The physical wellness issue Agent of lifestyle change Dr. Andrew
Transcription
The physical wellness issue Agent of lifestyle change Dr. Andrew
T H E J O U R N A L O N M a r c h / A p r i l 2 0 1 5 , Vo l . 1 4 N o . 2 Dr. Andrew Weil, ‘father of integrative medicine’ The physical wellness issue Agent of lifestyle change Dr. Andrew Weil delves into diet, aging, health & transforming medicine Fitness challenge A high-level fitness option uplifts & motivates participants Skills & drills Technique tips to improve swimming efficiency Train the brain Build mental ‘muscle’ to change the way we age It’s a health investment that means business There are many reasons why NuStep works for virtually all ages and ability levels. The most important is how it can build healthier lifestyles and a healthier business. Choose the recumbent cross trainer that can work to optimize resident happiness, health and longevity. See how NuStep is transforming lives in one community and to learn more visit www.nustep.com/JAA. A safe, low-impact, total body workout Visit www.nustep.com or Call 800.322.2209 The Journal on Active Aging® March/April 2015,Vol. 14 No. 2 CEO & PUBLISHER Colin Milner, [email protected] EDITOR-IN-CHIEF Jenifer Milner, [email protected] CONTRIBUTING EDITOR Mary E. Sanders, PhD, CDE, RCEP, FACSM ART DIRECTOR Jacob Benaroch CHIEF OPERATING OFFICER Julie Milner, [email protected] VICE PRESIDENT OF EDUCATION Patricia Ryan, MS, [email protected] DIRECTOR OF MEMBER SERVICES Krystyna Kasprzak, BA, [email protected] DIRECTOR OF MARKET DEVELOPMENT Patsy LeBlanc, [email protected] COMMUNICATIONS DIRECTOR Marilynn Larkin, MA, [email protected] LEAD SERVICES Shari Akesson The Journal on Active Aging® is published seven times per year by the International Council on Active Aging® (ICAA), a division of ICAA Services Inc. Contact ICAA to find out about memberships or subscriptions to the Journal on Active Aging®. International Council on Active Aging® 3307 Trutch Street Vancouver BC V6L 2T3 Canada Toll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464 www.icaa.cc Every article published in the Journal on Active Aging® is indexed by subject and stored in ICAA’s articles archives, which can be accessed from the home page of the ICAA website. In addition, every issue—posted in its entirety—is available to members in the online “Member zone.” Editorial submissions are welcome. Please send queries to Jenifer Milner, Editor-in-Chief. Submissions may be edited for length, style, content and clarity. C O N T The physical wellness issue Features Nutrition Agent of lifestyle change: Dr. Andrew Weil sows health for the whole person pg. 24 No one can deny Dr. Andrew Weil’s bold views or his real impact when it comes to a more holistic approach to health at all ages. Known as the “father of integrative medicine,” this renowned physician discusses eating for health, aging well, and transforming healthcare with the International Council on Active Aging’s founder and CEO. By Colin Milner Cognitive health Training the brain to change the way we age, part 1: understanding neuroplasticity pg. 36 Fitness and wellness professionals can help clients—and themselves— build mental “muscle” for everyday life by adding brain games to physical movement. This first installment of a two-part article explores brain functions and skills, as well as brain-training research and how it translates into practice. By Lawrence Biscontini, MA Program profile Senior PUMP: a high-level fitness program incorporates functional movements pg. 60 Friendship Village of Schaumburg, Illinois, developed this comprehensive fitness program to increase strength, prevent falls and build confidence in older adults. By Michael McCann, MS, Jeff Rose, BS, MBA, Jessica N. Enriquez, BS, ACSM, PT, and Jenna Belt, BS, ACSM, PT, RYT Cover: Dr. Andrew Weil, a pioneer in the field of integrative medicine, believes health systems and society must shift energies and focus toward health promotion and disease prevention. Integrative medicine is a new—and transformative—model of medicine focused on ‘health and prevention and the body’s natural healing power,’ he says. Photo: Chris Mooney The Journal on Active Aging® ISSN 1814-9162 (print), ISSN 1814-9170 (online). Contents copyright ©2015 by the International Council on Active Aging®. All rights reserved. Send permissions requests to Access Copyright by emailing [email protected]. Disclaimer: The Publisher and Authors recognize that older adults have medical and physical conditions that affect the appropriate application of the recommendations and exercises published in the Journal on Active Aging®. Consult with a physician, physical therapist, or other trained health or exercise professional before using the exercises. The Publisher and Authors are not responsible for any injury or adverse effects from the application of the material in the articles. 4 The Journal on Active Aging March/April 2015 www.icaa.cc Keep up to date with ICAA on Facebook at Facebook.com/ICAAhome E N T S Splash! Improving swim skills & drills, part 1: the freestyle stroke pg. 72 It’s never too late for swimmers to address common mistakes in technique in order to achieve safe, effective body mechanics—and a smooth glide. A two-part article, this first part dives into skills and drills to improve swimming efficiency. By Mary E. Sanders, PhD, CDE, RCEP, FACSM, and Nebojša Bikić Looking for the right employee or job? Articles ICAA initiatives ICAA Champion: introducing Kisco’s Alex Gerasimov pg. 22 At Kisco BridgePoint at Los Altos, Wellness Director Alex Gerasimov promotes the positive aspects of aging to residents through programming. “There is no better feeling,” he says, than “helping my seniors find a new passion, and seeing them grow and live a legacy.” Cool ideas It takes a community: Westminster Village sets a world record during Active Aging Week 2014 pg. 44 This Indiana continuing care retirement community achieved a “history-making” goal last September, when residents, family members, friends and community members smashed the Guinness World Record for the most people doing chair-based exercise. ICAA Innovators Morrison Senior Living’s Travel the World program enriches lives with a culinary journey pg. 54 From Cinco de Mayo to Oktoberfest, Morrison’s client communities experienced dining events every month during this yearlong culinary journey. The program’s “high-touch, versatile components” engaged residents in experiences that stimulated all the senses. ICAA initiatives Active Aging Week 2015: resources for running a successful campaign pg. 66 As organizations begin to plan their Active Aging Week celebrations, they can turn to the newly launched campaign website for an array of support materials, both for organizations and individuals. C o l u m n s & 8 Comment 10 Industry news 16 News from ICAA Preferred Business Partners d e p a r t m e n t s 18 Research in the news 82 ICAA Preferred Business Partners 89 ICAA directions Post your job opening on the ICAA Career Center––your online link between people and positions. Gain access to the more than 10,000 organizations and professionals served by the International Council on Active Aging®, and find the ideal candidate or position for your needs. For information about the ICAA Career Center, call toll-free 866-335-9777 or 604-734-4466. Or go to www.icaa.cc/careercenter.htm The Journal on Active Aging March/April 2015 www.icaa.cc ICAA Career ad-6.indd 1 5 14-08-07 2:42 PM a b o u t I C A A A d v i s o r y Scientific Advisory Board • Steven Blair, PED, Arnold School of Public Health, University of South Carolina • Wojtek Chodzko-Zajko, PhD, University of Illinois at Urbana– Champaign • Terry Ferebee Eckmann, PhD, Minot State University • William J. Evans, PhD, GlaxoSmithKline • Kathie Garbe, PhD, University of North Carolina–Asheville • Ben Hurley, PhD, University of Maryland School of Public Health • Jamie Huysman, PsyD, WellMed Medical Management • Bob Laventure, MEd, British Heart Foundation National Centre for Physical Activity and Health • Michael R. Mantell, PhD, Behavioral Sciences Coach • Kevin O’Neil, MD, Brookdale Senior Living, Inc. • Barbara Resnick, PhD, University of Maryland School of Nursing • Debra Rose, PhD, California State University, Fullerton • Mary E. Sanders, PhD, School of Medicine, University of Nevada, Reno • Maria Fiatarone Singh, MD, University of Sydney • Wayne Westcott, PhD, Quincy College Industry Advisory Board • Lorrayne Anthony, BSc, The Canadian Press • Ginger Anzalone, MBA, Vesta Facilities Management • Lawrence Biscontini, MA, Mindful Movement Specialist • Terry Fay, BA, Senior Lifestyle Corporation 6 I C A A B o a r d • Helen Foster, BA, Foster Strategy, LLC • Jeff Glaze, MBA, ABHOW • Barbara Kleger, BS, Kleger associates, a division of KD Partners, LLC • Brenda Loube, MS, Corporate Fitness Works • Jan Montague, MGS, Whole-Person Wellness International • John Rude, MS, John Rude & Associates • Martha Schram, BS, Aegis Therapies • Kathy Smith, BBA, Kathy Smith Lifestyles • Lynn Thorneburg, JD, Institute for Preventive Foot Health • Kay Van Norman, MS, Brilliant Aging • Ronda Watson, RD, Atria Senior Living • Stephanie Wong, BA, Healthways Marketing Advisory Board • Lori Bitter, MS, The Business of Aging • Robin Craig, MA, MBK Senior Living • Douglas Fitzgerald, EdD, Boomer Senior Living International • Todd Harff, MBA, Creating Results • Anne Holmes, MS, National Association of Baby Boomer Women • Gill Walker, MS, Evergreen Advertising & Marketing Supplier Advisory Board • Nathanel Eisenberg, CogniFit • Anson Flake, HydroWorx • Herb Flentye, SPRI Products • Don Gronachan, Biodex Medical Systems • Lee Hillman, Performance Health Systems, LLC • Crystal Romberger, Ball Dynamics International, LLC • Jocelyn Vande Velde, Matrix Fitness The Journal on Active Aging March/April 2015 www.icaa.cc THE ICAA PHILOSOPHY Changing the way we age® We can change the way we age by staying active, to the fullest extent possible, within all areas of life: physical, spiritual, emotional, intellectual, vocational, social and environmental. Aging within these dimensions of wellness keeps us involved, alert and enjoying a productive life. Active aging The concept of active aging is summed up in the phrase “engaged in life.” Individuals can participate in life as fully as possible, regardless of socioeconomic status or health conditions, within the wellness dimensions. Age-friendly ICAA’s age-friendly philosophy designates programs that provide the information, access and motivation people need to become and stay active through all levels of functional ability. A phone call a day keeps the doctor away Introducing CaptionCall— helping people with hearing loss stay connected and well. CaptionCall is a proud sponsor of the ICAA Forums and Active Aging Week. Revolutionary Phone CaptionCall is an amplified phone that also displays captions of what your callers say on a large, easy-to-read screen, similar to captioned television, so you won’t miss a single word. Get CaptionCall Absolutely FREE! CaptionCall is part of a U.S. federally funded program to help people with hearing loss use the phone again with confidence. There is no cost for qualified individuals to receive a CaptionCall phone. How to Order a Free Phone Simply have a hearing-care or healthcare professional complete and submit a Professional Certification Form, certifying that the individual has hearing loss. Forms are available to print or download at www.captioncall.com or on the ICAA website. Stay Connected—Stay Well Hearing loss has a significant impact on one’s ability to stay socially connected, often leading to loneliness and isolation—the precursors for many serious health risks. CaptionCall helps people with hearing loss stay connected— and well! AUDIOLOGIST-RECOMMENDED FREE PHONE!* 1-877-860-5043 www.captioncall.com/captioncall/icaa *Certification of hearing loss by a hearing-care or healthcare professional is required to participate. A standard phone line and Internet connection are also required to use this service. COMMENT M o re t h a n a ‘ c o o l t h i n g ’ I’ve traveled in the aging-services world for more than 20 years and visited a lot of organizations that provide physical activity and exercise opportunities for older adults. Many organizations grasp why it’s important to offer these opportunities to residents or members. Others still lack a clear understanding. Today, I want to clear the air. Let’s talk about the most compelling reasons for your organization—or any aging-services organization—to give your members or residents these options. Physical activity opportunities are not just a “cool thing” to offer. Nor are they a marketing ploy or a retention tool. Yes, you’ll achieve your desired results if that’s what you aim to achieve—but your organization will miss out on the more important outcomes. Programs, environments and spaces can inspire older people to transform their lives, leading to benefits that have a higher meaning. To see what investing in physical activity and exercise truly means, look into the faces of your residents or members as they stand on their own for the first time in years, or dance with a granddaughter at her wedding, or cross the finish line at a local walking event. These life moments are priceless. They provide everyone with great joy and satisfaction. These moments are only possible, though, because physical activity and exercise helped individuals reverse or slow the declines associated with aging and lifestyle. Physical activity not only supports quality of life, independence and improved 8 function—physical, cognitive and social—in people ages 50 and older, it also impacts virtually every aspect of society. There is the economic impact. Physically active lifestyles lower the costs that inactivity impose on the healthcare system (about US$75 billion a year in the United States alone); decrease the number of people who leave the workplace early due to ill-health; increase the pool of human capital; and lessen the need for supportive services (or shift the needs from home “care” to home “health”). Society also gains many financial benefits when people age actively. There are effects on everything from containing the total wage, Social Security and private-pension losses associated with caregiving—close to $3 trillion in the US, according to a 2013 report from the MetLife Mature Market Institute—to helping workplaces and countries remain more competitive. Yet, it is the personal impact derived from physical activity and exercise that will most reward you. Don’t believe me? Consider the impact on your life if you were to lose your ability to function day-to-day. For example, how would you interact with all that you take for granted—family, friends, community? How would you get around? Who would you rely on for assistance, and would they always be available? How would your mental health change? Would your cognitive abilities diminish along with your physical ones? And what would you pay to restore your function? “Transformational” is no understatement when we describe the benefits of The Journal on Active Aging March/April 2015 www.icaa.cc exercise and physical activity for older adults. Is it in the budget to transform lives? To inspire change? To make a difference? These are the vital reasons to provide physical activity and exercise opportunities for your residents or members. When those things become your goals, older adults and their families will feel the higher purpose behind your offerings. Trust me, they will respond. You will grow your bottom-line and you will retain your residents or members—plus you will have a more positive, satisfied customer base to help you spread the word. This issue of the Journal on Active Aging® focuses on physical wellness, including nutrition, exercise and related programming. You’ll also find physical movement to be an essential element in the braintraining article on pages 36–42. Check out these articles for ideas to incorporate in your own setting. Society can profit— as can you—when many more older adults dance with their daughters, run a 10K, work or open a new enterprise, or just have the ability to do so. Colin Milner, CEO International Council on Active Aging® Connect with Colin Milner on Twitter, Facebook and LinkedIn. T H E A C T I V E A G I N G C O M P A N Y Comprehensive Solution to Implement Active Aging Programs •SmartCard System Personal computerized exercise programs •Measure Outcomes Sets up machines automatically and records all activities •Manage Falls Strength and high speed power training improves muscular speed Industry NEWS “[This year’s] award recipients recognize the value of promoting strong bonds between the generations and working together to create a vibrant, meaningful place to live for every generation,” stated MetLife’s president and chief executive officer, Dennis White. “MetLife Foundation is pleased to recognize the four communities that have demonstrated forward thinking in helping to create an environment that benefits an entire community.” For a report on these communities, visit www.gu.org. Ian Calvert and the Singing for the Brain Chorus perform at the recent Plymouth Dementia Conference in the United Kingdom. Image courtesy of Plymouth University ‘Singing for the Brain’ groups help raise Alzheimer’s awareness and funds In partnership with Peninsula Arts at Plymouth University in Devon, England, Alzheimer’s Society “Singing for the Brain” groups recently launched a bid for chart success in the United Kingdom with an emotional song highlighting what is still possible after being diagnosed with dementia. Never Will Forget (John’s Song ) was penned by Ian Calvert, a television and radio host. Calvert was inspired to write the song and raise funds for Alzheimer’s research and support after witnessing his father-in-law’s physical and mental health deteriorate due to dementia. The songwriter is lead vocalist on the recording. His backup singers are people with dementia and their caregivers, all members of the Alzheimer’s Society’s Singing for the Brain social activity groups from Plymouth. “Even when many memories are hard to retrieve, music can sometimes still be recalled,” says Debbie Donnison, regional operations manager for the Alzheimer’s Society in South West England. “It is great that people with dementia were able to be actively in10 volved in the making of this record. Working in partnership with Plymouth University and Peninsula Arts, the Singing for the Brain groups themselves have demonstrated that being an active part of the community is still very much possible if you receive a diagnosis of dementia.” A video of the singers performing is available at www.youtube.com/ watch?v=ISWNODy6WzQ; the song is available at major online music stores. Senior Lifestyle rebrands wellness programming Chicago, Illinois-based Senior Lifestyle Corporation recently rebranded its wellness programming. “From our decades of experience, we’ve identified what we believe are the core elements of a fulfilling life,” observes Terry Fay, director of Resident Programs for the senior living company and International Council on Active Aging Advisory Board Member. “[They] include the freedom to move, grow, feel, reflect, connect and contribute.” These elements are now the cornerstones of Senior Lifestyle’s programming, called “Be Inspired.” • Carlisle, Massachusetts • Greater Richmond Region, Virginia • Greater Plymouth Area, Wisconsin New Jersey provider extends home care services Springpoint Senior Living, a New Jerseybased nonprofit provider of seniors housing and services, has acquired privately held Senior Care Management, a home care company with offices in Ewing. The addition of Senior Care Management is expected to extend and complement the Springpoint at Home professional suite of health and wellness services. Allowing for expansion in local markets, the combined Springpoint at Home organization now has over 150 staff members serving over 100 clients and families in New Jersey. Anticipated revenues are projected to be nearly US$5 million annually. A fourth community—City of Surprise, Arizona—was named national finalist. Continued on page 12 Communities recognized for intergenerational ties Earlier this year in Washington, DC, MetLife Foundation and nonprofit Generations United presented three “age-optimized” communities with awards that celebrate their intergenerational solidarity. The Best Intergenerational Communities Award also heightens awareness of the important role this solidarity plays in building strong, vibrant communities. The recipients for 2015 were: The Journal on Active Aging March/April 2015 www.icaa.cc 14-241 BioStep 2 AD_Layout 1 7/9/14 3:03 PM Page 1 “The Clinical Advantage”™ Strength plus Aerobics BioStep® 2 Semi-Recumbent Elliptical Ideal for older adults, the BioStep 2 is great on the knees. The elliptical motion eliminates the jarring start/stop direction change. Pivoting handgrips and articulating footplates add to the comfort while strengthening the primary muscles associated with balance, gait and mobility. BioStep 2 is simple to use, does not require supervision, and allows exercise to progress at a natural pace. If there is one piece of equipment for general strengthening and aerobic conditioning for the older adult… this is it! BIODEX www.biodex.com MADE IN Int’l 631-924-9000 U. S. A. 1-800-224-6339 FN: 14-241 7/14 Industry NEWS Continued from page 10 nutrition, and includes fitness classes, educational activities and social events. The state provides incentives such as pedometers, T-shirts, water bottles and exercise kits to participants as they reach the goals they have set throughout the program. Residents at Presbyterian Village North proved to be eager to accomplish fitness goals they set through the Texercise program. Image courtesy of Presbyterian Village North “Combining Senior Care Management services with our Springpoint at Home suite of services under the Springpoint Senior Living umbrella supports our comprehensive, healthcare approach,” says Gary Puma, president and CEO. The combined organization allows Springpoint to provide enhanced services to residents of its continuing care retirement communities and offer the same healthcare and services to those in surrounding market areas. Residents in Dallas senior living community take up ‘Texercise’ At Presbyterian Village North (PVN), a nonprofit senior living community in Dallas, Texas, more than 60 residents started the New Year by signing up for a 12-week health-promotion program, Texercise, as a way to set new fitness goals. Texercise encourages individuals and communities to incorporate healthy lifestyle habits, such as physical activity and improved nutrition, into daily routines. Offered in conjunction with the State of Texas, Texercise provides educational sessions on physical health and 12 Wellness Director Shannon Radford has led the program at PVN since January, tailoring it to the needs and interests of residents. The community was “excited to extend this opportunity to our residents to help them enhance their healthy fitness habits and learn more about all aspects of wellness,” Radford says. As of press time, participating residents looked forward to an April Fool’s Day walk called “Any Way Any K” to celebrate finishing the program. “Any Way Any K” means “residents can complete any number of kilometers, by running or walking, to celebrate their fitness achievements.” PVN planned a large breakfast and festivities after the walk for everyone to enjoy. In 1990, Reverend Dora Atlas opened a soup kitchen to feed the hungry in Asheboro, North Carolina. Image courtesy of Piedmont Crossing Piedmont Crossing resident honored for efforts Nearly 300 members of the Asheboro, North Carolina, community and surrounding areas recently honored the Reverend Dora Atlas, who has been The Journal on Active Aging March/April 2015 www.icaa.cc Do you have news to share? The Journal on Active Aging® welcomes your news submissions. Please send your press releases to [email protected]—the Journal’s email for submissions—and staff will consider your news for possible publication. Newsworthy topics include such things as center/ community openings; initiative or campaign launches; announcements of awards, promotions or grants; and other topics of interest to activeaging professionals. feeding the homeless and others in need for the last 25 years. Atlas, now 93, lives at Piedmont Crossing, a United Church Homes and Services community in Thomasville. In 1989, after retiring as minister of the First Congregational United Church of Christ in Asheboro, Atlas felt called to take her ministry out to the community, and set out to open a soup kitchen. She planned to finance the project using her social security check and personal savings. Still in full operation today, Our Daily Bread Kitchen receives no funding—all items are donated; all time is volunteered. “Usually, I am not at a loss for words, but tonight I