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Showing posts with label Workout. Show all posts
Showing posts with label Workout. Show all posts

Tuesday, September 9, 2025

Take a seat and exercise

For those with limited mobility, chair exercises are a good way to work out. — The Straits Times/ANN

As individuals age, it becomes increasingly important to maintain physical activity for overall health and well-being.

Regular exercise aids seniors in managing weight, elevating mood, improving balance and lowering the risk of chronic illnesses.

However, many older adults encounter obstacles that complicate traditional forms of exercise like walking or jogging.

Mobility limitations, joint discomfort and various health issues can hinder participation in more intensive workouts, resulting in a sedentary lifestyle that may adversely affect health. 

For those who find walking challenging, chair exercises offer an excellent alternative.

These low-impact movements can be performed while seated, making them both accessible and safe for seniors across all fitness levels.

Chair exercises not only encourage physical activity, but also provide numerous advantages, including enhanced cardiovascular health and improved muscle strength.

By integrating these exercises into their daily routines, seniors can improve their quality of life and maintain their independence.

Exercises for heart health

As people age, it is essential to prioritise heart health.

Below are a few effective chair exercises designed to enhance cardiovascular fitness:

Seated marching

Sit upright in a sturdy chair with your feet flat on the floor.

Raise one knee towards your chest as high as you can, then lower it and repeat with the other leg.

Alternate your legs for one to three minutes while maintaining proper posture.

This exercise stimulates the heart and improves coordination.

Arm circles

While seated, extend your arms to the sides at shoulder height.

Move your arms in small circles, gradually increasing the circle size over 30 seconds, then reverse direction for another 30 seconds.

This movement enhances shoulder mobility and promotes blood circulation.

For added intensity, consider holding light weights.

Leg lifts

Extend one leg straight out, keeping it parallel to the ground for a few seconds before lowering it.

Repeat 10-15 times before doing the same with your other leg.

To raise your heart rate, combine leg lifts with seated marching or perform the lifts more quickly.

This exercise benefits heart health while also strengthening your legs and improving overall mobility.

Each exercise is designed to be low-impact, yet effective, making them accessible for seniors at all fitness levels.

Exercises for muscle strength

You don't necessarily have to lift heavy weights to build muscle strength if you are not strong enough; start light – even a filled water bottle will do. — dpaYou don't necessarily have to lift heavy weights to build muscle strength if you are not strong enough; start light – even a filled water bottle will do. — dpa

As individuals age, preserving muscle strength becomes increasingly vital for overall health and mobility.

Chair exercises provide a safe and effective means for seniors to build and maintain muscle strength without requiring extensive equipment or risking falls.

Below are some beneficial chair exercises specifically designed to enhance muscle strength in various body areas:

Seated leg extensions

Sit upright in a sturdy chair with your feet flat on the ground.

Slowly extend one leg straight out in front of you, keeping your knee straight and your foot flexed (i.e. in its normal bent position).

Hold the extended position for a count of three before gently lowering your leg back to the starting position.

Repeat this movement 10-15 times before switching to your other leg.

This exercise is an excellent way to strengthen the quadriceps, which are the large muscles located at the front of the thighs.

It also enhances knee stability, which is essential for maintaining mobility.

Seated bicep curls with weights

Sit comfortably in a chair with a weight (such as a dumbbell or a filled water bottle) in each hand, arms resting at your sides.

Keeping your elbows close to your body, lift the weights up towards your shoulders while exhaling.

Pause briefly at the peak of the movement, then slowly lower the weights back to the starting position while inhaling.

Aim for 10-15 repetitions, ensuring proper posture throughout the exercise.

This straightforward, yet effective exercise not only strengthens the arms, especially the biceps, but also enhances grip strength, which can assist in daily activities.

Chair squats for lower body strength

Begin by sitting on the edge of the chair with your feet flat on the floor, hip-width apart.

Slightly lean forward and engage your core.

Gradually rise from the chair by pushing through your heels and standing up, keeping your back straight.

