Corporate Fitness and Active Aging

November marks COPD Awareness Month, a time to raise awareness of Chronic Obstructive Pulmonary Disease (COPD), a condition affecting millions worldwide. COPD is a chronic lung disease that makes it hard for air to move in and out of the lungs, making it hard to breathe. With COPD, everyday tasks can feel challenging, leaving many breathless and less motivated to stay active. While COPD is irreversible, regular exercise can help manage symptoms and improve quality of life.

How Exercise Helps People with COPD

You might wonder, "How can exercise help me when breathing itself is already hard?", and that is a valid question! But here’s why exercise is essential for COPD management:

1. Improved Oxygen Efficiency
   Aerobic exercises (like walking, swimming, and cycling) help your body use oxygen more efficiently. The COPD Foundation states that although exercise won't increase lung capacity, it will strengthen the cardiovascular system and muscles, helping reduce shortness of breath and making daily activities easier.
2. Stronger Breathing Muscles
   Exercise strengthens the muscles you use for breathing, including the diaphragm and the intercostal muscles. With stronger muscles, your body doesn’t have to work as hard to draw in oxygen, making breathing less of a strain (American Lung Association).
3. Increased Endurance
   Regular aerobic and strength training exercises can boost your stamina, helping you perform tasks like walking, climbing stairs, or doing household chores with less fatigue. Over time, you'll find that you're able to exercise longer without feeling out of breath.

Top Exercises for COPD

• Aerobic Exercise
  Swimming, walking and biking are great ways to improve your cardiovascular health and reduce the strain on your lungs.
• Strength Training
  Resistance exercises (using light weights, resistance bands, or bodyweight exercises) help build muscle strength, which make daily activities easier, and improve posture which can also help to make breathing easier.
• Breathing Exercises
  Practicing breathing exercises and can help reduce shortness of breath and improve your exercise tolerance. These exercises slow down your breathing and make it easier to exhale fully (American Lung Association).

While exercise is beneficial, it's important to exercise safely. Here are some tips to keep in mind:

• Consult with a healthcare professional before starting any exercise program, especially if you have severe COPD or other health conditions.
• Start slow and gradually increase the intensity.
• Use your prescribed medications.
• Stay hydrated and avoid exercising in extreme weather conditions like high heat or cold, which can aggravate COPD symptoms.

Living with COPD can feel challenging, but you don’t have to do it alone. NIFS group fitness classes offer a variety of ways to help you stay active safely and effectively, with options designed to strengthen your body, improve your endurance, and help you breathe easier. Join us to discover a supportive environment where you can manage your health and find renewed energy for the things you enjoy. Start your journey to better breathing and a fuller life today—let NIFS help you take that first step.

Are your fitness and wellness programs reaching your residents, but now you’re wondering how to take your community’s reputation to the next level by demonstrating an even bigger commitment to a healthy, active lifestyle campus-wide? Perhaps it’s time to incorporate a staff component into some of your resident fitness and wellness initiatives! There are several benefits of employees participating in challenges or broader wellness initiatives with residents in your community settings, here are the top 5!

• Improved Health and Wellness: Regular physical activity is not only beneficial for your residents, but for everyone! By participating in resident fitness and wellness challenges employees too can maintain a healthy weight, reduce their risk of disease, improve their strength, flexibility, and cardiovascular health, and improve their overall health and well-being. By participating alongside residents, they’re also more likely to stick to their goals as they become role models, supporters, and more accountable.
• Team Building: You want a strong collaborative team leading of employees leading the way at your community, right? By including employees into fitness and wellness challenges and encouraging them to work together towards a common goal, you’ll be fostering team building, collaborative programming, communication, and a sense of community which can be beneficial for them in all aspects of their lives, including at work.
• Enhanced Job Satisfaction: When employees can participate in activities which promote better well-being, they’re likely to experience increased energy levels, decreased stress, improved mood and greater job satisfaction. Increased job satisfaction and morale can lead to greater productivity, and increased employee retention!
• Positive Impact of Resident Experience: Participating in a challenge alongside one another can foster positive relationships between employees and residents. This provides them with the ability to build rapport with each other and leads to better communication, and enhanced employee-resident interactions. When your residents see that the employees are engaged and committed to healthy habits through participation more residents may be inclined to join in as well, which can improve their health and fitness outcomes and enhance their overall quality of life.
• Positive Reputation and Retention: By demonstrating a commitment to employee health and well-being, while continuing to promote vibrant lifestyle options for your residents, you will be more apt to attract and retain not only residents, but also a top performing team!