am overwhelmed,” Atlas commented at the recent ceremony. During her speech, she shared her appreciation for the support of the community, and she thanked those who donate food and time to cook, serve and clean. In her closing remarks, Atlas said, “I dreamed a dream, and that dream has come true.” Safety campaign seeks to relieve stigma about dementia in multilingual communities In partnership with the Government of Ontario, Canada, the Alzheimer Society of Ontario will expand the award- winning Finding Your Way™ program by reaching out to Arabic, Tagalog, Tamil and Urdu communities. Now available in 12 languages, the multicultural safetyawareness initiative is designed to raise awareness of the risks of going missing for people with dementia. It also seeks to prevent such incidents from happening. Mental illnesses and neurological diseases such as dementia may be misunderstood in many ethnic communities. Lack of awareness increases the risks of missing incidents. Finding Your Way works to help society as a whole better understand some of the behaviors associated with dementia and provides tools to deal with the risk of going missing. The initiative’s website includes information to help families create personalized safety plans and tips for the community on how to help someone with dementia who may be lost. Various public service announcements and caregiver video stories are also available in various languages. Go to www.findingyourwayontario.ca for more. Park Springs’ performance featured on CBS TV On February 1, 2015, one of the segments aired on CBS Sunday Morning featured Park Springs, a senior living community in Stone Mountain, Georgia. The spotlight was on 91-year-old Marvin Himmel and his Park Springs troupe that performed Himmel’s Forever Young, For Evermore show to sold-out audiences during four nights in November. The television feature was moderated by Bill Geist and directed by David Rothman, who with his crew visited Park Springs a number of times during the 2014 rehearsal and development period and shot 25 hours of material to build the story. More than 60 Park Springs members participated, including performers, dancers, and a technical crew in charge of lighting, costumes, scenery and props. Forever Young, For Evermore was the eighth show created, directed and produced by Himmel since he moved into the community in 2004. “We designed Park Springs to be a true community for our members,” says Kevin Isakson, director of sales and marketing with Isakson Living, the community’s owner and operator. “Marvin Himmel’s annual show is a great example of how our members combine their creative and artistic energies, and enjoy life to the fullest.” Continued on page 14 The Products To Help You Live An ACTIVE, HEALTHY LIFESTYLE. POWER | PERFORMANCE | RESULTS VersaBall powersystems.com/ICAA 800.321.6975 The Journal on Active Aging March/April 2015 www.icaa.cc 13 Industry NEWS Continued from page 13 North Carolina community launches capital campaign Abernethy Laurels, a continuing care retirement community in Newton, North Carolina, recently announced a US$3.6million capital campaign to build a new healthcare center. Now in the public phase, the campaign will fund construction of a new two-story healthcare facility, as well as complete demolition and rebuilding of the existing healthcare center. The first phase of the project will house those needing rehabilitation and memory care services. “It’s important that we prepare to serve the aging Baby Boomer population, which is expected to increase 68% over the next two decades in Catawba and Lincoln counties,” comments Amber McIntosh, Abernethy Laurels’ executive director. Anthony A. Argondizza. Image courtesy of Springpoint Senior Living Correction In the Journal on Active Aging’s January/February 2015 issue, we incorrectly reported that Springpoint Senior Living had appointed Anthony A. Argondizza as senior vice president. In fact, Argondizza is executive vice president of the New Jersey seniors housing and services provider. We apologize for this error. 14 Moves and more Inez Oehlke, 94, who was featured in the November/December 2014 Journal on Active Aging®, was recently named “Citizen of the Year” by the Woodbury Area Chamber of Commerce in Woodbury, Minnesota, and honored at a gala event; Oehlke and Helen Miller are among the Woodbury Senior Living residents featured in the new “Face Aging MN” campaign launched by the Long-Term Care Imperative, a collaboration between Care Providers of Minnesota and LeadingAge Minnesota … Abernethy Laurels in Newton, North Carolina, recently welcomed the Reverend Susan Roddey to serve as director of spiritual life at the not-for-profit community … Doug Leidig, chief operating officer of Asbury Communities Inc., headquartered in Germantown, Maryland, was elected to chair the board of LeadingAge Maryland … Alice Wong, Canada’s minister of state for seniors, announced the appointment of James T. Evanchuk, executive director of the Active Living Coalition for Older Adults (ALCOA) in Manitoba, to the National Seniors Council; the Council advises the federal government on matters related to older-adult well-being and quality of life … Richard Kieley has become a partner at c.c. hodgson architectural group in Cleveland, Ohio … Capitol Lakes Foundation, located in Madison, Wisconsin, has named Elaine Friedman Glowacki as its new director … David Eskenazy has succeeded Tana Gall as president of Seattle, Washington-based Merrill Gardens … Traditions of America, headquartered in Radnor, Pennsylvania, recently received six gold and one silver award in the National Association of Home Builders’ Best of 50+ Housing Awards competition … the John A. Hartford Foundation announced that Terry Fulmer, PhD, RN, FAAN, international leader in geriatrics and dean of the Bouvé College of The Journal on Active Aging March/April 2015 www.icaa.cc Health Sciences at Northeastern University, will become its new president, effective May 2015 … Lowell Fein, who chairs the board for the National and International Councils of Certified Dementia Practitioners, was selected as Distinguished Administrator of the Year by the New Jersey chapter of the American College of Health Care Administrators … Steve Muller has joined Garden Spot Village in New Holland, Pennsylvania, as chief operating officer … Linda Siminerio, RN, PhD, is now chair of the National Diabetes Education Program, a joint program of the US National Institutes of Health and the Centers for Disease Control and Prevention … Stagebridge senior theater company in Oakland, California, welcomed Sadie Harmon as Training Institute and Outreach manager … Pennsylvania-based Genesis HealthCare, LLC, has completed its previously announced merger with Skilled Healthcare Group, Inc.; the newly combined company will operate under the name Genesis Healthcare, Inc. … the National Senior Citizens Law Center, headquartered in Washington, DC, has changed its name to Justice In Aging … AGE Platform Europe, based in Brussels, Belgium, joined the World Health Organization’s Global Network of Age-Friendly Cities and Communities as an institutional affiliate … John Diffey, president and CEO of Pennsylvania-based Kendal Corporation since 1992, has notified the board of directors that he will retire in mid-2016 … and, after serving nearly 20 years as chief operating officer of Oxford, Mississippi-based ProMatura Group, Bernie L. Smith is stepping down to pursue a new family business venture; Bobby A. Towery has joined the global market research and advisory firm as president. Industry news: studies, campaigns and programs CDC releases resource Arthritis affects more than 52 million adults in the United States and is the most common cause of disability. Despite this, arthritis often takes a back seat to other chronic diseases both in treatment and in public awareness. The US Centers for Disease Control and Prevention has released an Arthritis Media Kit that can be a useful source of information for newsletter articles or health education programs intended to help individuals improve quality of life. Available at www.cdc.gov/arthritis/ press/index.html, the kit provides arthritis data and statistics. It also includes infographics that capture key information and transform it into shortened messages in visually appealing images. Grant enables researchers to study safety of older drivers To understand the safety and mobility needs of older drivers, the AAA Foundation for Traffic Safety has launched a five-year, US$12-million Longitudinal Research on Aging Drivers (LongROAD) project with Columbia University’s Mailman School of Public Health and six other institutions. The project will track approximately 3,000 active drivers ages 65–79 years. Findings from five study sites in California, Colorado, Maryland, Michigan and New York will shed light on the effects of aging on driving, specific risk factors (including prescription drug use and deteriorating vision), circumstances surrounding driving cessation, and mobility options for older adults who no longer drive. Researchers will follow drivers through annual assessments and interviews. To learn about the participants’ driving patterns, each vehicle will be fitted with a GPS device. Data from the project will allow researchers to better understand the role of physical and cognitive functions, medical conditions, medications and vehicle technologies in driving safety. Researchers will also examine how older drivers self-regulate to avoid difficult driving conditions, and the causes and consequences of driving cessation. NHS, Age UK craft proactive approach to managing frailty In light of the increasing aging population in the United Kingdom, Catherine Thompson, head of Patient Experience for Acute Services at NHS [National Health Service] England, recently highlighted the need “to provide highquality health and social care, so that we not only live longer lives, but live longer healthier, active and independent lives.” For many people, however, “advancing age is associated with frailty,” Thompson said. She emphasized the importance of “rethinking” old age and moving from a reactive to a proactive approach to managing frailty. With that in mind, NHS England is working in partnership with London-based charity Age UK to raise awareness and explore potential solutions. Two “Empowering Older People’s Care” summits were held in February and March to facilitate the sharing of good practice, networking, and the exchange of ideas around delivering the best possible care to frail older adults. The partners’ overarching aim is to develop new tools and resources to support NHS commissioners and providers in this work. They also want to explore what good care might look like in various localities. Global collaboration launches to fund dementia disease research Alzheimer’s Research UK, the Alzheimer’s Association in the United States, and the Weston Brain Institute in Canada recently launched the initiative MEND— ”MEchanisms of cellular death in NeuroDegeneration”—with a fund of US$1.25 million for targeted research into brain diseases that cause dementia. MEND is open to applications from scientists around the globe. Researchers will be encouraged to collaborate on projects, sharing knowledge and resources in order to speed up progress. The project hopes to help answer fundamental questions about the similarities and differences between different diseases that cause dementia, such as whether the underlying mechanisms that cause cell death differ from one disease to another. More information is available at www. alz.org/research/alzheimers_grants/ mend.asp. Dietary guidelines report reinforces need for healthy eating, says AHA The American Heart Association says new recommendations for the next update of US federal Dietary Guidelines will provide effective support for those who want to achieve a healthy diet. Released in February by the 2015 Dietary Guidelines Advisory Committee, the advisory committee’s preliminary report will inform the Departments of Health and Human Services and Agriculture as they craft new guidelines, due later this year. The report, written by a panel of 14 nutrition experts, stresses the importance of a healthy dietary pattern limited in saturated and trans fats, added sugars, and sodium. The report is available at www.dietaryguidelines.gov. University press debuts interdisciplinary journal Oxford University Press (OUP) recently launched a peer-reviewed, interdisciplinary journal, Work, Aging and Retirement, which is published in association with Lingnan (University) College of Sun Yat-sen University in China. Initially, the journal will be freely accessible. “… Throughout the world, nations are just beginning to adapt to aging populations, making this a vital area of research,” says Alison Denby, editorial director of the OUP journals program. “Oxford University Press is happy to help drive communication of these important results through [Work, Aging and Retirement ], which will … directly address aging workforce issues.” The journal reflects a broad community of professionals in the fields of psychology, sociology, economics, gerontology, business and management, and industrial labor relations. For more information, including article submission guidelines, visit workar.oxfordjournals.org. The Journal on Active Aging March/April 2015 www.icaa.cc 15 NEWS from ICAA Preferred Business Partners to a game, favorite television show, spiritual content, or calming sounds and music, depending on their needs, interests or skills. Results showed a 20–50% drop in the total number of doses given to individuals taking as-needed psychotropic medications. See www.in2l.com for company details. UltraSite’s new approach provides outdoor fitness for the age 50+ adult UltraSite launches outdoor fitness solution UltraSite recently released its FiftyPlus Fitness approach for those who wish to maintain everyday activities and enjoy the outdoors at the same time. The products in the FiftyPlus program are designed specifically for the activeaging population and feature elements that provide extra support and stability, allowing for a comfortable exercise experience. These features include, among others, extra-wide comfort seats with built-in handgrips, handrails and support bars with textured handgrips, and lowered stepover points to reduce tripping hazards. All ActionFit equipment lines provide cardiovascular training, muscle strengthening, balance/flexibility and core strength. For more about the FiftyPlus Fitness program, refer to www. actionfitoutdoors.com. iN2L systems appear to lower use of psychotropic drugs Preliminary results of a yearlong study by It’s Never 2 Late (iN2L) and Western Home Communities in Iowa show that use of person-centered engagement technology reduces the need for psychotropic medication in residents with dementia. Western Home Communities implemented iN2L computer systems in its Martin Health Center. Residents who displayed behavioral and psychological symptoms of dementia were redirected 16 EnerG by Aegis increases resident engagement EnerG by Aegis® Wellness Services has developed programs that embrace ICAA’s Changing the Way We Age® Campaign, to advance the way the aging population is perceived and increase resident engagement/participation. A recent Aegis survey showed residents reporting a 90% increase in community engagement and a 128% increase in participation. Also, EnerG expanded its Wellness University, which offers educational opportunities for residents. Wellness University now includes a link that will streamline patient flow throughout the care transition, allowing individuals to regain strength and independence for improved quality of life, while opening a gateway to active aging. For information, visit www.aegistherapies.com. Body Bar debuts new water fitness programs, products Body Bar recently introduced AquaFlex Part Deux to expand its AquaFlex water-fitness workout with new moves. The company also offers the NoodleFlex, which combines the buoyancy of a standard pool noodle with the resistive properties of the AquaFlex bar for a suspended, challenging aqua-fitness experience. Additionally, as of press time, Body Bar’s Flex Trek Walking Program will be presented at the FitnessFest Conference & Expo in Scottsdale, Arizona, in late April. Created by award-winning instructor/teacher trainer June Kahn, the low-impact walking workout is designed to enhance cardiorespiratory and heart health, plus muscular endurance The Journal on Active Aging March/April 2015 www.icaa.cc and core conditioning. For details, view www.bodybar.com. Davey Coach welcomes new manufacturer Davey Coach Sales has expanded its manufacturers’ list to include Meridian Specialty Vehicles, a specialty upfitter of Mercedes-Benz Sprinter shuttle buses. Meridian vehicles are known for their forward plug doors, which allow up to 20 seats with easy entry and exit. All Sprinters and buses (including Meridian vehicles) sold by Davey Coach may be customized to meet customers’ specific needs. This includes installing ADA [Americans with Disabilities Act]approved wheelchair lifts, Nanocide antimicrobial clean bus conversions, foldaway seating options, and moveable luggage walls. A wide variety of floor plans and seating options are available. Check out www.daveycoach.com to learn more. Biodex’s Sit2Stand allows multiple repetitions of the sit-to-stand cycle Biodex unveils device Biodex Medical Systems recently released its Sit2Stand™ Trainer, a mobility enhancement device designed to provide the lower-body strength with proper biomechanics to achieve the sit-to-stand motion. Suitable for use in both physical rehabilitation and wellness settings, the trainer provides a safe, progressive environment for the individual to move through the seated to standing motions, either independently or with a therapist’s guidance. Features include accessible, easy-to-use adjustment levers and biomechanically positioned arm supports. The Sit2Stand contributes to upper-extremity strength as well, to help diminish pain from upper-body compensation for lower-extremity weakness. For additional information, visit Biodex online at www.biodex.com/rehab. Article highlights results for HydroWorx client HydroWorx recently called attention to an article published in Provider magazine’s September 2014 issue, in which author Jackie Halbin, living well manager at Lakeview Village in Lenexa, Kansas, describes the community’s use of technology—including its therapy pool—to improve residents’ overall wellness. Although not stated, Lakeview uses the HydroWorx 1200 therapy pool as part of its fall prevention program, allowing balance exercises to be done in a safe environment. The article reported “an overall 45% increase in center of gravity, 64% increase in lower-body strength, and 35% increase in agility in participants ….” Visit www.hydroworx. com for product details. Rejuvenate expands into Utah, refreshes website Rejuvenate Salon & Spa is partnering with Kisco Senior Living to provide salon and spa services for a new Kisco community in Utah, scheduled to open in May 2015. With its latest partnership, Rejuvenate now serves senior living communities in seven states. Kisco residents will receive a full suite of contemporary salon services as well as massage, skincare, manicures, pedicures, and other spa and wellness services. To learn what else is new at Rejuvenate, see the company’s latest newsletter. Log on to Rejuvenate’s updated website at www. rejuvenatesalonandspas.com, scroll to the bottom of the “Services” page, and click on the newsletter button. Moving Toward Health begins research on hand function Moving Toward Health has joined with a research team at Minnesota State Uni- versity for a study to determine if Nia hand and finger moves provide relief from hand discomfort due to arthritis or injury in older adults. In addition, the study will measure handgrip strength and function performing common tasks. Participants will be drawn from both independent-living and assistedliving communities. Nia is a mind-body exercise program that uses “52 Moves” incorporated into its choreography. The 15 moves specific to hands and fingers will be used in the study. For additional information, contact janet@moving towardhealth.com or call 541-729-2894. Morrison will place an even greater emphasis on healthy, sustainable menus Morrison announces key initiatives Morrison Senior Living will engage four key initiatives based on “Menus of Change” Principles of Healthy, Sustainable Menus recently adopted by parent company Compass Group. The initiatives are: 1. Increase customer access to vegetables and fruits by focusing on globally inspired, largely plant-based cooking. 2. Include recipes/concepts where meat plays a more supporting role, reducing red-meat portion sizes and offerings, and leveraging strategies from seasonal and local flavors, vegetable proteins and global cuisines. 3. Increase offerings of grain options that are more than 50% whole grain. 4. Employ conscious menuing and messaging that promotes health and sustainability. For company information, see www. morrisonseniorliving.com. The Cybex Eagle NX Back Extension trains lumbar and hip extension Cybex equipment nominated for award Cybex International has garnered FIBO award attention again. In 2012, the exercise equipment manufacturer won the FIBO Innovation Award for its Bravo Functional Trainer. Now, the company is nominated for the 2015 Innovation Award for its Cybex Eagle NX Back Extension. Part of Cybex’s 15-piece Eagle NX strength line, the machine has a curved lumbar pad to encourage optimal spinal range of motion and promote controlled movement. A two-position lumbar pad allows users to train hip or lumbar extension, or both at the same time. And a counterbalancing system offsets the user’s weight for more consistent loading. For Cybex product details, visit www.cybexintl.com NuStep debuts new feature NuStep, Inc., recently introduced StrideLock™, a feature designed to enhance the safety of NuStep recumbent cross trainers and promote greater ease of use. Developed as a result of customer feedback, StrideLock locks the machine’s arm handles and foot pedals to facilitate client transfers on/off the equipment. The StrideLock feature also increases the sense of safety and stability for clients— including those with mobility issues— who want to exercise independently. “As an advocate of inclusive fitness, NuStep is always seeking ways to enhance the accessibility of our products,” says Vice President of Sales and Marketing Steve Sarns. Refer to www.nustep.com for product information. The Journal on Active Aging March/April 2015 www.icaa.cc 17 RESEARCH in the news dietary advice was confirmed both with dietary records and by measuring specific biomarkers in the participants’ blood and urine. Healthy diet lowers risk of heart disease by a third Men and women who adapt their daily diet to meet current United Kingdom dietary guidelines could reduce their risk of a heart attack or stroke significantly, according to a new study by researchers from King’s College London. The study recruited 162 healthy, nonsmoking men and women to compare the effects on cardiovascular disease (CVD) risk factors of following a diet based on the guidelines compared with a traditional British diet (high in saturated fat, salt and sugar; low in fiber, oily fish and fruits and vegetables). Participants were between 40 and 70 years of age. Their predicted risk of CVD over the next 10 years was estimated to be about 8% in the men and 4% in the women. In the randomized controlled trial, researchers measured the blood pressure, vascular function and CVD risk factors (such as cholesterol) in the individuals who followed a traditional diet (control group) or an adapted one over a 12-week period. Those on the modified diet ate oily fish once a week, consumed more fruits and vegetables, replaced refined with wholegrain cereals, swapped highfat dairy products and meats for low-fat alternatives, and restricted their intake of added sugar and salt. Participants were asked to replace cakes and cookies with fruits and nuts; they were also supplied with cooking oils and spreads high in monounsaturated fat. Adherence to the 18 Significant falls in systolic blood pressure/diastolic blood pressure of 4.2/2.5 mmHg for daytime and 2.9/1.9 mmHg for nighttime were measured in the dietary group compared with the control group; the average heart rate was found to have lowered by 1.8 beats per minute. Levels of cholesterol also fell by 8%. Changes in the ratio of total cholesterol to high-density cholesterol were modest, however, compared with the effects of drugs such as statins. No significant change was recorded in markers for insulin sensitivity, which predicts the risk of developing type 2 diabetes. Overall, the study concluded that healthy men and women over age 40 who adapt their diet to current UK dietary guidelines reduce their risk of heart disease by up to a third. “Our findings apply to middle-aged and older people without existing health problems,” says Emeritus Professor Tom Sanders, study coauthor. “This is important because most heart attacks and strokes occur in those not identified as being at high risk.” Citation: American Journal of Clinical Nutrition, 2015, doi:10.3945/ajcn.114.097352. Source: King’s College London, March 18, 2015 Healthy eating, exercise and brain training may slow cognitive decline A recent randomized controlled trial appears to show that a comprehensive program providing older Finns at risk of dementia with healthy eating guidance, exercise, brain training, and management of metabolic and vascular risk factors slows cognitive decline. In the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) study, researchers assessed the effects on brain function The Journal on Active Aging March/April 2015 www.icaa.cc of an intervention aimed at addressing some of the most important risk factors for age-related dementia, such as high body-mass index and heart health. A total of 1,260 people from across Finland, ages 60–77 years, were included in the study. Half the participants were randomly assigned to the intervention group and the other half to a control group that received regular health advice only. All study participants were deemed at risk of dementia, based on standardized test scores. Regular meetings took place with physicians, nurses and other health professionals over 2 years. Participants were given comprehensive advice on maintaining a healthy diet, both muscle- and cardiovascular-training exercise programs, brain-training exercises, and management of metabolic and vascular risk factors through regular blood tests and other means. After 2 years, study participants’ mental function was scored using a standard test, the Neuropsychological Test Battery, where a higher score corresponds to better mental functioning. Overall test scores in the intervention group were 25% higher than in the control group. For some parts of the test, the difference between groups was even more striking— for executive functioning (the brain’s ability to organize and regulate thought processes), scores were 83% higher in the intervention group, and processing speed was 150% higher. The researchers plan to monitor the participants for at least 7 years to determine whether reduced levels of dementia and Alzheimer’s diagnoses will follow the diminished cognitive decline seen in this trial. The team will also investigate possible mechanisms whereby the intervention might affect brain function. Citation: The Lancet, 2015; doi: 10.1016/S01406736(15)60461-5. Source: The Lancet, March 11, 2015 Continued on page 20 WE MAKE EVERY MOVE A VICTORY. At SCIFIT, we build equipment that adjusts to people, not the other way around. Find out all the ways we make it easy to get moving. 