Lee Pearl Guozhu, Jackson Elizabeth A, Richardson Caroline R
University of Michigan School of Medicine, Ann Arbor, MI, USA.
Am Fam Physician. 2017 Apr 1;95(7):425-432.
Regular physical activity and exercise are important for healthy aging and are beneficial for chronic disease management. Exercise prescriptions for older adults should account for the individual's health status and functional capacity. Any amount of exercise is better than being sedentary, even if health status prevents a person from achieving recommended goals. For most health outcomes, more benefits occur with physical activity performed at higher intensity, greater frequency, or longer duration. Guidelines recommend at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity and at least two days of muscle-strengthening activities per week. Key components of the prescription include setting achievable activity goals, identifying barriers and providing potential solutions, and providing specific recommendations on the type, frequency, and intensity of activities. Older adults will derive distinct benefits from aerobic exercise, strength or resistance training, flexibility or stretching exercises, and balance training. Many community resources are available to help older adults begin a more active lifestyle.
规律的体育活动和锻炼对健康老龄化很重要,对慢性病管理也有益处。针对老年人的运动处方应考虑个人的健康状况和功能能力。即使健康状况使一个人无法达到推荐目标,任何运动量都比久坐不动要好。对于大多数健康结果而言,进行更高强度、更频繁或更长时间的体育活动会带来更多益处。指南建议每周至少进行150分钟的中等强度有氧运动或75分钟的高强度有氧运动,以及至少两天的肌肉强化活动。处方的关键组成部分包括设定可实现的活动目标、识别障碍并提供潜在解决方案,以及就活动的类型、频率和强度提供具体建议。老年人将从有氧运动、力量或阻力训练、灵活性或伸展运动以及平衡训练中获得明显益处。有许多社区资源可帮助老年人开始更积极的生活方式。