Saturday, February 15, 2025

Mobility Is the Key to Remaining Limber and Strong as You Age

 Everyone can benefit from improving their mobility so they can move more easily through each life stage. Mobility can promote healthy aging, joint function, strength and flexibility, making it easier to complete everyday tasks. It may even limit your risk of injury.

There are many reasons you'll want to add mobility to your workout routine so you remain your stronger and limber self as you age. We spoke with experts to break down what mobility exercises you should be doing, regardless of age.

Why is mobility important?

Being mobile and active is more than just exercise -- it allows you to move throughout your day and improves your quality of life. A lack of mobility can negatively affect your posture and balance, putting you at a higher risk of injuries, says a fitness and nutrition adviser.

According to the National Institute of Aging, maintaining your mobility is key to preventing disability and improving your chances of living independently as you get older. If you don't prioritize mobility, it can create "a loss of strength, cardiovascular endurance, flexibility and independence," says a physical therapist and clinic director.

Studies also suggest that along with a negative effect on performing activities of daily living -- which include bathing, eating, dressing, using the toilet and walking -- lower mobility can reduce your cognitive functioning. This can increase your likelihood of social isolation and developing depressive symptoms, especially as you age.

"During youth, our body tissue tends to be more supple and responds better to novel stressors, so we tend not to see the loss of mobility as quickly," says a program coordinator of exercise science at New York Institute of Technology. Focusing on mobility when you're young can help prevent these adverse effects and possibly increase your lifespan. 

Simply put: If you don't use it, you may lose it.

Benefits of mobility

Improving your mobility can have multiple benefits, including:

  • Better posture, balance and muscle function
  • Reduced fall risk
  • Stress relief
  • Increased range of motion and coordination
  • Injury prevention
  • Joint flexibility

The connection between mobility and exercise 

Harvard Health defines mobility as the ability to move through your day with purpose, using skills like balance, coordination, stamina, range of motion and strength. Exercise, on the other hand, is a physical activity that improves  your physical fitness, health and well-being. 

According to a 2018 study, exercise improved balance, cognitive function, endurance and mobility in people with cognitive impairment and dementia. Low-intensity exercises like walking, swimming, biking and yoga are safe for people who can't perform vigorous activities. When done regularly, low-impact activities can help you recover from injury and illness while improving your mood, energy levels and mobility. 

High-intensity exercises, such as hiking uphill, running, playing tennis or jumping rope, increase your heart rate and make it difficult to speak more than a few words without taking a breath. While both types of exercise can provide results, a 2012 meta-analysis focusing on older adults with impaired mobility, physical disability and/or multi-morbidity suggests that high-intensity exercise can improve physical function and mobility somewhat more effectively than low-intensity exercise. 

Overall, a 2015 article confirms that regular exercise and physical activity can promote healthy aging, slow the progression of mobility disability and improve motor performance. 

Mobility vs. flexibility

"Flexibility refers to the ability of a muscle to lengthen. Mobility refers to the active ability to control movement through a range of motion," says a kinesiology professor at the University of Nevada Las Vegas. 

One isn't more important than the other. Healthy movement requires both mobility and flexibility. If your muscles and joints aren't flexible, they can't move through the full range of motion, which can limit your ability to move freely, making everyday tasks like reaching, sitting or walking challenging or painful.

Personal trainer  likens it to a rusty door hinge. At first, the door sticks and creaks, but it works fine. But over time, it becomes harder to open until it won't work at all. "When one part of the body becomes stiff, we naturally compensate in other parts of the body, which can then lead to imbalance, causing larger issues like poor posture, sciatica and chronic pain," she says.

Flexibility isn't just about physical health; it also affects your cardiovascular health. According to a 2020 meta-analysis, stretching exercises can reduce arterial stiffness in older adults. Arterial stiffening increases your chances of developing cardiovascular disease later in life.

 How much mobility do you need?

Children and adolescents should get at least 1 hour of moderate-to-high exercise daily, while adults should strive for at least 150 minutes, or 2.5 hours, of moderate exercise per week, according to the experts. You should also complete muscle-strengthening activities at least twice per week.

The American College of Sports Medicine  recommends flexibility and stretching exercises two to three times weekly, though daily stretching is ideal. It advises stretching to the point of slight discomfort or when you feel tightness in your muscles and doing a range of exercises to target each muscle group. Each stretch should last for 10 to 30 seconds. Older adults should hold the stretch up to a minute for greater flexibility. 