800.278.3933 www.SCIFIT.com NEW StepOne™ Recumbent Stepper • 23º recline range and 360º swivel • Natural arm-to-leg ratio • Intelli-Stride™ stride length indicator The Journal on Active Aging March/April 2015 www.icaa.cc 19 RESEARCH in the news Continued from page 18 ‘New freedoms’ help age 65+ adults live in the ‘best home of their lives’ Sixty-five percent of retired individuals say they are living in the best homes of their lives, according to a recent Merrill Lynch study conducted in partnership with consulting firm Age Wave. With newfound freedom from work and family restrictions, fewer home-related financial concerns, and unprecedented longevity, America’s “retirees” are more empowered to pursue a home that fits their desired lifestyle and changing priorities, the researchers note. Released in February 2015, the “Home in Retirement: More Freedom, New Choices” study further reveals that 64% of retirees are likely to move at least once during retirement, with 37% having already moved and 27% anticipating doing so. The study, based on a nationally representative survey of more than 3,600 respondents, also examines the connections people have to where they live. Highlights of the findings include: • Work and family largely determine where people live throughout most of people’s lives. By age 61, however, the majority of survey respondents feel free to choose where they most want to live. • Retirees are more than twice as likely to say they are free to choose where they want to live compared with people who have yet to retire (67% vs. 30%). • About 4 out of 5 Americans ages 65+ (81%) are homeowners. Among this group, 72% have fully paid off their mortgage. • An estimated 4.2 million retirees moved into new homes in 2014 alone. Retirees’ top motivations for moving include being closer to family (29%), reducing home expenses (26%), and changes in health (17%) or marital status (12%). • Among retirees who have not and do not plan to move during retirement, 20 the top reasons include their deep emotional connection with their home (54%), close proximity to family (48%) and friends (31%), desire to remain independent (44%), or because they simply can’t afford to move (28%). • Prior to age 55, more homeowners say the financial value of their home outweighs its emotional value. As people age, however, they become far more likely to say their home’s emotional value is more important, as cited by nearly 2 in 3 people (63%) ages 75 and older. “How and where our nation’s aging population chooses to live will have widespread implications on the way homes are designed, the resources people will need, and how communities and businesses nationwide should prepare,” states Andy Sieg, head of Global Wealth and Retirement Solutions for Bank of America Merrill Lynch. Citation: “Home in Retirement: More Freedom, New Choices.” February 2015. Available at www.ml.com/ retirementstudy. Source: Bank of America, February 25, 2015 Walking program fails to prevent falls in older Australians In Australia, a self-directed walking program designed for sedentary older people did not reduce the incidence of falls. However, the program did increase mobility levels, according to results of the Easy Steps randomized controlled trial. Easy Steps randomized 386 physically inactive, community-dwelling adults aged 65 or over from the greater Sydney area into an intervention or control group. The intervention group received a self-directed, 48-week walking program that involved 3 mailed printed manuals and telephone coaching. The control group received health information that was unrelated to falls. Monthly fall calendars were used to monitor falls during the study period. Secondary outcomes were The Journal on Active Aging March/April 2015 www.icaa.cc self-reported, including information on quality of life, exercise levels and walking levels. There was no statistically significant difference in fall rates between the intervention group and the control group, and no significant differences in the proportion of fallers or recurrent fallers between the groups. A subsample of 178 participants took part in a home visit program that measured mobility levels, choice step reaction time (participants stepped onto “4 randomly illuminated panels”), and knee extension strength. Among those participants, there was no evidence that the walking program had an impact on choice step reaction time or knee extension strength. Mobility scores, however, improved significantly. In addition, there was a nonsignificant increase in selfreported quality of life for the walking group. “These results show that walking is unlikely to have an effect on falls,” says lead author Alexander Voukelatos, PhD. “Therefore, we need to reconsider how walking is incorporated into falls prevention guidelines given that it is currently considered by a majority of older people to be a good way to prevent falls.” Still, “walking may be a useful adjunct to increase physical activity for older people …,” Voukelatos concludes. Citation: Age and Ageing, 2015; doi:10.1093/ageing/ afu186. Source: Oxford University Press, January 7, 2015 ICAA Research Review. Stay up to date with current research by reading ICAA Research Review, the online newsletter of breaking news in health, wellness and demographics. Published 38 times each year, ICAA Research Review is emailed to International Council on Active Aging® members. For more information, visit www.icaa.cc or call ICAA toll-free at 866-335-9777. You focus on what’s most important and we’ll handle the rest. Enhance Quality of Care with a Proven Partner Understand the precise needs of your members with assessments including the Senior Fitness Test, Fullerton Advanced Balance Scale, and the Wellcoaches® Wellbeing assessment. Outcomes reports, designed for individual members and your institution as a whole, display progress on everything from biometrics and functional fitness to exercise history. Contact us for a Demonstration [email protected] 877-654-3837 option 7 www.InteractiveHealthPartner.com ICAA initiatives ICAA Champion: introducing Kisco’s Alex Gerasimov located within the San Francisco Bay Area, in Santa Clara County. Los Altos itself lies right at the heart of Silicon Valley. The global high-technology hub attracts a mix of cultures, and that diversity is present in BridgePoint’s population. At Kisco BridgePoint at Los Altos, Wellness Director Alex Gerasimov supports Nell Lewis as she performs a ‘Stand Strong’ exercise. Image courtesy of Kisco Senior Living In 2011, the International Council on Active Aging® launched ICAA’s Changing the Way We Age® Campaign to promote positive views of aging as well as the value of active aging. ICAA Champions are individuals and organizations that act as role models and advocates. This column celebrates those supporters. Alex Gerasimov credits his grandparents with playing an instrumental role in his development. Growing up in Russia, “I always enjoyed spending time with them and learning from their vast life experiences,” Gerasimov reveals. Since he graduated from college in the United States with a degree in health and wellness, he has devoted his life to “giving back to seniors and assisting them in living a happy and fulfilling life.” Kisco Senior Living’s BridgePoint at Los Altos community launched Gerasimov on his vocation by hiring him as a wellness assistant. Seven years ago, he was promoted to wellness director. Owned and operated by California-based Kisco, BridgePoint at Los Altos is an independent- and assisted-living community 22 For Gerasimov, who competes at bodybuilding and basketball, active aging means a continuous personal growth across the different dimensions of wellness. He is fortunate, he says, to have family members and friends who inspire and motivate him to stay active and healthy. Resident Nell Lewis, 89, whose favorite quote is “Use it or lose it,” “is BridgePoint’s volunteer yoga/dance instructor, and she is incredibly limber, alert, and full of energy and personality,” Gerasimov says. Lewis is also the face of the “Stand Strong” fallreduction program being implemented in Kisco’s communities. Mary Nell Venable, 88, took up writing poetry after relocating to BridgePoint a few years ago, and has since produced more than 200 poems. “Her work was recognized by the California State Capitol when she was invited to showcase her work,” Gerasimov states. Pointing to his friends as active-aging examples, he adds, “They show the power of staying physically and mentally active at any age, as well as the amazing experiences and possibilities that can come into your life if you make an effort.” Experiences with thriving older adults can profoundly shape younger people’s views. Gerasimov sees bridging the generational gap as one of the most effective ways that BridgePoint spreads positive messages of aging. “By partnering with local schools, youth and volunteer organizations on a number of collaborative projects, our goal is to break the common stereotypes about aging, for both young and old,” he explains. “We also develop a stronger sense of community by building friendships, improving skills, and gaining awareness on social issues.” At all Kisco communities, The Art of Living WellSM philosophy infuses daily life to The Journal on Active Aging March/April 2015 www.icaa.cc foster belief in older-adult potential. The corporate website promises programs that “bring a new lifestyle perspective, an optimistic outlook, and a can-do attitude for both residents and associates”—outcomes that ICAA’s Changing the Way We Age® Campaign supports. In line with Kisco’s commitment as an ICAA Champion, Gerasimov and his colleagues promote the positive aspects of aging to residents through programming, in particular. “BridgePoint’s wellness team and community management participate in Kisco wellness initiatives,” Gerasimov reveals. “We also try to model the behavior of eating right, working hard, having fun and exercising.” Individualized assessments assist the team in structuring programs to address residents’ interests and needs. “But when you add a little spice and out-of-thebox ideas,” Gerasimov continues, “you experience engagement, enjoyment, and satisfaction from everyone around. And you continue to build on that success.” Ongoing change and evolution are “key to promoting a fulfilling wellness program,” Gerasimov stresses. For example, an annual employee “Thank You Car Wash” is now an annual fundraiser for a concert band in Los Altos; and a group-exercise class has become a boot camp and training venue for San Francisco’s Bay to Breakers run. Gerasimov believes that as wellness programs evolve, people grow and see new possibilities for their lives. “There is no better feeling,” he says, “than being involved in helping my seniors find a new passion, and seeing them grow and live a legacy.” Thanks to Atria Senior Living, the Institute for Preventive Foot Health and THOR•LO, Inc., founding partners of ICAA’s Changing the Way We Age® Campaign, for supporting the ICAA Champions program. Visit www. changingthewayweage.com to enroll as an ICAA Champion. Nutrition Agent of lifestyle change: Dr. Andrew Weil sows health for the whole person Known as the ‘father of integrative medicine,’ this renowned physician discusses eating for health, aging well and transforming healthcare by Colin Milner Did you know that 80% of Americans believe they can use healthy foods and beverages to improve their quality of life?1 Of course, they are not alone. People around the globe share a belief in the health-promoting qualities of certain foods and beverages—popular examples include green tea, kale and red grapes. This fact, among others, drives the food industry to deliver solutions with health claims ranging from improved brain health to reduced cholesterol levels. Some foods and beverages today are touted as “smart”; others are “energy boosting.” Whether they have health conditions or diets that lack certain nutrients, individuals are likely to find 24 The Journal on Active Aging March/April 2015 www.icaa.cc a “nutraceutical,” “functional” or “super” food that promises to make a difference. Here’s the paradox: The more food is modified for reasons that include human health, the more questions arise about its safety. In fact, the American Institute for Cancer Research in Washington, DC, found in a 2015 survey2 that between 54% and 62% of respondents believed a person’s cancer risk rose due to hormones in beef, genetically modified foods, and “food additives.” So, do these new foods and beverages help meet our nutritional requirements, or are we being sold empty promises? Even more importantly, what do we need to know in order to harness the benefits of diet for healthy aging? To address these questions and others for the Journal on Active Aging®, I recently interviewed Andrew Weil, MD, founder and director of the Arizona Continued on page 26 ‘I’ve traveled widely, and I’ve looked at lots of cultures to see how they do things,’ says Dr. Andrew Weil. ‘That’s how I put together my ideas for integrative medicine.’ Photo: Chris Mooney Agent of lifestyle change: Dr. Andrew Weil sows health for the whole person Continued from page 24 sources” on page 32).6 That same year, Weil testified before the United States Senate Committee on Health, Education, Labor and Pensions. Describing the need not just to reform healthcare, but to transform medicine, he proposed integrative medicine as “a vital part” of a new healthcare system.7 Two advocates for healthy aging: Dr. Andrew Weil welcomed the International Council on Active Aging’s Colin Milner to Tucson, Arizona, for a wide-ranging and stimulating interview. Photo: Chris Mooney Center for Integrative Medicine (AzCIM) at the University of Arizona College of Medicine–Tucson. Weil, 72, is also Lovell-Jones Endowed Chair in Integrative Rheumatology, clinical professor of medicine, and professor of public health at the university. He founded and chairs the Weil Foundation, a notfor-profit organization to support integrative medicine through training, education and research, to which he donates his after-tax profits from sales of Weil Lifestyle products. A frequent lecturer and media expert, the Harvard-educated physician has written 13 books, including the national number-one bestseller Healthy Aging: A Lifelong Guide to Your Well-Being (see “Resources” on page 32). He has also written numerous scientific articles and papers.3 These are all impressive credentials. But what makes Weil unique is not his status as a New York Times bestselling author, or his appearances on the cover of TIME Magazine—once in 1997, when named as one of TIME’s 25 Most Influential Americans; and again in 2005, when the publication ranked him one of the 100 26 Most Influential People in the World.4 No, what makes Weil unique is his reputation as the Wayne Gretzky of health. Fondly referred to as “The Great One,” Gretzky is arguably the best professional hockey player of all time. What made this athlete special was his ability to skate to where the puck would go, not where it had been. He could read the game like no one else—and it propelled him to greatness. Weil’s ability to read the game is what makes him a pioneer in the field of integrative medicine, which his website defines as “healing-oriented medicine that takes account of the whole person (body, mind and spirit), including all aspects of lifestyle.”5 This game-reading ability also makes Weil someone who challenges outdated health systems. He sees where health systems are today, focuses on where they need to be, and looks at how to get there. In 2009, the renowned leader in integrative medicine tackled the topic of healthcare in his bestselling book Why Our Health Matters: A Vision of Medicine that Can Transform Our Future (see “Re- The Journal on Active Aging March/April 2015 www.icaa.cc In his prepared statement, Weil explained: “For practitioners of IM, preventing disease is not an afterthought, it is the cornerstone of our practice—the physician and patient form an ongoing partnership to maintain health, rather than fight illness, and IM practitioners are trained to be agents of lifestyle change. We treat illness promptly and aggressively when appropriate,” he added, “but always seek to maximize the body’s innate capacity to stay healthy and resist disease and injury.”7 Weil also stresses the need for “a culture of health.”6 At all levels, health systems and society must shift energies and focus toward health promotion and disease prevention, which includes the necessary support for individuals to take responsibility for their health. Unsurprisingly, Weil is a controversial figure. Many people consider the physician a health guru and visionary. Skeptics characterize him as a quack. Others call him an uncritical proponent of “alternative medicine”—a label he rejects.5 Regardless of how people view Weil, no one can deny his bold views or his real impact when it comes to a more holistic approach to health at all ages. In our interview for the Journal on Active Aging®, he was eager to share his insights and advice on topics that include healthy aging. Let’s dive in. CM: Thanks for taking the time to talk with me today, Dr. Weil. Let’s start with a getting-to-know-you question. Beyond your biography, who is Andrew Weil? Continued on page 28 Do you know your wellness ROI? measure what you manage Use the ICAA/ProMatura Wellness Benchmarks to measure your wellness program’s ROI. To plan for tomorrow, the national benchmarks will define the industry, and how your community can attain competitive positioning. It took over three years to develop the ICAA/ProMatura Wellness Benchmarks. Right now, retirement communities can join this industrywide effort to move wellness outcomes from isolated or anecdotal reports to solid numbers. Learn more at: www.icaa.cc/business/benchmarks.htm Agent of lifestyle change: Dr. Andrew Weil sows health for the whole person Continued from page 26 AW: I am a doctor, but I don’t always think of myself as a doctor. I’m a teacher. I’m a writer. I’m just an active, curious guy. I was curious as a child. My parents encouraged me to follow my curiosity, so I have explored a lot of different things. CM: Was your curiosity key to developing your approach to integrative medicine? AW: I’ve traveled widely, and I’ve looked at lots of cultures to see how they do things. That’s how I put together my ideas for integrative medicine. I have a longstanding interest in plants, in food and in the mind—and how the mind affects the body. My range of interests is wide. [Ed. Weil’s Harvard education included a bachelor’s degree in biology (botany).3] CM: Your book Healthy Aging was published in 2005. Where does your interest in healthy aging come from? AW: My interest in healthy aging is very personal. As I became older—especially when I turned 60—I realized that healthy aging was of great importance to me in how I want to spend the rest of my life. CM: How do you define healthy aging personally? AW: To me, healthy aging means that however old I am, I feel generally good. I have enough energy to meet life’s demands; I am engaged with life; and I am not experiencing any major disabilities from the common diseases of aging. Plus, I’m not totally engulfed by negative perceptions of aging—that’s difficult to do when our culture strongly sends the message that the worth of human life diminishes with age. All the media and marketing targets a very young demographic and forgets about the rest of us. CM: What nutritional approach do you believe promotes healthy aging? 