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Exercise and Health in the Elderly: Effective Approaches and Outcomes

Yıl 2024, Cilt: 2 Sayı: 2, 89 - 104, 23.10.2024

Öz

Considering the increase in the elderly population and the adverse effects of the aging process on the functional abilities of individuals, regular physical activity becomes mandatory to maintain the safety and health of individuals. This necessitates the acceptance of exercise and physical activity as an important strategy to prevent physical and cognitive decline associated with aging and to improve the quality of life of older individuals. In line with the extensive research we have conducted and the academic literature we have compiled, we have systematically presented the most important scientific findings in the field of exercise training for older adults. These findings address in detail the effects, methods and outcomes of physical activity and exercise training for the elderly, aiming to expand the existing body of knowledge in this field and strengthen the scientific basis of practices. As a result of scientific research and clinical studies, it has been clearly demonstrated that regular exercise and physical activity play a critical role in the prevention and management of insulin resistance and diabetes-related health problems. These studies emphasize the effects of exercise on improving glucose metabolism, increasing insulin sensitivity and reducing the risk of metabolic syndrome, scientifically supporting the therapeutic potential of physical activity to modify the pathogenesis of diabetes. The results revealed that both intrinsic and extrinsic motivational factors are effective in increasing physical activity levels and that participatory exercise is recognized as an important strategy to mitigate the adverse effects of aging by supporting the maintenance of physiological parameters. These findings emphasize the potential of motivational factors and regular physical activity to minimize the biological and physiological effects of the aging process and scientifically support the role of exercise in the management of age-related health problems.

