Corporate Fitness and Active Aging

Many communities offer balance training to their residents simply as a component of a group fitness class on the activities schedule. I’m here to tell you that is not enough! Residents need an opportunity for group classes solely dedicated to balance training, as well as balance assessments, equipment, and workouts in their community fitness centers.

Comprehensive balance training programming is often an early success when NIFS begins staffing a fitness center at retirement communities. We’ve been able to engage many residents in the fitness program who previously wouldn’t buy into other modes of physical activity, but they are chomping at the bit to participate in balance training opportunities that can decrease their risk of falls and improve their confidence. Doing so is sometimes a “gateway activity” to help residents recognize their abilities. After building that initial confidence, they experiment with a NuStep or a chair aerobics class. We’ve all got to start somewhere!

NIFS’ Balance Challenge Program

To promote existing balance training programs at our CCRCs, NIFS will hold its inaugural Balance Challenge in March. The Balance Challenge program encompasses different elements of our regularly offered balance training programs and services as well as a few new opportunities for residents. Participants will track their activity on a scorecard and will be required to participate in group classes, educational lectures, assessments, fitness center workouts, obstacle courses, and much more to complete the Challenge. The program is designed with activity options for residents of varying ability levels so it can be marketed to someone new to the fitness program looking to get into a routine, or for seasoned participants to further hone their skills.

All participants in the Challenge will complete a Fullerton Advanced Balance Scale test as well as a pre- and post-program survey in which they will rate their current balance skills and confidence levels. In future programs, we hope to see that our participants are maintaining or improving their balance abilities as well as their confidence levels through engaging in not only the month-long Challenge, but also throughout the year in regularly scheduled programs. (Consider the marketing advantages for a community with data of this nature to back up the effectiveness of your balance programs!)

Things to Consider When Starting a CCRC Balance Program

Here are a few key considerations when launching a comprehensive balance program for your residents:

• Who is qualified to lead these types of classes and services for your residents?
• How will you track the impact the program is having on your residents’ functional abilities and how will you utilize that information?
• How can you utilize resident volunteers to act as your balance champions to demonstrate exercises, provide testimonials, etc., on the effectiveness of the program? (Residents seeing their peers demonstrate exercises may help them get over any fears of participating.)
• How can you partner with your community therapy department in balance program offerings?

Whether your community already has a variety of balance training opportunities, or you are looking to launch some new initiatives, consider how a comprehensive program can help spark enthusiasm in your residents!

Many Continuing Care Retirement Communities (CCRCs) offer a variety of group fitness classes to their residents. The community personnel who hire the group fitness instructors (GFIs) may benefit from a few pointers on hiring standards beyond someone’s personality alone. Don’t get me wrong, the right personality and ability to build relationships with residents is crucial for making a class successful. However, a narrow focus on personality alone may not provide your residents with the maximum benefits of participating in the activity and could create a dangerous environment.

Certifications and Insurance

To protect participants in group exercise classes (whether in commercial gym, church, school, or CCRC settings), fitness industry standards require that GFIs maintain current instruction certifications and CPR/AED certifications. Contracted GFIs should also carry proof of personal liability insurance. Well-qualified GFIs are aware of these standards and likely would not be in the practice of instructing without maintaining those certifications. For community personnel hiring these individuals, that may be your first sign. If someone applies for the position and cannot provide proof of current certifications and liability insurance, they likely aren’t the best fit for meeting the fitness program standards for your community.

Furthermore, communities should make sure that they are maintaining current copies of certifications from their existing GFI staff. If you find that existing instructors do not have current certifications, it’s likely time to establish a timeline within which your GFIs can obtain a certification to continue with their instruction.

Experience in Senior Fitness

It’s also important to make sure that GFIs have experience teaching an older-adult population. When looking for an instructor, you might contact local senior centers, churches, or YMCAs and share information about your opening and provide the requirements and qualifications you are looking for in a GFI. This may provide you with a better candidate pool than having to sift through GFIs who teach boot camp, kettlebell, or kickboxing-type classes.

Personality

Looking at certifications and experience instructing older adults is the best starting point when looking for a GFI. However, as previously mentioned, the personality of the GFI is also critical for the overall enjoyment of the participants. When replacing an instructor or recruiting an instructor for a new class format, you might consider surveying your residents on their desired qualities in an instructor and in a class.

For example, if you are searching for a yoga instructor, residents may have feedback on enjoying the relaxation benefits of the class. This could allow you to question candidates on elements of relaxation they build into their class. While you may not have the expertise to recognize the specific details on the relaxation elements they are discussing, you should be able to gather feedback on their style of instruction: Is it soothing, focusing on breathing and guided imagery and providing a sense of calming for participants? Or does the instructor focus on deep stretching or strengthening throughout the class?

