Corporate Fitness and Active Aging

Lots of research has been done over the years to figuret out the best recipe for success when it comes to weight loss. Diet alone? Exercise alone? Or a combination of both? It should come as no surprise that the key for weight loss and keep it off is to combine a low-fat, lower-calorie diet with an exercise routine.

Results of a Weight-Loss Study

In a study funded by the National Cancer Institute in 2011, 439 overweight to obese postmenopausal women were assigned to four different groups: exercise only (45 minutes of moderate-vigorous activity five days per week), diet only (1,200–2,000 calories per day, depending on starting weight, and less than 30% of calories from fat), exercise and diet, and no intervention.

The yearlong study found that the exercise-only group lost 2.4% of their starting body weight, with the diet-only group losing 8.5% of their weight. However, the group that incorporated both a lower-fat and caloric diet and exercise lost 10.9% of their starting weight, which was an average loss of 19.8 pounds. One other thing that was significant in this study was that the women who lost the most amount of weight and body fat kept a daily food journal, writing down everything they ate and drank.

Tips for Losing Weight

As I said, it shouldn’t come as a surprise that a combination of more balanced eating and movement will lead to the most amount of weight loss. So here are some tips to help make this become a lifestyle for success.

• Keep a food log. As the study showed, the most successful individuals logged what they ate. Grab a pen and jot it down, or use an app or an online program for tracking. Whichever way works for you, start today!
• Focus on low fat. Aim for 30% or less of your intake from fat. Fat helps to make food taste more flavorful and helps to keep you fuller longer. However, aim for those good-for-you sources of fat such as nuts, avocado, olive oil, and salmon.
• Move more. The individuals in the study did 45 minutes of exercise, 5 times per week, but any movement is better than nothing. Start walking, cycling, strength training, stretching, and just moving more each day.

More Help from NIFS

If you want to lose weight and are considering starting to decrease your calories or start exercising, hopefully this will help you to decide to do both! If you need more assistance getting started, please contact me at amitchell@nifs.org to set up a personal nutrition coaching session to help meet your goals.

Study Shows What Causes Senior Falls

A 2014 observational study determined how and why falls occur in the aging population by actually videotaping falls in two long-term-care facilities between 2007 and 2010. The video cameras were placed in the common areas such as the dining rooms, hallways, and lounges. When a fall occurred it was reviewed with a focus on the actual cause of imbalance and the activity at the time of falling. The study captured 227 falls from 130 individuals. The researchers concluded that the most common cause of falls (41 percent) was incorrect weight shifting: basically, how an individual moves or transfers from one position to another.

Specifically, researchers noted that the majority of falls they recorded occurred in a position change from standing to walking. You see, staying balanced is about more than maintaining steady footing when in motion. The results of this study show that how we start moving can be much more crucial to staying in balance.

Weight-Shifting Exercises are Key to Fall Prevention

If the researchers are right, then we need to make sure our senior living fitness programs incorporate weight-shifting exercises for participants. Not only do these activities teach residents about how to understand their center of gravity, but they also help with coordination and provide opportunities for modest strength and endurance gains in the lower body muscles. When taught carefully, implementing weight-shifting exercise into a balance program can provide intentional focus on more precise movement which helps overall motor control.

Ideally, your community's fitness program is run by a qualified fitness professional who can provide a range of fitness services for seniors including customized exercises in group and individual settings for each resident's needs.

Fitness professionals can administer balance-training and weight-shifting exercises through one-on-one personal training sessions, group exercise classes, or with simple recommendations of exercises for a resident to include in her typical morning stretches. Trained staff can also provide field testing to help residents understand how they score on balance and other fitness tests so that they can work toward improvement with their tailored exercise regimen.

