Types of Exercises Offered in Third Age Universities and Their Benefits on the Health of Elderly Individuals

Year 2024, , 49 - 58, 15.07.2024

Eda Bayer

https://doi.org/10.5281/zenodo.12745466

Abstract

With the increasing elderly population worldwide, the concept of quality aging or active aging among older individuals is gaining more prominence. Consequently, third age universities have been established to support the social, physical, and psychological development of the elderly. It is crucial not only for individuals who engage in regular exercise but also for those participating in third age universities to understand the types of exercises available and the health benefits associated with them. Therefore, this study aims to highlight the types of exercises offered in third age universities and the health benefits of these exercises for elderly individuals. According to relevant literature reviews, exercise programs such as Otago, Tai Chi Chuan, Resistance, Flexibility, and Endurance exercises can be implemented for individuals participating in third age universities. These exercise programs, when implemented, significantly enhance the balance and muscle strength of elderly individuals, thereby reducing the risk of falls. They also improve cardiovascular and respiratory functions, thus enhancing the overall physical capacity of elderly individuals and reducing the risk of chronic diseases. Additionally, these exercises support metabolic health and strengthen the immune system.

Keywords

Third Age Universities, Exercise, Elderly, Health.

Üçüncü Yaş Üniversitelerinde Sunulan Egzersiz Çeşitleri ve Yaşlı Bireylerin Sağlığına Faydaları

Abstract

Dünya genelinde yaşlı nüfusun artmasıyla birlikte yaşlı bireylerin kaliteli yaşlanma veya aktif yaşlanma durumları giderek daha fazla gündeme gelmektedir. Bu nedenle yaşlıların sosyal, fiziksel ve psikolojik gelişimlerini desteklemek amacıyla üçüncü yaş üniversiteleri kurulmaya başlanmıştır. Düzenli egzersiz yapan bireyler kadar üçüncü yaş üniversitelerine katılım sağlayan bireylerin de egzersiz çeşitlikleri ve bu egzersizlerin sağlığa faydalarının bilinmesi oldukça önemlidir. Buna göre bu çalışma üçüncü yaş üniversitelerinde sunulan egzersiz çeşitleri ve uygulanan egzersizlerin yaşlı bireylerin sağlığına faydalarını ortaya koymak amacıyla yapılmıştır. İlgili literatür değerlendirmelerine göre üçüncü yaş üniversitelerine katılan bireyler için Otago, Tai Chi Chuan, Direnç, Esnekli ve Dayanıklılık egzersizleri gibi egzersiz programları uygulanabilir. Uygulanan bu egzersiz programları yaşlı bireylerin denge ve kas kuvvetini artırarak düşme riskini önemli ölçüde azaltmakta, kardiyovasküler ve solunum fonksiyonlarını iyileştirerek yaşlı bireylerin genel fiziksel kapasitelerini artırmakta ve kronik hastalıkların riskini azaltmaktadır. Ayrıca uygulanan bu egzersizler metabolik sağlığı destekleyerek bağışıklık sistemini güçlendirmektedir.

Keywords

Üçüncü Yaş Üniversiteleri, Egzersiz, Yaşlı, Sağlık.