Once fully standing, gently lower yourself back down to the chair, controlling your descent to avoid plopping down.

Repeat this movement eight to 12 times.

Chair squats not only build lower body strength, targeting the glutes, hamstrings and quadriceps, but also improve balance and stability, facilitating everyday activities.

Safety tips

Participating in chair exercises can be an excellent way for seniors to maintain their physical health and well-being, but safety should always be a priority.

Here are some essential safety tips to ensure a safe and effective workout:

Choose the right chair and environment

Select a sturdy, armless chair with a stable base.

Ensure that the seat height allows your feet to rest flat on the floor.

Keep the area free of obstacles and exercise in a well-lit environment.

Warm-up and cool-down activities

Begin with gentle neck rolls, shoulder shrugs and wrist circles as warm-up exercises to prevent injury.

Cool down with seated stretches for your arms, legs and back to maintain flexibility and reduce soreness.

Listen to your body and avoid strain

Pay attention to any discomfort during exercises.

If something feels wrong, stop immediately.

If you feel better, then restart gradually.

You can increase the intensity of the exercises as you build strength.

By adhering to these safety tips, seniors can safely enjoy chair exercises while minimising the risk of injury, fostering a sustainable fitness routine and promoting overall health.

Be consistent

As discussed throughout this column, chair exercises offer a valuable opportunity for seniors to maintain their health and well-being, particularly for those who may encounter mobility challenges.

These simple, yet effective routines allow for physical activity without the necessity for extensive walking or standing.

Consistency is key, and even a few minutes each day can lead to significant health improvements.

The benefits of chair exercises also extend beyond the physical realm, contributing to emotional and mental well-being.

We encourage seniors and their caregivers to incorporate these exercises into their regular routines.

By making these movements a part of daily life, seniors can continue to lead active lifestyles, fostering independence and enhancing their quality of life.

By Datuk Dr Nor Ashikin Mokhtar - is a consultant obstetrician and gynaecologist, and a functional medicine practitioner. For further information, email starhealth@thestar.com.my. The information provided is for educational and communication purposes only, and it should not be construed as personal medical advice. Information published in this article is not intended to replace, supplant or augment a consultation with a health professional regarding the reader’s own medical care. The Star does not give any warranty on accuracy, completeness, functionality, usefulness or other assurances as to the content appearing in this column. The Star disclaims all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.

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Sunday, July 7, 2024

Figuring out the best time to exercise; Any regular exercise helps maintain the brain

For some people, early morning before getting ready for the day’s duties is the best time to get their daily dose of physical activity in. — Filepic

It's a long-standing discussion for all who want to get into shape: When is the best time to exercise?

Based on member data from American fitness company Future, about 41% of workouts take place between 7-9am or 5-7pm.

“The debate is intriguing with proponents of both morning and evening workouts citing various benefits,” says sports medicine research director Dr Andrew Jagim from the Mayo Clinic Health System in Wisconsin, United States.

“From increased energy levels to enhanced performance or greater weight-loss benefits, health experts delve into the science behind exercise timing to shed light on the optimal approach for achieving fitness goals.”

In the morning

For morning exercisers, the allure of starting the day with a workout is undeniable.

“Getting your workout in and completed before you even begin your day can provide a sense of accomplishment and set a positive tone for the day ahead,” explains Dr Jagim.

“The post-workout release of endorphins and the satisfaction of accomplishing something before 9am can serve as a powerful ego boost.”

Perhaps most importantly, morning workouts eliminate the need to worry about finding time for exercise later in the day.

This is as it’s often the only time of the day that hasn’t been previously committed to work, social events or family activities.

“By completing your workout in the morning, you free up your afternoons and evenings for other activities, such as cooking dinner, socialising or simply relaxing,” Dr Jagim notes.

“This sense of freedom and flexibility can alleviate stress and enhance overall well- being.”

For people embarking on morning workouts, strategic pre-exercise nutrition can make a significant difference in energy levels and performance.