If you wish to have a productive workplace environment and retain top talent, we urge you to open some aspect of your community-wide wellness initiatives to your employees.

We know that practicing gratitude can have profound effects on our health and wellbeing, but in our fast-paced lives, it’s easy to brush off and overlook all of the good around us. Because of this, NIFS staff across the country took the month of November, in the spirit of Thanksgiving, to give thanks and practice gratitude with their residents through our own Operation Gratitude program. Some of the popular offerings and events included a month-long self-care calendar, relaxation through additional mindfulness and meditation practices, a mindful meal, journaling, workshops, small group discussions, gratitude letters and candygrams, random acts of kindness, philanthropy, and a whole lot of awe walks! Here are some of the benefits our participants observed:

• Stress Reduction: Practicing gratitude acts as a powerful stress reliever while training our minds to focus on the good things in our lives and be present in this moment. This shift in our perspective helps us to counteract daily stressors and anxiety and promotes a feeling of calm and relaxation.
• Mental Health Benefits: Practicing gratitude has been shown to reduce anxiety and depression and increase our overall quality of life. When we shift our focus to recognize and appreciate the positive aspects of our life more, we adopt a more optimistic outlook and see the “negatives” less which dramatically improves our mental health as a result.
• Physical Health Benefits: The benefits of practicing gratitude extend far beyond our mental well-being and can even positively impact our physical health. Research suggests that practicing gratitude helps to reduce inflammation, improve immune function, lower blood pressure, and improve quality of sleep.
• Enhanced Relationships: When we express gratitude towards others, we strengthen our relationships and connection with them. Practicing gratitude can lead to improved communication, increased empathy, and stronger social connections. These connections can be linked to better mental and physical health outcomes as well.
• Improved Resilience: By practicing gratitude and focusing on the positive things in our lives we develop an abundance mindset which allows us to take on challenges with more ease. Individuals who are grateful exhibit increased resiliency, adaptability, and in turn can cope with life’s surprises with a bit more ease.

Throughout month of gratitude, we engaged nearly 2,500 different residents in gratitude offerings at least once, many multiple times, and collected donations for local food banks, the Salvation Army, Family Promise, and the Alzheimer’s Association. At the conclusion of the month, and the NIFS program, residents continued to practice gratitude by sharing what they appreciated about the program. Feedback ranged from feeling lighter and brighter throughout the tasks of day to feeling free to let go of pain after chemotherapy, and everywhere in between. We at NIFS are grateful for the communities we partner with and the ability to serve their residents every day!

When programming for your community’s fitness center, don’t forget to step outside of the fitness bubble sometimes and engage residents through whole-person wellness offerings. You just might be able to reach a whole new audience, and impact your current superusers in a new way, too!

Learn more about how NIFS Programming supports wellness and impacts quality of life for your residents!

As the seasons change and leaves take on vibrant hues of red, yellow, and orange we are reminded that much like an artist, we can craft our lives in beautiful ways, and what better time to celebrate that reminder with our senior residents than during Active Aging Week? Active Aging Week, celebrated annually, shines a light on the importance of maintaining an active and engaged lifestyle as we age. This year, at NIFS, we’ve decided to focus on “aging artfully” and help the residents in the communities that we partner with age well through embracing their creativity.

As fitness professionals, we are sometimes met with surprise when we step outside of the fitness center and run programs that are more wellness and activity based, but across the country we have a team full of passionate and creative staff, and together we focus on total person health and wellness. We know that aging doesn’t mean there has to be a decline in quality of life, but instead provides opportunities to explore new passions, hobbies, and forms of self-expression. As we hold offerings to promote physical, mental, and emotional well-being this week we will also be emphasizing the role of art and creativity in active aging and bringing light to some of the benefits that come with them:

1. Social Interaction: We know that not all residents in our communities are fitness buffs, so offering programs that are outside of the box gives us the ability to connect with a new group of residents and ease them into participating in other wellness programs and events. For all, joining in on creative groups and classes combats loneliness and isolation and helps to foster social connections while nurturing creativity.
2. Mental Stimulation: Engaging in creative activities and trying new things stimulates and enhances cognitive function and memory while keeping your mind active.
3. Emotional Well-being: Increased happiness, a sense of accomplishment, and stress reduction are all biproducts of creative expression thanks to an outlet for emotions. Participating in creative programs can help reduce stress, improve mood, and provide an avenue for processing emotions and memories.
4. Self-Discovery: Exploring your creative side can help you to better understand your interests, and help you find new hobbies and passions. It’s never too late to learn an instrument, try your hand at painting, or share your wisdom. Your creative work can also become a meaningful legacy!

Some of the programs that our staff have planned for this active aging week include classes in various mediums of art, music, dance, writing, expressive exercise classes paired with music or art, outdoor exercise in nature, active adventures, upcycling projects, collaborative offerings with other departments including food and beverage, activities, physical therapy, and so much more.

Artful aging is about staying engaged in the world around us, embracing creativity and living with intention. Celebrate Active Aging Week with us by embracing the art of aging well.

Learn more about how NIFS programming makes an impact in senior living!

In this blog, we covered some of the basics of how exercise is vital to those living with Parkinson’s Disease (PD) in slowing the progression of the disease and managing symptoms. Now let’s chat about creating a Parkinson’s specific group fitness class for your members with PD. For me, group fitness is one of my favorite ways to exercise – something about the fun and engaging group atmosphere, accountability, motivation, and support from peers makes solo-exercise feel especially unappealing some days. Participating in group exercise can have huge benefits for your PD population too, but not just any group class is appropriate. Parkinson’s specific exercise classes can address common symptoms of PD including impaired balance and coordination, stiffness, freezing, poor posture, and limited flexibility/mobility which can in turn help to improve quality of life and help perform ADL’s more easily. Through a carefully developed exercise routine, individuals with PD may be able to slow the progression of the disease and improve their mobility and independence.

First, ensure that you (if you are the instructor), or your fitness staff have had adequate training and educational background on PD and are specialized in the training of individuals with PD to ensure classes are both safe and effective. You’ll want to encourage your members to check with their physician prior to starting a program and we recommend obtaining medical clearance as well.

While considering the unique training needs of members with PD, classes should be adapted to accommodate a variety of ability levels and include a variety of exercises which require both focus and effort. Each member should also be working at a moderate to vigorous intensity for the most effective workout. Utilize the RPE scale to ensure they are feeling somewhere between a 4-6 (moderate) or 7-8 (vigorous) out of 10. The components you want to include are aerobic, strength, balance, multitasking and flexibility for a complete workout. We recommend timing classes to be 50+ minutes in length so you have adequate time to warm up and training time inclusive of all components.

Structuring your classes: Start off with a warmup which includes raising the heart rate, warming up the body, stretching and flexibility exercises and of course some deep breathing. We want our PD members to really focus on deep breaths so they can relax and get a good stretch which in turn will combat muscle rigidity and assist in ADL’s.

Next, shift your focus to include aerobic training and strengthening exercises. Again, for aerobic exercise we want our participants to be working hard! This might be a time to consider adding in some dual tasks for cognition and coordination too! Dual tasks can be combined with any of the other training modalities so make sure to pepper those in often throughout your class. Try things like walking while counting backwards, catching a ball, standing on a foam pad while answering questions, or a variety of compound exercises. For this, just think “multitask” and have participants do two (or more!) things at once. For strengthening exercises, aim to hit the major muscle groups, but at the very least, you want to strongly address the muscles of the core, quads, glutes, back and triceps as they all lose strength and lead to poor postural changes.

Balance training is another essential training component in class as members with PD are two times more likely to fall when compared to those without PD due to slower reaction time, freezing, decline in mobility and balance, and lower body muscle weakness. You’ll definitely want to practice balance exercises and safe movement techniques in every exercise session!

Some other movements to add into your classes include boxing movements, yoga or tai chi practices, big movements, utilizing the voice loudly by counting or singing, and brain teasers or cognitive challenges. As always, end with adequate time to allow the body to cool down, stretch and some more deep breathing.