References

• Referans1 Ritchie H, Roser, M. Age structure. https://ourworldindata.org/age-structure, 2019 (E. Tarihi: 20.03.2024)
• Referans2 Samancı TÇ, Kara, F. Dünyada ve Türkiye'de Yaşlılık. Uluslarası Bilimsel Araştırmalar Kongresi. 2018; 3(1):2019-229.
• Referans3 UN. World Population Ageing. New York: United Nations. 2015; 11 20, 2019 tarihinde https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2015_Report.pdf
• Referans4 United Nations, Department of Economic and Social Affairs [UNDESA], Population Division. World Population Prospects 2019; Highlights (ST/ESA/SER.A/423). New York: United Nations.
• Referans5 TUİK. (2018). İstatistiklerle Yaşlılar. Sağlık Bakanlığı. Ankara: Halk Sağlığı Genel Müdürlüğü. 12 10, 2019 tarihinde https://hsgm.saglik.gov.tr/depo/ birimler/kronik-hastaliklar-engellidb/hastaliklar/Yasli_Sagligi/raporlar_istatistikler/TUIK_Yasli_Istatistik_201 8.pdf.
• Referans6 Findsen B, Formosa M. Introduction. (Chapter 1). International Perspectives on Older Adult Education Research, Policies and Practice. (Editors) Findsen B, Formosa M. Lifelong Learning Book Series. 2016. Switzerland: Springer International Publishing. doi:10.1007/978-3- 319-24939-1.
• Referans7 Lear G. Research in the third age: it is never too late. Australian Journal of Adult Learning. 2003; 43(3), 3 59-462.
• Referans8 Stankov G. Overcoming ageism through education for the third age. pp.32-42. International conference“Equal learning opportunities for the elderly” Bratislava 18-20 May 2017. Ed: N. Hrapková. Univerzita Komenského v Bratislave, Slovakia. Electronic Platform for Adult Learning in Europe [EPALE].
• Referans9 Formosa M. Active ageing through lifelong learning: The university of the third age. M. Formosa (ed.). Chapter 1. The University of the Third Age and Active Ageing, European and Asian-Pasific Perspectives. 23, Springer Nature. 2019. Switzerland doi:10.1007/978-3-030-21515-6_1
• Referans10 Tam M. Active ageing, active learning: policy and provision in Hong Kong, Studies in Continuing Education. 2011; 33(3), 289-299. doi:10.1080/0158037X.2010.515573.
• Referans11 Kern D. France. In: Findsen B., Farmosa, M. (eds), International Perspectives on Older Adult Education Lifelong Learning Book Series, Vol. 22. Springer. 2016.
• Referans12 H3A. Heredot Akademisi: http://www.hero3a.com/tr/about-h3a/ Erişim: 11 10, 2019
• Referans13 Soyuer, F, Soyuer A. “Yaşlılık ve Fiziksel Aktivite” İnönü Üniversitesi Tıp Fakültesi Dergisi. 2008; 15 (3) 219-224.
• Referans14 Kefeli B, Başarır G, Uygun, S, Taban Ö, Kavaklı Y. Sağlıklı Yaş Alabilmek İçin Beslenme, Göksu Şeker (Ed), In: Yaşlılık, Hastalıkları ve Beslenme (1) (s. 2-3), Hatipoğlu Yayınları; Ankara, 2016.
• Referans15 Ergün M. Yaşlılık ve egzersiz. Spor Hekimliği Dergisi. 2013; 48(4), 131-138.
• Referans16 Torlak MS. Yaşlanma ve Egzersiz. Spor Bilimleri Araştırmaları Dergisi. 2018; 3(1), 128-144.
• Referans17 Çifçili S. Aktif yaşlanma: fiziksel boyut. The Journal of Turkish Family Physician, 2012; 3(1), 6-12.
• Referans18 Gökkaya NKO. Yaşlılık Döneminde Egzersiz: Ne çok az ne de çok fazla. Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi. 2009; 55 Özel Sayı 2, 92-94.
• Referans19 Soygüden A, Cerit E. Yaşlılar ı̇çı̇n egzersı̇z uygulamalarının önemı̇. Hitit Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2015; 8(1), 197-224. https://doi.org/10.17218/husbed.58321.
• Referans20 Alves ES, Souza HS, Rosa JP, Lira FS, Pimentel GD, Santos R. Chronic exercise promotes alterations in the neuroendocrine profile of elderly people. Horm Metab Res. 2012; 44(13):975-9.
• Referans21 Motahari-Tabari N, Shirvani MA, Shirzad-e-Ahoodashty M, Yousefi-Abdolmaleki E, Teimourzadeh M. The effect of 8 weeks aerobic exercise on insulin resistance in type 2 diabetes: a randomized clinical trial. Global journal of health science. 2015; 7(1), 115.
• Referans22 Kirk-Sanchez NJ, McGough EL. Physical exercise and cognitive performance in the elderly: current perspectives. Clinical interventions in aging. 2014; 51-62.
• Referans23 Falck, RS, Davis JC, Best JR, Crockett RA, Liu-Ambrose T. Impact of exerci- se training on physical and cognitive function among older adults: a systematic review and meta-analysis. Neurobiol Aging. 2019; 79:119-130.
• Referans24 Chiu HL, Yeh TT, Lo YT, Liang PJ, Lee SC. The effects of the Otago Exercise Programme on actual and perceived balance in older adults: A meta-analysis. PLoS One. 2021;16(8):e0255780.
