1. Self-Study Training Module 3 Sponsored by the National Institute of Food and Agriculture Rural Health and Safety Education Grant: 2010-2012: (Grant # 2010-46100-21841); 2012-2013: (Grant # 2012-46100- 20145)

2. DEVELOPED BY: Sarah L. Francis PhD, MHS, RD Assistant Professor/State Nutrition Extension and Outreach Specialist Department of Food Science and Human Nutrition Jennifer Margrett, PhD Associate Professor Department of Human Development and Family Studies Warren D. Franke, PhD Professor Director, The Exercise Clinic at ISU Department of Kinesiology Iowa State University Ames, IA 2012

3. Older Adults & Physical Activity Benefits Safety Concerns Strategies to Ensure Safety

4. Benefits of Physical Activity

5. Physiologic Changes With Age 100 Percent Change 203040507080 Age (Years) 60 80 60 BMR HRmax Bone Mass CV Fitness Strength Vital Capacity

6. Benefits of Physical Activity 55-64 years 65-74 years75-84 years85 years and older Walking ¼ mileStanding 2 hoursCarrying 10 lbs.Stooping or bending Percentage of older adults who had at least some difficult walking one-quarter of a mile, standing for 2 hours, stooping or bending, and carrying 10 pounds by age. (United States, 2000 – 2003) Schoenborn et al., Advance Data from Vital and Health Statistics (CDC) #370, 2006 Percent 0 20 40 60 80 Total number of respondents = 39,990; age 55+

7. Age (y) 1200 Physical Activity (kcal/day) 1000 800 600 20304050708060 Benefits of Physical Activity

8. 0102030405060708090 40 60 80 100 120 Physiologic Function (% of peak) Sedentary Person Age (y) Active Person

9. Benefits of Physical Activity 0102030405060708090 40 60 80 100 120 Physiologic Function (% of peak) Active Person Sedentary Person Age (y)

10. Older Adults and Physical Activity Benefits Safety Concerns Strategies to Ensure Safety

11. Safety Concerns Be mindful of: Pre-existing conditions (such as diabetes, hypertension, heart disease, balance) The relative fitness level of participants Remind participants to stop immediately if they begin experience any chest discomfort or trouble breathing

12. Older Adults and Physical Activity Benefits Safety Concerns Strategies to Ensure Safety

13. Know where the phone is and call 9-1-1! Strategies to Ensure Safety 1. Have participants talk to their health care provider before joining 2. Always watch the participants 3. Ensure a safe exercise room 4. Encourage fun but discourage competition 5. Encourage a buddy system

14. Strategies to Ensure Safety If a participant is not feeling well or has a physical complaint, then ask them not to exercise until they are feeling better and consider talking to their health care provider. Use common sense – if they have difficulty with an activity, then either ask them not to do it or change the activity.

15. For more information… Read Chapter 4 in the LIFE Program manual

16. Preparing for Training Workshop Complete all self-study modules Read the entire LIFE Program manual Wear loose fitting comfortable clothing. You will be taking part in the exergaming and interactive game activities.