Kaynakça

  • Adams, K. J., Swank, A. M., Bernıng, J. M., Sevene-Adams, P. G., Barnard, K. L., & Shımp-Bowerman, Jennıfer (2001). Progressive strength training in sedentary, older African American women. Medicine & Science in Sports & Exercise, 33(9), 1567-1576.
  • American College of Sports Medicine. (2009). American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Medicine and Science in Sports and Exercise, 41(3), 687-708.
  • American Geriatrics Society. (2001). American Geriatrics Society Panel on Exercise and Osteoarthritis: Exercise prescription for older adults with osteoarthritis pain: consensus practice recommendations. J Am Geriatr Soc, 49, 808-823.
  • Balady, G. J. (2000). ACSM's guidelines for exercise testing and prescription. Am. Coll. of Sports Med.
  • Barnes, D. E., Yaffe, K., Satariano, W. A., & Tager, I. B. (2003). A longitudinal study of cardiorespiratory fitness and cognitive function in healthy older adults. Journal of the American Geriatrics Society, 51(4), 459-465.
  • Blair, S. N., Kohl, H. W., Paffenbarger, R. S., Clark, D. G., Cooper, K. H., & Gibbons, L. W. (1989). Physical fitness and all-cause mortality: a prospective study of healthy men and women. Jama, 262(17), 2395-2401.
  • Blumenthal, J. A., Babyak, M. A., Moore, K. A., Craighead, W. E., Herman, S., Khatri, P., ... & Krishnan, K. R. (1999). Effects of exercise training on older patients with major depression. Archives of internal medicine, 159(19), 2349-2356.
  • Bonaiuti, D., Shea, B., Iovine, R., Negrini, S., Robinson, V., Kemper, H. C., ... & Cranney, A. (2002). Exercise for preventing and treating osteoporosis in postmenopausal women. The Cochrane database of systematic reviews, (3), CD000333-CD000333.
  • Boulton, E. R., Horne, M., & Todd, C. (2018). Multiple influences on participating in physical activity in older age: Developing a social ecological approach. Health Expectations, 21(1), 239-248.
  • Bronner, L. L., Kanter, D. S., & Manson, J. E. (1995). Primary prevention of stroke. New England Journal of Medicine, 333(21), 1392-1400.
  • Campbell, A. J., Robertson, M. C., Gardner, M. M., Norton, R. N., Tilyard, M. W., & Buchner, D. M. (1997). Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ, 315(7115), 1065-1069.
  • Cap,MJ., De Jong, Nynke., Pallast, E. G., Kloek, G. C., Schouten, E. G., & Kok, F. J. (2000). Immunity in frail elderly: a randomized controlled trial of exercise and enriched foods. Medicine and science in sports and exercise, 32(12), 2005-2011.
  • Chakravarti, B., & Abraham, G. N. (1999). Aging and T-cell-mediated immunity. Mechanisms of ageing and development, 108(3), 183-206.
  • Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo Jr, J. L., ... & National High Blood Pressure Education Program Coordinating Committee. (2003). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. Jama, 289(19), 2560-2571.
  • Çifçili, S. S. (2020). Yaşlılarda Egzersiz. Turkiye Klinikleri Family Medicine-Special Topics, 11(1), 57-62.
  • Das, P., & Horton, R. (2012). Rethinking our approach to physical activity. The Lancet, 380(9838), 189-190.
  • De Jong, N., Paw, M. C. A., De Groot, L. C., Hiddink, G. J., & Van Staveren, W. A. (2000). Dietary supplements and physical exercise affecting bone and body composition in frail elderly persons. American Journal of Public Health, 90(6), 947.
  • Diabetes Prevention Program Research Group. (2002). The Diabetes Prevention Program (DPP) Research Group The Diabetes Prevention Program (DPP). Diabetes Care, 25, 2165-2171.
  • Duncan, J. J., Farr, J. E., Upton, S. J., Hagan, R. D., Oglesby, M. E., & Blair, S. N. (1985). The effects of aerobic exercise on plasma catecholamines and blood pressure in patients with mild essential hypertension. Jama, 254(18), 2609-2613.
  • Evans, W. J., & Lexell, J. (1995). Human aging, muscle mass, and fiber type composition. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 50(Special_Issue), 11-16.
  • Evcik, D., & Sonel, B. (2002). Effectiveness of a home-based exercise therapy and walking program on osteoarthritis of the knee. Rheumatology international, 22, 103-106.
  • Fiatarone, M. A., O'Neill, E. F., Ryan, N. D., Clements, K. M., Solares, G. R., Nelson, M. E., ... & Evans, W. J. (1994). Exercise training and nutritional supplementation for physical frailty in very elderly people. New England Journal of Medicine, 330(25), 1769-1775.
  • Flynn, M. A., Nolph, G. B., Baker, A. S., Martin, W. M., & Krause, G. (1989). Total body potassium in aging humans: a longitudinal study. The American journal of clinical nutrition, 50(4), 713-717.
  • Fogelholm, M., & Kukkonen‐Harjula, K. (2000). Does physical activity prevent weight gain–a systematic review. Obesity reviews, 1(2), 95-111.
  • Fransen, M., McConnell, S., & Bell, M. 2. (2003). Exercise for osteoarthritis of the hip or knee. The Cochrane database of systematic reviews, (3), CD004286-CD004286.
  • Franco, M. R., Tong, A., Howard, K., Sherrington, C., Ferreira, P. H., Pinto, R. Z., & Ferreira, M. L. (2015). Older people's perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature. British journal of sports medicine, 49(19), 1268-1276.