28 AW: I have long advocated an anti-inflammatory diet as the overall best strategy for health and healthy aging. That’s because the diseases of aging—the big ones such as cardiovascular disease and neurodegenerative disease like Alzheimer’s—begin as inflammatory processes in the body. Cancer is linked here, too, as anything that increases inflammation also increases cell proliferation, which increases the risk of malignant transformation. Eating an anti-inflammatory diet is our best overall strategy. I’ve developed such a diet. It’s based on the Mediterranean diet, but I’ve tweaked it with Asian influences to make it even more powerful. It is not a difficult way to eat, and it allows a lot of pleasure. (For more information, see “Dr. Weil’s AntiInflammatory Diet” on page 29.) CM: What specific advice do you give older adults for eating well? AW: It’s important to eat a good diet throughout life. In North America, our eating habits are bad. We eat more processed and manufactured food than any other people in the world, and I think it is a factor in the increase in chronic diseases, especially diseases of aging. There are a lot of pressures in our society that work against people eating well. Most people I know say they don’t have time to cook or make meals at home. The whole trend toward eating manufactured food is very unhealthy, and I think a lot of older people start eating that way for convenience. CM: Do people need to make nutritional adjustments to counter health issues such as muscle and bone loss? AW: The need to have the right balance of fats, carbohydrates and proteins stays constant throughout life. In terms of muscle loss and bone loss, the best way to combat them is through physical activity and eating well earlier in life, because we build muscle mass and bone density until about 20–25 years of age. The Journal on Active Aging March/April 2015 www.icaa.cc After that, all we can do is slow loss. So in the early part of life, people should eat well, get the right kind of physical activity, and do all the things they can to give them strong bones and muscles to last throughout life. CM: The Dietary Guidelines for Americans, published jointly by the US Departments of Health and Human Services and Agriculture, provides guidance intended to help people eat well. What are your thoughts about the current guidelines? AW: I think the guidelines are so-so. First of all, industry strongly influences the guidelines—for instance, the dairy industry had an extra serving of dairy added to the 2010 revision,8 even though it is not necessary. Also, there is not enough distinction in the kind of carbohydrates. They tell people to eat wholegrain foods such as whole-wheat bread, but that’s not a whole-grain food. The guidelines could be much better. CM: I think that sometimes people are confused by the advice to eat more fruits and vegetables. After all, not all fruits and vegetables are created equal. AW: Exactly. The government is always telling us to eat more fruits and vegetables. I think the message mainly should be eat more vegetables. Fruits are sugar sources, so we want to be careful with them. As you say, there is a distinction between temperate fruits like berries and cherries, and tropical fruits like mangoes and pineapples, which are much higher in sugar. People mostly need to eat more vegetables—vegetables of great variety across the color spectrum. CM: People seem confused about how to eat well because recommendations continue to change. How can we make informed choices in an environment of constant flux? Continued on page 30 D r. We i l ’ s A n t i - I n f l a m m a t o r y D i e t In 2008, Dr. Andrew Weil introduced his Anti-Inflammatory Diet to counter the chronic, low-level inflammation that damages the body and promotes disease. Dietary choices influence the body’s inflammatory response. The AntiInflammatory Diet is based on the Mediterranean diet, “tweaked with Asian influences” to enhance its potency, according to Weil. This diet emphasizes fruits and vegetables, fish, whole grains, beans and legumes, healthy fats, as well as soy and Asian mushrooms. It also includes principles for preparing food in healthier ways. Dr. Weil’s Anti-Inflammatory Food Pyramid (below) accompanies his diet. The “practical eating guide” is an educational tool to help people make dietary choices for better health at all ages. For an interactive or downloadable graphic and a full description of Dr. Weil’s Anti-Inflammatory Food Pyramid, visit www. drweil.com/drw/u/PAG00361/anti-inflammatory-foodpyramid.html. Figure 1. Dr. Weil’s Anti-Inflammatory Food Pyramid shows foods, beverages and spices included in his diet. Source: Dr. Andrew Weil. Reprinted with permission. The Journal on Active Aging March/April 2015 www.icaa.cc 29 Agent of lifestyle change: Dr. Andrew Weil sows health for the whole person Continued from page 28 In 1994, Dr. Andrew Weil founded the Arizona Center for Integrative Medicine at the University of Arizona College of Medicine, in Tucson. Weil views integrative medicine as a transformative model of medicine—one that ‘always seek[s] to maximize the body’s innate capacity to stay healthy and resist disease and injury.’ Photo: Chris Mooney AW: I could produce a solid argument against any food, so if we accept everything we hear about food, we would have nothing to eat. People say, “Well, they told us saturated fat was bad and now it’s not, and butter was bad and now it’s good. So, what does it matter? We might as well eat anything.” I don’t think that’s true. There is actually a good consensus among nutrition researchers about all the big questions. We know what makes an optimum diet, and what are good carbs and bad carbs, and good fats and bad fats—but somehow that information does not make it into the training of doctors. It is certainly not making it into the general media, which leaves most people completely confused. For example, there was a lot of publicity about various thinking on cholesterol just recently. The research was that cholesterol in foods does not significantly influence serum [blood] cholesterol. 30 This message got really distorted. Based on the way the media reported this news, many people will think that cholesterol isn’t important, when the research was about the influence of dietary cholesterol.9 CM: Speaking of the media, we see marketers and the media push “superfoods” as one way to influence the way we age. What do you think about these foods? AW: A lot of this is hype. Everybody is waiting for the next “superfood” to come along, yet we have a lot of great superfoods right in our own supermarkets. Berries are a superfood. They are full of antioxidants and low on the glycemic load scale, so they don’t spike blood sugar too much. They’re great! Blueberries, for example, are as good as any of the exotic fruits that people promote. Broccoli is another superfood—it’s very strongly cancer protective. That’s true The Journal on Active Aging March/April 2015 www.icaa.cc of a lot of common fruits, vegetables, and herbs and spices like ginger and turmeric, which are the most potent natural anti-inflammatory agents we know. CM: Can you tell our readers what inflammation is? AW: Inflammation is the cornerstone of the body’s healing response. It is the way the body gets more nourishment and more immune activity to an area that needs it. We all know inflammation on the surface of the body as local redness, heat, swelling and pain, but this response is so powerful and so potentially destructive that it is vital that it stays where it is supposed to stay and ends when it is supposed to end. When inflammation persists, it becomes productive of disease. The kind of inflammation that concerns me is imperceptible, chronic low-level inflammation throughout the body. Inflammation has many influences. Your body has to be able to produce enough of a response to resist infection, but not so much that it causes problems. Diet is a powerful influence on the inflammatory process. The mainstream diet in North America is strongly pro-inflammatory. It gives us the wrong carbohydrates and the wrong fats, as well as too few of the protective elements found mostly in fruits, vegetables, herbs and spices. CM: In your view, what is the essential message about diet today that everyone should know? AW: The essential message is: Processed, manufactured and refined foods are worse for us than anything else we may eat. This is one message that will not change. People are way ahead of the game if they reduce or eliminate this kind of food in their diet. I would say the next concern is the amount of sugar people consume, and I would focus on sweetened drinks. People do not have to drink sweet liquids. By that, I mean sodas [carbonated soft drinks], as well as sweet tea, sugar in coffee, and energy drinks. We would be much better off if people would stop drinking sweet beverages or at least minimize the amount they consume. CM: Why do you think people find it hard to cut out these foods? AW: These foods are cheap and available. The government has made junk foods inexpensive by subsidizing commodity crops, which is one of the difficulties and great ironies of the situation. High-fructose corn syrup is in everything because it’s cheap, and it’s made cheap by subsidies to corn. Refined soybean oil—the source of the excess omega-6 fatty acids in the North American diet—is also in everything because it’s cheap and it’s subsidized. There have been no subsidies for fruits and vegetables. So fruits and vegetables are often out of reach for poorer people. CM: How do dietary supplements fit into the overall picture? AW: Dietary supplements are not substitutes for foods that contain them, and taking them does not excuse people from eating a good diet. I think supplements can be useful as insurance against gaps in the diet. Some supplements have specific therapeutic or protective effects when taken in higher doses than we can easily get from food. For example, in North America we don’t get enough omega-3 fatty acids, mostly found in cold-water oily fish; they are strongly protective of both mental and physical health. So it is definitely a good idea to take supplemental fish oil, even if people eat fish. Of course, fish is problematic today both from the environmental and toxic-contamination points of view, so people must take care which fish they eat. CM: The nutritional picture today appears complicated, but the advice for healthy eating seems to focus on basics. Why do you think so many people have difficulty understanding dietary information? AW: I don’t see the good information presented in ways that really connect with people. Part of the problem is that our health professionals—medical doctors especially—are not well-trained in nutrition, so they are not properly prepared to give this kind of information to their patients. This needs to change. Nutrition is a big piece of the puzzle for improving health outcomes in the US. Yet it always gets short shrift. [Ed. In a study led by Marion Vetter, MD, RD, of the New York University School of Medicine, 94% of internal medicine interns believed they were obliged to talk to patients about nutrition, but only 14% felt physicians were adequately trained to do so.10 Further, a University of North Carolina at Chapel Hill (UNC) study found that the number of hours medical schools devote to teaching nutrition has actually declined—from 22.3 hours in 2004, to 19.6 hours in 2009.11 The National Academy of Sciences recommends 25–30 hours, according to the UNC article.11] CM: You mentioned improving health outcomes, which is among the driving forces of healthcare reform. What are your thoughts about changing the healthcare system? AW: The prospect looks almost impossible. There are a lot of vested interests out there that oppose change. Look at the power lobbies. An even deeper problem is that as dysfunctional as the healthcare system is, it generates rivers of money—and that money goes to very few pockets. … So I don’t think change can come from the government. It can only happen if there is a grassroots movement that changes the politics of all this, and we elect representatives who are not beholden to those interests. Yet change may still happen. Because the whole system may collapse, and then we’ll have no alternative. Costs keep going up. Doctor dissatisfaction keeps increasing. Medical outcomes are awful. We spend far more per capita on health in the US than any people in the world12—heading toward 20% of our Gross Domestic Product13—and our health outcomes are the worst among older developed countries.14 Something is wrong with that picture. CM: Do you think the medical community has embraced integrative medicine as part of reforming the system? AW: The medical community is in the process of embracing integrative medicine. It is being forced to change, because the economics of healthcare, Continued on page 32 The Journal on Active Aging March/April 2015 www.icaa.cc 31 Agent of lifestyle change: Dr. Andrew Weil sows health for the whole person Continued from page 31 especially in the US, are so dismal and getting worse. The promise of integrative medicine is that it can lower costs and improve outcomes. CM: My last question for you relates to legacy. What do you want people to remember you for? AW: I would like to be remembered for changing medicine. The Arizona Center for Integrative Medicine has graduated over 1,200 physicians from intensive training, and we’re training hundreds more. This is really a new model of medicine that puts the focus on health and prevention and the body’s natural healing power. That’s what I would like people to remember me for in the future. Colin Milner is the chief executive officer of the International Council on Active Aging®. References 1. Natural Marketing Institute. (2011). NMI 2011 Consumer Trends in Healthy Aging. Available from http://www.nmisolutions.com. 2. American Institute for Cancer Research. (2015, February). The AICR 2015 Cancer Risk Awareness Survey Report. Retrieved on March 30, 2015, from http://www.aicr.org/ assets/docs/pdf/education/aicr-awarenessreport-2015.pdf. 3. DrWeil.com. Fact Sheet. Retrieved on March 31, 2015, from http://www.drweil.com/ drw/u/PAG00070/Dr-Weil-Fact-Sheet.html. 4. DrWeil.com. Press release: Hudson Street Press Acquires Dr. Weil’s New Book. Retrieved on March 31, 2015, from http://www.drweil. com/drw/u/ART03045/Hudson-Street-PressAcquires-Dr-Weils-2009-Book.html. 5. Lemley, B. What Is Integrative Medicine? Retrieved on March 31, 2015, from http:// www.drweil.com/drw/u/ART02054/AndrewWeil-Integrative-Medicine.html. 6. Weil, A. (2009). Why Our Health Matters: A Vision of Medicine that Can Transform Our Future. New York, NY: Hudson Street Press. tive Medicine: A Vital Part of the New Health Care System. Testimony of Andrew Weil, MD. Prepared for Full Committee Hearing on “Integrative Care: A Pathway to a Healthier Nation,” February 26, 2009. Available for download at http://www.help.senate.gov/ hearings/hearing/?id=03629575-0924-cb2e13cb-68a8065ababb. 8. US Department of Agriculture and US Department of Health and Human Services. (2010, December). Dietary Guidelines for Americans, 2010. 7th Edition. Washington, DC: US Government Printing Office. Retrieved on March 31, 2015, from http://www. health.gov/dietaryguidelines/dga2010/ DietaryGuidelines2010.pdf. 9. Templeton, D. (2015, 7 April). Scientists Debate Impact of Removing Dietary Guide lines for Cholesterol. Pittsburgh Post-Gazette. Retrieved on April 8, 2015, from http://www. post-gazette.com/news/health/2015/04/07/ Scientists-debate-impact-of-removingdietary-guidelines-for-dietary-cholesterol/ stories/201504010210. 10. Vetter, M. L., Herring, S. J., Sood, M., et al. (2008). What Do Resident Physicians Know about Nutrition? An Evaluation of Attitudes, Self-Perceived Proficiency and Knowledge. Journal of the American College of Nutrition, 27(2), 287–298. 11. Adams, K. M., Kohlmeier, M., & Zeisel, S. H. (2010). Nutrition Education in US Medical Schools: Latest Update of a National Survey. Academic Medicine: Journal of the Association of American Medical Colleges, 85(9), 1537– 1542. 12. Organization for Economic Cooperation and Development (OECD). Why Is Spending in the United States So High? Health at a Glance 2011: OECD Indicators. OECD Publishing. Retrieved on March 31, 2015, from http:// www.oecd.org/unitedstates/49084355.pdf. 13. Sisko, A. M., Keehan, S. P., Cuckler, G. A., et al. (2014). National Health Expenditure Projections, 2013–23: Faster Growth Expected with Expanded Coverage and Improving Economy. Health Affairs, 33(10), 1841–1850; doi: 10.1377/hlthaff.2014.0560. 14. Murray, C. J. L., & Frenk, J. (2010). Ranking 37th—Measuring the Performance of the US Health Care System. New England Journal of Medicine, 362(2), 98–99. Retrieved on March 31, 2015, from http://www.nejm.org/doi/ full/10.1056/NEJMp0910064. 7. United States Senate Committee on Health, Education, Labor & Pensions. (2009). Integra- 32 The Journal on Active Aging March/April 2015 www.icaa.cc Resources Internet DrWeil.com www.drweil.com DrWeil.com: Anti-Inflammatory Diet & Pyramid www.drweil.com/drw/u/ PAG00361/anti-inflammatoryfood-pyramid.html Dr. Andrew Weil’s Daily Health Tips www.drweilblog.com Dr. Weil on Healthy Aging: Your Online Guide to the AntiInflammatory Diet (subscription) www.drweilonhealthyaging.com University of Arizona Center for Integrative Medicine http://integrativemedicine. arizona.edu The Weil Foundation www.weilfoundation.org Multimedia Andrew Weil’s YouTube channel www.youtube.com/user/drweil Print Weil, A. (2005). Healthy Aging: A Lifelong Guide to Your Well-Being. New York, NY: Knopf Doubleday Publishing Group Weil, A. (2009). Why Our Health Matters: A Vision of Medicine that Can Transform Our Future. New York, NY: Hudson Street Press NEW MORE CASUAL COMFORT SOCKS Pay $4.90 for shipping and handling/US residents only www.thorlo.com/free-sock-offer ©THOR•LO, Inc. LIVE YOU September 27–October 3, 2015 GET INVOLVED IN ACTIVE AGING WEEK® 2015 Initiated by the International Council on Active Aging®, Active Aging Week takes place each year during the last week of September. The weeklong campaign calls attention to and wholeheartedly celebrates the positivity of aging today. This event showcases the capabilities of older adults as fully participating members of society. And it spotlights the role models that lead the way. A featured theme suggests a focus each year for marketing and programming. In 2015, Active Aging Week picks up from last year’s distinctive theme, “Let the adventure begin,” to exhort hosts and participants to “Live your adventure.” Resources are available to help you develop and deliver a successful campaign. To get involved in this year’s Active Aging Week celebration, visit www.activeagingweek.com. Or call toll-free 866-335-9777 or 604-734-4466. International Council on Active Aging® 3307 Trutch Street Vancouver, BC, V6L 2T3 Toll-free: 866-335-9777 Tel: 604-734-4466 www.icaa.cc Sponsors UR ADVENTURE Cognitive health Training the brain to change the way we age, part 1: understanding neuroplasticity Fitness and wellness professionals can help clients—and themselves—build mental ‘muscle’ for everyday life by adding brain games to physical movement by Lawrence Biscontini, MA This two-part article explores the brain and its functions and skills, factors that affect brain function, and practical ways to apply research on brain training. This first installment looks at brain functions and skills, as well as brain-training research. It also discusses some implications for translating research into practice. In the next issue of the Journal on Active Aging®, the second installment will delve into factors that have a negative impact on brain function, general guidelines for neuroplasticity training, and different brain games. 36 The Journal on Active Aging March/April 2015 www.icaa.cc As we try to enhance the way we train the body to improve the way we age, including the brain in our approaches can make a huge difference. Research reveals that since the brain controls the body, and not the other way around, brain training can serve as the best point of departure for training. To be sure, the ways in which we train the body today abound, including sets, repetitions and overload. The good news is research now shows how a similar approach works for brain training as well. Plasticity, the original term related to brain training, dates back to William James and his 1890 book, Principles of Psychology. More lately evolved to neuroplasticity, this concept refers to the brain’s ability to reorganize and Continued on page 38 Training the brain to change the way we age, part 1: understanding neuroplasticity Continued from page 36 Brain Awareness Week highlights brain research rewire itself in response to experiences and stimuli.1,2 Recent research supports training the brain (neuroplasticity training) as if it were a muscle, applying similar fitness concepts of adaptation, sets, repetitions, timed performance, and specificity.3,4 Other research tells us about the importance of neuroplastic training combined with physical movement skills, to strengthen, improve and even change some brain regions.5,6 Training the brain’s different capacities may also help individuals manage anger, fear and depression.7 It may further serve as a viable complement—and sometimes alternative—to interventions with brain medication.8 This two-part article sheds light on brain-training research. It includes affordable tips that we, as fitness and wellness professionals, can use to add neuroplasticity training into everyday life, as we train both our clients and ourselves to age “smart.” The brain hemispheres Many brain specialists have written on the complicated nature of the right and left brain hemispheres and their importance. For this article, the most impor38 tant concepts to focus on include brain games that tax not only the left and right sides and the different areas of the brain working individually, but also the independent sections working collectively. Let’s start with a look at what the left and right brain hemispheres do. The left side mostly controls speech, language, math and analytical skills, memories of names and words, and motor skills on the right side of the body. Conversely, the right side mostly controls creative skills (including problem-solving), emotions, memories of images such as faces, spatial zones, patterns of details, and motor skills on the left side of the body. An approach of right-and-leftbrain training draws upon mental tasks that require the different sides of the brain to undulate (fluctuate between hemispheres). Mental tasks alone are not enough, however, for neuroplasticity training. The body must move Executing any type of brain skill—doing Sudoku puzzles while comfortably seated in a lounge chair, for example—may Continued on page 40 The Journal on Active Aging March/April 2015 www.icaa.cc Every year Brain Awareness Week engages hundreds of thousands of people through exhibits, activities, lectures and efforts organized by campaign partners. The Dana Alliance for Brain Initiatives launched the global campaign in 1996 to educate the public about the brain and the promise of brain research. In March 2015, the initiative celebrated 20 years of public outreach. The Dana Alliance supported a number of free public events, including “Staying Sharp,” a panel on memory, brain health, and healthy brain aging, held March 17 at the New York University Langone Medical Center. AARP and the NYU Langone Center on Cognitive Neurology collaborated with the alliance to present this discussion. A New York-based nonprofit organization of 350 eminent neuroscientists, The Dana Alliance is dedicated to advancing public awareness about the progress and benefits of brain research. Its partners in Brain Awareness Week include the Society of Neuroscience, universities, museums, patient advocacy groups, K-12 schools, and others. Those interested in participating in next year’s Brain Awareness Week and/or learning more about brain research will find accessible educational resources, downloadable graphics, publications and general information on the campaign website, www.dana.org/BAW. Why do my feet hurt? What can I do to help prevent foot problems? How can I stay active longer? All these answers and much more... ©IPFH Training the brain to change the way we age, part 1: understanding neuroplasticity Continued from page 38 while doing alternating forward lunges. Lunging forward with the left leg, the person says “broccoli,” for example, followed by “pineapple” when lunging forward with the right leg. The process continues without stopping, with the individual naming a vegetable with each left-leg lunge and a fruit with each rightleg lunge. This task constitutes neuroplasticity training because the mind is working while the body engages. In addition, the problem-solving effort taxes the brain with right-brain tasks, while the physical movement coordination is a left-brain task. work a particular area of the brain (left side for math skills), but such activity does not constitute neuroplastic training for the purposes of this article. To train neuroplasticity, mental tasks must combine with physical movement.9 The body’s movement does not have to be intense, to be sure. But for brain training, mental tasks must take place during some form of coordinated physical movement—for example, tapping toes while seated on the edge of a chair and working on Sudoku puzzles. Anyone who has engaged in a moderately challenging brain skill while walking and talking will remember how much easier it becomes to stop and think. That’s because stopping movement decreases the sensory input to the brain and allows it to concentrate on other processes, such as recalling a memory or finishing a complicated math skill. While limiting input may prove more comfortable at the time, we need to encourage the brain to function simultaneously with the body’s needs, as required in life. Answering a caller’s questions on a cellphone while walking across the street amidst heavy car traffic demands just such multitasking. One caveat: Readers must choose and adapt the appropriate level of physical movement for clients to accompany 40 any suggestions provided in this article. With brain training, intensity of movement is not the point. The body needs only to move. Let’s move now from discussing the left and right brain hemispheres and brain training, to look at the different parts of the brain and their functions. Training brain and body: common examples Introducing mental tasks to movement is possible while going about daily activities or doing more purposeful physical activity. Here are a couple of examples of combining mental and physical tasks to train neuroplasticity: Regions of the brain Several key sections make up the brain. When these areas work in synchronicity in a moment of particular focus, it illustrates the work of the mind. The term mind-body, in its truest sense, comes from anything that originates in the brain as conscious movement with form, purpose, dedication and concentration. All training that uses the brain in this manner falls under a “mind-body” training umbrella. Conversation example “What did you have for dinner last night?” seems an innocuous question between friends. The answer depends on one’s ability to use a certain amount of memory. This task does not train the brain. However, if the friends asked each other to list in reverse order what they ate the