Establishing standards for GFIs in your group fitness program can benefit more than just your residents. Sharing these standards with prospective residents can be a great marketing tool to promote the dedication and focus your community places on its wellness programming.  

The number-one challenge that the aging population faces is balance because the number-one concern is falling!

In order to maintain balance, you must balance your day to include balance exercises! A wise person once said, “Practicing balance doesn’t make perfect; practicing balance makes permanent!” Therefore, include specific balance exercise daily, incorporate them into your exercise routine, provide a variety of balance exercises, and do different ones daily to challenge your stability.

Start with the three goals of achieving better balance:

Goal 1: Establish a Routine.

What’s the first thing you do when you get up in the morning? You usually head to the bathroom, take a shower, brush your teeth, and so on. It’s a consistent routine. So is practicing balance! Find the time, whether it 's before or after exercising, after breakfast, or before bed. Schedule in a few balance exercises and make it part of your routine.

Goal 2: Think Before You Start.

Remember, all the exercises in the world will not do any good if you don’t follow these simple safety rules:

• Wear proper shoes. Your ankles and feet need good support. No sandals or fancy shoes!
• Utilize your strong muscles. Strengthen the muscles that support the body (especially the lower legs and ankles). So make sure your exercise routine includes strengthening these areas.
• A mirror is helpful. Look at yourself when you attempt to balance, check your posture, and note what your limitations (such as knee replacements or back issues) permit.
• Stand on good flooring. Do your exercises on stable and level ground. If one side is higher or more unsteady than the other, you will be the same.
• Use stable support. Make sure that there is a stable chair or counter available. As you practice, you will need an occasional support when you feel unsteady. The main goal is to prevent falling.
• Avoid fast movements and position changes. Slow down! Learn to turn and react with deliberate patience. Incorrect weight shifting is the number-one cause of falls. So when you go to move or turn, remember to be as cautious as possible. What’s the real hurry? Let your body catch up with your mind’s intent.

Goal 3: Practice Being Unsteady to Become Steadier.

Sounds silly, doesn’t it? Practicing exercises that force the body to feel unsteady actually helps the body become steadier. That being said, you should also continue to challenge the body. For example, if you’re capable of supporting yourself by raising both arms out and holding them for 10 seconds, next you can incorporate holding on with one hand and lifting one leg out to challenge yourself. Eventually and over time you can regain better balance.

The number-one challenge that the aging population faces is balance because the number-one concern is falling. The question has always been, “What causes these falls and how can we continue to prevent them”? The answer from a recent study is outstanding (no pun intended!).

Study Shows What Causes Senior Falls

An 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. These 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 result of the study concluded that the number-one cause of falls (41 percent) was incorrect weight shifting: basically, how one moves or transfers from one position to another.

The study identified that the majority of falls occurred during standing and transferring, how we go from the position of standing still to starting to move. Staying balanced doesn’t involve only maintaining it when we are in motion, but the study has proven that how we begin that motion can be much more crucial to staying in balance.

Weight-Shifting Exercises for Senior Fitness and Balance

Therefore, in order to improve balance and prevent falls, it is crucial that a balance program incorporate weight-shifting exercises to help teach seniors about their center of gravity. Weight-shifting exercise can also improve coordination, strengthen the muscles in the lower extremities, and teach slower and more precise movements. Older adults should speak with a qualified fitness professional who understands the functional needs of the population, including balance-training recommendations. Fitness professionals can administer balance-training and weight-shifting exercises through one-on-one personal training sessions, group exercise classes, or simple recommendations of exercises for one to include in his or her normal fitness routine.

Here are some examples of weight-shifting exercises for active older adults:

• 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 in the other direction. Repeat 10 to 15 times.
• 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.

If you are interested in reading about the study and the specific findings, follow this link.

Download our QuickRead for more information on the importance of teaching physical balance in your active aging community!

What are some challenges in developing group fitness classes for active older adults? One of the hardest things for me is that there is a wide variety in exercise knowledge and ability. For example, you might have someone who has never exercised a day in their life sitting next to someone who has been exercising in a gym for decades. Or, you may have someone in their middle 60s next to someone who is 85 with two knee replacements.

To overcome these challenges, make sure that you give both a progressive and regressive option for each exercise that you are teaching. Allow the individuals to experiment with what works for them. Each individual will choose how hard they want to make the exercise, but it is the instructor’s responsibility to ensure they are able to complete the exercise in a safe and effective manner for their varying ability levels. Encourage the participants to try new exercises, but also let people know that it’s okay to progress slowly over several weeks or months. The most important aspect is that they keep moving and have fun while feeling accomplished at an appropriate intensity level for their needs.