  • Frontera, W. R. (2018). Physical activity and rehabilitation in elderly. Rehabilitation medicine for elderly patients, 3-13.
  • Gregg, E. W., Cauley, J. A., Stone, K., Thompson, T. J., Bauer, D. C., Cummings, S. R., ... & Study of Osteoporotic Fractures Research Group. (2003). Relationship of changes in physical activity and mortality among older women. Jama, 289(18), 2379-2386.
  • Güneş, M., Şimşek, A., & Demirer, B. (2020). Sarkopenik yaşlı bireylerde dirençli egzersiz eğitiminin etkileri. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 11(4), 494-499.
  • Hambrecht, R., Wolf, A., Gielen, S., Linke, A., Hofer, J., Erbs, S., ... & Schuler, G. (2000). Effect of exercise on coronary endothelial function in patients with coronary artery disease. New England Journal of Medicine, 342(7), 454-460.
  • Hawkins, S. A., Wiswell, R. A., & Marcell, T. J. (2003). Exercise and the master athlete—a model of successful aging?. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58(11), M1009-M1011.
  • Irwin, M. L., Yasui, Y., Ulrich, C. M., Bowen, D., Rudolph, R. E., Schwartz, R. S., ... & McTiernan, A. (2003). Effect of exercise on total and intra-abdominal body fat in postmenopausal women: a randomized controlled trial. Jama, 289(3), 323-330.
  • Jette, A. M., & Branch, L. G. (1981). The Framingham disability study: II. Physical disability among the aging. American Journal of Public Health, 71(11), 1211-1216.
  • Kelley, G. A., Kelley, K. S., & Tran, Z. V. (2002). Exercise and lumbar spine bone mineral density in postmenopausal women: a meta-analysis of individual patient data. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 57(9), M599-M604.
  • Kerr, D., Ackland, T., Maslen, B., Morton, A., & Prince, R. (2001). Resistance training over 2 years increases bone mass in calcium‐replete postmenopausal women. Journal of Bone and Mineral Research, 16(1), 175-181.
  • Keysor, J. J., & Jette, A. M. (2001). Have we oversold the benefit of late-life exercise?. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(7), M412-M423.
  • Kırdı, N., Abit, K. A., (2019). Yaşlanma sürecinde ve yaşlılık döneminde egzersizin önemi. Turkiye Klinikleri Internal Medicine Nursing-Special Topics, 5(2), 32-38.
  • Konak, A., & Çiğdem, Y. (2005). Yaşlılık olgusu: Sivas huzurevi örneği. Cumhuriyet Üniversitesi Edebiyat Fakültesi Sosyal Bilimler Dergisi, 29(1), 23-63.
  • Kramer, A. F., Hahn, S., Cohen, N. J., Banich, M. T., McAuley, E., Harrison, C. R., ... & Colcombe, A. (1999). Ageing, fitness and neurocognitive function. Nature, 400(6743), 418-419.
  • Lakka, T. A., Venalainen, J. M., Rauramaa, R., Salonen, R., Tuomilehto, J., & Salonen, J. T. (1994). Relation of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction in men. New England Journal of Medicine, 330(22), 1549-1554.
  • Lavie, C. J., & Milani, R. V. (1995). Effects of cardiac rehabilitation programs on exercise capacity, coronary risk factors, behavioral characteristics, and qualify of life in a large elderly cohort. The American Journal of Cardiology, 76(3), 177-179.
  • Lavie, C. J., Milani, R. V., & Littman, A. B. (1993). Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly. Journal of the American College of Cardiology, 22(3), 678-683.
  • Levinger, P., & Hill, K. D. (2021). Are the recommended physical activity guidelines practical and realistic for older people with complex medical issues?. Journal of Geriatric Physical Therapy, 44(1), 2-8.
  • Li, F., Fisher, K. J., Harmer, P., & McAuley, E. (2002). Delineating the impact of Tai Chi training on physical function among the elderly. American Journal of Preventive Medicine, 23(2), 92-97.
  • McNeil, J. K., LeBlanc, E. M., & Joyner, M. (1991). The effect of exercise on depressive symptoms in the moderately depressed elderly. Psychology and Aging, 6(3), 487.
  • McPhee, J. S., French, D. P., Jackson, D., Nazroo, J., Pendleton, N., & Degens, H. (2016). Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology, 17, 567-580.
  • Morey, M. C., Pieper, C. F., Crowley, G. M., Sullivan Jr, R. J., & Puglisi, C. M. (2002). Exercise adherence and 10‐year mortality in chronically ill older adults. Journal of the American Geriatrics Society, 50(12), 1929-1933.
  • Nelson, M. E., Fiatarone, M. A., Morganti, C. M., Trice, I., Greenberg, R. A., & Evans, W. J. (1995). Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures: a randomized controlled trial. ACOG Current Journal Review, 3(8), 38.
  • Nied, R. J., & Franklin, B. (2002). Promoting and prescribing exercise for the elderly. American family physician, 65(3), 419-427.
  • Öcal, Z. S. S., & Yazar, D. (2023). Yaşlılıkta fiziksel aktivite ve beslenme. Spor & Bilim 2022-II, 173.
  • Paffenbarger Jr, R. S., Hyde, R. T., Hsıeh, C. C., & Wıng, A. L. (1986). Physical activity, other Life‐style patterns, cardiovascular disease and longevity. Acta Medica Scandinavica, 220(S711), 85-91.
  • Paffenbarger Jr, R. S., Hyde, R. T., Wing, A. L., Lee, I. M., Jung, D. L., & Kampert, J. B. (1993). The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. New England journal of medicine, 328(8), 538-545.