previous night while they walked their pets on an evening stroll, the task would train neuroplasticity for two reasons. First, it would require the mind to work simultaneously as the body engaged in a movement skill. Second, and more specifically, the memory-recall and spatial skills of reverse order come from left-brain tasks. Lunge example In an example using a more traditional fitness-training movement, a client makes a list of fruits and vegetables The Journal on Active Aging March/April 2015 www.icaa.cc The various sections of the brain serve different purposes. The cerebrum, the largest portion of the brain, contains sections in both the right and left brain hemispheres: the frontal, parietal, temporal and occipital lobes. These critical areas control the following complex brain functions: • frontal lobe: elements such as creative thought, problem-solving (including decision-making), intellect, judgment, behavior, attention, abstract thinking, physical reaction, muscle movement, coordinated movement, smell and overall personality • parietal lobe: comprehension, language, reading, internal stimuli, tactile sensation and sensory comprehension • temporal lobe: auditory memories, speech, language and behavior • occipital lobe: vision The cerebellum sits at the back lower part of the brain. Particularly important for fitness instructors and trainers to understand, this area controls balance, posture, and coordination of motor skills and movements. Other structures of the brain containing glands comprise the limbic system. The amygdala helps the body respond to emotions, memories and fear. Its small shape resembles a raw almond, and the word itself means “almond” in Greek (ΑΜΥΓΔΑΛΑ). The hippocampus allows learning and memory of emotions, specifically converting temporary memories into permanent memories, which can be stored within the brain. The hippocampus also helps people analyze and remember spatial relationships, allowing for accurate movements. The hypothalamus region controls mood, thirst, hunger and temperature. It also contains glands that control the hormonal processes throughout the body. Making healthy decisions about food amounts involves the frontal lobe’s decisionmaking properties, but understanding the true feelings of physical hunger involves the hypothalamus. The thalamus, located in the center of the brain, controls attention span and pain sensing, as well as the input of constant sensations moving in and out of the brain. Finally, the origins of life function reside in the brain stem, including our heartbeat, blood pressure and breathing. Perhaps most importantly, this section connects all the aforementioned sections of the brain with the rest of the body through the spinal cord. The brain in action: the pizza example A practical example can help to simplify the regions of the brain above and how they work. The following comments about pizza illustrate the brain in action: ways while continuing a movement pattern, which challenges memory, spatial skills, problem-solving, and more. The next article installment will feature brain games that use conversation and vision as pathways to neuroplasticity training. • “I remember the first time I had pizza at a lovely outside square in Rome” reflects the hippocampus (emotional memories). • “I’m hungry for thin-crust pizza” uses the hypothalamus (hunger). • “I remembered that in Italian, the word pizza stays the same—‘la pizza’” uses the temporal lobe (memories of sound, language skills). • “In a general sense, I love all kinds of thick and thin crust vegetable pizza” comes from the parietal lobe (abstract thinking). • “I searched on the Internet to find out where to buy authentic pizza in my zip code” uses the parietal lobe (reading and research skills). • “I’m going to walk to the pizzeria to order some pizza takeaway” reflects the frontal lobe (decision-making and physical movement). • “When I come to the restaurant, I choose the kind of pizza I want from the menu” uses the occipital lobe (vision). • “I’m now eating my pizza, savoring each slice as I bring it to my mouth” uses the cerebellum (coordinated movements). Efforts build mental ‘muscle’ Engaging in simple right and left brain games during movement does not involve learning a new way to train the body. We can merely add an extra layer of “brain games” to what we, and our clients, already do. Yes, we may feel strange, frustrated and even uncomfortable when we first introduce these games Just as we can favor certain muscles and muscle groups with physical training, so, too, we can favor certain brain functions and brain games. Some people prefer leftbrain mathematical puzzles; others prefer right-brain crossword puzzles. It proves necessary, then, to include brain games using all different brain areas to offer well-rounded training. This article installment includes an activity called “Phone Number Games with a friend” on page 42. In these games, 2 participants recite digits in a variety of Continued on page 42 Resources Internet Brain Awareness Week (The Dana Alliance): Tips and Resources Downloadable materials include “Staying Sharp” and “BAW Favorites” puzzle series www.dana.org/BAW/content. aspx?id=44679 The Brainwaves Center: Puzzles and Self-Tests www.brainwaves.com/puzzles_self Tests.html SharpBrains: Brain Teasers http://sharpbrains.com/brainteasers/ brain-games-and-teasers-top-50 Print Doidge, N. (2007). The Brain That Changes Itself: Stories of Personal Triumph from the Frontiers of Brain Science. New York, NY: Viking Eckmann, T. (2013). 101 Brain Boosters. Monterrey, CA: Healthy Learning The Journal on Active Aging March/April 2015 www.icaa.cc 41 Training the brain to change the way we age, part 1: understanding neuroplasticity Continued from page 41 into familiar activities, such as going for a walk or working out. In our effort to build mental “muscle,” though, it may help to remember that brain training can prove just as important as traditional movement to our overall health, aging and success. Lawrence Biscontini, MA, has been involved in brain training since an eye operation in 1972 left him without sight for several months in recovery. As an Advisory Board Member for the International Council on Active Aging®, and as an “active ager” himself, Biscontini dedicates a great deal of time to making practical the most recent research on keeping our brains as young and sharp as possible. He copresented the workshop “Training neuroplasticity: current research for training the active older adult” at the ICAA Conference 2014, in Orlando, Florida. Biscontini neither supports nor endorses any sources of brain games. He can be reached at www. findlawrence.com. References 5. Adams, T. B, Moore, M. T., & Dye, J. (2007). The Relationship Between Physical Activity and Mental Health in a National Sample of College Females. Women and Health, 45(1), 69–83. 1. Merzenich, M. M. (2005). Change Minds for the Better. Journal on Active Aging, 4(6), 22–30; November/December issue. Available to ICAA members in the online content library (go to: “Wellness articles” [“Cognitive health”]) at http://www.icaa.cc. 6. Reynolds, G. (2009, September 16). Phys Ed: What Sort of Exercise Can Make You Smarter? New York Times, “Well” blog. Retrieved on March 20, 2015, from http://well.blogs.nytimes. com/2009/09/16/what-sort-of-exercise-canmake-you-smarter. 2. Fernandez, A. (2009). Healthy Brain Aging: Why We Need to “Use It or Lose It.” Journal on Active Aging, 8(4), 40–43; July/August issue. Available to ICAA members in the online content library (go to: “Wellness articles” [“Cognitive health”]) at http://www.icaa.cc. 7. Begley, S. (2007, January 19). How Thinking Can Change the Brain. Wall Street Journal. Retrieved on February 12, 2015, from http:// www.dalailama.com. 3. Ferris, L. T., Williams, J. S., & Shen, C. L. (2007). The Effect of Acute Exercise on Serum Brain-Derived Neurotrophic Factor Levels and Cognitive Function. Medicine and Science in Sports and Exercise, 39(4), 728–734. 4. Eckmann, T. (2013). 101 Brain Boosters. Monterrey, CA: Healthy Learning. 8. Doidge, N. (2007). The Brain That Changes Itself: Stories of Personal Triumph from the Frontiers of Brain Science. New York, NY: Viking. 9. Fleshner, M., Maier, S. F., Lyons, D. M., & Raskind, M. A. (2011). The Neurobiology of the Stress-Resistant Brain. Stress, 14(5), 498–502. Phone Number Games with a friend Part 1 Two people get into a “holding pattern” of movement. This activity can range from simple seated marching to more involved patterns such as standing marching, grapevines and squats. One person is Friend A; the other is Friend 1. Dividing and labeling “friends” in this unexpected way unites left and right brain skills from the start. In addition to the individuals having to stay alert to remember these unique partner names, such labels also work to keep every game positive: Each partner is first in the alphabet or number system. To begin the Phone Number Games, Friend A tells Friend 1 the last 4 digits of his/her phone number. The 2 individuals then play the following brain games as both partners continue to 42 move (for example, marching in place or walking around the block). Friend 1 recites the digits in the same forward order, and then: • recites the digits backwards • adds the digits, two at a time, and sums a grand total • spells each digit forwards • spells each digit backwards Now, change roles! Repeat the above for up to 5 minutes per partner, as appropriate. Either partner may request assistance and “collaboratively problem solve” with the other person when needed. Part 2 After about 10 minutes of Part 1, Friend A and Friend 1 start completely different movement skills (for example, standing in place and each making figure 8s with The Journal on Active Aging March/April 2015 www.icaa.cc the hands while keeping the palms together in a folded-hands-in-prayer gesture, all fingers pointing forward away from the body, instead of towards the sky). The 2 partners repeat the above Phone Number Games, adding the first 3 digits of the phone number to the existing 4, to play with a total of 7 digits. They continue with this method until they can execute some or all of the games. To progress in the session or in future sessions, the partners then add the area code (for a total of 10 digits) and repeat playing all the games as above. Whenever tempted to pause to think, Friend A and Friend 1 should encourage each other to “keep moving, and keep thinking,” reminding themselves of the 2 simultaneous keys for neuroplasticity training. Are you looking for products and services? Find the right ones for you through ICAA’s Online Buyer’s Guide. As some of the largest suppliers of products and services to senior living communities, fitness clubs, community centers and other organizations serving older adults, ICAA’s Preferred Business Partners are industry leaders. Their products and services represent excellent value to customers. And, in many cases, these offerings are available to ICAA members at preferred discounts. For more information, check out ICAA’s Online Buyer’s Guide at www.icaa.cc/ preferredbusinesspartners.htm To learn how to become a preferred partner, email [email protected] International Council on Active Aging® 3307 Trutch Street,Vancouver BC V6L 2T3 Canada Toll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464 Cool ideas At Westminster Village, participants of all ages exercised together to break the Guinness World Record. Image courtesy of Westminster Village It takes a community: Westminster Village sets a world record during Active Aging Week 2014 This Indiana continuing care retirement community achieved a ‘history-making’ goal for last September’s campaign At Westminster Village in West Lafayette, Indiana, Active Aging Week 2014 had an audacious goal: Set a new Guinness World Record for the number of people participating in a chair-based 44 The Journal on Active Aging March/April 2015 www.icaa.cc exercise class. The record-breaking attempt fit the theme of the September health-promotion event—“Let the adventure begin.” It also fit the community and its goals. Located just two miles from Purdue University,1 “Westminster Village is a vibrant, progressive continuing care retirement community,” says Health and Wellness Director Jordan Morrow. About 350 adults live in the Village’s independentliving apartments and homes, licensed assisted-living apartments, and skilled nursing center, with rehabilitative care and memory support care also provided. The not-for-profit community, managed by Life Care Services (LCS), “creates opportunities for, and connects seniors to, a lifestyle of optimal well-being.” Morrow notes that “many of the Village’s current residents have been active all their lives. As their physical and cognitive abilities diminish, however, they find themselves in need of skilled support, understanding and adaptations.” To enhance residents’ daily lives and help them enjoy the highest level of independence, the community offers “enrichment opportunities within all eight dimensions of wellness,” he explains. These dimensions include physical, emotional, social, vocational, spiritual, intellectual, health services and environmental. In 2013, Westminster Village introduced the residents to Active Aging Week®, a national campaign sponsored each year by the International Council on Active Aging®. Host organizations typically develop events that appeal to those who embrace a wellness lifestyle, as well as those taking their first steps toward lifestyle change. Programming encourages living well at any age. “The Village created and replicated some amazing and fun activities” in 2013, recalls Morrow. “It was the first year our community had celebrated Active Aging Week, and it was a grand success. In 2014, we broke a world record!” ‘Amazing feat’ So where did the idea come from to pursue the Guinness World Record for chair exercise in 2014? “Guinness World Records is the universally recognized authority on record-breaking achievement,” Morrow says. “Because we believe that LCS residents are the best in the world, we wanted to prove it.” A bold goal such as Westminster Village’s may help to foster an individual and collective sense of challenge—and pride—among all who support or participate in achieving it. An inclusive goal will also build community spirit. From independent and assisted living to skilled nursing, Westminster Village residents of all fitness levels can choose from a variety of chair-based exercise classes on campus, according to Morrow. So, “it was only natural that we attempted to break a world record that all residents could participate in—and one that represented something we embrace as a continuing care retirement community.” On September 22, 2014, participants gathered at Westminster Village’s main entrance to perform the 40-minute chairexercise class. Event organizers asked participants to bring cans of food to use as weights during the class and to donate afterwards to the local food bank. “We collected 761 lbs. of canned foods for Food Finders Food Bank,” Morrow reveals. In the end, the group numbered 481 people2—smashing the existing record (384) by almost 100 people. Residents, family members, friends and community members united to break the record, states Morrow, who adds, “It was truly a team effort to pull off this amazing feat.” The chair-exercise record had been set four times previously, Morrow mentions. But Westminster Village’s achievement resonates all the more because the community “broke the record by an unprecedented increase in participants.” For the wellness professional, the most inspiring aspect of the event was its intergenerational nature. “The 481 successful participants ranged in age from 3 to 98 years old,” he shares. Event organization Westminster Village’s record attempt harnessed the positive, “can-do” energy Resources Active Aging Week www.activeagingweek.com Guinness World Records www.guinnessworldrecords.com Life Care Services www.lcsnet.com Westminster Village West Lafayette www.wvwl.org of Active Aging Week to engage residents in a memorable adventure. The community’s objectives synchronized with those of the health-promotion campaign in giving as many people as possible the opportunity to get involved in the experience. “A number of our residents participate in various chair-based exercise classes every week to help them stay fit and active,” Morrow says. “The chance to set a Guinness World Record was an opportunity to encourage nonparticipants to try the activity. Adding the charity component appealed to another group of residents,” he continues. “Through a program sponsored by our local food bank and coordinated through local schools, many Village residents fill backpacks with food every week for children who otherwise would go hungry. Keeping in the spirit of whole-being wellness, we decided to incorporate the vocational component into our event.” What was involved practically in organizing the Westminster Village effort? Quite a lot, it turns out. “In order to officially break a record, you need to meet Guinness World Records rigorous demands,” Morrow notes. “The recordattempt packet consists of nearly 20 Continued on page 48 The Journal on Active Aging March/April 2015 www.icaa.cc 45 We’ve turned aging upside down Fitness Franchise for Senior Campuses 46 The Journal on Active Aging March/April 2015 www.icaa.cc You can buy a room full of equipment. But without our expert testing, implementation and monitoring, it will likely sit unused. Sure, you can hire a trainer, but you still won’t have a program that works like Welcamp — a fitness franchise specifically designed for senior living communities. We know how to engage residents and keep them coming, based on years of experience and member results. Call now for your personal presentation 952.873.7900 | www.welcamp.com The Journal on Active Aging March/April 2015 www.icaa.cc 47 ©2014 Welcamp It takes a community: Westminster Village sets a world record during Active Aging Week 2014 Continued from page 45 Become an ICAA Champion Shape his view of aging. Become an ICAA Champion or Partner in ICAA’s Changing the Way We Age® Campaign and help change society’s views and expectations of aging. To learn how you or your organization can get involved, call the International Council on Active Aging® at 866-335-9777 or visit www.changingtheway weage.com Founding Partners 48 pages of rules, regulations, requirements, guidelines and expectations.” (For information, go to “Set a record” on the Guinness World Records website; see “Resources” on page 45.) Not surprisingly, Westminster Village enlisted nearly 50 volunteers to help organize and execute the event, Morrow says, while most staff members helped prepare for and/or participated in the class. “We blocked off the parking lot and rented 500 chairs and a sound system,” he states. “Considering the event was outdoors and in Indiana of all places, we put a lot of faith in Mother Nature, but when the day came, we had clear sunny skies and a temperature in the mid-70s.” Community support A well-organized event was essential for Westminster Village’s attempt to comply with Guinness World Records demands. The event also needed to attract enough support to succeed. How did the Village encourage sufficient participation and enlist support for the effort without losing its focus on creating resident opportunities? “By engaging the Westminster Village community to participate in the event as instructors, seat counters and timekeepers, we stayed true to our mission and made the event about the community,” says Morrow. “We used meetings, flyers and the resident newsletter to invite residents. We also used our Facebook page, press release to the local media, direct mail, phone calls to local schools, and newspaper ads to invite participants.” People’s familiarity with Guinness World Records helped with outreach. The Lafayette Journal & Courier, for example, highlighted the opportunity “to make history with Westminster Village” in a call for event volunteers.3 Communications from the Village invited the greater community “to be part of the fun.”4 Takeaways also encouraged people The Journal on Active Aging March/April 2015 www.icaa.cc ICAA Champion ad 1c.indd 1 14-05-28 2:55 PM to get involved: Each event participant was promised a free T-shirt, as well as an official certificate from Guinness World Records if the group effort triumphed. Its success left a lot of people happily anticipating their certificates. Campaign synergy Together with its residents and supporters, Westminster Village achieved more than a Guinness World Record during Active Aging Week 2014. The community as a whole embraced a spirit of adventure and embodied what the yearly campaign promotes: People living well at any age—regardless of health challenges—and continuing to participate fully in society. This synergy was neatly echoed in the Village’s “Live connected. Live well.” tagline.5 What’s next at Westminster Village after last year’s Active Aging Week feat? Morrow isn’t saying. “But we can’t wait to see what our residents have in store for this year’s campaign.” References 1. Westminster Village. About us. Retrieved on April 8, 2015, from http://www.wvwl.org/ about.php. 2. Guinness World Records. Most people doing chair-based exercise. Retrieved on April 8, 2015, from http://www.guinnessworldrecords. com/world-records/most-people-doing-chairbased-exercise. 3. Staff reports. (2014, September 11). Volunteer Needs: Week of Sept. 12. Lafayette Journal & Courier. Retrieved on April 8, 2015, from http://www.jconline.com/ story/life/2014/09/11/volunteer-needssept/15352303. 4. Westminster Village. News & Events. Westminster Village invites community to attempt to break Guinness World Record. Retrieved on April 8, 2015, from http://www.wvwl.org/ news/westminster-village-invites-communityto-attempt-to-break-guinness-world-record. 5. Westminster Village. Home page. Live Connected. Live Well. Retrieved on April 8, 2015, from http://www.wvwl.org. International Council on Active Aging Conference 2015 Embrace the possibilities ect Learn, conn less! & grow for when Save $200+ r you registe by July 17 November 19–21, 2015 Ernest N. Morial Convention Center New Orleans, Louisiana Conference partners Embrace the transformation hand, lower their risks for health, functional and cognitive declines, and are able to work longer and stay involved in community life. The end result is often better quality of life. By responding to both the possibilities and challenges of aging, we will ensure—at all levels—an environment transformed by the benefits of active aging. In 2015, the International Council on Active Aging® (ICAA) brings you, and your active-aging colleagues, a conference designed to advance your knowledge and help you embrace the possibilities for your clients, your organization and yourself. Embrace the experience Photo: Brian Ebner/Optic Nerve. Image courtesy of Athletic Business Access 4 conferences for the price of one • • • ICAA Conference Athletic Business Conference & Expo Medical Fitness Association Conference • National Alliance for Youth Sports Congress “The ICAA Conference connects you with peers, professors and personnel in the industry. I always come back to work with fresh ideas and more education. The conference is my support tool to get energized, educated and reconnected with my life’s work.” Mary Ann Mack Residents Services Manager, The Village at Unity Life at every stage presents us with challenges and possibilities. Where we focus will influence how we live. So it is with aging today. As individuals, professionals, organizations and societies, we can choose whether to embrace the possibilities of aging or to focus on the challenges. Embracing possibilities doesn’t mean ignoring challenges. In fact, to maximize the possibilities of aging, we must strive to minimize its challenges. As the Reverend Billy Graham said, “The best way to meet the challenges of old age is to prepare for them now, before they arrive.” Physical inactivity, for example, is a significant challenge. For far too many adults 50 years of age or older, life contains little physical activity, raising the risk for health, cognitive and functional declines, early retirement from the workforce, limited involvement in the community, and poorer overall quality of life. Active older adults, on the other The ICAA Conference 2015 offers a dynamic educational and networking experience for professionals with a unique focus—older-adult quality of life. Created with ICAA member input, this year’s educational program features more than 60 lectures and workshops to inspire you and your team and expand your horizons. Learn from industry leaders and experts in sessions that: • target different roles, settings and solutions in active aging—from program development to program delivery, partnership to leadership, marketing to management, and beyond • explore special focus areas—for example, supporting wellness and physical activity in people with cognitive decline, movement disorders or chronic pain • offer creative takes on established approaches—such as walking programs that include meditation, brain games, strength training or walking poles, or several of these elements combined The ICAA Conference offers a wealth of educational opportunities on key topics in the industry, plus additional programming to enhance your learning. You’ll want to stay until the very end! Connect with colleagues who embrace the possibilities of aging. ICAA’s multilevel conference attracts like-minded professionals—including conference faculty, exhibitors and volunteer staff— who are devoted to the well-being of older adults. This warm environment fosters camaraderie across the activeaging spectrum and supports informal learning. Grow your knowledge and resources to support your role in promoting quality of life for older adults. At the ICAA Conference, you’ll gain the ideas, research, best practices, case studies, and practical tools and methods to develop or refresh your practices, programs and environments. Tailor your experience to support your organization’s needs and aspirations, plus expand the possibilities in your career. You’ll also build your professional network. Active aging promotes living as fully and actively as possible in all areas of life and at any age, regardless of health conditions. You encourage your clients to learn, connect and grow. Now it’s your turn. Revitalize your passion: Learn, connect and grow at the ICAA Conference 2015. Join us in embracing the possibilities. “Like” the ICAA Conference 2015 on Facebook! You’ll find information, updates, videos and more at facebook.com/ icaaconference2015 6 reasons to attend 1. Targeted education 4. Great networking 2. Top-notch presenters 5. Educational credits Select from a multitude of educational seminars and workshops targeted to the many dimensions, roles and solutions in active aging. Learn from industry leaders and experts who reflect the diverse backgrounds in active aging—all with first-rate skills, knowledge and experience. 