Corporate Fitness and Active Aging

In every fitness center setting it seems that the goal is to provide the most up-to-date, “trendy” group fitness classes and personal training. And while I agree that trying to offer something new and exciting is very important, I also think that sometimes we need to bring fitness back to the basics.

This is very important at a senior living setting. Many of our senior living communities support active living for several hundred people and providing fitness services appropriate for every fitness level can be challenging. It easy to cater to the “most active” group of participants. But we wanted to make sure we were reaching as many different residents as possible, so our fitness center staff challenged ourselves to take it back to the basics by providing a personalized group training that focused on the “bare bones” of exercise. And let me tell you, it has been some of the most rewarding work I’ve done to date! 

While I can’t deny that fitness professionals get a thrill out of providing a tough workout in a high intensity class and hearing “that was hard,” I can honestly say that providing an appropriate workout for those who need to take it back to the basics of fitness is also just as thrilling. Being able to coach a member to stand up from his chair independently when he hasn't been able to in a long time can make your heart swell with pride for his accomplishment. 

Now I’m taking that “back to basics” challenge to you dear reader. If you work in a senior fitness setting, take a look at your membership. Start identifying the needs of your members who struggle with standing, walking, overall balance, basic strength, and most importantly their confidence! One of the criteria we used when we started evaluating who might benefit most from “back to basics” programming was to begin with members who tend to get a little behind in class and do not reap the full the benefits. 

Once you build that member list, start reaching out individually to target specific fitness and functional living needs. Then watch how your overall participation numbers grow and how the increased confidence of some of your more frail residents helps them gain additional strength for every day needs. This experience has surprised me; I didn’t expect that getting back to the basics would be so rewarding and exciting, but it has been an absolute joy. Have a similar story to share? Respond the comments below.

Aging is a natural and guaranteed process. You can’t stop getting older. This doesn’t mean you have to concede to the idea that getting older means being less than what you were in younger decades of life. Being regularly active is an important part of aging well, and yet, working in the active aging fitness industry, I have seen many older adults have come up with a plethora of excuses to not exercise. Here are some common myths that older adults use to avoid exercise and my tips for how to address them.

I’m too old.

I think we can agree that this is very outdated; the research tells us you're never too old to move your body. There have been many studies showing that staying physically active all of your life positively outweighs aging while sitting still. But, I think there is a hidden meaning in “I’m too old.” i think it's more about change than it is about age. People like to stick to their routines, older adults are no exception, and what folks often mean when they say, “I’m too old” is that exercise is out of their comfort zone. It’s a blanket answer to get the fitness monkey off their back.

In reality, they are scared to change and may need a boost from you to help get them thinking more positively. One of the ways that I help the residents who use this saying as their mantra is by engaging them in a non-physical meet and greet activity. I introduce them to other active aging residents who enjoy classes, recreational offerings, and the fitness center. The idea is not to talk to them the whole time about why they should join the fitness center and all of the great benefits, because, deep down, they already know. The idea is to get them around a group of people that they can turn to and make friends with. They are more likely to commit if they have a buddy.

[Read our Senior Fitness blog: What's the Point of Exercising]

I have an injury.

Injuries are not to be taken lightly and as a fitness professional, I definitely have a medical release secured prior to engaging a resident in exercise. If you receive an “all clear” from the doc, an older adult client who is still leaning on the injury excuse may be in fact fearful that their injury is going to get worse or come back if they embark on regular exercise. But if you present yourself as an educated professional (because you’ve done your research), you can coach the individual in safe and effective exercises. Despite your efforts, not everyone will get on board, but the more they trust you in your profession, the more likely you are to have them participate and start leading a healthier lifestyle.

I like to keep to myself.

This can be a difficult one. Introverts, especially older introverts, may need a little extra push to get moving. The best way I have found to engage with these individuals is by finding out what they enjoy doing. When speaking to them one-on-one, I relate to their interests and try to form a bond. Slowly, they start to come around. These residents normally enjoy one-on-one appointments or scheduled times when not too many people are in the fitness center.

Knowing your population’s needs is half the battle. Establishing a positive connection with your audience is how you are going to get them to be more active and engaged. Remember, it can be really scary to start something new. Being understanding and taking the time to help them find their niche is one of the most important things you can do as a fitness professional.