  • Paffenbarger Jr, R. S., Hyde, R., Wing, A. L., & Hsieh, C. C. (1986). Physical activity, all-cause mortality, and longevity of college alumni. New England Journal of Medicine, 314(10), 605-613.
  • Pendleton, A., Arden, N., Dougados, M., Doherty, M., Bannwarth, B., Bijlsma, J. W. J., ... & Zimmermann-Gorska, I. (2000). EULAR recommendations for the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Annals of the Rheumatic Diseases, 59(12), 936-944.
  • Penninx, B. W., Messier, S. P., Rejeski, W. J., Williamson, J. D., DiBari, M., Cavazzini, C., ... & Pahor, M. (2001). Physical exercise and the prevention of disability in activities of daily living in older persons with osteoarthritis. Archives of Internal Medicine, 161(19), 2309-2316.
  • Poehlman, E. T., Toth, M. J., Bunyard, L. B., Gardner, A. W., Donaldson, K. E., Colman, E., ... & Ades, P. A. (1995). Physiological predictors of increasing total and central adiposity in aging men and women. Archives of İnternal Medicine, 155(22), 2443-2448.
  • Poehlman, E. T., Toth, M. J., Fishman, P. S., Vaitkevicius, P., Gottlieb, S. S., Fisher, M. L., & Fonong, T. (1995). Sarcopenia in aging humans: the impact of menopause and disease. Journals Of Gerontology Serıes A, 50, 73-73.
  • Pollock, M. L., Franklin, B. A., Balady, G. J., Chaitman, B. L., Fleg, J. L., Fletcher, B., ... & Bazzarre, T. (2000). Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription an advisory from the committee on exercise, rehabilitation, and prevention, council on clinical cardiology, American Heart Association. Circulation, 101(7), 828-833.
  • Powell, K. E., Heath, G. W., Kresnow, M. J., Sacks, J. J., & Branche, C. M. (1998). Injury rates from walking, gardening, weightlifting, outdoor bicycling, and aerobics. Medicine and Science in Sports and Exercise, 30(8), 1246-1249.
  • Robertson, M. C., Campbell, A. J., Gardner, M. M., & Devlin, N. (2002). Preventing injuries in older people by preventing falls: A meta‐analysis of individual‐level data. Journal of the American geriatrics society, 50(5), 905-911.
  • Robertson, M. C., Gardner, M. M., Devlin, N., McGee, R., & Campbell, A. J. (2001). Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: Controlled trial in multiple centres. Bmj, 322(7288), 701.
  • Roth, G. A., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., ... & Borschmann, R. (2018). Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017. The lancet, 392(10159), 1736-1788.
  • Roubenoff, R. (2000). Sarcopenia and its implications for the elderly. European Journal of Clinical Nutrition, 54(3), S40-S47.
  • Roubenoff, R., Heymsfield, S. B., Kehayias, J. J., Cannon, J. G., & Rosenberg, I. H. (1997). Standardization of nomenclature of body composition in weight loss. The American Journal of Clinical Nutrition, 66(1), 192-196.
  • Sharman, J. E., Smart, N. A., Coombes, J. S., & Stowasser, M. (2019). Exercise and sport science australia position stand update on exercise and hypertension. Journal of Human Hypertension, 33(12), 837-843.
  • Sinaki, M., Itoi, E., Wahner, H. W., Wollan, P., Gelzcer, R., Mullan, B. P., ... & Hodgson, S. F. (2002). Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of postmenopausal women. Bone, 30(6), 836-841.
  • Stefanick, M. L., Mackey, S., Sheehan, M., Ellsworth, N., Haskell, W. L., & Wood, P. D. (1998). Effects of diet and exercise in men and postmenopausal women with low levels of HDL cholesterol and high levels of LDL cholesterol. New England Journal of Medicine, 339(1), 12-20.
  • Tanasescu, M., Leitzmann, M. F., Rimm, E. B., Willett, W. C., Stampfer, M. J., & Hu, F. B. (2002). Exercise type and intensity in relation to coronary heart disease in men. Jama, 288(16), 1994-2000.
  • Taylor, D. (2014). Physical activity is medicine for older adults. Postgraduate Medical Journal, 90(1059), 26-32.
  • Treuth, M. S., Hunter, G. R., Kekes-Szabo, T., Weinsier, R. L., Goran, M. I., & Berland, Lıncoln. (1995). Reduction in intra-abdominal adipose tissue after strength training in older women. Journal of Applied Physiology, 78(4), 1425-1431.
  • United States. Public Health Service. Office of the Surgeon General, National Center for Chronic Disease Prevention, Health Promotion (US), President's Council on Physical Fitness, & Sports (US). (1996). Physical Activity and Health: A Report of the Surgeon General.
  • Van Boxtel, M. P., Paas, F. G., Houx, P. J., Adam, J. J., Teeken, J. C., & Jolles, J. (1997). Aerobic capacity and cognitive performance in a cross-sectional aging study. Medicine and Science in Sports and Exercise, 29(10), 1357-1365.
  • Vincent, K. R., Braith, R. W., Feldman, R. A., Magyari, P. M., Cutler, R. B., Persin, S. A., ... & Lowenthal, D. T. (2002). Resistance exercise and physical performance in adults aged 60 to 83. Journal of the American Geriatrics Society, 50(6), 1100-1107.
  • Wc, K. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med, 346, 393-403.
  • Wolf, S. L., Sattin, R. W., Kutner, M., O'Grady, M., Greenspan, A. I., & Gregor, R. J. (2003). Intense tai chi exercise training and fall occurrences in older, transitionally frail adults: a randomized, controlled trial. Journal of the American Geriatrics Society, 51(12), 1693-1701.