3. Helpful handouts Access available session handouts online on your computer or electronic device prior to the conference, plus download archived handouts from the ICAA website after the event. Connect with like-minded colleagues from across the activeaging spectrum and expand your professional network. Enhance your professional development by registering for continuing education units (CEUs) offered by key providers. 6. Premier expo Gain entry to the Athletic Business Expo, a showcase of products and services for wellness, exercise and recreation. Visit ICAA’s Pavilion for offerings designed especially for older-adult wellness. Keep up to date and stay connected! Use #icaaneworleans to follow ICAA Conference news on Twitter, Facebook and Google+. Who should attend? Wellness directors Program directors Activities directors Executive directors Administrators Board members Sales and marketing personnel Developers and architects Resident life executives Fitness instructors Personal trainers Health educators Social workers Chaplains Physicians Nutritionists/dietitians Therapists Researchers Professors Visit www.icaa.cc for conference information. Conference registration Ask about our group rate! Save $200+ when you register by July 17 To register • Call toll-free 866-335-9777 • Visit www.icaa.cc On or before July 17 On or before November 2 After November 2 1st registrant $319 $449 $549 2nd and 3rd registrants $269 $399 $499 4th and more registrants $169 $199 $299 1st registrant $380 $449 $549 2nd and 3rd registrants $329 $399 $499 4th and more registrants $199 $199 $299 ICAA members Nonmembers Note: All registration fees are in US dollars. Special offer: Receive 20% off an Individual or Organizational membership (14 locations or less) when you join ICAA and register for the ICAA Conference at the same time before July 17, 2015. This offer is available to first-time members only, and cannot be combined with any other offers. Conference registration includes: “The ICAA conference is always fun, energizing, and a tremendous educational value!” Maggie Cooper, LMT Regional Director, Health and Wellness, Asbury Place educational seminars at four conferences • two receptions • keynote session • general session • conference handouts • early-morning workouts • entry to expo in Exhibit Halls B–C Additional fees are required for preconference workshops ($79 each) and continuing education unit registration ($25 before November 2, $40 on-site). Cancellation policy: Please submit your request in writing. A $100 fee will apply. No cancellations are permitted after November 2, 2015, but you may transfer your registration to another attendee or a future year. International Council on Active Aging® 3307 Trutch Street Vancouver, BC, V6L 2T3 Toll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464 www.icaa.cc Conference partners Group discount: To receive a group discount, your organization must register all attendees at the same time and pay with one check or credit card. To add an attendee if your group has already registered, call ICAA at 866-335-9777 or 604-734-4466. Dress code: Conference dress is casual. Be sure to pack a sweater or jacket, as air-conditioned meeting rooms are often chilly. Comfortable walking shoes are also recommended. Photo release: ICAA occasionally uses photographs and videos of conference attendees in promotional and educational materials. By virtue of your attendance, you automatically agree to usage of your likeness in such materials. Register today for the ICAA Conference 2015! Call toll-free 866335-9777 (North America only) or 604-734-4466. Or refer to www.icaa. cc/conferenceandevents/rates.htm to register online or download PDF forms to complete and return via fax or mail. ICAA Innovators Morrison Senior Living’s Travel the World program enriches lives with a culinary journey From Cinco de Mayo to Oktoberfest, residents in client communities experienced stimulating dining events every month during this yearlong program This article profiles the recipient of the 2014 ICAA Innovators Practical Solutions Award. This category of the annual Innovators Awards showcases creative products and services designed to improve wellness for active older adults. Presented in three categories, the Innovators Awards honor creativity and excellence in the activeaging industry. They also highlight innovations that lead the way, set new standards, and make a difference in the lives of older adults. With Boomers and their elders redefining daily what it means to grow old, many organizations that target the older adult are in the process of adjusting. Providers of aging services and housing, for 54 The Journal on Active Aging March/April 2015 www.icaa.cc example, are paying close attention to the research and trends, and considering what they mean for their organizations. How are their customers changing? What do their customers need, want and expect? And what must change to reach and serve these customers successfully today, and in the future? Many older adults now seek environments and services that will help them lead healthier, more vibrant lives. In organizations that embrace active aging, professionals challenge themselves to come up with new programs that promote wellness in all the dimensions of life—physical, social, spiritual, intellectual, emotional, vocational and environmental. Innovative products and services are essential to their efforts to advance wellness. And companies that provide these products and services are increasingly in step with the professionContinued on page 56 Morrison Senior Living’s Travel the World program provided food, fun and festivities for Oktoberfest, a German tradition Morrison Senior Living’s Travel the World program enriches lives with a culinary journey Continued from page 54 Themed décor, music, costumes and food stimulated participants’ senses during the Oktoberfest dining event offered to Morrison client communities through the Travel the World program als. To encourage companies to keep developing and refining offerings that move the industry forward, the International Council on Active Aging® presents the ICAA Innovators Practical Solutions Award each year. This award recognizes wellness products and services that demonstrate creativity and excellence. In 2014, the Practical Solutions Award went to Travel the World, a dining event program created by Morrison Senior Living in Atlanta, Georgia. A member of foodservice company Compass Group® USA, Morrison provides food, nutrition, hospitality and environmental services to more than 450 senior living communities in 41 states. “Our holistic approach—which is centered on our purpose of enriching lives—includes integrated offerings that nourish the mind, body and soul,” states 56 Regan Medzhibzher, Morrison’s director of marketing. “Our dining options are designed with ‘foodies’ in mind; our EmpowerUSM program combines nutrition and wellness to help residents at all stages of the care continuum achieve success; and our communityworks® peace-of-mind/environmental services program gives residents ease by taking the stress out of routine maintenance items. In tandem with industry trends,” Medzhibzher continues, “we see these pieces connecting to provide the best experience possible for senior living residents.” a collaborative, innovative fashion to deliver these dining events. This made the program even more impactful and meaningful,” she adds. With the Travel the World program, Morrison used “high-touch, versatile components” to engage residents in experiences that stimulated all the senses, Medzhibzher says. “Associate engagement, one of our key focus areas, also thrived, as team members worked in RM: Our 2014 dining program series, “Travel the World,” took residents in our client communities on a culinary journey featuring a different country and its native foods each month. Examples included: Paris, the City of Love, in February; Cinco de Mayo in Mexico in May; The Journal on Active Aging March/April 2015 www.icaa.cc To learn more about Travel the World, the Journal on Active Aging® recently asked Medzhibzher to describe how Morrison developed and delivered the program, as well as what impact it had in client communities and for the company itself. JAA: Please describe Morrison’s Travel the World initiative in brief. and Safari in Africa in August. Each event was truly an experience, complete with themed décor, music, costumes and dining offerings. Residents received a passport and had 12 stamps available to mark their journeys. Those who received all 12 passport stamps were entered to win a special “Captain’s dinner” in their community. JAA: What inspired Morrison to create Travel the World? RM: Several things inspired the Travel the World dining event program. These included: • Research: Our Silent Generation research has revealed that residents who are well-traveled, educated, and selfproclaimed foodies are increasingly the new face of senior living. • Community without walls & client marketability: The program was meant to break down the four walls of the community by taking residents on a global tour while also inviting in the public. (Family members and prospective residents attended several events.) • Continuum of care: Each year, we work to create flexible and accessible dining programs that engage all levels of residents—from skilled nursing to independent living—to enhance their overall community experience. JAA: What were the company’s goals for Travel the World? RM: We had three goals for this program: resident satisfaction, client marketability and associate engagement. JAA: What were the key components of Travel the World? RM: Our dining program included several key components: • themed menus with the ability to customize to meet residents’ and commu- nities’ specific needs, including diet spreads and texture-modified menus (for individuals who have trouble swallowing) • a diverse, adaptable resident and associate experience guide that provided décor and music suggestions, activities and educational information • a marketing and communications toolkit (invitations to events, flyers, posters, press release templates, etc.) for the community leadership to leverage in order to enhance existing resident engagement and market to prospective residents • social media tools that included a music playlist on Spotify, video stream on YouTube, community Facebook page and Instagram account JAA: What was involved practically in developing and delivering Travel the World events in client communities? RM: We interviewed our directors in client communities about their experiences. Here is what we heard from Jon Long, director of dining services at Pine Run Community–The Village in Doylestown, Pennsylvania: “We took the time to plan these events several months in advance. This allowed us to really dig into the marketing material provided and to source out supplies, room logistics, etc. We built a ‘center stage’ display for each individual event, which typically featured a Chef ’s Action Station, a drink station and a dessert station. We used different spaces to hold these events—primarily the dining room for any cooking display, but drinks were served in the bar or auditorium along with hors d’oeuvres. This allowed residents to enjoy several destinations. “Our budget allows us to purchase a fair share of supplies/decorations each month, and we took full advantage of that. … Items ranged from tabletop displays, buffet displays, costumes, linens, and a lot more. “Residents here really looked forward to these special events and to the monthly collection of their passport stamps. We had over 130 fully returned passports! The first-place winner received a full course meal of the person’s choosing,” prepared for up to 8 people in the winner’s cottage by the community’s Chef Matthew. “Menu items were prepared using all of Travel the World’s recipes. Residents enjoyed some of the more exotic items, and through their feedback we actually added certain items to our core menu. “Because we planned these events out in advance, we were able to schedule staffing appropriately. Team members had a great time dressing up in outfits and costumes, and we were able to get residents to dress up as well.” JAA: How did Morrison roll out Travel the World, and what was the response? RM: To roll out Travel the World, we held a series of company-wide webinars. We also loaded materials into our Webbased portal, “My Marketing Plan,” including the marketing and communications toolkit, which included activation materials to foster engagement over the 12-month period. There was a very positive response to the Travel the World program. We had a record engagement level of almost 80%—meaning nearly 80% of our client communities implemented this campaign. We also saw increased resident satisfaction and enhanced associate engagement. JAA: What challenges did Morrison discover in developing and delivering Travel the World in client communities, and how did the organization address them? Also, were there any unexpected opportunities? Continued on page 58 The Journal on Active Aging March/April 2015 www.icaa.cc 57 Morrison Senior Living’s Travel the World program enriches lives with a culinary journey Continued from page 57 RM: We are very pleased by the response from both associates and residents to this program and, most of all, around the collaborative process involved to create the dining theme. There is something rewarding about working alongside chefs, nutritionists, marketers and field managers to achieve a meaningful and impactful program. The Travel the World program is an example of how collaborative work can yield great outcomes. The Journal on Active Aging thanks Regan Medzhibzher for her help with this article. For more information about Morrison Senior Living, visit www. morrisonseniorliving.com. Developed by Morrison Senior Living, Travel the World menus featured foods native to each country visited on the yearlong culinary journey RM: With any program, adoption and engagement are always top of mind and can pose some challenges. We worked to be as proactive as possible with our Travel the World program, giving ample lead time for events, providing reminders around materials, and encouraging sharing of success stories for inclusion in internal communications. While we were very pleased with the 77% engagement rate—up from the 53% rate for previous campaigns—having a 100% rate would have been ideal. That said, we did take the challenge of adoption and used it as a learning opportunity. We conducted post-event focus groups/surveys with communities to gain insights and experiences, taking those lessons learned into account with our current dining program, “Diner Days.” As our industry demands, we are always working to be nimble and adaptable to achieve the best outcomes. JAA: In your view, how did Travel the World advance active aging in Morrison’s client communities? 58 RM: Many individuals that reside in our communities defy the traditional stereotype of a “senior.” The sheer diversity of our residents—from the GI Generation, to the Silent Generation, to the Boomers—creates a rich, dynamic environment. Our purpose is to enrich the lives of our residents, and we take that commitment to heart through our desire to engage and positively impact them. This pledge culminates in our dining program through the interactive components that engage the senses of touch, taste and smell—and, for many, happy memories. We want older adults to feel empowered, not constrained, because of their age. Our Travel the World program not only provided an experience, it brought out previous experiences and stories, and best of all provided a forum for connectivity between other residents and associates. As Dale Carnegie said, “The royal road to a man’s heart is to talk to him about the things he treasures most.” JAA: Is there anything you would like to add about Travel the World? The Journal on Active Aging March/April 2015 www.icaa.cc Images courtesy of Morrison Senior Living Morrison’s five key steps for providing a successful culinary journey 1. Ask for feedback along the way. 2. Be sure your program is adaptable to individuals at various stages of the care continuum/levels of function. 3. Include integrated and interactive elements. 4. Create opportunities for associates and participants to engage. 5. Share your success and lessons learned. Become an ICAA Champion Founding Partners Shape views of aging. Become an ICAA Champion or Partner in ICAA’s Changing the Way We Age® Campaign and help change society’s views and expectations of aging. To learn how you or your organization can get involved, call the International Council on Active Aging® at 866-335-9777 or visit www.changingthewayweage.com Program profile Senior PUMP: a high-level fitness program incorporates functional movements This comprehensive fitness program aims to increase strength, prevent falls and build confidence in older adults by Michael McCann, MS, Jeff Rose, BS, MBA, Jessica N. Enriquez, BS, ACSM, PT, and Jenna Belt, BS, ACSM, PT, RYT What is ageism, and why is it a dirty word? Ageism is stereotyping and discriminating against individuals or groups on the basis of their age. This may be casual or systematic. Ageism includes believing that every teenager is irresponsible or that all older adults are afraid and cannot function independently. It may also mean believing that older people cannot participate in highlevel fitness and wellness programs. At Friendship Village of Schaumburg, Illinois, our Lifestyles team has developed a new level of a higher-engagement fitness program and introduced it to the independent-living area of our continuing care retirement community. This program is called Senior PUMP (Physical-Uplifting-Motivational-Power). We feel it is important to introduce new fitness trends and principles into the lives 60 The Journal on Active Aging March/April 2015 www.icaa.cc of our residents to foster their independence and increase their knowledge and awareness of balanced wellness. Senior PUMP takes elements of highintensity interval training (HIIT) and adapts them for older adults. We achieve this through the proper assessment of weights being used and the time of intervals being accomplished. So the program features the same principles and exercises found in fitness centers, tailored to the specific age demographic. Senior PUMP participants work with kettlebells and heavy ropes, and pull weighted bags down the hallways of the community. After a steady progression of exercises, participants are introduced to “extreme” activities such as snow tubing, indoor skydiving, horseback riding and rock climbing. This year, residents are preparing for events such as camping, canoeing and go-kart racing. Our Lifestyles team feels that if individuals are involved in the comprehensive Senior PUMP fitness program, they can experience everything life has to offer at any age. They do not have to sacrifice their passions and interests. Continued on page 62 Senior PUMP participant Betty Young rises to a standing position as she does a kettlebell swing with added resistance Senior PUMP: a high-level fitness program incorporates functional movements Continued from page 60 chained single-joint movements using large muscle groups, or Level 2, complex closed-chained multi-joint movements using small and large muscle groups. The kinetic chain involves links between parts of the body that together produce movement. During open-chained exercises, the extremities (e.g., arms, legs) are able to move freely while isolating a single muscle group at a single joint. A bicep curl is one example. Closed-chain exercises require the extremities to be in a fixed position while targeting multiple muscle groups and multiple joints through multiple planes of motion. A squat is an example of a close-chained exercise.2 (A resource listed on page 65 offers more information.) The Senior PUMP workout changes weekly. Some additional circuit exercises include work with battle (heavy) ropes, as Dolores Vedrine demonstrates in the foreground, as well as squats from an unstable surface such as a BOSU, as Helen Moffett shows in the background Our team’s philosophy in developing the program is twofold. It is based upon a belief that life does not happen in slow motion. The paradigm for senior fitness, however, traditionally consists of slow and methodical movements and exercises. Senior PUMP challenges that paradigm by introducing a modern program filled with complex power movements that engage multiple muscle groups. We designed the program using functional movements that mimic activities of daily living (ADL). Its ultimate goal is to increase strength, prevent falls and build confidence in participants. Program elements Group-exercise classes for active-aging adults must weave in certain principles to promote successful aging. Elements integrated into the Super PUMP class are as follows: • Kinetic foundation: allowing the body to learn the movements, while establishing proper form. • Muscular strength: improving the muscles’ ability to generate force 62 against an object such as dumbbells, resistance bands and medicine balls. • Cardiovascular endurance: improving the heart’s ability to provide oxygen to muscles during an extended period of time. • Functional movements: using multiple joints through multiple planes of motion during complex movements of ADL. • Safe progressions: utilizing a wellrounded program that offers safety cues, modifications, and enough time for safe progressions. Before starting the program, every participant must go through an assessment based on recommendations for the aging population from the American College of Sports Medicine.1 Areas assessed include balance, strength, flexibility and cardiovascular endurance. The most commonly known assessment tests are the sit-tostand test, the 2-minute step test, the arm curl test, and the timed up-and-go test. Based on the assessment results, participants either begin with Level 1, open- The Journal on Active Aging March/April 2015 www.icaa.cc Program overview For the Senior PUMP program, our Lifestyles team created an open group of 10–15 women, ages 76–86 years, who live at Friendship Village of Schaumburg. All participants reside in independent living. Like many other groups of older adults, the participants have common chronic health conditions, such as high blood pressure, osteoarthritis and chronic obstructive pulmonary disease, as well as joint replacements and different levels of cognitive function. The group meets for three sessions per week. Each Senior PUMP session is 45 minutes long; it begins with a dynamic warm-up such as low-impact aerobics, and ends with a static cooldown or stretch. While the exercises vary, the circuit always consists of at least 10–15 stations. The sample circuit below focuses on upper body, lower body, core, cardiovascular endurance, strength and balance. Each station is performed for 2 oneminute sets, with a 25–30 second break between each set. 1. Step-ups: Using an aerobic step at varying heights, the participant 2. 