pace. If you cannot carry out a conversation without having
to gasp excessively for air, you should slow down, as you
may be walking too quickly. This simple test should be used
throughout all levels of the program.
The time spent at each level is a matter
of experimentation. If you cannot handle a particular level
simply go back and spend more time at the previous level.
The intensity at which you walk is best
monitored by your heart rate during exercise. During all programs
the walk should result in a heart rate within 10 beats of
your target heart rate and with an overall bodily feeling
that the exercise is "slightly hard".
The target heart rate together with the
conversation test are valuable in ensuring that you are gaining
the most from your walks, whilst at the same time, not over-
exerting yourself. If you are walking at a comfortable pace
but cannot reach your target heart rate, try swinging your
arms more vigorously. This usually results in a higher heart
rate.
Heart rate can be measured by placing
the tips of the first two fingers lightly adjacent to the
adam's apple or on the thumb side of the palm side of the
wrist. Stop walking to take your pulse. Count the number of
pulsations within the first 15 seconds after you have stopped
walking. Multiply the pulsations by four. The result will
give you your heart rate per minute.
Any evaluation of perceived exertion
should consider the overall body feeling and not specific
areas, therefore emphasising the stress on the heart and lungs
rather than on local muscle fatigue.
The best advice is to "listen
to your body". If you perceive the exercise is too difficult,
it probably is! Slowing down and resting for a while is a
healthy and wise reaction.
In the maintenance program the aim
is to maintain the same energy expenditure per week and therefore
the time spent walking (at the required intensity) per week.
In other words, when you have reached
the level on the gradual progression program which you feel
is comfortable for you, then it is desirable to maintain this
level of walking as a regular habit. If you have a long break
for any reason, eg: holidays or illness, then it is wise to
return to the starter program or gradual progression program
in order to attain your maintenance level once again.
Try to walk every day. Ideally, adults should
get a total of 30 minutes or more of moderate exercise - like
walking- on most (preferably all) days of the week. The more
exercise you can do the better, providing you follow the steps
discussed in this booklet.
Body weight is best measured once every
4-6 weeks . This is because changes in body weight will only
be minor, especially during the starter program. Body weight
may in fact increase, as the loss of body fat can be masked
by an increase in lean muscle tissue.
Staying motivated is very difficult
for some people. Try some of the following tips to help you
remain active:
- Walk with a friend or in a group,
or with your spouse and family;
- Use the times you walk to think
- and relax;
- Plan your walks in advance;
- Vary your walks;
- Visit a national park or an historical
landmark;
- Visit a friend;
- Walk the dog;
- Join a waking club.
It is desirable to stretch both before
and after you go on our walk. Remember the following points:
- A gentle warm up is recommended
prior to stretching, eg walking around and moving the legs
and arms (approximately 5 to 10 minutes);
- Ease into and out of the stretch;
- Hold the stretch for a slow count
of six and repeat 2 to 5 times for each leg;
- Breathe evenly and relax;
- Don't stretch to the point of pain;
- Avoid bouncing while stretching.
Your most important walking equipment
is a sturdy, comfortable, lightweight walking shoe. If your
feet feel good, you will walk well - and continue walking.
When choosing the right walking shoes,
check for:
- Shoes with a tough outer layer
of rubber and a soft mid- sole that runs the full length
of the sole;
- Uppers of high quality, breathable
material, such as leather and/or nylon mesh;
- Lace up shoes are preferable;
- Comfortable padded heel collar;
- Firm heel counter (that cups the
heel) to give stability for the entire foot and leg;
- Substantial arch supports;
- Entire shoe should be designed
to absorb shock;
- Well fitting toe box;
- Heel should be held in shoe, well
cushioned and supported somewhat higher than the rest of
the foot;
- A sole designed specifically to
enhance smooth heel-to-toe motion;
- The toe box should allow ample
room and toes should not be tight against any part of the
shoe;
- Remember to wear cotton or woollen
socks.