Yaşlılarda Egzersiz ve Sağlık: Etkili Yaklaşımlar ve Sonuçlar

Yıl 2024, Cilt: 2 Sayı: 2, 89 - 104, 23.10.2024

Öz

Yaşlı nüfusun artışı ve yaşlanma sürecinin bireylerin fonksiyonel yetenekleri üzerindeki olumsuz etkileri göz önüne alındığında, bireylerin güvenliklerini ve sağlıklarını korumak amacıyla düzenli fiziksel aktivitelerin yapılması zorunlu hale gelmektedir. Bu durum, yaşlanma ile ilişkili fiziksel ve kognitif gerilemelerin önlenmesi ile yaşlı bireylerin yaşam kalitesinin iyileştirilmesi için egzersiz ve fiziksel aktivitenin önemli bir strateji olarak kabul edilmesini gerektirmektedir. Yapmış olduğumuz kapsamlı araştırmalar ve derlediğimiz akademik literatür doğrultusunda, yaşlı bireyler için egzersiz eğitimi alanında elde edilen en önemli bilimsel bulguları sistematik bir şekilde sunmuş bulunmaktayız. Bu bulgular, yaşlılar için fiziksel aktivite ve egzersiz eğitiminin etkilerini, yöntemlerini ve sonuçlarını ayrıntılı olarak ele almakta, bu alandaki mevcut bilgi birikimini genişletmeyi ve uygulamaların bilimsel temellerini güçlendirmeyi amaçlamaktadır. Yapılan bilimsel araştırmalar ve klinik çalışmalar neticesinde, düzenli egzersiz ve fiziksel aktivitenin insülin direnci ve diyabet ile ilişkili sağlık sorunlarının önlenmesi ve yönetiminde kritik bir rol oynadığı açıkça ortaya konmuştur. Bu çalışmalar, egzersizin glikoz metabolizmasını iyileştirme, insülin duyarlılığını artırma ve metabolik sendrom riskini azaltma üzerindeki etkilerini vurgulamakta, bu bağlamda fiziksel aktivitenin diyabetin patogenezini modifiye edici ve tedavi edici potansiyelini bilimsel olarak desteklemektedir. Elde edilen sonuçlar, hem içsel hem de dışsal motivasyon unsurlarının fiziksel aktivite seviyelerini artırmada etkili olduğunu ve katılımcı egzersizin, fizyolojik parametrelerin korunmasını destekleyerek yaşlanmanın olumsuz etkilerini hafifletmede önemli bir strateji olarak kabul edildiğini ortaya koymuştur. Bu bulgular, motivasyonel faktörlerin ve düzenli fiziksel aktivitenin yaşlanma sürecinin biyolojik ve fizyolojik etkilerini minimize etme potansiyelini vurgulamakta, yaşlılıkla ilişkili sağlık sorunlarının yönetiminde egzersizin rolünü bilimsel olarak desteklemektedir.