Several months ago, I listened to an interview on NPR with Ron Christie. He talked about working with President George W. Bush, who pressed the idea of combating the soft bigotry of low expectations when it came to the achievement gap for kids in schools. Turns out, the soft bigotry of low expectations is alive and well in all sorts of domains in this country, including how we view the abilities of older adults.

“If I accept you as you are, I will make you worse; however, if I treat you as though you are what you are capable of becoming, I help you become that.” ~Johann Wolfgang von Goethe

One of the challenges that wellness program leaders in senior living communities must overcome is making sweeping assumptions about the abilities of their audience. And it's no easy task. I am in communities across the country on a regular basis where I'm routinely surprised by the stories I hear from residents about how enthusiastically they're living their lives right now. Shame on me. After more than a decade of doing this work, I am still amazed at how vibrant my elders can be. That amazement, though positive and delighting, is rooted in my ageist assumptions that older adults somehow cannot or should not live with the same enthusiasm that I choose for myself. It is representative of the soft bigotry of low expectations.

Whether or not you can see these ageist assumptions in your own beliefs, you can see it very tangibly in the activity calendars, which are the visible display of how residents are invited to live well in your community. It shows up on senior living activity calendars in these (and other) ways:

• Unique activities? Does your calendar have fewer than 5% of activities each month that are truly unique to the month, quarter, or year? If you're not sure, try this: pull up three months of calendars and cross off every item that is routine, including standing card games, meetings, birthday celebrations, group fitness classes, etc. See what's left and consider how empty your calendar might be if it highlighted only the unique events.
• Passive vs. active? Does your calendar have a substantial percentage of the programming designed to be passive (sit-and-listen) rather than activating residents' minds and bodies? How many events are truly resident-led where the staff are only providing assistance with room reservation and possible event communication? Which programs can you point to that facilitate meaningful social interaction for your residents?
• Serving just the vocal minority? Are your calendar events built largely on the vocal minority requests, where the activity director serves as an order-taker instead of pulling from a broader base of residents, community connections, etc.?

Those are not the hallmarks of programming that communicate the capability, energy, and desires of the seniors we serve. Those are very much representative of offerings for those who are retiring from life. They tend to be narrow in scope, limiting in new experiences, and focused on probably 20–30% of your population. They demonstrate our lowered expectations for what will inspire seniors to engage.

Fortunately, it seems the senior living industry as a whole is moving toward educating on ageist stereotyping and uncovering systemic challenges that make it hard to overcome the generalized belief that increasing age means decreasing value to society. LeadingAge offered this "beginning conversation" in the magazine late in 2016, and the International Council on Active Aging has been beating the drum against ageism as well.

At the community level, using a fresh lens to see what's possible from an activities standpoint is a good start. That means dropping (as best you can) any perceptions you have about the audience you serve. You can take a stab at revealing your assumptions by giving a colleague your elevator speech about what you do.

• Do you include assumptions about what programs residents will and will not participate in?
• Do you have an underlying assumption of frailty in your residents?
• Does your message speak to how resistant your residents are to change?

If your focus is on keeping residents busy and entertaining them, you may be building your enrichment program on ageist stereotypes. Perhaps it's time to do better. Check out these concrete ideas for truly honoring the passions and interests of your lively and very much alive residents. Or, if you're ready to get busy evaluating what you have as a starting point for making improvements, check out our quick read on how to evaluate the quality of your wellness 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.

Active Aging Week is an annual event that approaches the concept of healthy aging. This year’s theme was “Explore the Possibilities.” The active aging community and brand have set out to engage all ages in providing healthy opportunities for our senior community. The week includes numerous activities, from active aging expos, senior group fitness classes, free checkups, to hearing aid calibrations, as well as healthy food demos for our seniors. All ages are welcome to participate in the celebration of life and healthy living for our seniors.

Explore the Possibilities

When dealing with the idea of aging, we often limit ourselves to things that are deemed “safe.” We should always keep safety as the main focus, but being adventurous has no age limit. Many different activities and events have levels built in for all ages, including older adults. Hiking, biking, walks/runs, creative arts for a cause, and many more activities are okay for seniors to do at a moderate and acceptable level (consult a physician before engaging in activity).

Emily Kimball, also known as the The Aging Adventurer, does not let anything limit or get in the way of adventure. She is an outdoor enthusiast who has taken all her adventures and used them as lessons to help in everyday life. Whether it’s biking across the United States, or hiking from coast to coast in England, or hiking the entire Appalachian Trail, she believes that “aging is beautiful, so accept it and enjoy it.” Her inspiration has influenced many seniors; she is a living testament to not limiting oneself, but instead believing and loving ourselves.