- Walk smoothly, putting energy into
each step and let your arms swing freely by your sides.
After a while you will develop the rhythm and stride most
natural for your weight and height.
- Wear light, loose, comfortable
clothing and well- cushioned flat- soled shoes.
- Wear a hat and sun screen SPF15+
on exposed skin - avoid the hottest times of the day.
- If you are going on a long or strenuous
walk, drink water before you start and carry a supply with
you - especially in hot weather.
- If your breathing becomes uncomfortable,
slow down or stop.
- In cold weather, a hat prevents
heat loss from the head.
- A small 'back pack' is useful for
carrying water, sunglasses, sun screen, snacks and items
of clothing if you get too warm.
- If you are walking when it is dark,
wear light coloured clothing so motorists can easily see
you.
- Avoid walking immediately after
meals and don't walk if you have a fever or bad cold.
- You may feel some soreness in the
early stage of your program. This can be overcome by stretching
the working muscles before and after your walk.
The following is a suggested starter
progression program. This program may not suit all persons
and some will find they have to commence exercising at a lower
level.
Level 1 Walk 10 minutes 3 to 4
times/week
Level 2 Walk 12 minutes 3 to 4
times/week
Level 3 Walk 14 Minutes 3 to 4
times/week
Level 4 Walk 16 minutes 3 to 4
times/week
Level 5 Walk 18 minutes 3 to 4
times/week
Level 6 Walk 20 minutes 3 to 4
times/week
If you find this program is too difficult
it is possible to modify it by increasing the number of times
you exercise each day and reducing the length of each session
until you reach the starter program levels.
Minimum time spent at each level
Age:...... 60+ (2-weeks) ........ 70+
(3-weeks) ........80+ (4-weeks)
The following is a suggested gradual
progression program and follows-on from the starter program.
Level 1 Walk 20 minutes 3 to 4
times/week
Level 2 Walk 22 minutes 3 to 4
times/week
Level 3 Walk 24 Minutes 3 to 4
times/week
Level 4 Walk 26 minutes 3 to 4
times/week
Level 5 Walk 28 minutes 3 to 4
times/week
Level 6 Walk 30 minutes 3 to 4
times/week
Level 7 Walk 33 minutes 3 to 4
times/week
Level 8 Walk 36 minutes 3 to 4
times/week
Level 9 Walk 39 minutes 3 to 4
times/week
Level 10 Walk 42 minutes 3 to
4 times/week
Level 11 Walk 45 minutes 3 to
4 times/week
Level 12 Walk 48 minutes 3 to
4 times/week
Level 13 Walk 51 minutes 3 to
4 times/week
Level 14 Walk 54 minutes 3 to
4 times/week
Level 15 Walk 57 minutes 3 to
4 times/week
Level 16 Walk 60 minutes 3 to
4 times/week
Minimum time spent at each level
Age:........ 60+ (2-weeks)....... 70+
(3-weeks)....... 80+ (4-weeks)
In the maintenance program the aim
is to maintain the same energy expenditure per week and therefore
the time spent walking (at the required intensity) per week,
as you have attained from the gradual progression program.
In other words, when you have reached
the level on the gradual progression program, which you feel
is comfortable for you, then it is desirable to maintain this
level of walking as a regular habit. If you have a long break
for any reason, eg: holidays or illness, then it is wise to
return to the starter program or gradual progression program
in order to attain your maintenance level once again.
An active way of life is important for all
of us and becomes more important as we grow older. Walking
at a comfortable speed improves heart - lung function. It
is also good for general fitness as well as being safe, cheap
and convenient. It can be enjoyed alone or with friends.
If you walk regularly you tend to:
- Feel more confident, happy and
relaxed
- Control your weight better
- Have healthier blood cholesterol
level
- Have lower blood pressure
- Have stronger bones (less osteoporosis)
- Be less likely to have a heart
attack
- Recover better from a heart attack
- Be less likely to have a stroke
- Be less likely to develop diabetes
in middle age
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