A few additional considerations as you develop your PD class include choreography and music! Studies have shown dancing and choreographed movements can help with balance, gait, confidence, movement initiation and QOL. Similarly, using music can reduce stress, improve breathing and voice quality, and make it FUN for you participants!

We already know that exercise is a key contributor to a healthy lifestyle overall, but for those with Parkinson’s Disease (PD) this is no exception! In fact, exercise is extremely critical for people with PD, and research shows that participating in an exercise program can not only help to maintain balance and mobility, but can also slow the progression of the disease, and improve many of its symptoms! Establishing an exercise routine early on in diagnosis is key for PD management, but for any fitness level or disease stage, just getting up and moving is helpful.

Common symptoms of PD include tremors, rigidity, slowed movement, and balance and coordination impairment. Those symptoms coupled with the fatigue, muscle weakness and low power that people with PD frequently exhibit have the power to greatly affect day to day life, but they don’t have to.

It is recommended by The American College of Sports Medicine and The Parkinson’s Foundation that individuals with PD participate in 150 minutes of moderate-to-vigorous exercise per week. For the greatest benefit, exercise should be intentional, and you should look to include cardiovascular endurance, strength/resistance, balance, and flexibility exercises into a training program. Together, these modalities create a comprehensive fitness regimen and will help reduce the risk of falling and improve the ability to perform activities of daily life – like getting dressed, reaching for an object, or standing up from a chair.

Where to Start:

• Safety First! Always consult your doctor before starting an exercise program.
• Pick exercises that you will enjoy! It doesn’t matter how “great” your program is if you don’t plan to stick to it. The most important thing is to make sure you exercise regularly, so try to have a little fun while you’re at it!
• Consider joining a group exercise class! Joining in on Parkinson’s specific classes will offer you added motivation, support and socialization with others who also have PD. Additionally, you will receive instruction and any necessary modifications from trained experts.
• Exercise at an intensity that feels like a challenge.

Still unsure of how to start exercising with Parkinson’s Disease? Starting, or restarting, an exercise program alone can be intimidating, and with PD requiring some special considerations it can be even more difficult to truly know where to begin. There are numerous benefits associated with working with a qualified fitness professional – ideally a fitness professional who has an educational background and experience working with PD – that span far beyond added motivation and accountability. Working with an educated and credentialed professional is essential in properly progressing exercises, reducing risk of injury, and maximizing effectiveness for all individuals, but especially those with unique needs. Qualified professionals can not only advise you on where and how to start, but will also be able to progress you accordingly, and adapt your exercise program to meet your individual needs. They will be able check and correct your form, while also educating you on which muscles are being targeted, and why that is important in maintenance and slowing of your PD progression so that you can continue to perform daily tasks and activities.

As you might know, just the fear of falling can have significant and lasting impact on older adults or family members’ quality of life. In fact, the fear itself is a risk factor for falls. The good news is that falls can be prevented through balance-specific training and education, which is why NIFS has adopted a comprehensive balance-training method that goes far beyond simply offering balance-training group fitness classes.

It's Time for the Annual Balance Challenge

As part of our commitment to improving balance and reducing the risk of falls, we launched the annual Balance Challenge in 2013 and have been expanding on it ever since. Residents across the country will join us this month as we March into Better Balance with the 8th Annual Balance Challenge. This hallmark program has truly become a fan favorite, and NIFS staff at senior living communities across the country will be focusing on educating their members on fall prevention while providing special balance-training classes, programs, and events.

Participants will be encouraged to complete a Fullerton Advanced Balance Assessment as well as a pre and post self-evaluation survey relating to their perceived levels of balance and confidence. During the month of March, participants will have the opportunity to choose from a menu of programming that includes a balance fair, a fall-prevention presentation, a workshop on how to get up from a fall if one were to occur, small group discussions addressing the fears surrounding falls, a home safety check, and multiple modalities of balance training through group fitness classes, circuit courses, balance games, and more.

One strong advantage of hosting the Balance Challenge is that it shines a spotlight on the fall-prevention program offerings readily available all year long in the fitness center. NIFS staff members regularly collaborate with rehab and the healthcare team at the communities we serve to support resident transitions into and out of therapy. Residents appreciate the opportunity to continue building on the gains they made in rehab with the help of NIFS degreed and certified staff in the fitness center. This strong collaboration with rehab and robust service menu of programs is a great service model for supporting resident well-being year round, and the Balance Challenge serves as a reminder of everything that is available.

