12014 Live 2 B Healthy® How important is mobility to you and those you serve? Mobility: A Life Goal

22014 Live 2 B Healthy®  Common changes and health conditions  Our body systems working together  An active and capable future Mobility Impacts Independence

32014 Live 2 B Healthy® Importance of Mobility  Limitations impact up to 50% of adults 65 and older Spiral of poor health  Linked with lower quality of life  Linked with higher rates of depression

42014 Live 2 B Healthy®  Muscle Mass, Strength and Power  Bone Strength and Density  Flexibility  Proprioception – our body in relation to surroundings Common Changes As We All Age

52014 Live 2 B Healthy®  Metabolism & Digestive System  Vision  Vestibular System  Heart – Postural Hypotension Common Changes As We All Age

62014 Live 2 B Healthy®  Osteoporosis  Arthritis  Foot and Ankle problems Common Conditions That Derail Us

72014 Live 2 B Healthy®  Vestibular Disorders  Eye Disorders  Peripheral Neuropathy Common Conditions That Derail Us

2014 Live 2 B Healthy®8 QUESTIONS?

92014 Live 2 B Healthy® “Many of the health problems that come with aging could be avoided or lessened by following healthy habits throughout adulthood.” Quote from: “Mobility and Independence”, Harvard Medical School, 2012

Live 2 B Healthy® Muscles  More than 600 muscles  Sarcopenia 25% loss between ages 30 – 70 25% loss between ages Body Systems Working Together

2014 Live 2 B Healthy®11 Body Systems Working Together Sarcopenia  Major threat to independence  Declining muscle mass and strength Some is inevitable Lack of use

2014 Live 2 B Healthy®12 Body Systems Working Together Bones  Our body’s infrastructure  Development and maintenance Nutrition “Load bearing”

Live 2 B Healthy® Bones  After 35 gradually lose density and shrink  Increased risk for fractures Loss of strength and flexibility muscles, joints and tendons Osteoporosis Body Systems Working Together

Live 2 B Healthy® Joints  Hips and Knees Prime movers Largest joints  Feats of engineering Complex joints Every step starts with our hip Body Systems Working Together

Live 2 B Healthy® Sprains and Strains  Overuse  Unaccustomed activity  Excessive lifting  An Accident Body Systems Working Together

2014 Live 2 B Healthy®16 QUESTIONS?

Live 2 B Healthy® Active and Capable Future Promoting your health  Maintain a Healthy Weight  Eating a Nutrient Rich Diet  Protecting your Eyes and Ears  Build Your Sense of Balance

Live 2 B Healthy® Active and Capable Future Promoting your health  Care for Your Joints – knees, hips and ankles  Care for your Back and Posture  Maintain Muscle Strength and Power  Strengthening Core Muscles

2014 Live 2 B Healthy®19 Active and Capable Future “ The evidence is overwhelming -- people who exercise live longer on average than those who don't. According to dozens of studies, regular physical activity reduces the risk of heart disease, stroke, diabetes, some forms of cancer, and depression. ” Web MD, Melinda Ratini, DO,

Live 2 B Healthy® Active and Capable Future U.S. Department of Health  30 minutes moderate aerobic exercise/day, 5 days a week  At least 2 strength training sessions/week  Disability should not be a reason to refrain Do as much as abilities or conditions allow

Live 2 B Healthy® Activity and Physical Activity (Exercise!)  Activity: Movement that involves contraction of muscle  Physical Activity or Exercise: Planned, purposeful activity to acquire physical fitness Active and Capable Future

Live 2 B Healthy® Components of an Exercise Program  Cardio-Respiratory Endurance  Muscular Strength  Muscular Endurance  Flexibility Active and Capable Future

Live 2 B Healthy®  Exercise + Intensity = Cardiovascular or Strength Improvement Active and Capable Future  Measuring Intensity Rating of perceived exertion and talk test Scale from 1 to 10 Five Zones

Live 2 B Healthy® “It can’t be emphasized enough: engaging in physical activity is the single most important thing you can do to maintain mobility and independence, no matter your age or health status” Quote from: “Mobility and Independence”, Harvard Medical School, 2012 Active and Capable Future

Live 2 B Healthy® “Regular exercise provides a myriad of health benefits in older adults, including improvements in blood pressure, diabetes, lipid profile, osteoarthritis, osteoporosis, and neurocognitive function. Regular physical activity is also associated with decreased mortality and age- related morbidity in older adults. Despite this, up to 75 percent of older Americans are insufficiently active to achieve these health benefits.” Quote from: Promoting and prescribing exercise for the elderly, Robert J. Nied, M.D., Michigan State University 2002 Active and Capable Future

2014 Live 2 B Healthy®26 QUESTIONS?