Just a few more minutes per day of moderate to vigorous physical activity can significantly affect your life. One 2022 study shows that over 111,000 fewer preventable deaths occur yearly with 10 more minutes of physical activity per day. Increasing to 20 additional minutes is estimated to prevent over 209,000 deaths.

Getting a minimum of 150 minutes of moderate exercise per week can reduce your risk of developing metabolic syndrome, type 2 diabetes, heart disease and stroke, according to the Centers for Disease Control and Prevention. Stroke and heart disease are the leading causes of death in the US.

Ways to improve mobility

The best ways to improve your mobility depend on your current fitness level, health, age, ability and goals. For example, chair-based exercises can help improve cognitive and physical function in nursing home residents , according to a 2021 systematic review. Another 2011 study found that stroke survivors  may find that water-based exercises can improve their ability to perform ADLs. Aquatic exercises can also improve function, pain and quality of life for adults coping with musculoskeletal conditions. 

Mercer says that dynamic stretching (controlled movements that use your muscles to go through a full range of motion), yoga and Pilates are good ways to improve your mobility. Dynamic stretches are a great way to warm yourself up for a workout, as they put your muscles and joints through their full range of motion. 

While one 2016 study found that yoga and Pilates can improve dynamic and static balance and strength in older adults, another 2019 study found that Pilates is superior for individual health and functional movement. Pilates has also been found to significantly improve balance and postural control, which can reduce your fall risk.

Best exercises for mobility

The best exercises for mobility can look different for everyone, depending on your strength and ability level. Water exercises offer a low-impact way to improve your mobility if you have access to a pool. You can also find YouTube videos instructing you on how to do Pilates and yoga at home without equipment.

Here are some exercises our experts recommend for mobility that you can do at home:

Shoulder internal rotation

Seated spinal twist

Tabletop wrist extension 

Hip flexor lunge

Standing forward bend
 
Standing heel raises
 
Standing marches 

chair squats
 
Seated heel and toe raises
 

What aids can help with mobility? 

Aids such as walkers, canes, crutches, rollators and guide dogs can help people with limited mobility move about their lives. You can also use aids while exercising to keep you safe and prevent injury. 

"Tools such as resistance bands, foam rollers and massage balls help with stretching muscles and increasing range of motion," Mohr says. Rothstein suggests a soft mat, such as a yoga mat, for exercising on hard surfaces and a stretch strap when working with hard-to-reach body parts.

Registered nurse and personal trainer , believes a foam roller may be the single best tool to improve mobility. "They allow you to do almost everything, from myofascial release by rolling on them to thoracic mobility exercises, strengthening exercises like hamstring curls and even basic stretches, such as laying on the roller with your arms out for a good chest stretch," Repke says.

Repke also advises proper preparation to keep yourself safe while exercising. Take 10 minutes before your workout to warm up, doing light cardio or movements targeting the muscle groups you're about to work on. Then, continue your warmup with stretching and mobility exercises before moving into your workout routine. 

Don't forget "easily overlooked things such as shoe choice, comfortable clothing and easy access to exercise," Mercer says. Removing barriers can help you get into and maintain an exercise routine that will aid your mobility, flexibility and strength.

The bottom line

Mobility is essential to every life stage to ensure your body can move freely and with purpose throughout every range of motion. A lack of mobility can prevent you from performing everyday tasks like brushing your teeth, squatting to pick up laundry or your kid's toys, bathing, dressing and other ADLs. It can also alter your balance and diminish your stamina, strength, arterial health and quality of life, especially if it causes social isolation. 

 

 

 

 
 

 

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Sunday, February 25, 2024

How to Prevent Age-Related Muscle Loss / Sarcopenia

If you ride your bike a few days a week, congrats! You’re already ahead of the curve for healthy aging.

“There are a lot of people who aren’t strong enough to pedal fast enough to not tip over,” says Sharon Kimble, P.T., D.P.T., a board-certified geriatric physical therapist and director of geriatric residency for the Division of Physical Therapy at the University of Minnesota Medical School.

That said, cycling alone won’t protect you from one common side effect of aging: sarcopenia a.k.a. the loss of muscle mass and strength.

Here, experts explain what sarcopenia is, the health risks, and how to prevent it.

What is sarcopenia?

Sarcopenia is defined as age-related loss of muscle mass, but it’s more complex than that—it’s a progressive muscle disease that causes reductions in muscle strength, quantity, and quality, says Lauren Simon, M.D., a sports medicine physician and associate professor at Loma Linda University in California. Research shows that people with sarcopenia are more likely to lose mobility, fall, and even die earlier than people without sarcopenia.