In case you don't have qualified staff on board, here are some examples of simple weight-shifting exercises for active older adults that can be taught by anyone in your community:

• Side Sways: While seated in a chair or standing, place the feet slightly wider than hip width apart. Leading with the upper body, lean the body gently to the right while keeping both feet in contact with the floor. Repeat 10 to 15 times in both directions. Watch a demo of the exercise.
• Forward Steps: Standing with the feet together near a chair back or counter top to hold onto, take an exaggerated step forward with the right foot. Then take the necessary amount of steps to recover to a normal standing position. Repeat 8 to 10 times and then perform on the left leg. Watch a demo of the exercise.

For more great content like this, download our whitepaper on balance and subscribe to our blog:

Are you struggling with the winter blues? Is it cold and dark and dreary in your part of the country? When was the last time you felt and saw the sun? You could be lacking vitamin D, and this can lead to depression and a lower immunity to fight colds.

So, if you aren’t able to get your much-needed 15 minutes of sunlight each day to supply your body’s vitamin D needs, start battling wintertime blues with nutrition with these food options:

• Fatty fish: This includes salmon, mackerel, canned tuna, and sardines. Three ounces of salmon provides 450 IU of vitamin D—almost all of the daily recommendation of 600 IU. Canned tuna and sardines are an inexpensive way to get in seafood, giving you heart healthy omega 3s and 150 IU of vitamin D per serving. Another bonus is the long shelf life if you haven’t been to the grocery store to get fresh protein choices.
• Milk: Almost all cows’ milk in the U.S. is fortified with vitamin D. A lot of other dairy products are, too, but not ice cream or cheese. Typically an 8-ounce glass of milk has 100 IUs of vitamin D, and most yogurt has around 80 IU for a 6-ounce container. If you are choosing soymilk or almond milk, most are fortified, but check the labels to be sure.
• Fortified orange juice: If you aren’t a fan of milk or have lactose intolerance, 100% orange juice is an option. Typically an 8-ounce glass has the same amount of vitamin D as a glass of milk (100 IU). Just make sure you are buying the fortified kind.
• Egg yolks: Eggs are a great way to get in vitamin D. However, you have to eat the whole egg and not just the whites to get the benefit. One egg yolk has 40 IUs.
• Fortified cereal: Another way to double up on vitamin D is to choose a fortified cereal to have with your milk or glass of OJ at breakfast. 1 cup of Multi Grain Cheerios provides 90 IUs of vitamin D. Add milk to that and you are close to 200 IUs! Just be sure to choose cereals that are labeled as fortified with vitamin D.
• Supplements: If you still have trouble getting all of your vitamin D needs met through food and the sun, an alternative is to take a supplement. The upper-limit dose for individuals over age 9 is 4,000 IU per day. Consuming more than this can lead to higher blood calcium levels and increased risk of kidney stones. Always talk to your physician before starting a supplement.

Recent studies have found that nearly 3 out of 4 individuals have either a Vitamin D deficiency or borderline deficiency. Most of this because we spend more time indoors compared to our parents and grandparents. Longer work hours, longer commutes in a vehicle, and more screen time indoors definitely play a part. Get outside, incorporate more of the foods above, and chat with your doctor about supplementing. All of this can mean a healthier immune system, stronger bones, and lower risk of some cancers.

Want to lose weight, gain muscle, manage diabetes, improve sport performance, reduce cholesterol, or just figure out how to grocery shop and prepare healthier meals?

The benefits of regular activity for individuals throughout their lifespan is clear through the many (many, many) studies that outline how much movement is enough and which elements of health are improved with activity. However, despite the research, people in the U.S. still simply don't get enough activity to sustain health benefits, and the rate of inactivity in the older adult population is even more startling.

Sedentary behavior as we age can be linked to chronic diseases like arthritis and heart disease. Although these conditions are common in older adults—and in many cases, regular exercise can help individuals manage those health issues—seniors often feel limited by their chronic illnesses. If you're having trouble growing participation in your community exercise program, you might be missing this important audience. Improve your senior living exercise program and focus on chronic disease to address these health concerns.

