Exercise for Seniors
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/ Categories: WELLNESS, 2022

Exercise for Seniors

When combined with a healthy diet, quality sleep, an active social life, and preventative medical care, there nothing is more powerful than exercise to keep us feeling younger, stronger, mobile, and independent. But incorporating exercise into our daily lives can be challenging for some. Here are six key concepts to get you started or reinvigorate your exercise routine.

Put exercise on your schedule. As they say, failing to plan is planning to fail. So, consider the best time for exercise, and work it into your day. Many people find it beneficial to make exercise the first thing they do in the morning. Doing so holds many important benefits, including improved sleep, mood, focus, and more.

Start low and slow. Deciding to be more active, and thinking about all of the rewarding aspects of a healthy lifestyle, can be really exciting. Those thoughts can lead people to do too much too soon, which can cause soreness or injury and derail healthy efforts altogether. Instead, start slow. Consider your current activity level and add 15 minutes a day or increase the degree of intensity by a small amount.

Those who are not active at all could begin with 15 minutes of low-impact exercises a day. Low-impact exercises—like swimming, cycling, walking, and chair yoga—allow you to move without putting a lot of added stress on your joints. As you become stronger, you can move on to longer or more intense exercise sessions.

Upgrade with some variety. Once you have a routine of a few weeks, add exercises that improve strength, mobility, balance, and flexibility. Yoga and Tai Chi are two excellent opportunities to combine these concepts into a single workout. You might walk three days each week while doing a yoga video on three other days.

Increase the duration. According to the Centers for Disease Control and Prevention, we should build up the duration of our workouts until we have reached at least 150 minutes of moderate intensity exercise or 75 minutes of vigorous intensity exercise per week. Aim for at least two sessions, on different days, of strength-building exercise. Remember, some exercise is better than none.

Make it fun and enjoyable. The best workout is the one you will consistently do. There are so many ways to make workouts fun. Invite friends along, join a class, or dance to your favorite music. You can also cultivate an active outdoor hobby, like hiking, cross country skiing, or snowshoeing. (Be sure to follow safety recommendations.)  Outdoor workouts include extra benefits, like reduced anxiety, improved sleep, and strength-building terrain.

If it hurts, adjust or stop. Pain is not gain; it’s an indication that something could be going wrong. If you run into pain, do a less intense modification or stop. Choose an exercise that is more comfortable for you. Ask your doctor if you might be able to see a physical therapist to get you off to a good start.

As long as you continue to try new things and slowly and safely increase the intensity and duration of your workouts, you will be experiencing the major benefits movement has to offer.

Nina Nunes, PTA, is a physical therapy assistant who works at SVMC Outpatient Therapy and in Southwestern Vermont Medical Center's inpatient units. SVMC is part of Southwestern Vermont Health Care. 

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COVID and Kids

When I first heard the news about COVID-19, I was relieved as both a parent and pediatrician that it seemed unlikely to seriously affect children. However, more recently in both the literature and amongst colleagues, I began hearing about an uncommon but serious inflammatory disorder affecting some children with COVID-19. The American Academy of Pediatrics and the Centers for Disease Control are calling this “Multi-System Inflammatory Syndrome in Children” or MIS-C.

My goal in writing today is to dispel myths about this new manifestation of the illness, provide helpful steps families can take to protect their kids from COVID-19, and assure that medical providers are aware of this new subset of COVID-19 and taking appropriate steps to keep your children safe.

Symptoms of MIS-C include inflammation in the skin and eyes, irritability and sluggishness, along with fever, rash, swollen lymph nodes, and abdominal pain. The symptoms are similar to a rare childhood illness called Kawasaki disease, which causes inflammation of the blood vessels and primarily affects children under 5 years of age.

There is very little known about MIS-C due to the small number of cases around the country. However, the medical community is monitoring this new syndrome very closely to learn all they can about it. I would like to emphasize that this condition is very rare and occurs a few weeks after a child has already recovered from COVID-19 infection.

As we have throughout the pandemic, pediatricians are urging families to take precautions to prevent their exposure to COVID-19. This includes reducing close contact with others by staying home as much as possible and avoiding congregating in groups. Anyone over the age of two should wear a mask when outside of the home.

Wash your hands and your child’s with soap and water for at least 20 seconds and sanitize frequently touched surfaces at least twice per day. Avoid touching your face and teach children to cough and sneeze into a tissue or their elbow. Aim to wash and dry plush toys about once a week.

There are special precautions to take if someone in your household is ill. See https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/care-for-someone.html for details.

The American Academy of Pediatrics recommends creating a healthy routine for your children that includes balanced meals, learning at home, exercise, social connection (Facetime, videochat, and in person with household), and adequate rest. This will help your children remain both physically and mentally healthy during this stressful time. Continue to reassure your children that the medical community is working hard to keep them safe during this time. Be sure to monitor their media consumption, watch for signs of anxiety, and be a good role model in regards to COVID-19 safety measures.

Call your pediatrician if you have any concerns about your children’s health, including symptoms of COVID-19 or MIS-C listed above. There are still important reasons to bring your child physically into the office such as immunizations, developmental checks, and growth monitoring. We would like to reassure you that we are taking proper steps to allow your children to safely receive care at our offices.

More detailed information about keeping your child healthy is available at https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/children.html. For information about obtaining healthy food or other basic needs for your family, dial 2-1-1.

Dr. Meghan Gunn is the medical director of SVMC Pediatrics.

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