Butler R N, Davis R, Lewis C B, Nelson M E, Strauss E
Department of Geriatrics and Adult Development, Mount Sinai Medical Center, New York, USA.
Geriatrics. 1998 Nov;53(11):45-6, 49-50, 52-4.
Patients age 50 and older who are seen by primary care doctors are in various stages of wellness, ranging from healthy to frail. Because of this diversity, exercise prescription needs to be individualized, based on many of the same principles as drug prescription. Fitness programs typically include exercises to improve posture, aerobics, flexibility, strength, and balance. Exercising for 5 minutes a day is a good starting point, with sessions increasing gradually to 20 to 30 minutes. Trunk strengthening exercise can help patients stand from soft, low chairs. Ankle exercises can reduce the risk of falls and hip fractures. Weight training is safe and effective exercise for older patients.
50岁及以上的患者在接受初级保健医生诊疗时处于不同的健康阶段,从健康到体弱。由于这种多样性,运动处方需要个性化,其依据的许多原则与药物处方相同。健身计划通常包括改善姿势、有氧运动、柔韧性、力量和平衡的锻炼。每天锻炼5分钟是一个好的起点,锻炼时间可逐渐增加到20至30分钟。躯干强化锻炼可以帮助患者从柔软、低矮的椅子上站起来。脚踝锻炼可以降低跌倒和髋部骨折的风险。力量训练对老年患者来说是安全有效的运动。