Malaysian Healthy Ageing Society Dr Tim Henwood The University of - - PowerPoint PPT Presentation

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Malaysian Healthy Ageing Society Dr Tim Henwood The University of - - PowerPoint PPT Presentation

Organised by: Co-Sponsored: Malaysian Healthy Ageing Society Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre Exercise as a countermeasure to sarcopenia, functional decline and falls Dr Tim


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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

Organised by:

Malaysian Healthy Ageing Society

Co-Sponsored:

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

Exercise as a countermeasure to sarcopenia, functional decline and falls

Dr Tim Henwood PhD, BSc (HMS-Hon 1), BSc (Sp & Ex Sci), MESSA, MAAG

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

  •  Muscle mass and muscle strength
  • 25%  in muscle cross-sectional area
  • 50%  in muscle strength and 75%  in muscle power
  •  Physical performance

Physiology of normal ageing

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

Sarcopenia

  • European working Group on Sarcopenia in Older People

(EWGSOP) Cruz-Jentoft et al. 2010 Age Ageing 39:412-423

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

Kannus et al. Lancet 2006;366:1885-1893

Falls and Injuries

Risk with Ageing of the population

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

Guralnik et al. N Engl J Med 1995, 332, 556-561

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

HV- High velocity varied resistance ST –moderate velocity constant resistance CO – Control Henwood et al. J Gerontol: Med Sci 2008, 63, 83-91.

Resistance training and weight bearing exercise

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

Henwood, et al. Clin Physiol Funct Imaging 2006, 26, 305-313.

High-velocity varied resistance Moderate velocity, constants resistant Combined functional and resistance Controls

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

  • 40
  • 30
  • 20
  • 10

10 20 30 40 50 60

Percent Change (%)

Grip Str Right Grip Str Left 6 m Walk Habitual 6 m Walk Fast 30 s Chair Rise TUG FICSIT-4

* * * *

Henwood et al. Unpublished, 2011. * p < 0.05.

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

Fiatarone et al. JAMA 1990, 263, 3029 – 34.

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

Resistance Training Control

McCartney et al. J Gerontol A Biol Sci Med Sci 1996, 51, 425- 433.

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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

Exercise for the prevention of falls: a systematic review and meta-analysis

Sherrington, et al. J Am Geriatr Soc 2008; 5612: 2234-2243.

44 RCT’s with 9,603 participants Greatest outcomes related too:

  • higher total dose of exercise
  • challenging balance exercises
  • didn’t include a walking program.
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Dr Tim Henwood The University of Queensland / Blue Care Research & Practice Development Centre

age 93 age 92 age 83 age 80 age 72