“Starting the day with a balanced breakfast containing carbohydrates, protein and healthy fats can provide the necessary energy to power through a morning workout,” he advises.

“Opt for wholegrain cereals, Greek yoghurt with fruit, and allow sufficient time for digestion to prevent discomfort and optimize nutrient absorption.

“Or, if you’re not hungry in the mornings or don’t have time, something simple like an energy bar can suffice.”

In the evening

However, for some people, waking up early to exercise is the last thing they feel like doing, and therefore, the case for evening workouts is more appealing.

“Your body’s ability to perform peaks in the afternoon and early evening, with optimal muscle function, strength and endurance,” states osteopathic medicine practitioner Jake Erickson, who specialises in sports medicine at the Mayo Clinic Health System in Onalaska, Wisconsin.

“During this time, your body has time to wake up a bit by moving around throughout the day, you’ve likely gotten a meal or two in to ensure adequate energy available to use during the workout, and you may be more mentally alert.”

Additionally, oxygen uptake kinetics are more favourable in the evening, allowing for more efficient utilisation of resources during exercise.

“Your body is primed for performance in the late afternoon and early evening, making it an ideal window for high-intensity activities like interval training or speed work,” he explains.

Conversely, people opting for evening workouts face unique considerations in balancing time commitments and mental energy.

“After a long day at work or shuttling around the kids all day, it can be hard to muster the motivation to go to the gym and put forth a lot of physical effort during a workout,” says osteopathic medicine practitioner Alecia Gende, who specialises in sports medicine and emergency medicine at Onalaska’s Mayo Clinic Health System.

“Additionally, intense physical activity in the evening may trigger a stress response and cause difficulty falling asleep or waking in the middle of the night if your cortisol is disrupted and released at an inopportune time.

“If you have to get a workout in before sleep, it would be best to be lower intensity, such as a walk or lighter (weight-)lifting session.

“If that’s the case, moving the workout earlier in the day might be more beneficial for them.”

Lastly, if you choose to work out later in the day, it’s important to ensure that you are getting adequate nutrients throughout the day to make sure you have enough fuel available to support the workout, in addition to eating a well-balanced meal after the workout.

“After a long day, it’s essential to refuel the body with carbohydrates and protein,” Dr Jagim says.

“Consuming a nutrient-rich meal within two hours of your workout can facilitate muscle recovery and enhance adaptation to training.

“Consider options such as grilled chicken with quinoa and vegetables, or a protein-packed stir-fry to refuel and replenish after an evening workout.”

For people engaging in prolonged or intense exercise sessions (more than 90 minutes), mid-workout nutrition can play a pivotal role in sustaining energy levels and preventing fatigue.

He recommends incorporating carbohydrate-rich snacks during extended workouts to maintain endurance and performance.

At midday

Whether working or at home, most people hit the dreaded afternoon slump around 3pm.

A study of more than 90,000 people recently found that working out in the afternoon reduces the risk of heart disease or early death more than physical activity in either the morning or afternoon.

The benefits of afternoon exercise for longevity were most pronounced for men and the elderly.

“Morning workouts may not be ideal for shift workers, or those working late or staying up later in the evening,” says Gende.

“In that case, it may be more prudent to allow more sleep in the morning and perform a mid-day workout or early afternoon workout before your next evening shift or late night.”

According to a OnePoll survey, the most effective activity for people during an afternoon workout is getting up and going for a walk, which is a great way to perk up both your mind and body.

Find your right time

So, what is the best time to exercise?

For those who just say I don’t have any time available, there’s always time.

“I suggest scheduling a ‘snack competing’ activity,” says Erickson.

“This can be a good excuse to flip the script, and for people who know they may choose to sit on the couch and snack in the evenings.

“They can use that time to grab a workout of some kind instead.

“This can lead to a big swing in people’s fitness as they consume less calories by avoiding the typical snacking time and burn more calories by the workout.”

There are even benefits to splitting up a workout into short 10-minute mini-sessions throughout the day if you don’t have time to get a full 60-minute session in.