Kaynakça

  • Adams, K. J., Swank, A. M., Bernıng, J. M., Sevene-Adams, P. G., Barnard, K. L., & Shımp-Bowerman, Jennıfer (2001). Progressive strength training in sedentary, older African American women. Medicine & Science in Sports & Exercise, 33(9), 1567-1576.
  • American College of Sports Medicine. (2009). American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Medicine and Science in Sports and Exercise, 41(3), 687-708.
  • American Geriatrics Society. (2001). American Geriatrics Society Panel on Exercise and Osteoarthritis: Exercise prescription for older adults with osteoarthritis pain: consensus practice recommendations. J Am Geriatr Soc, 49, 808-823.
  • Balady, G. J. (2000). ACSM's guidelines for exercise testing and prescription. Am. Coll. of Sports Med.
  • Barnes, D. E., Yaffe, K., Satariano, W. A., & Tager, I. B. (2003). A longitudinal study of cardiorespiratory fitness and cognitive function in healthy older adults. Journal of the American Geriatrics Society, 51(4), 459-465.
  • Blair, S. N., Kohl, H. W., Paffenbarger, R. S., Clark, D. G., Cooper, K. H., & Gibbons, L. W. (1989). Physical fitness and all-cause mortality: a prospective study of healthy men and women. Jama, 262(17), 2395-2401.
  • Blumenthal, J. A., Babyak, M. A., Moore, K. A., Craighead, W. E., Herman, S., Khatri, P., ... & Krishnan, K. R. (1999). Effects of exercise training on older patients with major depression. Archives of internal medicine, 159(19), 2349-2356.
  • Bonaiuti, D., Shea, B., Iovine, R., Negrini, S., Robinson, V., Kemper, H. C., ... & Cranney, A. (2002). Exercise for preventing and treating osteoporosis in postmenopausal women. The Cochrane database of systematic reviews, (3), CD000333-CD000333.
  • Boulton, E. R., Horne, M., & Todd, C. (2018). Multiple influences on participating in physical activity in older age: Developing a social ecological approach. Health Expectations, 21(1), 239-248.
  • Bronner, L. L., Kanter, D. S., & Manson, J. E. (1995). Primary prevention of stroke. New England Journal of Medicine, 333(21), 1392-1400.
  • Campbell, A. J., Robertson, M. C., Gardner, M. M., Norton, R. N., Tilyard, M. W., & Buchner, D. M. (1997). Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ, 315(7115), 1065-1069.
  • Cap,MJ., De Jong, Nynke., Pallast, E. G., Kloek, G. C., Schouten, E. G., & Kok, F. J. (2000). Immunity in frail elderly: a randomized controlled trial of exercise and enriched foods. Medicine and science in sports and exercise, 32(12), 2005-2011.
  • Chakravarti, B., & Abraham, G. N. (1999). Aging and T-cell-mediated immunity. Mechanisms of ageing and development, 108(3), 183-206.
  • Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo Jr, J. L., ... & National High Blood Pressure Education Program Coordinating Committee. (2003). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. Jama, 289(19), 2560-2571.
  • Çifçili, S. S. (2020). Yaşlılarda Egzersiz. Turkiye Klinikleri Family Medicine-Special Topics, 11(1), 57-62.
  • Das, P., & Horton, R. (2012). Rethinking our approach to physical activity. The Lancet, 380(9838), 189-190.
  • De Jong, N., Paw, M. C. A., De Groot, L. C., Hiddink, G. J., & Van Staveren, W. A. (2000). Dietary supplements and physical exercise affecting bone and body composition in frail elderly persons. American Journal of Public Health, 90(6), 947.
  • Diabetes Prevention Program Research Group. (2002). The Diabetes Prevention Program (DPP) Research Group The Diabetes Prevention Program (DPP). Diabetes Care, 25, 2165-2171.
  • Duncan, J. J., Farr, J. E., Upton, S. J., Hagan, R. D., Oglesby, M. E., & Blair, S. N. (1985). The effects of aerobic exercise on plasma catecholamines and blood pressure in patients with mild essential hypertension. Jama, 254(18), 2609-2613.
  • Evans, W. J., & Lexell, J. (1995). Human aging, muscle mass, and fiber type composition. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 50(Special_Issue), 11-16.
  • Evcik, D., & Sonel, B. (2002). Effectiveness of a home-based exercise therapy and walking program on osteoarthritis of the knee. Rheumatology international, 22, 103-106.
  • Fiatarone, M. A., O'Neill, E. F., Ryan, N. D., Clements, K. M., Solares, G. R., Nelson, M. E., ... & Evans, W. J. (1994). Exercise training and nutritional supplementation for physical frailty in very elderly people. New England Journal of Medicine, 330(25), 1769-1775.
  • Flynn, M. A., Nolph, G. B., Baker, A. S., Martin, W. M., & Krause, G. (1989). Total body potassium in aging humans: a longitudinal study. The American journal of clinical nutrition, 50(4), 713-717.
  • Fogelholm, M., & Kukkonen‐Harjula, K. (2000). Does physical activity prevent weight gain–a systematic review. Obesity reviews, 1(2), 95-111.
  • Fransen, M., McConnell, S., & Bell, M. 2. (2003). Exercise for osteoarthritis of the hip or knee. The Cochrane database of systematic reviews, (3), CD004286-CD004286.
  • Franco, M. R., Tong, A., Howard, K., Sherrington, C., Ferreira, P. H., Pinto, R. Z., & Ferreira, M. L. (2015). Older people's perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature. British journal of sports medicine, 49(19), 1268-1276.
  • Frontera, W. R. (2018). Physical activity and rehabilitation in elderly. Rehabilitation medicine for elderly patients, 3-13.
