Corporate Fitness and Active Aging

We already know that the foods you eat can affect your weight, heart, blood pressure, and certain cancers, but we also know that food and nutrition can affect your brain health. Whether it’s just improving your memory or helping to prevent Alzheimer’s disease, the foods you choose can help to make your brain healthier. Check out these six nutrition tips for brain health:

• Mediterranean diet: Long known to be the best diet for heart health, researchers now know that this diet is also best for your brain, too. Compared to those on a low-fat diet, the individuals who ate more olive oil and nuts had better memory and thinking skills. Researchers believe the benefit comes from the high amount of antioxidants consumed in the diet, along with foods that help prevent inflammation.
• Less red meat: You have heard that too much red meat (and other foods high in saturated fat like butter) isn’t good for your heart, but are those foods bad for your brain, too? Just as the fat in your diet can cause your arteries to clog, they can cause an increase in plaque formation in the brain, too. This buildup has been found to be a cause of Alzheimer’s disease. Try to decrease your consumption of red meat to 1–2 times per week.
• Fish: If you have been watching the news at all in the last 10 years, you know how much great press omega-3 fatty acids have gotten. This is mainly due to the heart-protective effects of fatty fish such as salmon, mackerel, and tuna and other sources like walnuts and flax. However, omega-3 fatty acids have also been found to be excellent for brains. From babies still in the womb all the way until death, omega-3 fatty acids are vital. They build brain cell membranes, reduce brain inflammation, promote new brain cell formation, and have been found to improve memory and mood.
• Produce power: Antioxidants aren’t just for cancer fighting. They are also useful for brain health and can be found in any of the bright-colored fruits and veggies. Swap broccoli and dark leafy greens for typical dinner-meal sides. Reach for berries and other bright-colored fruits all day long to get the benefit of a memory boost.
• Spices: New research is constantly being done about spices and their benefit. These have had some positive results when it comes to the brain: turmeric, saffron, garlic, cinnamon, and thyme. All of them are probably sitting in your spice cabinet now, so start adding them to your meals and reap the brain benefits.
• Coffee and tea: One item that can be controversial is coffee due to the effect of caffeine. However, caffeine is actually good for your brain health. It can help increase alertness and attention; however, long-term studies are still inconclusive. So in the meantime, stick to the recommendation of 400 mg or less of caffeine per day, which is the equivalent of 3 cups of drip coffee. Tea can give you caffeine along with the beneficial antioxidants, so consider switching your afternoon cup of joe to a cup of tea. (See this blog for the amount of caffeine in common foods.)

Most of these suggestions are also important for heart health, weight management, and an overall balanced diet. So if you haven’t been choosing these items on a regular basis, improving brain health is another positive reason to start!

One of our clients put the Alzheimer’s walk on center stage this year, and the residents responded with gusto! Paul, NIFS fitness center manager at Meadow Ridge, knew he wanted to create programming around the area walk from a fitness perspective, but he was also interested in building a synergistic event that involved both employees and residents, many of whom have been personally touched by a loved one with Alzheimer’s disease.

It was their first time raising money for a cause, and they weren’t sure what to expect in the way of participation. But with thoughtful planning and a team effort, this year’s event was a success. Here’s a rundown of how they executed a $4,900 fundraiser for Alzheimer’s disease research on their very first try.

Paul initially set out with a personal brainstorming session to consider options and overall structure of what he wanted to offer. With that outline in hand, he met with both the administrator and the executive director. By the end of that meeting, they had a variety of fund-raising ideas on the table. Most importantly, he had the support of the resident health services director and the activities director to pull off the plan throughout the month of September.

Building Excitement

Paul started with a letter to the residents about what was coming. He mentioned the community’s support of the Walk to End Alzheimer’s in their area, and provided some basic facts about the impact of the disease. He provided a teaser in the letter to pique their interest and encourage them to watch for another communication outlining how they could get involved.

He followed that letter with another print communication announcing himself as the captain for the Meadow Ridge walking team, and invited residents to participate in either a walk at Meadow Ridge or the three-mile designated Walk to End Alzheimer’s in their area. He also outlined information about how to make a donation and included an envelope complete with a receipt for tax use and a return label on the front. All they had to do was write the check, seal the envelope, and return it to the receptionist.

Two days after the second letter went out, they hosted a root beer float day. That was a brand new activity for Meadow Ridge, and it successfully inspired recollections of childhood for participants. At the float-making station, they had reminders about making donations using their envelopes, and they also had a donation jar. They quickly raised almost $300 in cash at that 90-minute event. 