Results of Last Year’s Balance Challenge

Last year’s Balance Challenge resulted in many valuable accomplishments:

• Perceived balance: Across the communities, participants’ perception of their balance taken from their pre and post self-evaluations demonstrated a 12% increase in confidence.
• Fear of falls: Across the communities, participants’ fear of falling decreased by 18% as reported from their pre and post self-evaluations following the Balance Challenge.
• Total visits: There was an average increase of 11% in total resident participation to the fitness centers in March 2019 compared to March 2018.
• Group fitness visits: Group fitness classes saw an average increase of 17% participation in March 2019 compared to March 2018.
• Appointment volume: Resident engagement increased by 32% in the number of appointments conducted in March 2019 compared to March 2018.

The data tells a story, and clearly the residents increase their participation in fitness program offerings when there is an emphasis on comprehensive fall-prevention programming. They truly turn out to learn, train, and experience these offerings.

NIFS partners with premier senior living providers across the US to bring their residents best-in-class fitness and wellness programming. The NIFS Balance Challenge is a great example of how our qualified fitness professionals have the skills and resources to support resident well-being while increasing education about fall prevention and increasing overall participation in the fitness program. Click here to learn more about resident successes from participating in NIFS fall-prevention programming. Looking to get started with some balance training exercises? Click here for inspiration!

Check out NIFS Premier Fall Prevention Program: Balance Redefined, our comprehensive approach to fall prevention programming.

It should come as no surprise that most people aim to improve their lives in one way or another with the start of a new year. Particularly when it comes to focusing on better health and fitness, January’s clean slate seems to be the ideal time to get back on track and into shape immediately following the busy holiday season and prolonged period of indulgence. This seems to be a universal practice as we have found that to be no exception for our members and residents in senior living communities!

NIFS partners with communities across the US to manage their fitness center programming. Similar to most public gyms, our staff also notice patterns related to New Year’s resolutions. In the first few days of January we have come to expect an influx of participation, but these numbers start to decline after a few weeks as old routines creep back and resolutions are abandoned.

Knowing how to set goals, find motivation, build better habits, and remain consistent are all huge components of why so many “resolution-setters” fail. In fact, one study conducted by the University of Scranton suggests that only 8% of people stick to their resolutions, so we saw this as an opportunity to better support the communities and residents we serve and developed NIFS Five Star Fit Club. We piloted this program in ten communities for the first time in January 2019 and it resulted in:

• Total visits: An average increase of 21% in total resident participation to the fitness centers in January 2019 compared to January 2018.
• Group Fitness Visits: An average increase of 28% in participation in group fitness classes in January 2019 compared to January 2018.
• Appointment Volume: Resident engagement increased by 135% in the number of appointments conducted in January 2019 compared to January 2018.
• New Members: Across the communities, a total of 43 residents began participating in their fitness center for the first time as a direct result of the Five Star Fit Club program.

This incentive program is three weeks long and includes both a personalized assessment and exercise prescription as well as an interactive workshop where residents learn how to effectively change their habits and routines. Additionally, members are encouraged to visit their community’s fitness center independently and attend a set number of group fitness classes. The premise of the program is for participants to earn five stars over the three-week period by participating in the mentioned programs and services. In doing so they are being recognized and rewarded, experiencing accountability, and sensing small wins all while creating sustainable healthy habits and routines to keep them on track for the remainder of the year!

In 2020, even more NIFS clients are kicking off the New Year with the 5-Star Fit Club and we look forward to hearing about the healthy habits and lifestyle choices residents adopt. Robust programs like the 5-Star Fit Club are a great way for senior living providers to support resident well-being while increasing utilization of amenities such as their fitness centers and pools. Click here for some other programming twists brought to NIFS clients.

If you’re looking to improve the overall happiness and well-being of your residents—and even yourself—try taking your offerings outside of the fitness center and straight into nature!