How Can You Age Successfully?

Three essential steps can help you age successfully, or age the way you want to. These are the keys to active aging:

• Make healthy lifestyle choices. When making healthy lifestyle choices, exercising, eating well, and avoiding smoking are all good ways to live a longer and healthy life. Doing physical activity you enjoy for 20 to 30 minutes, 5 to 6 days a week, can increase energy and make the immune system stronger. (Ask a physician before engaging in exercise.) Eating a well-balanced diet is important for everyday activity to ensure energy and focus throughout the day. Make sure you have the proper amount of fruits, whole grains, protein, and vegetables. Avoid smoking at all costs. Because of the damaging and sometimes irreversible effects of smoking, it can be very detrimental to one’s health.
• Participate in preventive care. Staying up-to-date on immunizations and cancer screenings is very important. Make sure you are regularly taking flu shots, annual exams, and immunizations. Finding health issues early is a benefit of preventive care. Programs for health monitoring and education your health care are great ways to practice preventive measures to ensure healthy aging.
• Plan in advance. Determining how you want to age is essential. Knowing what you want to do in life and preparing for your adventures is an important process, but it can be hard to put in order. Having all business aspects organized will make your adventures a lot more enjoyable. We all want to live long lives, but plan to enjoy each age range and live life the best you can. Exploring all possibilities can be the key aspect to having a healthy, happy, and joyful life.

For more on the importance on aging well, download our quick read below!

At the end of October, we'll be setting up shop at the LeadingAge Expo in Indianapolis where we'll be working with senior living community leaders to help them understand how they can start to build more thriving, active and vibrant senior exercise programs.  

Creating successful senior living exercise programs should be complicated, but I've seen so many communities struggle to create anything beyond their typical group fitness classes and hosting some personal training in their fitness space.  At our booth, we'll be showcasing these opportunities for senior living community professionals:

• Our fabulous fitness staff will demonstrate fun group fitness toys, like the resistance chair, that they put to regular use in the communities we serve.  Attendees can watch them work, or boldly give each piece a try themselves.
• We'll have information on how NIFS supports community construction projects with fitness center design and equipment expertise.
• Data from NIFS programs will be on display and attendees can learn how to get their own exercise program outcomes that make the job of community marketing and sales staff easier.

We are also launching our brand new workshop at the Expo.  "Exercise Through the Continuums" is a one-day workshop geared for Activity Directors who are interested in improving exercise options for residents in Assisted Living and Memory Care settings. Access our "save the date" page here to find out more.

NIFS is committed to helping senior living communities turn their fitness program from vacant to vibrant and we'll have plenty of information and resources at our LeadingAge Expo booth (#1025) to help you do just that. If you're not attending the LeadingAge Annual Meeting and Expo, or you can't wait until the end of the month, click here to find out more.

Download our Ebook on how you can take your community fitness center from vacant to vibrant, click below.

So what’s so practical about going to the gym, anyway? We can always find a million and one good reasons not to go. The dishes aren’t done, I haven’t finished reading the newspaper, the laundry is piling up, I have a headache, it’s too nice to be stuck inside, I’ve had a bad day…the list of excuses can go on and on. So why even bother?

The good news is that you don’t have to work out. But with every yin there is a yang, and the bad news is that if you choose not to exercise, you can expect to have a tougher time, especially as you get older, with simple daily tasks.

What Happens When You Can’t Perform Activities of Daily Living (ADLs)?

At this point in your life I bet you can’t imagine not being able to walk up and down a flight of stairs, or losing the ability to dress yourself or brush your own hair. These are simple activities of daily living that we tend to take for granted. I can’t imagine entrusting my 5-year-old nephew with picking out clothes and putting them on me. I would probably have on a t-shirt with dinosaurs or a front-end loader on it, a pair of warmup pants (on backward, of course), and slip-on Wellie boots on the wrong feet. So thank goodness I can manage to get myself together and pick out my own clothes at this point in my life—and walk up and down the stairs to pick out said clothes, and get myself to work, or out to dinner with my husband, or on a walk with the dogs.

So how do we lose the ability to do functional movements that seem mundane at this point in our lives? It all boils down to inactivity. Sure, there are a lot of other issues that can compound the simple act of avoiding movement and exercise. But the act of avoiding movement and exercise on its own is enough, over time, and added to the natural muscular wasting or atrophy that occurs as we age, creates a perfect storm of problems that can seem insurmountable.

