Exercise Medicine for the Frailty Syndrome

Description

Frailty is a clinical syndrome caused by multiple chronic conditions that makes it difficult to maintain homeostasis. In part, it is the result of the body’s inability to regulate normal inflammatory responses that lead to muscle loss, decrease in strength, and independence. Regular exercise helps to optimize physiological performance. It is a profound influence, especially in the presence of physical inactivity, where the lack of exercise leads to poor health and decreased longevity. Unfortunately, a high percentage of Americans fail to engage in daily exercise with the older population becoming increasingly frail, which is a syndrome characterized by declines in musculoskeletal and physiologic reserve and function. It has been documented that exercise is medicine and can be better than the effects induced by drugs. Exercise physiologists are healthcare professionals. They are key professionals in developing and applying an exercise medicine prescription for frail adults. Exercise Medicine for the Frailty Syndrome speaks to the benefits of exercise medicine as the best therapy to prevent or reverse the age-related muscle loss and functional deficits that are predictive of an increase in falls, hospitalization, institutionalization, and mortality. This book is a proactive step to help increase the functional independence of older frail adults. It highlights Board Certification by the American Society of Exercise Physiologists as the professional qualification to improve society’s understanding of the biological treatment and complexity of the frailty syndrome and is key reading for Exercise Physiologists. Cover Half Title Title Copyright Contents List of boxes Foreword Preface Part I The Frailty Syndrome: An Overview 1 Aging and the Frailty Syndrome Definitions of Frailty Frailty Phenotype Frailty Index Frailty and Sarcopenia Physiologic Correlates of Frailty Final Thoughts 2 Frailty, Obesity, Nutrition, and Cognitive Status Population, Aging, and Disease Aging and Frailty Obesity and Frailty Frailty, Disability, and Healthcare Costs Frailty, Exercise, and Nutrition Frailty, Impairments, and Costs Cognitive Frailty Final Thoughts 3 Perspectives for Healthy Aging and Frailty Healthy Aging Aging, Physical Activity, and Health Social and Treatment Implications Demographic Trends, Aging, and Concerns Final Thoughts Part II Challenges of Caring for the Frail Elderly 4 The Aging of the Baby Boomers The Future and Senior Care Vital Directions for Health Care Geriatric Exercise Physiology Final Thoughts 5 The Prescription for Aging The Aging Body Aging and Sarcopenia Planning for the Future Final Thoughts 6 The Older Population: What Is the Answer? The Current Challenge A Collaborative Approach Exercise: The Incredible Medicine Muscle Loss and Functional Decline Final Thoughts Part III Exercise Comes of Age 7 The Rationale for Geriatric Exercise Benefits of Exercise for Aging Adults Staying Active and Aging Exercise Medicine Final Thoughts 8 The Challenge of Implementing Exercise Medicine Aging and Choices The Medical Profession and the Use of Prescription Drugs Society’s Failure to Live an Active Lifestyle Final Thoughts 9 Resistance Training and Frail Adults Effects of Aging and Physical Inactivity A Resistance Training Guide for Frail Adults Part 1: Warm-Up Part 2: Lifting Weights Final Thoughts 10 Flexibility Training and Frail Adults Frail Adults Have Similar Flexibility Needs The “Three” Good Flexibility Exercises Number 1: Sit–Straddle–Reach Stretch Number 2: Shoulder and Chest Stretch Number 3: Standing Hip Flexor Stretch Final Thoughts 11 Aerobic Training and Frail Adults Exercise Precautions Final Thoughts Part IV Exercise Medicine Professionals 12 Exercise Physiologists Are Healthcare Professionals Medicine in the Form of Exercise The Problem Looking Ahead: Exercise Medicine Exercise Medicine and the Curriculum Final Thoughts 13 A Call to Action for Exercise Physiologists Physiology of the Exercise Physiologist’s Practice Measurement and Examination Instruction Analysis and Treatment Final Thoughts 14 The Future of Frailty Lifestyle: Drugs or Exercise Medicine Attitude Makes the Difference Exercise or Disease? Final Thoughts Epilogue: Maximizing Health Index