  • Gregg, E. W., Cauley, J. A., Stone, K., Thompson, T. J., Bauer, D. C., Cummings, S. R., ... & Study of Osteoporotic Fractures Research Group. (2003). Relationship of changes in physical activity and mortality among older women. Jama, 289(18), 2379-2386.
  • Güneş, M., Şimşek, A., & Demirer, B. (2020). Sarkopenik yaşlı bireylerde dirençli egzersiz eğitiminin etkileri. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 11(4), 494-499.
  • Hambrecht, R., Wolf, A., Gielen, S., Linke, A., Hofer, J., Erbs, S., ... & Schuler, G. (2000). Effect of exercise on coronary endothelial function in patients with coronary artery disease. New England Journal of Medicine, 342(7), 454-460.
  • Hawkins, S. A., Wiswell, R. A., & Marcell, T. J. (2003). Exercise and the master athlete—a model of successful aging?. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58(11), M1009-M1011.
  • Irwin, M. L., Yasui, Y., Ulrich, C. M., Bowen, D., Rudolph, R. E., Schwartz, R. S., ... & McTiernan, A. (2003). Effect of exercise on total and intra-abdominal body fat in postmenopausal women: a randomized controlled trial. Jama, 289(3), 323-330.
  • Jette, A. M., & Branch, L. G. (1981). The Framingham disability study: II. Physical disability among the aging. American Journal of Public Health, 71(11), 1211-1216.
  • Kelley, G. A., Kelley, K. S., & Tran, Z. V. (2002). Exercise and lumbar spine bone mineral density in postmenopausal women: a meta-analysis of individual patient data. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 57(9), M599-M604.
  • Kerr, D., Ackland, T., Maslen, B., Morton, A., & Prince, R. (2001). Resistance training over 2 years increases bone mass in calcium‐replete postmenopausal women. Journal of Bone and Mineral Research, 16(1), 175-181.
  • Keysor, J. J., & Jette, A. M. (2001). Have we oversold the benefit of late-life exercise?. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(7), M412-M423.
  • Kırdı, N., Abit, K. A., (2019). Yaşlanma sürecinde ve yaşlılık döneminde egzersizin önemi. Turkiye Klinikleri Internal Medicine Nursing-Special Topics, 5(2), 32-38.
  • Konak, A., & Çiğdem, Y. (2005). Yaşlılık olgusu: Sivas huzurevi örneği. Cumhuriyet Üniversitesi Edebiyat Fakültesi Sosyal Bilimler Dergisi, 29(1), 23-63.
  • Kramer, A. F., Hahn, S., Cohen, N. J., Banich, M. T., McAuley, E., Harrison, C. R., ... & Colcombe, A. (1999). Ageing, fitness and neurocognitive function. Nature, 400(6743), 418-419.
  • Lakka, T. A., Venalainen, J. M., Rauramaa, R., Salonen, R., Tuomilehto, J., & Salonen, J. T. (1994). Relation of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction in men. New England Journal of Medicine, 330(22), 1549-1554.
  • Lavie, C. J., & Milani, R. V. (1995). Effects of cardiac rehabilitation programs on exercise capacity, coronary risk factors, behavioral characteristics, and qualify of life in a large elderly cohort. The American Journal of Cardiology, 76(3), 177-179.
  • Lavie, C. J., Milani, R. V., & Littman, A. B. (1993). Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly. Journal of the American College of Cardiology, 22(3), 678-683.
  • Levinger, P., & Hill, K. D. (2021). Are the recommended physical activity guidelines practical and realistic for older people with complex medical issues?. Journal of Geriatric Physical Therapy, 44(1), 2-8.
  • Li, F., Fisher, K. J., Harmer, P., & McAuley, E. (2002). Delineating the impact of Tai Chi training on physical function among the elderly. American Journal of Preventive Medicine, 23(2), 92-97.
  • McNeil, J. K., LeBlanc, E. M., & Joyner, M. (1991). The effect of exercise on depressive symptoms in the moderately depressed elderly. Psychology and Aging, 6(3), 487.
  • McPhee, J. S., French, D. P., Jackson, D., Nazroo, J., Pendleton, N., & Degens, H. (2016). Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology, 17, 567-580.
  • Morey, M. C., Pieper, C. F., Crowley, G. M., Sullivan Jr, R. J., & Puglisi, C. M. (2002). Exercise adherence and 10‐year mortality in chronically ill older adults. Journal of the American Geriatrics Society, 50(12), 1929-1933.
  • Nelson, M. E., Fiatarone, M. A., Morganti, C. M., Trice, I., Greenberg, R. A., & Evans, W. J. (1995). Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures: a randomized controlled trial. ACOG Current Journal Review, 3(8), 38.
  • Nied, R. J., & Franklin, B. (2002). Promoting and prescribing exercise for the elderly. American family physician, 65(3), 419-427.
  • Öcal, Z. S. S., & Yazar, D. (2023). Yaşlılıkta fiziksel aktivite ve beslenme. Spor & Bilim 2022-II, 173.
  • Paffenbarger Jr, R. S., Hyde, R. T., Hsıeh, C. C., & Wıng, A. L. (1986). Physical activity, other Life‐style patterns, cardiovascular disease and longevity. Acta Medica Scandinavica, 220(S711), 85-91.
  • Paffenbarger Jr, R. S., Hyde, R. T., Wing, A. L., Lee, I. M., Jung, D. L., & Kampert, J. B. (1993). The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. New England journal of medicine, 328(8), 538-545.
  • Paffenbarger Jr, R. S., Hyde, R., Wing, A. L., & Hsieh, C. C. (1986). Physical activity, all-cause mortality, and longevity of college alumni. New England Journal of Medicine, 314(10), 605-613.
  • Pendleton, A., Arden, N., Dougados, M., Doherty, M., Bannwarth, B., Bijlsma, J. W. J., ... & Zimmermann-Gorska, I. (2000). EULAR recommendations for the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Annals of the Rheumatic Diseases, 59(12), 936-944.