3. 4. 5. 6. 7. 8. 9. steps up and down as many times as possible. Seated adduction: With a mid-tension ball placed between the knees, the participant squeezes and releases the ball several times. Trunk rotation: Using a light-tension resistance band attached to a balance bar, the standing participant grasps the band and rotates at the core, keeping the feet planted on the floor. The participant then returns to the starting position. The second set works the other side. Seated reverse crunch: With a 1–3 lb. pilates ball held between the feet, the seated participant lifts the legs up while keeping the knees bent, then returns the feet to the floor. Seated ball transfer with stability ball: While seated in a chair, the participant raises the ball from waist level to above the head with both hands, then lowers the ball to meet one foot that is raised in the air. The participant continues to perform this task, alternating the feet. Wall squat with stability ball: With a stability ball placed behind the back, the participant leans against the wall and performs a squat. Seated hamstring curls: Using a resistance band, the participant wraps the band around the ankle and flexes at the knee, extending the leg, then returns to the starting position. The participant alternates the leg with each set. Resistive kettlebell swing with sit-tostand: With a kettlebell attached to a resistance band, the seated participant anchors the band by stepping on each end. The participant then swings the kettlebell up while rising to a standing position. (See page 61.) Front squat: Using a 3 lb. weighted bar, the participant performs a squat holding the bar at shoulder level in front of the body. Continued on page 64 Figure 1. During a Senior PUMP workout, Kay Overland flips a plyometric box from a squat, strengthening her leg muscles. Figure 2. Judy Kucz meets the Senior PUMP challenge by pulling a weighted bag during a circuit. The Journal on Active Aging March/April 2015 www.icaa.cc 63 Senior PUMP: a high-level fitness program incorporates functional movements Continued from page 63 10.Plyometric box flip: Using a large, Styrofoam plyometric box, the participant squats to lift the box and then pushes it to flip the box over. (See Figure 1.) 11.Lunge with trunk rotation: Using a medicine ball, the participant performs a lunge while also twisting at the core. The participant returns to the starting position, then lunges on the other leg. 12.Weighted bag pull: Using a 15–20 lb. weighted bag connected with a Velcro strap around the waist, the participant walks a distance of approximately 20–25 yds. (19–23 m.), dragging the bag behind him or her. (See Figure 2.) All workouts are facilitated by two exercise physiologists. These team members provide safety cues and constant oversight and instruction to decrease the risk of falls and injuries. Modifications are provided on a case-by-case basis, depending on the needs of the individual participant. Program goals & objectives Senior PUMP is designed not only to increase functionality of ADL in each participant, but also to prevent falls and injuries related to falling. The program’s goals and main objectives are to improve the functional movements with multi-planar and multi-joint movements, increase cardiovascular endurance and muscular strength, improve ADL function and build camaraderie amongst the participants in order to create a network of individuals who are driven by health and wellness. The workout has 3 phases. Each phase consists of options and modifications for both Level 1 and Level 2 participants. Phase 1. Introduction Phase 1 introduces the exercises to the participants. It also allows them time to acclimate to the exercises, as they learn the form and function of each movement. 64 • Easy open-chained single-joint movements using large muscle groups. • Body weight to low weight, with 12–20 repetitions. Phase 2. Hypertrophy Phase 2 progresses participants to a workout that increases muscle growth, decreases repetitions, and increases weight lifted. • Combination of easy open-chained single-joint movements using large muscle groups, and complex closedchained multi-joint movements using small and large muscle groups. • Low to moderate weight, with 8–12 repetitions. Phase 3. Functional Strength Phase 3 progresses participants to a workout focusing mainly on complex exercises while decreasing repetitions and increasing weight lifted. • Complex closed-chained multi-joint movements using small and large muscle groups. • Moderate to high weight, with 6–8 repetitions. Today, Senior PUMP participants have reached and surpassed many of the program’s goals and objectives. After progressing through the first two phases, they are now in Phase 3 (Functional Strength). These residents can properly perform complex closed-chain exercises using large and small muscle groups and multiple joints through all planes of motion. Participants report feeling mentally and physically stronger after Senior PUMP. Resident Anna Hauser told us, “I was not sure whether I could do these exercises when I started. However, I am enjoying all the new movements, and I am proud and impressed with myself for trying and accomplishing the program.” The Journal on Active Aging March/April 2015 www.icaa.cc Fostering independence Senior athletes require a special approach that includes increasing ADL and falls prevention. These individuals should participate in a challenging program that allows them to meet personal goals and maintain function—a program like Senior PUMP. At Friendship Village of Schaumburg, we created this high-level fitness program to support our residents in staying independent and active. By incorporating exercises that involve multiple muscle groups into workouts, we believe that participants not only build confidence, improve selfimage and increase strength, but they are also better equipped to live a life full of energy, activity and socialization. Michael McCann, MS, is director of lifestyles for Friendship Senior Options in Schaumburg, Illinois. Friendship Senior Options sponsors two of the Chicago area’s leading continuing care retirement communities, Friendship Village of Schaumburg and GreenFields of Geneva, as well as services for older adults that include rehabilitation therapy, home services and memory support. McCann provides leadership to all facets of life enrichment at the not-for-profit organization. As a transformational keynote speaker, he uses his experiences in wellness and leadership to facilitate long-term personal development and well-being. McCann is on the faculty of multiple Chicago universities, where he teaches physical, mental and spiritual wellness; and serves as a trustee for the National Association for Activity Professionals. He has contributed numerous articles to multiple publications and writes a monthly wellness blog for McKnight’s Senior Living News. McCann can be reached at [email protected]. Jeffrey Rose, BS, MBA, is lifestyles manager for Friendship Senior Options. Rose has worked in life enrichment for Friendship Village of Schaumburg for eight years and works closely with all areas of wellness. He received his bachelor of science degree in hospitality management from Ohio State University and his master’s degree in business administration from Roosevelt University. Passionate about teaching older adults through quality of life programming, Rose draws from his hospitality background and passion for healthy living in his leadership. He is a past presenter at LeadingAge Illinois, as well as a contributing partner for Harper and Roosevelt Universities. Jessica Enriquez, BS, ACSM, PT, is an exercise physiologist for Symbria/Senior Fit, who currently serves the Friendship Village of Schaumburg community. Literally growing up on a gymnastic floor, Enriquez has dedicated her whole life as an advocate for living a healthy lifestyle. A fitness fanatic, she is inspired to share this passion and help people achieve their personal goals. Enriquez is continuing her study of wellness as she prepares for her master’s degree in occupational therapy. Jenna Belt, BS, ACSM, PT, RYT, is a graduate of the University of Illinois at Chicago, where she received her bachelor of science degree in kinesiology and nutrition. Belt’s passion is promoting comprehensive fitness to each participant, focusing on spiritual wellness as much as physical. She is a Certified Personal Trainer through the American College of Sports Medicine and a 200-hour Registered Yoga Teacher through Global Yoga and Wellness. Belt currently works as a senior exercise physiologist at Friendship Village of Schaumburg. References 1. Thompson, W. (2010). ACSM’s Guidelines for Exercise Testing and Prescription (8th edition). Philadelphia, PA: Lippincott Williams & Wilkins. 2. Gagliardi, C. (2012, October 15). What is a Kinetic Chain? American Council on Exercise, “Exam Preparation” blog. Retrieved February 5, 2015, from https://www.acefitness.org/ blog/2929/what-is-a-kinetic-chain. Images courtesy of Friendship Senior Options Resources Internet American Council on Exercise: What is a Kinetic Chain? www.acefitness.org/blog/2929/ what-is-a-kinetic-chain Friendship Senior Options http://friendshipsenioroptions.org Print Thompson, W. (2010). ACSM’s Guidelines for Exercise Testing and Prescription (8th edition). Philadelphia, PA: Lippincott Williams & Wilkins The Journal on Active Aging March/April 2015 www.icaa.cc 65 ICAA initiatives Active Aging Week 2015: resources for running a successful campaign As organizations begin to plan their Active Aging Week celebrations, they can turn to the newly launched campaign website for an array of support materials 66 The Journal on Active Aging March/April 2015 www.icaa.cc YMCAs, host organizations harness the creativity of staff, residents/members, suppliers and partners to develop a local campaign with impact. Events of all kinds support Active Aging Week’s mission to provide as many older adults as possible with the opportunity to experience wellness activities. Thanks to the outstanding efforts of all involved, Active Aging Week has touched the lives of millions of older adults since its 2003 launch. With hosts in the United States, Canada and Australia starting to plan their 2015 Active Aging Week celebrations, ICAA recently ramped up its efforts with a new, dedicated Active Aging Week website (www.activeagingweek.com). Both organizations and individuals will find plenty of campaign support materials on this new site. During Active Aging Week 2014, ‘the adventure began’ at Caledonia State Park in Pennsylvania for residents of two Lutheran Social Services communities. Image courtesy of Sodexo Senior Living The last week of September is one of the most exciting times of the year for the International Council on Active Aging® (ICAA) and the ICAA community. Thousands of organizations, members and nonmembers included, join together to participate in Active Aging Week®. Led by ICAA, this weeklong health-promotion campaign calls attention to and wholeheartedly celebrates the positivity of aging. Whether retirement communities, seniors centers, fitness clubs, hospitals or ICAA developed the online resource to guide—and spark ideas for—local event organizers, who have great flexibility in how their individual organizations will participate. These organizers customize the Active Aging Week experience to their settings. For example, they choose what their schedule will be, what and how many events they will offer, who they will involve in their efforts, and how they will market their offerings. To help with these decisions, Active Aging Week features a theme each year. In 2015, “Live your adventure” encourages welcoming each day with an adventurous spirit that embraces life’s possibilities (see “Mark your calendar” on this page for campaign dates). Resources & ideas aplenty Past hosts have reported details of campaign planning and events over the years, and ICAA has shared these stories with readers of the Journal on Active Aging®. Posted on the Active Aging Week website, these articles are a treasure trove of programming ideas, advice and examples. Campaign resources also include everything from planning Mark your calendar Observance: Active Aging Week 2015 Theme: Live Your Adventure Dates: September 27–October 3 Website: www.activeagingweek.com Facebook: www.facebook.com/ ActiveAgingWeek Twitter: #activeagingweek and @AAW_ICAA guides and worksheets, to promotional materials. ICAA has created the two guides that follow to familiarize you with the Active Aging Week website and help you easily access the resources available there: • “Navigating ActiveAgingWeek. com” maps out the new campaign website. This guide on pages 68–69 shows you what the site houses and where to find specific information and resources. • “Exploring the Active Aging Week toolkit” looks at the tools provided to assist you with running a successful campaign. Presented on pages 70–71, it also mentions ways you may wish to use these tools. No matter whether you are participating in your first Active Aging Week or your 13th, the most important thing to remember is to enjoy yourself. Live the adventure with your residents/members and colleagues. Positive life experiences are what this celebration is all about. As you develop your Active Aging Week celebrations, drop us a note online to tell us how things are going. You can also post your stories to Active Aging Week’s Facebook page or to Twitter (refer to “Mark your calendar” above for information). We would love to hear your stories. Continued with the guides on pages 68–71 The Journal on Active Aging March/April 2015 www.icaa.cc 67 Navigating ActiveAgingWeek.com 7 9 1 10 4 2 6 5 4 3 8 12 11 14 13 15 21 16 68 The Journal on Active Aging March/April 2015 www.icaa.cc 17 18 19 20 9 Are you celebrating Active Aging Week® in 2015? If so, visit the newly launched Active Aging Week website for resources you can use to plan, promote and deliver your events. This guide is intended to help you navigate the website. It maps the site so you can easily find the information, materials and resources you seek, with details outlined in the key below. 1. About Gain an overview of the campaign, plus frequently asked questions and recent media releases. Also find contact information and future Active Aging Week dates. 2. Impact Learn about the impact of campaign hosts, along with their success stories and comments. Also view last year’s media coverage. A downloadable infographic shows the impact that Active Aging Week and participating organizations achieved in 2014. It is a powerful tool to use when seeking local sponsors or media support. 3. Resources Find resources for your organization, as well as for individuals to participate on their own. The organizational resources will help you plan and implement your campaign, while the promotional tools will assist you with getting your message heard. 4. Theme days Build on your plans with Active Aging Week theme days, developed by ICAA in conjunction with industry partners. Gain tools and, in some instances, people to support topic areas such as walking, hearing, foot health, food and fun, or the power of water. View this section for details. 5. Get involved Find information to help you register your participation as a host site or your interest as an organization, individual, media outlet or sponsor. 6. Sponsorship Show your support for Active Aging Week. No matter how large or small, every campaign needs funders to sustain it. Sponsors make possible the Active Aging Week website and the free campaign resources it provides. 7. Register host site Register your organization as a campaign host site here. Campaign updates go out to registered hosts as they occur. Also, ICAA sends host information to media outlets and to relevant incoming inquiries. 8. Facebook and Twitter Let others know you connect to the vision of Active Aging Week. Share your involvement, stories, events, media coverage, and other campaign news on Facebook and Twitter. 9. Contact Find contact information here to connect with ICAA regarding Active Aging Week, whether by telephone, mail, email or fax. And don’t be shy. We like to hear from you. 10. Take the challenge Get involved in the still-to-be-named national “walk and roll” during Active Aging Week. Add this new campaign event to your schedule and raise funds for a worthy cause. 11. Resources for host organizations Gain a wide array of campaign resources, all designed to help you deliver a successful campaign. Also accessible through the top navigation bar, this section houses everything from planning guides to promotional materials. 12. Resources for participants Support individuals who wish to get involved in Active Aging Week on their own and/or boost their fitness ahead of the campaign. This section will grow as resources continue to be added. 13. Success stories Discover the unique stories of Active Aging Week—from setting a Guinness World Record to taking a balloon ride. Learn how others have celebrated the week and the results they achieved. Watch for new stories periodically. And contribute your own campaign experiences, so your stories can also appear. 14. In the news Explore this section to see how each person, each event and each campaign has an Active Aging Week story to share. In 2014, along with 43 broadcast features, more than 500 articles appeared in the press in North America, driving 170-million media impressions, according to a media tracking service. 15. Tweets Share your story with everyone who follows Active Aging Week 2015 on Twitter at hashtag #activeagingweek or connect directly with the campaign at @AAW_ICAA. 16. Media Highlight Active Aging Week news to your local media and partners by sharing press releases and other media resources housed in this section. 17. FAQs See the most frequently asked questions people have about Active Aging Week. If you have an unanswered question, you may find the answer here. 18. Site map Consult this site map if you have trouble locating information. This map outlines all the pages on the website for easy navigating. 19. Privacy policy Review the privacy policy on information collected on the Active Aging Week website. 20. Terms and conditions Read the terms and conditions for use of campaign materials and information on the Active Aging Week website. 21. Sponsors Learn about organizations that financially support Active Aging Week, helping to bring the campaign’s free tools to you. Please visit sponsors’ sites to learn about them, and when you can, show appreciation by supporting them in turn. The Journal on Active Aging March/April 2015 www.icaa.cc 69 Exploring the Active Aging Week toolkit This campaign guide describes the free Active Aging Week resources available to help you develop and deliver a successful September campaign. Plan well and plan in advance—that’s the most common advice shared by veteran hosts of Active Aging Week®. ICAA has created three resource centers on the Active Aging Week website (www. activeagingweek.com) to help you both plan and run your campaign. Outlined below, these sections focus on event planning, theme days, and campaign promotional materials. You’ll also find suggested ways to use these tools in your local Active Aging Week campaign. 1. Planning your events Regardless of whether or not you regularly plan programs and events, it may seem daunting to pull together an Active Aging Week campaign, especially if it’s your first time as a host organization. To help with the planning process, turn to planning guides, worksheets and webinars that give practical guidance for hosting campaign events. You’ll also discover a wealth of ideas in articles highlighting the experiences of previous hosts. Guidance “Set your goals for Active Aging Week.” This article discusses how to set your goals, so you ensure you remain focused on what you wish to achieve. “Launch your planning cycle for Active Aging Week.” This in-depth article offers advice from past hosts for planning a successful event. It also describes elements to build into your Active Aging Week plan and when to implement them. [Ed. Introduced in 2007, two planning components from this article have been updated for Active Aging Week 2015. The “Active Aging Week five-month plan” and “Planning checklist for Active Aging Week host” are available for download from the Active Aging Week website.] 70 Additional guidance includes: The plan • “Plan for Active Aging Week” • “Active Aging Week: prepare your action plan” (theme and 12-week plan) • “Active Aging Week: kicking off the planning stage” • “Countdown to Active Aging Week” The promotion • “Develop your marketing plan for Active Aging Week” • “Start the publicity machine for Active Aging Week” • “How to get the most out of your involvement in Active Aging Week” The partners • “The value of partnerships for Active Aging Week” • “How to solicit donations for Active Aging Week” • “Promote Active Aging Week through public officials” • “How to request a proclamation or a letter from a public official to recognize Active Aging Week” 2. Theme days As you develop your plans for Active Aging Week, keep in mind that you have access to additional resources through campaign theme days. These theme days were developed by ICAA in conjunction with a variety of industry partners. Among these themes are: • “Foot health with the IPFH” (Institute for Preventive Foot Health) • “The WALK! with Aegis Therapies 2015 Event” • “Say Hello! with CaptionCall” • “Take the plunge with SwimEx” Theme days are a simple way to add topics to your schedule and expand your Active Aging Week offerings. The Journal on Active Aging March/April 2015 www.icaa.cc 3. Campaign promotional materials Once you have made your initial campaign plans, you may want to take an early look at the tools available to support your Active Aging Week promotion and marketing. Remember, there are two campaigns to develop: • Internal: staff, suppliers, partners, residents/members • External: potential residents/members, family members, friends, and the community-at-large The following tools are available to support your efforts: Campaign logo. The Active Aging Week logo is a powerful tool that you can use to create a visual identity for your campaign. Consider using the logo wherever you can—for example, your flyers, posters, brochures and website. T-shirt designs. Active Aging Week T-shirts are among the most popular promotional tools provided every year. In 2015, you may choose between two official T-shirt designs to heighten campaign spirit, visibility and participation. Posters. Displaying colorful campaign posters is an eye-catching way to promote your Active Aging Week involvement. You may download any or all of the five Active Aging Week 2015 posters, which show a diversity of participants. Be sure to place your logo on the posters. Fact sheets. Campaign fact sheets provide key points about the Active Aging Week campaign. You can hand these sheets to participants, media representatives and other parties at health fairs, shopping malls and additional locations within your community. You’ll find both general and customizable fact sheets on the campaign website. Donor and sponsor fact sheets. A wellsupported presentation will increase the likelihood of success when you solicit organizations as local partners and sponsors for Active Aging Week. You can use the customizable fact sheets for potential donors and sponsors to provide a clear understanding of the campaign. Customizable press releases. The Active Aging Week website offers press releases that you can use within your local community or on a national level. Whether you target print, radio, television, blogs or online news services, you can customize a press release to spread the word about your participation. LIVE YOUR ADVENTURE LIVE YOUR ADVENTURE 5 October 3, 201 September 27– Sponsors a.c w w w. i c a c September 27–October 3, 2015 Sponsors Certificates of participation. To recognize participation in Active Aging Week, ICAA has created a number of different certificates. You may want to download and display a certificate to recognize— and celebrate—your participation as an Active Aging Week host site. You will also find additional certificates that recognize local event sponsors/partners and participants. Use these certificates to show these organizations and individuals how much you appreciate and support their Active Aging Week involvement. PowerPoint presentation, with script and handout. Many host organizations deliver educational presentations to the community-at-large during their Active Aging Week celebrations. The “Changing the way we age” campaign presentation is available for your use. This PowerPoint comes with both a script and a handout to help you deliver an