• Referans25 Aksu S, Gonartrozlu hastalarda klasik fizik tedavi uygulamalarına ek olarak fizyoterapist eşliğinde uygulanan ev egzersiz programları ile otago egzersizlerinin karşılaştırılması. Yüksek Lisans Tezi, İstanbul Arel Üniversiesi Lisansüstü Eğitim Enstitüsü, İstanbul, 2020, s 37.
• Referans26 Liew LK, Tan MP, Tan PJ, Mat S, Majid LA, Hill KD, et al. The Modified Otago Exercises Prevent Grip Strength Deterioration Among Older Fallers in the Malaysian Falls Assessment and Intervention Trial (MyFAIT). J Geriatr Phys Ther 2001. 2019;42:123–129.
• Referans27 Beato M, Dawson N, Svien L, Wharton T. Examining the Effects of an OtagoBased Home Exercise Program on Falls and Fall Risks in an Assisted Living Facility. J Geriatr Phys Ther. 2019; 42:224–229.
• Referans28 Jahanpeyma P, Kayhan Koçak FÖ, Yıldırım Y, Şahin S, Şenuzun Aykar F. Effects of the Otago exercise program on falls, balance, and physical performance in older nursing home residents with high fall risk: a randomized controlled trial. Eur Geriatr Med. 2021;12:107–115.
• Referans29. Christou EA, Yang Y, Rosengren KS. Taiji training improves knee extensor strengt hand force control in older adults. Journal of Gerontology. 2003; Series A, 58(8), 763-766.
• Referans30. Wu G. Muscle actionpattern and knee extensor strength of older Tai Chi exercisers. Med SportSci. 2008; 52, 30-39.
• Referans31 Lan C, Chen SY, Lai JS, Wong MK. The effect of TaiChi on cardio respiratory function in patients with coronary artery bypass surgery. Med Sci Sports Exerc. 1999; 31(5), 634-638.
• Referans32 Wong AM, Lin YC, Chou SW, Tang FT, Wong PY. Coordination exercise and postural stability in elderly people: Effect of Tai Chi Chuan. Arch Phys Med Rehabil. 2001; 82; 608-12.
• Referans33 Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, Castaneda-Sceppa C. Physical activity and public health in older adults: recommedation from the american college of sport medicine and the american heart association. Med Sci Sports Exerc. 2007; 39(8), 1434-1445. Doi: 10.1249/mss.0b013e3180616aa2.
• Referans34 Lee PG, Jackson EA, Richardson CR. Exercise Prescriptions in Older Adults. Am Fam Physician. 2017; 95:425–432. https://www.aafp.org/afp/2017/0401/ p425.html
• Referans35 Muchiri WA, Olutende OM, Kweyu IW, Vurigwa E. Meaning of Physical Activities for the Elderly: A Review. Am J Sports Sci Med. 2018; 6:79–83.
• Referans36 Rimmer JH. Exercise considerations for medical conditions. In C.J. Jones and D.J. Rose (Eds.), Physical activity instruction of older adults. Champaign, IL: Human Kinetics. 2005; 335-348.
• Referans37 Barbour KA, Blumenthal JA. Exercise training and depression in older adults. Neurobiol Aging; Suppl. 2005; 1:119-23.
• Referans38 Chodzko-Zaiko WJ, Proctor DN, Singh MA, Minson CT, Nigg CR, Salem GJ. American college of sport medicine position stand. Exercise and physical activity for older adults. Med Sci Sport Exerc. 2009; 41, (17), 1510-1530. Doi: 10.1249/MSS.0b013e3181a0c95c.
• Referans39 Marzetti E, Calvani R, Tosato M, Cesari M, Di Bari M, Cherubini A, Landi F. Physical activity and exercise as countermeasures to physical frailty and sarcopenia. Aging Clin Exp Res. 2017; 29(1), 35-42. Doi: 10.1007/s40520-016-0705-4.
• Referans40. Phillips EM, Schneider JC, Mercer GR. Motivating elders to initiate and maintain exercise. Arch Phys Med Rehabil. 2004; 85 (suppl 3): S52-7.
• Referans41 Franco MR, Tong A, Howard K, Sherrington C, Ferreira PH, Pinto RZ, Ferreira ML. Older people's perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature. British journal of sports medicine. 2015; 49(19), 1268-1276.
• Referans42 Goldspink DF. Ageing and activity: their effects on the functional reserve capacities of the heart and vascular smooth and skeletal muscles. Ergonomics. 2005; 48, 11-14. Doi: 10.1080/00140130500101247.
• Referans43 Nair KS. Aging muscle. Am J Clin Nutr. 2005; 81(5), 953-963. Doi: 10.1093/ajcn/81.5.953.
• Referans44 Taylor AH, Cable NT, Faulkner G, Hillsdon M, Narici M, Van Der Bij AK. Physical activity and older adults: a review of health benefits and the effectiveness of interventions. J Sports Sci. 2004; 22(8), 703-725. Doi: 10.1080/02640410410001712421.
• Referans45 Frontera WR. Physical Activity and Rehabilitation in Elderly. In: Masiero S, Carraro U, editors. Rehabilitation Medicine for Elderly Patients. Practical Issues in Geriatrics. Italy: Springer; 2018. p.3–13. https://doi.org/10.1007/978- 3-319-57406-6_1
• Referans46 Newman A, Kupelian V, Visser M, Simonsick EM, Goodpaster BH, Kritchevsky SB, et al. Strength, but not muscle mass, is associated with mortality in the health, aging and body composition study cohort. J Gerontol A Biol Sci Med Sci. 2006;61:72–77. https://doi.org/10.1093/gerona/61.1.72