Use Visual and Verbal Cues

Each individual will learn in his or her own way. Make sure that you not only show them a visual demonstration but also use verbal cueing that may help them. At this age, some of your residents may not see well and others may not hear well. Pick out key words or moves that may help them remember from one class to the next.

Explain Why They Are Doing the Exercise

It is also important to educate senior fitness participants on why they are doing different exercises. Describe the reason for the exercise, the muscle group being worked, and how it should feel while performing the exercise. This can help participants become more in tune with their bodies and may help prevent injury if they develop improved body awareness.

For example when cueing upright rows, explain to the participants that the exercise can help improve their posture because it engages the muscles of the upper back and backside of their shoulders. As you cue them through the movements, explain how to engage the shoulder blades so they can specifically feel and identify where the muscles should be working if the exercise is being done correctly. For someone who does not have a good visual of the exercise being demonstrated, it may provide reassurance that they are performing the exercise correctly if your verbal cueing is matching up with what they are feeling.

The New Year often provides the fitness industry with a boom of customers hoping to hold true to their resolutions. Many of those resolutions often pertain to unrealistic weight-loss goals.

Older Adults Exercise for Different Reasons

While we still see a boost in participation at our retirement community fitness centers in the New Year, the resolutions are often for a different reason. Many older adults exercise to maintain a healthy weight or to try to lose weight, but they understand the value in physical activity beyond vanity. As a fitness professional, it is refreshing to serve the needs of older adults in retirement communities who understand the value of living a physically active lifestyle for their overall health and well-being.

When a physically active lifestyle is adopted for the wrong reasons, it can be more difficult to adhere to for the long term. This is likely why the surge in participation in January often trickles off in mid-February at commercial gyms. However, when older adults adopt a physically active lifestyle, particularly one that has been designed for their individual needs, the benefits of that program help them adhere.

Selling the Benefits of Exercise in Retirement Communities

In our retirement community fitness centers, our participation levels gain momentum as the year progresses, and we don’t see that drop in participation. This isn’t all that surprising. We hear feedback from residents stating they have more energy, less joint pain, improved sleep, an easier time performing ADLs, and more overall endurance.

Kick off a motivating incentive program in your retirement community fitness program in the New Year to recruit new residents to exercise and inspire existing participants. Getting the residents started is half the battle. The benefits of exercise can often sell the adherence component for you!

Good posture is as important as eating right or having a good exercise routine. When you have good posture your body will work the way it is supposed to, keeping your muscles balanced and working together will also help prevent injuries. Poor posture can be caused by many different activities, one of them being that a person has overcompensated from an injury or fall. As society continues to be in sedentary positions and behind a computer these problems are going to continue. Excessive weight and careless standing, sitting or sleeping habits will also lead to poor posture.

For seniors, decreases in physical activity as we age can be the primary culprit of poor posture. Sometimes these decreases in physical activity are a result of a diagnosis of a chronic health condition such as arthritis or neuromuscular conditions. The key is not to stop exercising when chronic health conditions arise, but to use exercise to help maintain posture and manage the symptoms of such conditions. When posture is out of alignment, it can increase an older adult’s susceptibility to falls.

There are a few things that you can do to help improve posture:

1. Individuals need to make sure that they are in a healthy weight zone for their body type.
2. Participate in a balanced exercise program that includes cardio, strength, and flexibility training. Classes such as Pilates or yoga are great ways to focus on strengthening and improving flexibility in the core muscles which support posture.
3. Be aware of what chairs you have in your work space, as well as your home.

Use it or lose it - as we age, our muscles will get shorter and weaker if we are not using them. Poor posture can lead to head aches as well as back and neck pain. For more information on the importance of posture or activities you can do to help correct your posture please speak to fitness professionals or your doctor.

While many residents aren’t burning the midnight oil to ring in the new year on December 31, that doesn’t mean that the spark of renewal and enthusiasm to embrace a new year is any less for these folks. The new year is a great time for senior living communities to launch or promote their community wellness program.

It’s important to utilize the momentum that a new year can spark for some residents, while also helping to uplift residents who may have struggled through the holiday season. Here are a few tips for helping your residents embrace the New Year:

• Education: A wellness-based lifestyle can be a foreign concept to some older adults. Hold an educational lecture series highlighting the multiple dimensions of wellness. Describe the different dimensions of wellness and provide residents with examples of the regularly scheduled activities they can get involved in at the community related to the featured dimension.
• Fitness: Help residents establish short- and long-term fitness goals in the new year and help them track their progress. Recognize when goals are met to help residents feel an early sense of accomplishment in the new year while further helping them continue to strive for longer-term goals.
• Incentivize engagement: Schedule special activities in the first couple months of the year that touch on the different dimensions of wellness. Flag these activities on your calendar and tell residents that they will be entered into a prize drawing for each activity they participate in. You can also host a party for those residents who attend each of the special activities.