Fund-raising Events

The next week the community offered two different fund-raising events. The first was a resident-only bingo party where the cost to play was $5 per game. Of course, great prizes were offered to those who won each game. They also held a 50/50 raffle with employees. This event raised $206 in total, where $103 went to the winner and $103 was donated to the Alzheimer’s Association.

The last week included a raffle for 30 different prizes for home services like gardening and housekeeping. There were also dinner-for-two prizes and opportunities to win a personal assistant for a day. The grand prize was dinner for three residents with the community owner. Some of the prizes were internal services offered by Meadow Ridge staff, while others were from outside vendors who wanted to participate in this important event.

A Big Success

In the end, they had participation from about one-third of the residents, and a team of 79 residents and employees joined in on the walks for a total of 64 miles. And to top off all of the enthusiasm around this fund-raising, the Alzheimer’s Association recognized the community for their creative efforts.

The whole thing was such a hit, they are already dreaming of what they can accomplish next year!

Related: How One Senior Living Community Got Focused on Brain Fitness

Our staff put their creative ideas into their programming to help increase resident participation, click below to see how you can improve your programs.

As we grow older, we experience changes in cognitive processes, which is a normal part of aging. But in some cases these changes are severe enough to interfere with the performance of activities of daily living (ADLs), signaling the beginning stages of cognitive decline or possibly dementia. In most cases, age-related decline occurs roughly around the age of 50, and it is estimated that by 2025, 7.1 million older adults will succumb to Alzheimer’s disease.

However, there are actions that you can take to promote your cognitive health. Likewise, research has shown that lifestyle choices can help delay or possibly prevent cognitive decline. Yet it must be stated that not all risks for developing dementia can be modified, such as age and genetics. More importantly, if you happen to be a wellness professional or care provider, it will be imperative for you to identify whether the person in question lives independently, needs assistance, or depends on others, as this will affect the individual’s wellness program.

Three Principles for Creating a Wellness Program

To create your senior wellness program, it is essential to have a strong foundation to build upon. Here are three principles to build from:

• Identify possible barriers to your wellness program.
• Develop strategies to implement your program.   
• Consider the application of the strategies.

Case Study: Dan

Now let’s take this one step further and look at a hypothetical case.

Recently Dan has been experiencing a number of difficulties when it comes to his memory/recall. A few days ago, one of his friends noticed that Dan had difficulties following the flow of the conversations and had a tendency to forget what was said. Additionally, his son has been noticing over the past few months that Dan has been misplacing things and forgetting appointments. And on top of that, Dan has become aware of his recent lapses in memory. According to his neurologist, Dan is suffering from what is known as mild cognitive impairment (MCI).

With some background about Dan, we can begin the process of helping him navigate his barriers and begin to implement strategies that will best benefit him. With MCI, it is important to realize that Dan recognizes what is happening but needs help to navigate the MCI. Therefore, the following recommendations have been made for Dan which will require reevaluation every six months by his neurologist.  There is no cure for MCI—but these strategies to navigate challenges will help improve Dan's quality of life.

• Regular exercise: Research has shown that it may delay cognitive decline or slow the rate of decline.
• Social activities: Interacting with others creates a mutual benefit including offsetting potential isolation and depression brought on by individual struggles with MCI.
• Cognitive stimulation: Taking part in creative pursuits that include problem-solving and reasoning help the brain remain active in important ways.

Also, research has shown that factors that aid in overall health may indeed play a significant role in delaying dementia. These strategies include

• Staying physically active
• Losing excess weight
• Performing cognitively stimulating activities
• Being social
• Getting enough sleep
• Eating healthy

Avoiding Falls

One more factor to be aware of is falling, and among older adults it’s the number-one cause of head injuries, which can lead to language, emotion, and thinking impairments. Thankfully, there are actions that you can take to help decrease the chance of falling, including increasing lower-body strength and balance, adjusting medications, and evaluating fall hazards.

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All in all, it’s important to keep a positive attitude and embrace a culture of wellness. Through this perspective and these three principles, you are setting up yourself or those around you for success. More importantly, it will behoove you to continue researching cognitive decline to better equip yourself and those around you. Consider this information as only a summary, a beginning point for further development depending on your needs and goals.