  • Penninx, B. W., Messier, S. P., Rejeski, W. J., Williamson, J. D., DiBari, M., Cavazzini, C., ... & Pahor, M. (2001). Physical exercise and the prevention of disability in activities of daily living in older persons with osteoarthritis. Archives of Internal Medicine, 161(19), 2309-2316.
  • Poehlman, E. T., Toth, M. J., Bunyard, L. B., Gardner, A. W., Donaldson, K. E., Colman, E., ... & Ades, P. A. (1995). Physiological predictors of increasing total and central adiposity in aging men and women. Archives of İnternal Medicine, 155(22), 2443-2448.
  • Poehlman, E. T., Toth, M. J., Fishman, P. S., Vaitkevicius, P., Gottlieb, S. S., Fisher, M. L., & Fonong, T. (1995). Sarcopenia in aging humans: the impact of menopause and disease. Journals Of Gerontology Serıes A, 50, 73-73.
  • Pollock, M. L., Franklin, B. A., Balady, G. J., Chaitman, B. L., Fleg, J. L., Fletcher, B., ... & Bazzarre, T. (2000). Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription an advisory from the committee on exercise, rehabilitation, and prevention, council on clinical cardiology, American Heart Association. Circulation, 101(7), 828-833.
  • Powell, K. E., Heath, G. W., Kresnow, M. J., Sacks, J. J., & Branche, C. M. (1998). Injury rates from walking, gardening, weightlifting, outdoor bicycling, and aerobics. Medicine and Science in Sports and Exercise, 30(8), 1246-1249.
  • Robertson, M. C., Campbell, A. J., Gardner, M. M., & Devlin, N. (2002). Preventing injuries in older people by preventing falls: A meta‐analysis of individual‐level data. Journal of the American geriatrics society, 50(5), 905-911.
  • Robertson, M. C., Gardner, M. M., Devlin, N., McGee, R., & Campbell, A. J. (2001). Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: Controlled trial in multiple centres. Bmj, 322(7288), 701.
  • Roth, G. A., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., ... & Borschmann, R. (2018). Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017. The lancet, 392(10159), 1736-1788.
  • Roubenoff, R. (2000). Sarcopenia and its implications for the elderly. European Journal of Clinical Nutrition, 54(3), S40-S47.
  • Roubenoff, R., Heymsfield, S. B., Kehayias, J. J., Cannon, J. G., & Rosenberg, I. H. (1997). Standardization of nomenclature of body composition in weight loss. The American Journal of Clinical Nutrition, 66(1), 192-196.
  • Sharman, J. E., Smart, N. A., Coombes, J. S., & Stowasser, M. (2019). Exercise and sport science australia position stand update on exercise and hypertension. Journal of Human Hypertension, 33(12), 837-843.
  • Sinaki, M., Itoi, E., Wahner, H. W., Wollan, P., Gelzcer, R., Mullan, B. P., ... & Hodgson, S. F. (2002). Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of postmenopausal women. Bone, 30(6), 836-841.
  • Stefanick, M. L., Mackey, S., Sheehan, M., Ellsworth, N., Haskell, W. L., & Wood, P. D. (1998). Effects of diet and exercise in men and postmenopausal women with low levels of HDL cholesterol and high levels of LDL cholesterol. New England Journal of Medicine, 339(1), 12-20.
  • Tanasescu, M., Leitzmann, M. F., Rimm, E. B., Willett, W. C., Stampfer, M. J., & Hu, F. B. (2002). Exercise type and intensity in relation to coronary heart disease in men. Jama, 288(16), 1994-2000.
  • Taylor, D. (2014). Physical activity is medicine for older adults. Postgraduate Medical Journal, 90(1059), 26-32.
  • Treuth, M. S., Hunter, G. R., Kekes-Szabo, T., Weinsier, R. L., Goran, M. I., & Berland, Lıncoln. (1995). Reduction in intra-abdominal adipose tissue after strength training in older women. Journal of Applied Physiology, 78(4), 1425-1431.
  • United States. Public Health Service. Office of the Surgeon General, National Center for Chronic Disease Prevention, Health Promotion (US), President's Council on Physical Fitness, & Sports (US). (1996). Physical Activity and Health: A Report of the Surgeon General.
  • Van Boxtel, M. P., Paas, F. G., Houx, P. J., Adam, J. J., Teeken, J. C., & Jolles, J. (1997). Aerobic capacity and cognitive performance in a cross-sectional aging study. Medicine and Science in Sports and Exercise, 29(10), 1357-1365.
  • Vincent, K. R., Braith, R. W., Feldman, R. A., Magyari, P. M., Cutler, R. B., Persin, S. A., ... & Lowenthal, D. T. (2002). Resistance exercise and physical performance in adults aged 60 to 83. Journal of the American Geriatrics Society, 50(6), 1100-1107.
  • Wc, K. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med, 346, 393-403.
  • Wolf, S. L., Sattin, R. W., Kutner, M., O'Grady, M., Greenspan, A. I., & Gregor, R. J. (2003). Intense tai chi exercise training and fall occurrences in older, transitionally frail adults: a randomized, controlled trial. Journal of the American Geriatrics Society, 51(12), 1693-1701.
Toplam 75 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Egzersiz ve Spor Bilimleri (Diğer)
Bölüm Derlemeler
Yazarlar

Abdullah Demirli 0000-0003-1727-4596

Sibel Yıldırım

Ömer Akyüz 0000-0001-7105-1954

Abdullah Bora Özkara 0000-0003-1688-3410

Yayımlanma Tarihi 23 Ekim 2024
Gönderilme Tarihi 14 Ağustos 2024
Kabul Tarihi 2 Ekim 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 2 Sayı: 2

Kaynak Göster

APA Demirli, A., Yıldırım, S., Akyüz, Ö., Özkara, A. B. (2024). Yaşlılarda Egzersiz ve Sağlık: Etkili Yaklaşımlar ve Sonuçlar. Spor Ve Bilim Dergisi, 2(2), 89-104.