it is difficult to select the types of exercises in the old age. here we have discussed if you are taking any medicine, what can be the side effects and what type of exercise you should not do. some medicine has some side effects for what doing certain exercises is difficult.What exercise do after age of 50 Improves oxygen utilization Nutrients to muscles Transfer of oxygen from the red blood cells to muscle cells Number of mitochondria increases, enhancing aerobic metabolism Improved coronary blood flow Stroke volume increases Raising levels of high-density lipoprotein cholesterol, the 'cardioprotective' lipid, and lowering levels of low­ density lipoprotein cholesterol Exercise lowers blood pressure and reduces obesity A combination of these two factors, in addition to the reduction in cholesterol, decreases the risk of ischemic heart disease. Improve exercise tolerance in older people with COPD Aerobic fitness Help in diabetes by decreasing insulin resistance Increase bone mass in high impact activities Joint mobility & muscle strength for osteoarthritis Sleep Mood Risk Sedentary Co-morbidity Chronic disease How to judge myocardial infarction within six months angina or physical signs and symptoms of congestive heart failure resting systolic blood pressure of 200 mmHg or higher A functional test of cardiac capacity is to ask the patient to walk 15 m (50 ft) or climb a flight of stairs ECG Inactive older people Goal is to reduce time spent of sitting Use stairs instead of elevators Brisk walk for shorter time & distance but with several times in a day Functional exercises Generally active older people Aerobic exercises or resistance training Aerobic exercises like cycling (stationary), brisk walking, swimming & water aquatics Add 5 to 10 minutes of warm up & 15 minutes of cool down Stretching Weight exercises, with less intensity Resistance exercises if permits Effects of Exercise with medication Drugs for Hypertension (treated with ACE inhibitors, angiotensin 2 receptor blockers) Angina, tremor, migrain (treated with beta-blockers) Prescribed generally after MI Decrease the cardiac rate Older athletes who are taking, beta-blockers will have a restricted exercise capacity­, particularly in endurance events. Diuretics  Prevention NSAIDs Serious side-effects of these medications include hypertension, fluid retention and the devel­opment of peptic ulceration Can disturb renal function & cardiac function CNS drug Benzodiazepines nitrazepam and diazepam Oxazepam temazepam and lorazepam Insulin and oral hypoglycemic drugs  The dosages of insulin and the oral hypoglycemic drugs may need to be reduced prior to exercise to avoid hypoglycemia Refrence: Clinical Sports Medicine by Karim Khan and Peter Brukner Applied Exercise and Sport Physiology, With Labs

1. Exercise
&
Old Athletes
Dr. Satyen Bhattacharyya
Associate Professor: BIMLS
Chief Physio: Fit O Fine
Director: Well O Fit Healthcare PVT. LTD.
www.fitofine.in
Talk on
Burdwan University Footballer Alumni Association meet
on 4th September 2022
Gymnasium Hall, Burdwan University

2. What exercise do after age of
50
• Improves oxygen utilization
• Nutrients to muscles
• Transfer of oxygen from the red blood cells to muscle
cells
• Number of mitochondria increases, enhancing aerobic
metabolism
• Improved coronary blood flow
• Stroke volume increases

3. • Raising levels of high-density
lipoprotein cholesterol, the
'cardioprotective' lipid, and lowering
levels of low density lipoprotein
cholesterol
• Exercise lowers blood pressure and
reduces obesity
• A combination of these two factors, in
addition to the reduction in
cholesterol, decreases the risk of
ischemic heart disease.
• Improve exercise tolerance in older
people with COPD
• Aerobic fitness

4. • Help in diabetes by decreasing
insulin resistance
• Increase bone mass in high
impact activities
• Joint mobility & muscle
strength for osteoarthritis
• Sleep
• Mood

5. Risk
• Sedentary
• Co-morbidity
• Chronic disease

6. How to judge
• myocardial infarction within six
months
• angina or physical signs and
symptoms of congestive heart
failure
• resting systolic blood pressure of
200 mmHg or higher
• A functional test of cardiac capacity
is to ask the patient to walk 15 m (50
ft) or climb a flight of stairs
• ECG

8. Inactive older
people
• Goal is to reduce time spent
of sitting
• Use stairs instead of elevators
• Brisk walk for shorter time &
distance but with several
times in a day
• Functional exercises

9. Generally active older
people
• Aerobic exercises or resistance
training
• Aerobic exercises like cycling
(stationary), brisk walking,
swimming & water aquatics
• Add 5 to 10 minutes of warm
up & 15 minutes of cool down
• Stretching
• Weight exercises, with less
intensity
• Resistance exercises if permits

11. Drugs for
Hypertension
(treated with
ACE inhibitors,
angiotensin 2
receptor
blockers)
Lower peripheral resistance
Exercise related dehydration
Hypotension
Dizziness

12. Angina,
tremor,
migrain
(treated
with beta-
blockers)
• Prescribed generally after
MI
• Decrease the cardiac rate
• Older athletes who are
taking, beta-blockers will
have a restricted exercise
capacity, particularly in
endurance events.
Side effects
• postural hypotension
• Asthma
• excessive tiredness
• Impotence
• hyperkalemia
• lethargy

13. Diuretics
Used in Hypertension & heart failure
May have dehydration in hot climate
as there is more urine output
Side-effects
postural hypotension, light-
headedness or fainting.

14. Prevention
Prevention includes maintaining
adequate hydration and avoiding
standing still immediately after
exertion
Take diuretics after exercise
session, not before that

15. NSAIDs
• Serious side-effects of these medications include
hypertension, fluid retention and the development
of peptic ulceration
• Can disturb renal function & cardiac function
• Prevention
• Don’t exert after taking NSAIDs

16. CNS drug
• Benzodiazepines
• nitrazepam and diazepam
• Oxazepam
• temazepam and lorazepam
Effects:
fine motor skills
coordination and reaction time
Thermoregulation
This may lead to an increased risk of injury, especially in
contact sports.
Prevention
Often, people who commence exercise can
reduce their need for these medications.

17. Insulin and
oral
hypoglycem
ic drugs
• The dosages of insulin and the
oral hypoglycemic drugs may
need to be reduced prior to
exercise to avoid hypoglycemia

18. Refrence:
• Clinical Sports Medicine by Karim Khan and Peter Brukner
• Applied Exercise and Sport Physiology, With Labs
Photo credit:
• Souvik Samanta
• Dr. Argha Sadhu

19. www.fitofine.in