We need movement, especially weight-bearing exercises, to keep our muscles healthy and vital. As we age (Newsflash: we are all getting older; by the time you get to the end of this blog, you will be 10 minutes older), our bodies are less able to both maintain and create new muscle. Once you reach age 70, this issue begins to accelerate. By age 80 the problem has moved into the fast lane, and boy does she have a lead foot. 

The Senior Fitness Solution: Keep Moving and Staying Active

This wasting process makes daily activities increasingly more difficult. And now we are back to the idea of going to the gym, because we don’t want our legs to shrivel up like a worm that sits in the sun too long. But we still have the same old excuses. So what to do? Do the things that you want to continue to maintain your ability to do.

• Going up and down stairs: You still want to walk up and down the stairs? Take 10 to 15 minutes a day and briskly walk up and down the stairs. If you don’t have a staircase, use the curb outside or buy an aerobic step riser from a sporting goods store.
• Getting in and out of chairs (or on or off the toilet): Another key exercise for leg strength is a modified squat, or what we call a sit to stand (and it’s also good for balance). Sitting on the edge of a sturdy chair, trying not to use your arms, come up to a standing position. Then sit back down. Imagine you are sitting on a lemon meringue pie. Don’t splat it out; sit on it gently. Don’t stay in the chair. Just touch it with your rear end and then push back up. Try 2 or 3 sets of 10.
• Dressing yourself and performing ADLs: Want to still be able to dress yourself and brush your own hair? Do modified pushups or wall pushups! Two sets of 10 per day will be more than adequate. Add in some weights (you can just use soup cans) and do some overhead presses and a few bicep curls and reverse flys to activate the upper body. Stick with the idea of doing the exercises until the muscles fatigue, usually after 20 to 30 repetitions. Add in a few planks for core strength. If planks are out of your league right now, just do some bent-leg lifts while on your back on the floor.

All of this is probably within your reach now. But why don’t you take a few minutes after you finish reading this blog to test out your abilities. Do all the stuff I outlined above, with not too much of a break in between, and see how you do. If it is a little or a lot tough, keep at it! It will get easier, and you will still be able to brush your hair and get off the toilet as you age! I’d say that active aging is a reward in and of itself.

Check out more great ideas like this from our staff!  Click below for more best practices from NIFS.

Everyone is planning their holiday vacations and parties. As the manager of a fitness center, your job is about to get just a little tougher. This time of year it’s incredibly difficult to keep the attendance up in the fitness center. I think a lot of members think they can just “put it off” until January 1^st and that it’s not that big of a deal if they miss a few weeks of workouts. Unfortunately for those people, there can be major losses after just two weeks of skipping workouts. According to this article, it only takes two and a half to three weeks of inactivity to start seeing strength declines; and losses in cardiovascular fitness can happen even more rapidly.

So, in order to combat those declines in our Active Aging sites, we’ve created the Fitness Freeze program. The basic idea of the program is as follows:

Members earn a snowflake for each week where they exercise three or more times. This can include attending a group fitness class, working out in the fitness center, or exercising on their own somewhere else. At some sites, residents can earn a “bonus” snowflake by completing an assigned task such as a scavenger hunt, an express workout, or trying a new machine or exercise. As members earn their snowflakes, the manager will hang them up throughout the fitness center. The effect is thrilling. Each fitness center becomes a “snowy” wonderland as more and more residents earn their snowflakes.

It’s a fun, simple program that has proven extremely effective in our Active Aging sites. Last year was the first running of the Fitness Freeze program and it resulted in:

• 11% increase in the total visits from November to December 2014 compared to the same months in 2013.
• 8% increase in members gained from November to December 2014 compared to the same months in 2013.
• 26% increase in the number of appointments held from November to December 2014 compared to the same months in 2013.

Our team has set even higher goals for the 2015 Fitness Freeze and I can’t wait to see the results! How are you keeping your members motivated during the holidays?

It's not just about creative programming, how do you plan to take your program to the next level?

Download our eBook below for strategies to take your fitness center from vacant to vibrant!