This post was updated on May 7, 2018.

There is a trend among owners and operators of senior living communities toward a focus on resident wellness. The movement is based in research findings which indicate that opportunities for residents to live actively are important both to prospective residents as well as to their family members. Couple those findings with the constant news updates about how good regular exercise is for older adults and its easy to see why communities are so focused on ramping up their resident wellness programming. 

Where size does matter is when we're looking at the passion, personality, and skills of the individual(s) leading the exercise programming at your community. Even the biggest, shiniest, most state of the art fitness centers, pools, and other healthful spaces will become like a ghost town if there is no staff presence (or it’s the wrong staff presence) there to connect with your residents. Staff personality and capability reign supreme when it comes to a quality, compelling, and invitational programming at your community. 

[Learn More: Read our case studies on the impact of staff for a successful exercise program]

Get the size of your staffing just right.

There are a few ways you can invest in quality staffing for your exercise program:

• You can provide your own staffing.
• You could also consider tapping an existing partner for this service. We see therapy groups sliding into this market.
• You can partner with a group like NIFS who does fitness center management as a core business.

There’s a lot at stake here.  Not enough staffing, or the wrong staff member(s) could poke a serious hole in what should be an uplifting, feel-good offering at your community. If you don’t have the money to spend on the bricks and mortar, make sure you have the resources to effectively operate what space you do have, or the entire investment could provide less than stellar results.

Of course, it’s horribly self-serving for us to say that staffing your onsite fitness center and wellness initiatives isn’t a DIY (do it yourself) project.  We’re not above shameless self-promotion, but the truth is, the consequences of making fitness center management a DIY initiative can be costly.  Read on to learn NIFS top three reasons to outsource fitness center management of your retirement community or worksite fitness center. 

Reason #1: Your actual dollar cost is only part of the cost/benefit picture

If you’re reading this thinking, “Outsourcing is expensive – way more expensive than hiring my own personnel”, you’re right.  Of course, costs come in two types: direct and indirect.  So don’t stunt your thinking about this by looking only at the invoice from the outsourcing partner against your compensation profile for your own employee.

Reason #2: Outsourcing fitness center management provides expertise you can't build on your own

We would never lean toward such exaggerations as to say that health promotion, fitness, wellness (insert your favorite name for it here) is akin to rocket science.  It’s not hard, like organic chemistry hard.  But it’s challenging in that call center, customer service kind of way.  Let’s face it, anyone one who works in customer service knows that the hardest, and most rewarding, part of their job is working with the customer.  NIFS staff are in that same customer service spot.

To that end, there is a benefit to having a pool of like-minded peers who are doing the same type of work, sharing in successes, problem-solving through challenges, and brainstorming new ideas together.  When you hire an outsourcing organization to provide your staffing, they have that built in peer support.  When you hire your own wellness professional – they’re essentially on their own to build a peer network of support.

In NIFS case, the support network extends well beyond peer support.  Our staff-built intranet provides program creation ideas, internal form links, peer-to-peer continuing education and more.  All of these staff resources are a benefit to our clients. When they hire NIFS, they not only get their own manager, they get indirect access to our other 70+ like-minded professional peers.

Reason #3: Outsourced partners are experts in fitness so that you don't have to be.

Risk management related to both the physical spaces and the programming connected to those spaces is an important consideration for our clients.  They don’t lose sleep over their liability exposure in our programs though.  Maybe that’s because we’ve been managing corporate and CCRC fitness centers and wellness programs for more than 20 years.  Maybe it’s because all of our staff -- administrators, managers, and specialists – are all fitness and wellness experts.  We know the industry standards for waiver language, pre-activity screening, industry-appropriate certifications, subcontractor liability management, etc.  Speaking of which, when was the last time you checked the status of the liability insurance for your contracted group fitness instructors?

For more on assessing liability in a corporate fitness program, download our white paper here.

To read about managing liability in a retirement community fitness center, download this white paper.

If you’re the “I’ll fix my own brakes” or, “I’ll build my own home addition” type, then you’re more adventurous then I and perhaps you should hire your own wellness professional.  If you’re looking for an outsourcing solution that is more trustworthy and reliable than your mechanic, and less expensive than your home addition, consider checking NIFS out. 

Read our case studies (Sagewood | Marquette | NextGear) to see how we’ve provided scalable and cutting edge solutions for our clients.