• Arthritis: Exercise is one of the most crucial options for arthritis management. Regular activity helps lubricate the joints and can help reduce overall pain and stiffness that is often present among individuals with arthritis. Moreover, obesity is a risk factor for the disease, and increasing physical activity levels can help better manage the debilitating symptoms of arthritis.

[Related Content: Pick your arthritis battles: how exercise can help]

• Heart disease: Heart disease is one of the biggest causes of death in the United States. The Centers for Disease Control and Prevention state that about one in every four deaths is attributed to heart disease. More people exercising later in life can help reduce the number of individuals with heart disease through the management of blood pressure and blood glucose, and decreasing LDL cholesterol.
• Metabolic Dysfunction (type II diabetes and obesity): Type II diabetes and obesity are two closely related diseases in which the body is in metabolic dysfunction. Exercise can help maintain proper body weight and help regulate blood glucose and insulin levels to make the body more efficient.
• Cancer: Exercise has been shown to help lower overall cancer risk among a variety of different forms of cancer. Studies have shown a 30 to 40 percent reduction in breast cancer risk among women who perform moderate to regular exercise.
• Hypertension: Exercise can help lower systolic blood pressure significantly through moderate-intensity physical activity. Try breaking up exercise into three bouts throughout the day lasting for at least 10 minutes each to receive blood pressure–lowering effects.
• Depression: Exercise can have a beneficial effect on personal mood. Studies suggest that group exercise classes can help reduce symptoms of depression by 30 percent or more in exercising older adults. The modest improvement in depressive symptoms can help maintain an overall greater vitality later in life and help prevent negative feelings or thoughts that are common with aging.
• Dementia: Dementia is a disabling condition affecting many older adults. With a wide range of mental disorders categorized as dementia, there is a great need to understand how to prevent the condition. Exercise is one prevention strategy that can help slow the mental decline. One study showed a 37 percent reduced risk and a 66 percent reduction in risk of dementia when older adults performed moderate-intensity exercise, suggesting every adult ought to exercise to help lower the risk of mental decline and to help prevent mental disability later in life.
• Insomnia: Certain medications and life events can prevent the body from proper sleep. Higher levels of physical activity can help tire the body enough to place it in a position for restful and lasting sleep. Avoid strenuous exercise two hours before bed to obtain these benefits, and aim to meet the daily activity recommendations.

Need help ramping up community exercise programs to reach a broader audience? Find out more about NIFS consulting service where we bring our expertise to your community.

The second you tell yourself you can’t do something (without even trying), you are not even giving yourself a chance. It blocks you mentally from wanting to do something out of your comfort zone. When you have a negative thought of “I can’t” or “I won’t,” you aren’t even giving yourself the option to succeed at wellness or anything else.

Working Instead of Wishing

Of course, you can’t just “wish” for something to happen; you need to work for it as well. But telling yourself that you are capable gives you a push to believe in yourself and overcome any fears involved. Positive thinking and emotions broaden your horizons and open your mind to new options. They help you see the bigger picture, which in turn gives you multiple paths to reach your overall goal.

Positive Thinking Helps You Build Skills

Regardless of your situation, you can always make the most of what is given to you. You can improve the quality of your experiences even if you can’t change the situation. This is where positive thoughts come into play. Positive thinking is more than just being happy. This attitude adds value to your life by helping you build skills that move you forward. A negative emotion narrows your thought process and closes you off to other opportunities that surround you.  Consider how attitude affects your wellness goals, below are some ways to to switch your mindset.

How to Be More Positive

Focus on meditation, journaling, and enjoyment.