We have all been there, you spend hours and hours program planning putting together what you KNOW is a terrific program.  You included all the buzz words that get folks jazzed up and ready to participate like:  BALANCE-BOOSTING, ULTRA- EFFECTIVE, FAT-BURNING, MUSCLE-BUILDING, TONING AND STRENGTHING, EXCITING NEW CLASS.  You plaster signs all over the place, put notices in mailboxes and do just about everything short of hiring a skywriter to fly over and advertise for you.  The first day of your new class dawns, and you are filled with enthusiasm.  You are thinking that you really knocked this one out of the park, and that the room will be filled with eager new participants and people ready to “feel the burn” so to speak.

As you are setting up a sinking feeling sets in, a few people start to trickle in and you look up at the clock.  One minute till show time, so you figure, I might as well wait a minute, introduce myself to everyone and make sure they are set and ready to go.  A few extra minutes go by and you end up with a grand total of five participants.  Five.  For all that effort and work, you prepared for weeks prior to the new program, and this is the turn out you get.   Plaster a smile on your face and show just as much enthusiasm for the five brave souls who showed up as you would if 40 (who you hoped might show up) people were there and were just as excited as you are.

As the class wraps up, you ask yourself:  Self, where did I go wrong?  Were my advertisements boring?  Should I have hired a barbershop quartet to sing a jingle for me?  Would it have been a good idea to pull the fire alarm to see if people would just show up?  We have all been there, and are not immune to the crash and burn of a new program.  Sometimes no amount of advertising can give a program the boost it needs to succeed.  But I can tell you that one method has never failed me, ever.  And that method is… FOOD.   You provide any kind of food to the members and they will show up, in droves.

So what kind of options do you have?  Depending on your clientele you can range from mild to WILD…  Think of theme-ing the heck out of it.  Make it jive with your program, so what about Hula Lessons and Tropical Smoothies with Pineapple and Coconut Water?  Or how about Tai Chi with a Chinese tea tasting following (oolong, black tea, green tea, etc).  Get them up and moving in the morning with breakfast. Our favorite is our D.I.Y Oatmeal Bar.  It is cheap, relatively easy and really draws a crowd.  Set out a pot of oatmeal, and then a variety of fixin’s, from raisins and craisins to brown sugar, sliced almonds, and maple syrup, you can’t go wrong.

But really, any old food will do.  The next time you launch a new program, check the web for fun food ideas and see what you can come up with!

If you are a fitness professional working with seniors, you’d better have a good relationship with your physical therapy department. According to the Centers for Disease Control and Prevention, one in three seniors over age 65 falls each year, with 20 to 30% of those falls resulting in severe injury.

After a severe fall the senior may need rehab, but there are times when they do not want to go. The three reasons I hear most often about why they’re not going to therapy are

• “I’m not going to therapy because I can’t afford it.”
• “I’m not going because I don’t have time.”
• “I’m not going because you can do it.”

The next time you hear one of the aforementioned reasons for not going to therapy, here is some information you can provide that they may not have known.

“I’m not going because I can’t afford it.”

Physical therapy, speech therapy, and occupational therapy are covered under Original Medicare; the therapy caps for 2015 are $1,940. If this is the option they would like to go with, Medicare part B will pay 80% of the services and require them to pay 20%. Their cap resets after each calendar year, something many seniors don’t realize, so they may be fearful that they will have to pay 100% of the costs when in fact that isn’t true.

If the person has Medicare Advantage plan or any other detailed questions, I would suggest sending them to this section of the Medicare website, or to the therapy department. After all, we are laypersons in the field of Medicare, but our primary goal is to help them, so having this small amount of information along with other resources they can use may be enough to get them on the path to therapy.

“I’m not going because I don’t have time.”

When I hear this, I often follow it with one of my favorite fitness quotes from Edward Stanley:

“Those who think they have not time for bodily exercise will sooner or later have to find time for illness.”

We make time for the things in our lives that we view as most important. All we can do as fitness professionals is stress how important their body is; it’s their choice to agree and make the time to take care of it.

“I’m not going because you can do it.”

This might be the reason I hear most often. It is definitely flattering to hear the faith they place in your abilities, but we are not therapists and we must not overstep the scope of our training. Some people are really resistant to change, and their comfort level with you may be the reason they ask you to perform their therapy. I have found that if you show faith in therapy, and can suggest a therapist who you know is liked and gets positive results, it goes a long way in getting the person to consider therapy.

***

Neither department is more important than the other, but both are necessary for a successful and lasting recovery. The best fitness-therapy relationships are symbiotic, with both sides helping one another and referring clients. For more on strengthening this relationship, get this Quick Read.

Download our quickread for more about how intergrating services can be better for your resident's wellbeing.