• Referans47 Roschel H, Artioli GG, Gualano B. Risk of Increased Physical Inactivity During COVID-19 Outbreak in Older People: A Call for Actions. J Am Geriatr Soc. 2020; 68:1126–1128. https://doi.org/10.1111/jgs.16550 48. Yoshiya S. The effects of exercise and sports activities on bone and joint morbidities. Clin Calcium. 2017; 27(1):39-43. Japanese.
• Referans49 Gylling AT, Eriksen CS, Garde E. The influence of prolonged strength trai- ning upon muscle and fat in healthy and chronically diseased older adults. Exp Gerontol. 2020; 15;136:110939.
• Referans50 Csapo R, Alegre LM. Effects of resistance training with moderate vs heavy loads on muscle mass and strength in the elderly: A meta-analysis. Scandinavian journal of medicine & science in sports. 2016; 26(9), 995-1006.
• Referans51.- Van Roie E, Walker S, Van Driessche S, Delabastita T, Vanwanseele B, Delecluse C. An age-adapted plyometric exercise program improves dynamic strength, jump performance and functional capacity in older men either similarly or more than traditional resistance training. PLoS One. 2020; 15(8):e0237921.
• Referans52 Güneş M, Şimşek A, Demirer B. Sarkopenik Yaşlı Bireylerde Dirençli Egzersiz Eği- timinin Etkileri. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2020; 11(4), 494-499.
• Referans53 Taylor D. Physical activity is medicine for older adults. Postgrad Med J. 2014; 90:26–32. https://doi.org/10.1136/postgradmedj-2012-131366
• Referans54 Sitthiracha P, Eungpinichpong W, Chatchawan U. Effect of Progressive Step Mar- ching Exercise on Balance Ability in the Elderly: A Cluster Randomized Clinical Trial. International journal of environmental research and public health. 2021; 18(6), 3146.
• Referans55 Oliveira JS, Sherrington C, Paul SS, Ramsay E, Chamberlain K, Kirkham C, et al. A combined physical activity and fall prevention intervention improved mobility-related goal attainment but not physical activity in older adults: a randomised trial. J Physiother. 2019; 65:16–22. https://doi.org/10.1016/j. jphys.2018.11.005
• Referans56 Papalia GF, Papalia R, Diaz Balzani LA, Torre G, Zampogna B, Vasta S, De- naro V. The effects of physical exercise on balance and prevention of falls in older people: A systematic review and meta-analysis. Journal of clinical medicine. 2020; 9(8), 2595.
• Referans57 Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, Clemson L, Hopewell S, Lamb SE. Exercise for preventing falls in older people living in the community. The Cochrane database of systematic reviews. 2019; 1(1), CD012424.
• Referans58 Ross M, Lithgow H, Hayes L, Florida-James G. Potential Cellular and Biochemical Mechanisms of Exercise and Physical Activity on the Ageing Process. Subcell Biochem. 2019; 91:311-338.
• Referans59 Naci H, Salcher-Konrad M, Dias S. How does exercise treatment compare with antihypertensive medications? A network meta-analysis of 391 randomised controlled tri- als assessing exercise and medication effects on systolic blood pressure. Br J Sports Med. 2018; 2019;53:859-869.
• Referans60 Hein M, Chobanyan-Jürgens K, Tegtbur U, Engeli S, Jordan J, Haufe S. Ef- fect of normobaric hypoxic exercise on blood pressure in old individuals. European journal of applied physiology. 2021; 121(3), 817-825.
• Referans61 Roman MA, Rossiter HB, Casaburi R. Exercise, ageing and the lung. Eur Respir J. 2016; 48(5):1471-1486.
• Referans62 Rodrigues-Krause J, Farinha JB, Krause M, Reischak-Oliveira Á. Effects of dance interventions on cardiovascular risk with ageing: systematic review and meta-analy- sis. Complementary therapies in medicine. 2016; 29, 16-28.
• Referans63 Antonicelli R, Spazzafumo L, Scalvini S, Olivieri F, Matassini MV, Parati G, Del Sin- daco D, Gallo R, Lattanzio F. Exercise: a “new drug” for elderly patients with chronic heart failure. Aging. 2016; 8(5), 860-872.
• Referans64 Szymura J, Kubica J, Wiecek M, Pera J. The immunomodulary effects of sys- tematic exercise in older adults and people with Parkinson’s Disease. Journal of clinical medicine. 2020; 9(1), 184.
• Referans65 Ostman C, Smart NA, Morcos D, Duller A, Ridley W, Jewiss D. The effect of exercise training on clinical outcomes in patients with the metabolic syndrome: a systema- tic review and meta-analysis. Cardiovasc Diabetol. 32017; 0;16(1):110.
• Referans66 Ma CL, Ma XT, Wang JJ, Liu H, Chen YF, Yang Y. Physical exercise induces hippocampal neurogenesis and prevents cognitive decline. Behavioural brain research. 2017; 317, 332-339.