Many of our NIFS fitness staff members schedule outdoor activities as a key component of their wellness programming, when and where weather permits. Some of the most popular open-air activities we have offered include walking groups, hiking trips, snowshoeing, yoga classes, mindfulness and meditation events, recreational sports, gardening, and outdoor socials. Exercise-related health benefits are already widely acknowledged, but did you know that the additional advantages of immersing oneself in nature may far surpass exercise alone?

Let the Sun Shine In!

Sunlight can help boost your Vitamin D levels, which is essential in calcium absorption to keep bones healthy and strong. Those who aren’t getting enough Vitamin D are much more likely to suffer from osteoporosis, heart disease, depression, weight gain, Alzheimer’s, and a whole catalog of cancers. In addition, getting sufficient sunlight can aid in preventing type-2 diabetes and some autoimmune disorders.

Get Active

Physical activity typically increases as we spend more time in natural environments, and the two together help activate the parasympathetic nervous system, which controls how the body responds when at rest. Not only does this provide a relaxing, calm feeling, but it also reduces resting blood pressure, strengthens immunity, and can help decrease the risk of developing chronic disease.

Just Being Outside Is Beneficial for Mental Health and Wellness

Not in the mood for a “workout”? That’s okay, too! You can still fight mental fatigue, tension, and stress by simply being in nature. A study conducted at the University of Michigan found that spending as little as 20 minutes either sitting or walking in nature was enough to significantly reduce levels of cortisol, a hormone commonly used as a stress marker. The greatest rate of reduction in cortisol levels was observed in those who spent between 20 and 30 minutes in green spaces.

Anxiety and depression, too, have been proven to be lessened by spending time in nature’s powerful restorative environments—so powerful, in fact, that researchers at Stanford University call time spent in nature a mental health prescription.

Mental health disorders can contribute to poor sleep, and poor sleep can equally contribute to mental health disorders. Not only can time spent in nature improve overall mental health, leading to better sleep, but it can also play a fundamental role in improving sleep patterns, leading to better mental health. Sleep patterns are intrinsically regulated by circadian rhythms—this is commonly referred to as the body’s internal clock—which is directly tied to the sun’s schedule. Spending too much time in the absence of natural light, or in the presence of artificial light, can alter a person’s circadian rhythm and disrupt sleep patterns. Lucky for us, this balance is easily restored by getting back to nature and spending time outside.

Are you taking advantage of all that nature has to offer and sharing it with everyone you know?

NIFS staff love helping create Active Adventures with the communities where we help do wellness better.  Click below to see if outsourcing and having a vendor partner with you is a right fit!

According to the American Medical Resource Institute, approximately 6 million people over the age of 65 are depressed. As we know, this time of year can be very difficult for some seniors since the holidays have a tendency to intensify feelings of loneliness, anxiety, and depression. Use the following tips for keeping holiday depression at bay this season.

Remain Physically Active

Mayo Clinic states that exercise can help to combat anxiety and depression by releasing “feel-good chemicals” into the brain while reducing the immune system chemicals that can worsen depression. These results boost mood through calming effects, coupled with an increase in confidence that we experience while exercising.

Keep Your Nutrition in Check

Typically, holidays are filled with family, friends, and foods that are full of sugar and high in fat, which can bring on or worsen anxiety, depression, and bad moods. (Check out this article to discover the ways sugar may be harming your mental health.) Try maintaining a blood-sugar balance, increasing omega-3s, eating a balanced diet, and getting in your vitamins to combat the blues stemming from poor dietary choices.

Get Outdoors

Speaking of vitamins, did you know that vitamin D is produced when our skin is exposed to sunlight? When the weather gets cooler and the days get shorter, we spend less time outdoors soaking in the sun, which results in a dip in vitamin D absorption. Studies suggest that low vitamin D levels are associated with depression and Seasonal Affective Disorder (SAD). Read more about SAD here.

Remain Social

Staying connected to family and friends will benefit you both emotionally and psychologically when you start to feel the holiday blues creeping up. Remember past holidays, but try starting some new traditions to find joy and balance this holiday season.

Lend a Hand

Volunteering to help the less fortunate reminds us how lucky we are while connecting us to others, keeping us mentally stimulated, and providing us with a sense of purpose!

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Help keep your residents active and engaged with others, check out our quick read for the benefits of exercise and aging well.