Around the age of 30, people naturally start losing 3 to 5 percent of muscle mass per decade, per the Office on Women’s Health. “Part of the reason is that we all have normal changes in hormones like estrogen, testosterone, and growth hormone,” Kimble says. These hormones play critical roles in the muscle-building process, so when their levels decline with age, it can be tougher to maintain and create new muscle tissue.

Regular exercise can help you hold onto muscle as you age. But research shows many people decrease their physical activity by 40 to 80 percent as they get older. And if you don’t stimulate your muscles to rebuild through exercise, you’ll inevitably lose muscle strength and mass, eventually becoming sarcopenic.

How is sarcopenia diagnosed?

Your healthcare provider may use several tests to diagnose sarcopenia. First, you may complete a questionnaire about self-reported symptoms, like difficulty rising from a chair or climbing stairs, and if you’ve had any falls. If you score high enough on the questionnaire, your provider may recommend more testing, notes the Cleveland Clinic.

Physical tests assess your handgrip and leg strength, walking speed, standing balance, and how long it takes you to rise from a chair, walk about 10 feet, walk back to the chair, and sit down (known as the timed-up and go test), according to Cleveland Clinic.

In addition, imaging tests measure your muscle mass, fat mass, and bone density. Your provider will consider the results from all of these tests when determining if you have sarcopenia.

What should cyclists know about sarcopenia?

Cycling carries plenty of physical and mental benefits—but unfortunately, preventing sarcopenia isn’t one of them. So, even if you stay active by cycling a few times per week (or more), cycling alone won’t be enough to stave off age-related muscle loss.

“While cycling helps improve cardiovascular health and can aid in maintaining a healthy weight, it doesn’t provide the resistance training needed to directly counteract muscle loss,” says Sabrena Jo, Ph.D., senior director of science and research at the American Council on Exercise (ACE). “Resistance training is crucial as it stimulates muscle growth and increases strength, directly combating the effects of sarcopenia.”

How can you prevent and reverse age-related muscle loss and sarcopenia?

“One of the key prevention and treatment strategies for sarcopenia is resistance training,”. Simon says.

A systematic review and meta-analysis of 14 randomized controlled trials found that resistance training significantly improved handgrip and leg strength, walking speed, and timed-up-and-go tests in older adults with sarcopenia compared with those who didn’t participate in resistance training.

Bodyweight, free weights, resistance bands, and exercise machines are all effective strength-training modalities for preventing sarcopenia. The key is progressive overload, or gradually increasing weight or intensity over time so your muscles continue being challenged—and consistency.

Aim for at least two strength sessions per week that recruit all major muscle groups. Think squats and lunges to work the legs and glutes; bench presses or push-ups for the chest, shoulders, and triceps; rows or pull-ups for the back and biceps; and planks and abdominal exercises for the core. “These exercises are ideal because they mimic everyday movements, helping maintain functional strength. They also involve multiple joints and muscle groups, maximizing muscle engagement and growth, which is key in combating sarcopenia,” Jo says.

 

Plyometrics, also known as jump training, is a form of resistance exercise that may be especially helpful for preventing sarcopenia, per research.

Plyometric exercises like box jumps and squat jumps build muscular power, which NASM defines as the ability to produce large amounts of force quickly, and plays an important role in maintaining mobility and performing daily tasks. Muscular power also declines faster than muscular strength, Kimble notes, which is why it’s helpful for older adults (or any athlete) to focus on maintaining it.

Cyclists of all ages can use plyometrics to maintain muscular power and ward off sarcopenia. However, plyometrics can be stressful for joints, so building a solid foundation with traditional strength exercises is essential before adding jump training. From there, start with lower-intensity plyometric options, such as those targeted at the upper-body exercises, like medicine ball chest passes and plyo push-ups, or limit how high you jump with lower-body exercises, suggests ACE.

Solid nutrition is the other piece of the equation in preventing sarcopenia—protein in particular. One meta-analysis found that older adults with sarcopenia consumed significantly less protein than their non-sarcopenic peers. As protein is the primary macronutrient in maintaining and building muscle, it’s vital to include adequate protein in your diet.

In general, active adults require higher amounts of protein to keep up with the constant breakdown of muscle tissue. Aim for about 0.7 to 1.1 grams of protein per pound of bodyweight per day to help maintain your muscle mass.

 

 
This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

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