• Meditation: Meditation quiets the mind and helps you focus on the task at hand. You will want to sit comfortably and focus on breathing smoothly and calmly. Imagine a path you are walking and make positive statements along the way. If a negative one pops into your mind, acknowledge it, correct it, and move on. Make sure to continue to focus on your breathing. This can also help relieve stress and anxiety, so it can be done on a daily basis, whether in the morning to start your day or at the end to relieve any tension.
• Journaling: By writing out your thoughts, or journaling, you can make yourself accountable for your goals by putting it in print. This accountability makes the tasks a bit more real, and you may work harder to make it happen. You can list the steps you want to take to reach the end result and what roadblocks might get in the way, and then set dates for when you want to achieve these goals. Most importantly, you can write down positive statements like “I will” or “I can” to keep you motivated. You can also write down what you are thankful for in your life at that moment. At the end of each day, write down three things that went well, even if you had a rough day. This helps you focus on the good rather than the bad.
• Enjoyment: Enjoyment is a bit different from meditation and journaling. This is about doing things that make you happy during the process of reaching your goals, but that might not be related to them. For example, your goal may be to work toward a promotion at work, but you really enjoy having time with your family. If you are working a few more hours during the week, make sure to schedule a fun activity, like going to the zoo, on the weekend and leave your work phone at home. If you don’t mix in quality time for enjoyment of what makes you happy, you will stop working toward your goals because you will feel it’s hurting you rather than helping you.

Be happy regardless of goal achievement. Just because you didn’t get chosen for a promotion or you missed a workout doesn’t mean your worth is lessened. It just means you are meant to do something different or that you need to change your plan of action and try something new. At the end of the day, you need to love where you are in life and desire to make improvements. So think positively and give yourself a chance.

Looking to better your wellness or fitness program for employees?  Download our whitepaper for ideas that will help you implement change, click below to recieve a copy.

I know... "purpose" for your employees sounds all New Age-y or like some wellness vendor ploy to not have to put up numbers for a client. But the truth is, there is quite a bit of science behind the health benefits of individuals living with a sense of purpose. In fact, scientists attribute better pain management, longevity, and slower rates of cognitive decline to a sense of purpose in adults. For an outline of some of the research-based findings of the benefits of purpose, check out this article.

If you believe the research, you're left with a question about how to put it into practice. The answer may lie in understanding what you want for your employees. Sometimes genuine care and concern for employee well-being is the starting point for building a corporate wellness program, but it's easy to lose sight of that initial impetus, and very quickly the focus becomes the search for elusive metrics (and unicorns).

So maybe it's time to put the employees front and center (again) and make them the heart of corporate wellness. Here are some simple ways you can do that with purpose at the core of what you offer in your programming:

• Allow for volunteering: There are health benefits for individuals who volunteer on a regular basis. But with the schedules we keep (much of which is tied up in demands for our jobs), who has time to give back? Employers can make it a little easier for employees to make their world a better place by building service days into the PTO policy.
• Recognize that your staff members are more than who you see at work: Supervisors have a heavy responsibility to build and sustain an engaged workforce. One giant leap toward fostering a positive and healthy work environment that leads to engagement is by supervisors getting to know their employees. I don't mean you have to start hosting happy hours and cookouts. What you can easily start doing, however, is using your one-on-one meetings as an opportunity to listen for what makes your staff tick, and then look for opportunities to speak to those passions.
• Turn the traditional incentives into incentives to give: Corporate fitness programs are full of incentive programs and challenges that are designed to creatively invite employees to move more for the potential to win some kind of prize at the end of the event. Consider swapping out those traditional program prizes for an opportunity to turn minutes exercising into money for a cause.

Imagine that you're the employee who works for the company that makes good on its promise to deliver all three of the experiences listed above. How do you feel about coming to work? How do you talk about your employer to friends and family? How do you process competitive offers to change jobs when they come your way?

Considering employee purpose as a central pillar in your corporate wellness program isn't just a nice idea; it's the right thing to do for the well-being and motivation of your employees and your business.

Get our whitepaper below for 5 tips to maximize employee engagement in your program.