Recently we were challenged at our senior community to increase our exercise and record it to send to our corporate office, in hopes of raising awareness of how important exercise is for those who have Alzheimer’s and those hoping to prevent it through senior fitness.

An Exercise Challenge for Alzheimer’s Awareness

The Goal: Each community needed to accumulate around 1,500 hours of exercise in 60 days, which would translate to 100,000 total hours from all communities.

The Prize: The corporate office would donate $10,000 to the local Alzheimer’s Association chapter.

The great thing about this challenge is that we already have many group exercise opportunities where hours are easily accumulated, as well as a fitness center that members can utilize. But we wanted to amp up the amount of exercise residents were doing because, after all, it is a challenge to exercise more to bring awareness.  

While explaining this challenge to the residents and fielding questions the following weeks, I found that many residents and members did not know what was considered exercise. I was getting questions left and right, “Is this exercise? Does this count?” 

What Counts as Exercise?

So here is the thing: exercise doesn’t have to be a hard workout routine only in a fitness center or group fitness setting. Some folks feel as though that is what exercise is, and I am happy to break the news that it is not the only way to get in exercise! Guess what, things that you enjoy as well as activity needed for healing count as exercise!

Here is a list of the “does this count” exercises residents asked me about. 

• Hitting golf balls
• Physical therapy
• Occupational therapy
• Corn toss 
• Stretching before getting out of bed 
• Walking the community halls
• Gardening/weeding
• Wii and Wii Fit games

If a regimented fitness center routine is what you like for your workout, that is great!  But, if you need something else to hold your interest, whether it is a game like corn toss or working long hours in your garden, it is best to do an activity that you will stick with. And if you want to add intensity or are having a hard time finding what suits your interest, that’s the best time to consult with your fitness specialist to plan out exercises or activity that are best for you!

During my morning commute a few months ago, I switched on the radio and caught the tail end of a brief NPR story about doctors not communicating to their patients when they are diagnosed with Alzheimer’s. Because I am surrounded by this disease in the workplace and have experienced it first-hand in my family, I was quick to become empathetic and my heart sank into my stomach. It just seemed so unfair and, well, wrong.

The next day, I decided to dig a little more deeply and find the article in writing. Maybe I missed some important details at the beginning of the story. Maybe the twist was that these patients were being diagnosed but simply forgot after they walked out of the doctor’s office doors, because, after all, they do have memory loss and dementia. Unfortunately, that was not the case.

According to this specific study, an alarmingly low number of patients with Alzheimer’s (only 45%) claimed that they were given this diagnosis by their doctor. When the study looked past the patient’s input, still only 53% of family members or caretakers reported being aware of the diagnosis. The reasoning behind this sits among a variety of excuses, ranging from the doctor having limited time in each appointment to the doctor simply feeling uncomfortable.

Is It Acceptable to Withhold the Diagnosis?

Are these legitimate excuses? Is it ethically acceptable to withhold information that is unknowingly being written down in your medical records just to save one or both parties from feeling uncomfortable? 

Sure, it feels terrible to look someone in the eye and tell them devastating news, but when a person is relying on someone, their doctor in this case, to keep them informed, the doctor needs to take responsibility here. Withholding this information puts the patient at risk of harming himself, as well as those around him. What if those around a person with Alzheimer’s believe these forgetful moments are merely part of a normal aging process? Maybe one day the person with Alzheimer’s cannot recall a street name, which may seem normal, but what if the following week(s) lead to such scenarios:

The person with Alzheimer’s…

• Goes for a walk or bicycle ride without telling anyone and gets lost.
• Accidentally leaves the gas burner on all day while home alone.
• Needs help but forgets how to dial the phone.
• Leaves the water running in the bathtub, does not realize it, and goes to bed.
• Gets in a pool alone and forgets how to use their legs, loses footing, and goes under.

Some of these examples may seem extreme, but they are actually scenarios that either myself or someone I know has personally witnessed. So many dangerous situations can be avoided if family or close friends are aware of the diagnosis. And though there is no cure, doctors are finding medications that can help slow down the disease process, and researchers are finding more and more ways for people with Alzheimer’s to gain a better quality of life through means such as music, aquatics, memory care, and more.

I often see family members or caretakers get frustrated, and even angry, with people who are forgetful. When we are able to have a medical diagnosis, can realize that it is truly a disease and out of the person’s control, and can view the whole picture, we are opening a door to having more compassion and understanding for the situation a person with Alzheimer’s is facing.