ALSO READAlways busy? Try stacking short workouts throughout your day

One thing is clear; even though science may seem contradictory, the importance of regular physical activity cannot be overstated.

“Ultimately, the best time to exercise is the time that fits into your schedule and aligns with your energy levels and preferences,” says Dr Jagim.

“Consistency and adherence to a regular exercise routine are key, and far more important, regardless of the time of day you choose to work out.

“Any time of day is better than no exercise in reducing the risk of death from any cause, including from heart disease and cancer specifically.

“Experimentation and self-awareness are essential in determining the ideal timing toward optimising exercise performance, recovery and overall well-being.” – By Rick Thiesse/Mayo Clinic News Network/Tribune News Service

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Any regular exercise helps maintain the brain

Exercising even once a month at any time during middle age helps preserve brain function in older age; although the best results are gained by those who consistently exercise five or more times a month throughout their adulthood. — Filepic

Any regular leisure-time physical activity at any age is linked to better brain function in later life, suggests a study published online in the Journal of Neurology, Neurosurgery & Psychiatry.

The findings also suggested that maintaining an exercise routine throughout adulthood seems to be best for preserving mental acuity and memory.

Even though factoring in childhood cognitive ability, household income and education weakened the observed associations, the findings remained statistically significant.

Physical activity is modestly associated with a lower risk of dementia, cognitive decline and loss of later life mental acuity. 

But it’s not known whether the timing, frequency or maintenance of leisure-time physical activity across the life course might be key to later life cognitive abilities.

The researchers were particularly keen to know if physical activity might be most beneficial in specific “sensitive” periods across the life course, or across multiple time periods.

To try and find out, they looked at the strength of associations between a range of cognitive tests at age 69 and reported leisure-time physical activity at the ages of 36, 43, 53, 60-64, and 69 in 1,417 people (53% women) taking part in the 1946 British birth cohort study. 

Physical activity levels were categorised as: inactive; moderately active (one to four times per month); most active (five or more times per month).

These levels were added together across all five age assessments to create a total score ranging from zero (inactive at all ages) to five (active at all ages).

Some 11% of participants were physically inactive at all five time points, 17% were active at one, 20% were active at two and three, 17% were active at four, and 15% at all five.

Cognitive performance at age 69 was assessed using the validated ACE-111, which tests attention and orientation, verbal fluency, memory, language, and visuospatial function.

The 69-year-olds were also given tests of verbal memory (word learning test) and processing speed (visual search speed).

Factors associated with a heightened risk of cognitive decline – cardiovascular (heart) and mental health, and carriage of the APOE-4 gene – were also assessed to see if these modified any observed associations.

Analysis of the results showed that being physically active at all five time points was associated with higher cognitive performance, verbal memory and processing speed at the age of 69.

The effect sizes were similar across all adult ages and for those who were moderately and most physically active, “suggesting that being physically active at any time in adulthood, even if participating as little as once per month, is linked with higher cognition,” write the researchers.

But the strongest association was observed for sustained cumulative physical activity and later life cognition, and for those who were most physically active at all ages.

The positive association between cumulative physical activity and later life cognitive performance was partly explained by childhood cognition, socioeconomic position and education.

But the effect remained significant when these were factored in, and the associations weren’t explained by differences in later life cardiovascular or mental health.

“Together, these results suggest that the initiation and maintenance of physical activity across adulthood may be more important than the timing... or the frequency of physical activity at a specific period,” say the researchers.

This is an observational study, and as such, can’t establish cause, and the researchers acknowledge various limitations to their findings.

The study included only White participants and had a disproportionately high attrition rate among those who were socially disadvantaged.

No information was available on exercise intensity, duration or adherence either.

But the researchers nevertheless conclude: “Our findings support guidelines to recommend participation in any physical activity across adulthood and provide evidence that encouraging inactive adults to be more active at any time and encouraging already active adults to maintain activity, could confer benefits on later life cognition.”