According to an article in Psychology Today, one of the major reasons people tend to stop exercising after recently starting an exercise routine is that they do not want to experience discomfort. After reading this article, it made me wonder whether this is the reason some residents are more hesitant than others to incorporate exercise into their everyday lives. Investigating further into this, I had conversations with several residents about this. Some of them mentioned that they have the feeling they might be doing too much, too soon.

[Getting started: What Exercises Should I do?]

With exercise showing benefits such as improved balance, increased total-body strength, improved cognition, and reduction of chronic illness, it is difficult to understand why people would not exercise. However, there are two reasons why I think this “too much, too soon” judgment could arise in senior fitness: 

• Your body has not become neuromuscularly adapted to exercise and you are engaging muscle groups that are not commonly utilized in everyday life.
• The exercise is too strenuous from overtraining, either causing strains in de-conditioned muscle groups, or potential re-injury. You can use this article from the American Council on Exercise (ACE) as a guide to determine whether you are experiencing overtraining. 

Following are four tips for starting an exercise program at an older age that I provide to residents in my senior living community.  Combat that “too much, too soon” feeling, and ease into the process of adding exercise to their everyday lives without overdoing it.

Monitor How You Are Feeling

A great way of measuring this is to use an RPE (Rate of Perceived Exertion) Scale to measure how hard you feel your body is working. On a scale of 0–10 (with a 0 being at complete rest, and 10 being at highest possible intensity), you should exercise within a 3 or a 4 intensity (at a moderate intensity).

Recording your heart rate after exercise is also an effective measurement of exertion. If you notice after several minutes that your heart rate is not decreasing after exercise, your body is not recovering properly.

Stop exercise if you are experiencing severe bone/joint pain, or sudden pressure in your chest, neck, shoulder, or arms.

Begin Slowly and Gradually Increase Duration/Intensity

If you are new to exercise, start out by scheduling exercises at least 2–3 times per week, for 15–20-minute sessions. As you become more physically adapted to exercise, you could increase your frequency to roughly 4–5 days per week. When you reach a point where you would like to increase your resistance and/or intensity, make sure that you make no more than a 5% increase in one week.

If you have been exercising for a while, don’t hesitate to reduce your workload to re-acclimate your body to the regular routine. This might include coming to an exercise class that is seated rather than standing, or cutting back a few minutes on your daily walk.

Plan Rest Days Accordingly

If you do not give your body the opportunity to rest in between exercise sessions, it will have physiological effects on your nervous system, and potentially develop micro-trauma and overuse injuries. You could also spend your rest and recovery days doing light stretching exercises, or going for a light walk.

Be Patient

It will take at least 3–6 weeks for your body to develop neuromuscular adaptation to exercise, and to achieve long-lasting results.

If you incorporate a slow and steady approach and find that proper balance in your exercise routine, you’ll have a higher rate of success in achieving your exercise goals and avoid a setback. 

Exercise for older adults is about more than just physical fitness, grab our quickread below and read more about the importance of exercise in aging well.

Corporate fitness programs in businesses all across the country have been doing pretty much the same thing, quite possibly for decades. The programs look very different, one from the next, but the basic premise is the same.

• Employer: "We want you to be healthy. Here's [insert your corporate fitness answer here: a gym membership, group fitness classes, walking paths, an onsite corporate fitness center, etc.] for you to use. Go be active (when you're not working).
• Employee: "I'd love to start exercising, but I don't know what's safest and most effective for me. Plus, I don't have much time, and clearly, I have work quotas to meet. It's great that the company offers these healthy options, but it doesn't seem like the right fit for me."

There's a real risk in corporate fitness that we only ever reach the folks who would be active regardless of whether there was a corporate fitness program. So the challenge for businesses becomes how to reach employees who are interested in exercising but who don't know where to begin. Get your organization started in the right direction with these three tips for improving your corporate fitness program.

Tip 1: Get the staffing right.

Finding the right staff to support your corporate fitness offerings is crucial to the success of the program. As an organization that provides this very service to businesses all over the country, we’ve written extensively on the topic. It’s no surprise that we think outsourcing your fitness staff is a great choice. However, if your fitness center staffing style is more of a DIY approach, definitely consider the tips in this blog, 3 Tips for Hiring an Active Aging or Corporate Fitness Professional.

Tip 2: Offer the right services.

There are core services that should be in place for a corporate fitness program to be successful:

• Individual education through exercise prescriptions and fitness assessment and testing is essential. Both of these services, which can easily be provided by your qualified staff, provide a fantastic foundation to the employees who are fence-sitters about exercise—you know, the employees who want to try moving more but who aren't sure how to get started safely. Those are the very same employees you're trying to draw into the program; addressing their concerns and questions with tailored services is a great way to show them that the door to starting an exercise program at work is wide open.

Alternative to Personal Training -- Read More!

• Incentive programs can help keep the fitness program interesting and are a fantastic way to help employees reach for better health beyond physical fitness. We've written about several of our successful incentives programs; click any of the titles below to find out more.

Employee Wellness Programming Beyond the Corporate Fitness Center

Making Fitness Fun in Corporate Wellness

Increasing Participation with SKELETONE

A Simple Way to Boost Participation in Your Corporate Fitness Center

How a Simple Squat Challenge Improved Corporate Fitness Metrics

Tip 3: Ask the right questions.

Anecdotal feedback and thank-you emails provide periodic indications of whether your fitness staff is on the right track with employees. But there's nothing like concrete bulk survey feedback to help steer a program in the right direction. Sure, there are problems with surveys, but in our decades of experience with managing corporate fitness centers, we increasingly find surveys to be a very helpful tool for setting our management strategy for each client. Here's how we use them:

• We use them for specific programs to determine whether we're achieving goals with those programs. For more on our evaluation methods, check out this blog: 4 Keys to Getting Wellness Program Data You Can Actually Use.
• From a program satisfaction standpoint, we've found surveys to be quite helpful as well. While the anonymity of them can sometimes leave our staff open to very negative feedback, the vast majority of responses are constructive and quite helpful for us in determining what our next year of program and service spotlights should be.

Want to learn more about how to make effective use of surveys to improve your corporate fitness program? Download our whitepaper.

In parts I and II of this blog series, I discussed why it’s important to cultivate a robust health and fitness program for residents in AL and memory-care environments and how to tap into your existing personnel to make that happen. In this final blog of the series, I’m going to cover a few additional resources for enhancing your fitness program.

•  Consider how you can have a more inclusive environment in your IL fitness amenities: Can you establish criteria or resident support tools to invite AL or memory-care residents to use the existing exercise equipment in the fitness center or partake in group exercise classes with IL residents?
• Develop a fitness space: Whether it is sectioning off a small corner of an existing activity or lounge space or building out an entire room for fitness equipment, having a dedicated fitness space or studio can be a great option for residents of all ability levels.
• Dedicate a variety of exercise equipment options: It’s time to put down the pool noodles and the beach balls. There are a number of small fitness equipment pieces on the market that can create new challenges and variety in group exercise classes.
• Consider qualified staff: The demand for quality fitness offerings for older adults has steadily increased in the past decade. Fortunately, there also more qualified fitness staff on the market who have experience catering to the unique needs of older adults. Working with a staffing partner like NIFS or hiring your own fitness professional to support your residents’ health and fitness needs even in a part-time capacity can be a significant enhancement to your program.

Through the course of this blog series, I’ve highlighted a variety of opportunities to enhance your fitness offerings for AL and memory-care residents.  While having qualified fitness staff can be a difference maker, there is quite a bit that existing activities staff can do to improve exercise offerings. With that being said, you already have a full plate of responsibilities to serve your residents and pausing to develop a strategy for doing fitness better might be a challenge. If you’re ready to improve your fitness program for residents in assisted living and memory care environments, find out more about how we can help you.