effective, compelling presentation. w w w. i c a a . c c LIVE YOUR ADVE NTURE Active Agin g Week pla Planning action nning chec s klist • Organize a planni • Form your vision ng committee. • Establ ish budge for the week. t. • Inform key people in the organi zation about Active Aging Week. • Identify target audience: who will attend the • Finalize list event(s)? of potential events . • Invite speake rs or • Reserve rooms organizations to participate. and check for schedu le conflicts. • Inform manag ers and staff of the event activit • Check on due ies. dates to advert ise the events in and other outsid the organization e sources. ’s newsletters • Visit Active Aging Week websit e for promotional and educational • Finalize negoti materials. ations with speake • Determine marke rs or ting pieces needed organizations that will presen t. . • Register as host site on www.activeag • Draft the flyers ingweek.com and • Mail press release notices for the website, newsle tters and social to local papers media , televis . ion • Give notices and radio station to Webmaster s. for posting. • Finalize flyers. • Confirm work schedules and tasks for allies, during the event. volunteers and staff who will help • Print out Active Aging Week poster • Organize the s. people who will hang posters and distribute flyers. • Confirm Active Aging Week activit • Inform mainte nance and housek ies with other departments. • Send email about eeping staff. • Prepare talking events. points for exercis e instructors, person staff to announce the Week’s activit al trainers and activities ies. • Display the events on the bulleti • Prepare poster n board and annou s and signs. nce again on social • Double check media , that events inform • Double check ation is in newsle room and space tter. reservations. • Confirm all speakers and room arrangements. • Update voice mail • Send out a second blurbs to remind callers of the events. email. • Check that poster s and multipurpose rooms flyers are in place; hang them in dining areas, and other nonfitn ess locations. • Print out certific ates distribute to partici of participation from the Active Aging Week websit pants. • Review week’s e to events with team. • Answer questi ons. • Prepare and duplicate feedba ck forms to distrib • Tabulate feedba ute to participants. ck • Conduct a follow forms. -up with the planni and what didn’t ng committee to for next year’s discuss what worke events. • Mail a thank d well you • Submit the resultsto your volunteer staff. of your activities to ICAA . Due dates LIVE YOUR ADVENTURE Calendar and social media announcements. You can drive interest in your Active Aging Week activities by disseminating campaign calendar announcements within your organization as well as to media outlets and the vast array of social media. Additional action items ENTURE LIVE YOUR ADV plan ive-month ng Week f Active Agi Jun May Jul Aug Sep es Planning stag le to Contact peop Form vision of plan events. what your week will look like. s, activities. t audience Choose targe Reserve speakers Plan marketing , space, equipme eting Launch mark Finalize work nt. program. that allies, volu othe Post posters and Welcome your . uce materials campaign, prod nteers and othe rs will perform. r displays. participants. Certificate of Recognition As a local sponsor for Active Aging Week 2015 and an organizatio n committed to the ActiveAging Wellness Philo sophy Colin Milner, CEO International Counci l on Active Aging The Journal on Active Aging March/April 2015 www.icaa.cc 71 Splash! Improving swim skills & drills, part 1: the freestyle stroke It’s never too late for swimmers to address common mistakes in technique in order to achieve safe, effective body mechanics—and a smooth glide world-class swimmer. Lintz is a champion Masters swimmer and award-winning swim coach. A former varsity swimmer at the University of Wyoming, Sanders says she enjoys progressing her fitness swim skills with coaching tips from these expert “swim buddies.” by Mary E. Sanders, PhD, CDE, RCEP, FACSM, and Nebojša Bikić This two-part article identifies common swimming mistakes—especially those made by older swimmers who may have developed bad habits over time—then provides skills and drills to improve technique. The first installment focuses on the Aquatics authority Mary Sanders teams with coauthor Nebojša Bikić and swimmer model Steve Lintz to share valuable skills and drills that improve swim workouts for older adults. Bikić, a personal trainer, is a 72 The Journal on Active Aging March/April 2015 www.icaa.cc Continued on page 74 Champion swimmers Nebojša Bikić and Steve Lintz demonstrate the freestyle stroke. (At left: Bikić and Lintz relax for a photo.) Photos: Mary E. Sanders. Images courtesy of WaterFit Improving swim skills & drills, part 1: the freestyle stroke Continued from page 72 freestyle stroke, also known as the front crawl. In the July/August Journal on Active Aging®, the second installment will delve into the breaststroke, backstroke and butterfly. “This journey has always been about reaching your own other shore no matter what it is, and that dream continues.” – Diana Nyad, American long-distance swimmer and motivational speaker Diana Nyad completed one of the most incredible swims of all time. At age 64, Nyad became the first person confirmed to swim from Cuba to the United States without the aid of a shark tank. After 4 failed attempts, she completed her successful swim across the Straits of Florida, taking 53 hours to cover 110 miles (177 kilometers) between Havana and Key West.1,2 Nyad spoke with courage shortly after her failed attempt in 2012, vowing not to give up.3 Instead, she progressed her rigorous open-water training regime from 12 hours per day to 24. And, in 2013, she succeeded on her 5th and final attempt. What propelled Nyad to this historical accomplishment? It was not youth’s energy, but seasoned determination, mental ability, preparation and skill. Nyad teaches us that swimming is an activity people can continue for a lifetime, whether for recreation or for competition. To optimize the benefits of the sport, however, swimmers need to master skills that allow them to swim at the right intensity for a long enough period of time to achieve health gains. Safe, effective body mechanics results in more effective strokes. Such strokes maximize a swimmer’s propulsion through the water, for optimal speed and time. It’s never too late for people to learn how to swim for health and fitness, or to brush up on techniques that will improve performance. This two-part article offers active-aging professionals and swim enthusiasts a swim clinic that ad74 dresses common mistakes in technique among participants and helps them achieve a smooth glide. We’ll start with a look at where technique goes wrong. Identifying common mistakes Many swimmers focus mainly on counting laps to quantify their distance. Common mistakes are easy to identify as “Repetitio est matrem studiorum” (“Repetition is the mother of learning”). If the goal of each swim workout is to complete as many laps as possible in an allotted time, there’s a great possibility individuals won’t pay attention to their body position and/or stroke mechanics. A movement repeated countless times becomes automatic, even if it’s incorrect. As a result, swimmers think their technique is right. In most cases, it’s easier to teach a person how to swim than to correct a bad habit that has persisted for years. Disbelief is common when older swimmers review videos. Individuals may say, “Why are you showing me a video of somebody else? This person has the same swimsuit as me, but that’s not my swimming. When I swim, it doesn’t look or feel anything like that.” How many times have instructors heard or even said, “I’ve been swimming (lifting, running, etc.) this way all of my life and my shoulder (back, hip, etc.) suddenly started to hurt”? Sometimes this acute pain is due to repeated poor body or stroke mechanics. Let’s look at some common areas to consider. Body position One way to increase swimming speed is to reduce drag, a force created by resistance as the body moves through the water. The amount of drag will differ based on a person’s shape and size. The body’s position in the water is among the factors an individual can control to increase swimming efficiency. Tip: To reduce drag, swimmers should try and keep their bodies “long,” using The Journal on Active Aging March/April 2015 www.icaa.cc their outstretched arms in front. The body should move in a straight line from fingertips to pointed toes. To develop a streamlined body position, the head must also align with the spine (looking down when swimming on the stomach, looking up when swimming on the back). Mind the head The most common mistake made by older swimmers involves the position of the head. While swimming in supine position or on the back (backstroke), participants may hold the head too high, with their eyes focused directly or nearly directly backwards. When individuals swim in prone position or on the stomach (butterfly, breaststroke and freestyle), problems occur when they focus their eyes straight ahead. In addition, a high head will in most cases prevent the body rotating sufficiently during the freestyle and backstroke, which can lead to a lateral or side-to-side motion. This movement will result in slow, inefficient swimming. Improper head position usually leads to other mistakes, such as hip and leg drop, where the swimmer submerges the hips and legs too low under the surface, creating even more drag on the body. These mistakes translate into slower swimming speeds and higher energy usage. Tip: Generally, the head should align with the torso and remain in a neutral position for all strokes. During pronepositioned strokes such as freestyle, breaststroke and butterfly, the head needs to face downward and align with the spine, with the eyes focused on the pool’s bottom. After taking a breath in all prone strokes, the goal is to bring the head back to neutral position as soon as possible. During supine swimming (backstroke), the head is in line with the spine, eyes looking straight upward. Swimmers don’t have to change head Continued on page 76 Benefits of swimming Low impact, gentle on joints Buoyancy, along with the horizontal position of swimming, unloads the stress on the lower body. Good stroke mechanics helps minimize the stress on the shoulders as the arms move through the resistance of water. Lifetime activity Jack LaLanne, who died in 2011, swam one hour daily at age 93 years;1 and Nikola Tesla, known as the “Father of the Modern World,” swam regularly. Cardiorespiratory fitness Significant health improvements and no injuries resulted from a study in which sedentary men and women performed 12 weeks of swimming, 3 days per week, either as continuous swims (2 miles per session) or highintensity interval training (HIIT) as 30-second sprints with intervening 2-minute rests, repeated for 25 minutes. Swimmers significantly improved their maximal oxygen consumption (10%) and stroke volume, and reduced their blood pressure.2,3 Muscular endurance Men who completed an 8-week swimming program increased their triceps muscle strength by 23%.4 The pool is a liquid resistance machine. The resistance increases as the swimmer’s arms and legs work faster to push and pull the body through the water, resulting in strong endurance training. Calorie burner How many calories the body burns during a fitness swim depends on body composition, weight, and swimming efficiency and speed. Here are a few rough estimates for fitness Looking for the right employee or job? swimmers who weigh between 150 and 200 lbs.:5 Backstroke: 12–16 kcal/minute Breaststroke: 11–15 kcal/minute Freestyle or crawl ( fast): 11–15 kcal/ minute Freestyle or crawl (slow): 9–12 kcal/ minute Stay cool Water transfers heat 25 times faster than air. Swimming in cool water keeps the body cool, even during vigorous swims on warm days. Fun, fun, fun Water sports are relaxing. A healthy splash not only helps to decrease depression, but is also a natural mood booster. References 1. Weil, R. Swimming. What are the benefits of swimming? Retrieved from http://www. medicinenet.com/swimming/page4.htm. 2. Martin, W., Montgomery, J., Snell, P. G., et al. (1987). Cardiovascular adaptations to intense swim training in sedentary middleaged men and women. Circulation, 75(2), 323–330. 3. Mohr, M., Nordsborg, N. B., Lindenskov, A., et al. (2014). High-intensity intermittent swimming improves cardiovascular health status for women with mild hypertension. BioMed Research International, 2014(2014), Article ID 728289; doi: 10.1155/2014/728289. 4. Lavoie, J. M., Taylor, A. W., & Montpetit, R. R. (1980). Skeletal muscle fiber size adaptation to an eight-week swimming program. European Journal of Applied Physiology and Occupational Physiology, 44(2), 161–165. 5. McArdle, W. D., Katch, F. I., & Katch, V. L. (1999). Sports and Exercise Nutrition. Philadelphia, PA: Lippincott Williams & Wilkins. Post your job opening on the ICAA Career Center––your online link between people and positions. Gain access to the more than 10,000 organizations and professionals served by the International Council on Active Aging®, and find the ideal candidate or position for your needs. For information about the ICAA Career Center, call toll-free 866-335-9777 or 604-734-4466. Or go to www.icaa.cc/careercenter.htm The Journal on Active Aging March/April 2015 www.icaa.cc ICAA Career ad-7.indd 1 75 15-04-12 6:03 PM Improving swim skills & drills, part 1: the freestyle stroke Continued from page 74 position to breath when swimming on the back, so the goal is to keep the head in neutral at all times. Figure 1. Poor body rotation during freestyle swimming creates problems with stroke mechanics and body position. When instructing a swim clinic, activeaging professionals need to remember that every individual is unique. There are vast differences in swimmers’ shapes and sizes. Body composition has a great impact on a person’s buoyancy, while injuries or chronic conditions may limit ranges of motion for the arms and legs. Range of motion influences stroke mechanics. Certainly, genetics plays a role as well. Some people are born with physical characteristics that give them an edge when swimming—for example, long arms and large, flexible hands and feet propel a person forward. Despite their physical differences, all swimmers can implement a few techniques to improve both speed and efficiency. In this article, we’ll offer skills and drills for each stroke, starting with the freestyle in this installment. Figure 2. As a result of inadequate body rotation, the right arm recovers incorrectly in a wide sideways sweep. Performing skills & drills for freestyle One of 3 competitive strokes performed in a prone position, the freestyle is the only stroke in swimming that uses sideways breathing. (Some swimmers may use this way of breathing during the butterfly, but it’s not common.) During the freestyle, the arms alternately reach forward and back, while the legs kick continuously up and down using a flutter kick. Common mistakes Some mistakes occur when the swimmer does not rotate the body enough, which often goes hand-in-hand with holding the head too high. Inadequate body rotation can occur independently, however, even when the head is held in proper alignment with the rest of the body. Figure 3. Some swimmers compensate for poor body rotation with a backwards-looking motion to draw breath. 76 The Journal on Active Aging March/April 2015 www.icaa.cc Check Constant body rotation is one characteristic of freestyle swimming. From the top of the head to the pointed toes, the entire body needs to roll from side to side as a single unit. Poor body rotation can lead to problems with stroke mechanics and body position (see Figure 1). When the body’s rotation is inadequate during arm strokes, the arms will recover over the water in a wide, lateral sweeping motion (see Figure 2). This wide recovery can cause the hips and legs to swing side-to-side, which creates unnecessary drag. It can also lead to a “high head” position during breathing, which causes the hips and legs to drop lower in the water, again increasing drag. In addition, with poor body rotation, some swimmers will move their head backwards to breathe (see Figure 3), causing their whole body to swing even more from side to side. Figure 5. Drag increases on the body when the swimmer holds the hands too high while freestyle swimming (see the elevated right hand in this photo). Correct Freestyle swimmers should align the body as horizontally as possible from head to toe, including the arms, at the water’s surface. A kickboard or noodle can help in finding the “right” streamlined position (see Figure 4). The shoulders tend to submerge if a swimmer’s hands are held too high when gliding (see Figure 5), which increases the drag created by the entire body. If the hands are held too low, however, the drag from the arms will increase, causing inefficiency. Drills Swim drills can improve a swimmer’s stroke mechanics and body position in the water. Adding the following drills will help participants not only optimize the efficiency and health benefits of swim workouts, but also make them more fun! Figure 4. Nebojša Bikić helps Steve Lintz find a streamlined body position in the water using a kickboard. Figure 6. In the Catch Up drill, the swimmer ends alternating freestyle strokes with the hands above or beside each other in the water. Figure 7. The swimmer can use a kickboard, if desired, to perform the Catch Up drill. 1. Catch Up. Start in a prone, streamlined position. Complete one arm stroke, placing the hand over or next to the opposite hand when it returns to the water (Figure 6). Repeat using the opposite arm. Continue alternating arms for the length of the pool. This drill can also be done by hold ing onto a kickboard or noodle (Figure 7). Figure 8. In this variation of the One Arm drill, the swimmer strokes with one arm while resting the other against the side of the body. 2. One Arm. This is a modification of the previous drill. Perform sets of repeat strokes using only one arm, then do sets of repeats with the other arm. In this drill, one arm continues to stroke 2, 3, 5 times, etc., while the other arm stretches out and floats on the surface ahead of the swimmer, or rests by the person’s side (Figure 8). Continued on page 78 The Journal on Active Aging March/April 2015 www.icaa.cc 77 Improving swim skills & drills, part 1: the freestyle stroke Continued from page 77 The swimmer may hold a kickboard, hand buoy or noodle in the outstretched hand, if preferred. Figure 9. The “10” stage of the 3-10-3 Drill involves the swimmer kicking 10 times with the feet while gliding through the water on the side of the body. 3. The 3-10-3 (5-10-5) Drill. After completing a set of 3 or 5 strokes using alternating arms, kick 10 times with the feet while lying on the side of the body. Hold the lower arm out in front and rest the other arm against the side (Figure 9). After 10 kicks, perform another set of 3 or 5 strokes with alternating arms, then repeat 10 kicks on the other side. During this drill, the swimmer breathes during the stroke, or if preferred (and water depth allows), stands, takes a breath and continues. In the next installment of this article, we’ll submerge ourselves in swim drills to improve the backstroke, breaststroke and graceful butterfly. Swimming for life Whether people swim for fun and recreation, health and fitness, or the challenge of competition, they can learn and/or refine swimming skills at any age. A swim clinic is one way to help them improve their technique. Safe, effective body mechanics allows individuals of all ages and abilities to continue to swim and reap the benefits of this activ78 ity throughout the life span. (See the sidebar on page 75 to learn more.) In her 20s, Diana Nyad set world records and completed a 102-mile swim from the Bahamas to Florida. She also attempted the Straits of Florida crossing for the first time.2 After age 30, the endurance athlete didn’t swim again until she resurrected her dream and started training at age 60.2 When she reached the shores of Key West on September 2, 2013, Nyad had a message for everyone: “You never are too old to chase your dreams.”1 Mary E. Sanders, PhD, FACSM, RCEP, CDE, is a clinical exercise physiologist and Certified Diabetes Educator® in the University of Nevada (Reno) School of Medicine’s Division of Wellness and Weight Management. She is also an adjunct professor in the university’s College of Community Health Sciences. An International Council on Active Aging® Advisory Board Member, Sanders directs WaterFit ®/ Golden Waves®. In addition, she is an associate editor of ACSM’s Health & Fitness Journal® and contributing editor to the Journal on Active Aging®. Sanders trains health and fitness professionals internationally, plus conducts research in water exercise and in clinical exercise as part of a medical multidisciplinary team. Nebojša Bikić is a personal trainer at Saint Mary’s Fitness Center in Reno, Nevada. Born in Belgrade, Serbia, the world-class swimmer competed in the World Championships (Moscow, 2002) and in the Olympic Games (Sydney, 2000). As a personal trainer, Bikić enjoys working with participants on the land or in the water. Acknowledgement Thank you to Steve Lintz, our swimmer model. A champion swimmer, Lintz swam for the Reno (Nevada) YMCA as a youth and competed 2 years on the men’s team at Oregon State University. The Journal on Active Aging March/April 2015 www.icaa.cc Returning to Nevada, he swam for the Reno Aquatic Club, where he also began his 25-year coaching career as a children’s swim coach. Lintz has competed on the Sierra Nevada Masters swim team since 1989. In 2014, he was voted the Pacific Masters Region’s “Coach of the Year,” and received a US Masters Swimming Kerry O’Brien Coaching Award. References 1. Sloane, M., Hanna, J., & Ford, D. (2013, September 3). “Never, Ever Give Up”: Diana Nyad Completes Historic Cuba-to-Florida Swim. CNN.com. Retrieved on March 21, 2014, from http://www.cnn.com/2013/09/02/world/ americas/diana-nyad-cuba-florida-swim. 2. TED.com. TED Speaker: Diana Nyad. Retrieved on March 21, 2014, from https://www. ted.com/speakers/diana_nyad. 3. Forer, B. (2012, August 20). Diana Nyad: Endurance Swimmer Hits Storm on Swim from Cuba to Florida. ABCNews.com. Retrieved on March 21, 2014, from http://abcnews.go.com/ US/diana-nyad-endurance-swimmer-hitsstorm-swim-cuba/story?id=17040909. Photos by Mary E. Sanders, courtesy of WaterFit Resources American Swimming Association www.americanswimmingassociation. com iSport Swimming http://swim.isport.com MedicineNet.com: Swimming www.medicinenet.com/swimming/ article.htm Swimming World Magazine www.swimmingworldmagazine.com United States Masters Swimming www.usms.org USA Swimming Click on “Member resources,” then “Swimmers.” www.usaswimming.org Adver tisers index Pages 2–3 NuStep, Inc. 800-322-2209 www.nustep.com/jaa Page 5 International Council on Active Aging (ICAA Career Center) 866-335-9777 www.icaa.cc/careercenter.htm Page 7 CaptionCall 877-860-5043 www.captioncall.com/ captioncall/icaa Page 9 HUR Health and Fitness Equipment 847-729-2636 www.hurusa.com Page 11 Biodex 800-224-6339 www.biodex.com Page 13 Power Systems 800-321-6975 www.powersystems.com/icaa Page 19 SCIFIT 800-278-3933 www.scifit.com Page 21 Interactive Health Partner 877-654-3837, option 7 [email protected] Page 23 Life Fitness 866-638-9301 www.lifefitness.com/insignia 80 Page 27 International Council on Active Aging (ICAA)/ProMatura Group 866-335-9777 www.icaa.cc/business/ benchmarks.htm Page 33 THOR•LO, Inc. 800-438-0286 www.thorlo.com/free-sock-offer Pages 34–35 Active Aging Week 866-335-7777 www.activeagingweek.com Page 39 Institute for Preventive Foot Health (IPFH) 877-777-IPFH (4734) www.ipfh.org Page 43 International Council on Active Aging (Online Buyer’s Guide) 866-335-9777 www.icaa.cc/preferredbusiness partners.htm Pages 46–47 Welcamp 952-873-7900 www.welcamp.com Page 48 International Council on Active Aging (ICAA Champions) 866-335-9777 www.changingthewayweage.com Page 53 ProMatura Group 800-201-1483 [email protected] The Journal on Active Aging March/April 2015 www.icaa.cc Page 59 International Council on Active Aging (ICAA Champions) 866-335-9777 www.changingthewayweage.com Page 65 Conductorcise 914-244-3803 www.conductorcise.com Page 75 International Council on Active Aging (ICAA Career Center) 866-335-9777 www.icaa.cc/careercenter.htm Page 79 Go4Life Month http://go4life.nia.nih.gov/month Page 81 Benaroch Graphic Communication 604-230-8994 www.benaroch.com Page 88 International Council on Active Aging (ICAA Preferred Business Partners Program) 866-335-9777 www.icaa.cc Page 91 International Council on Active Aging (ICAA research and resources) 866-335-9777 www.icaa.cc/ businessresourcesandtools.htm Page 92 Morrison Senior Living 800-2-CLIENT (225-4368) www.morrisonseniorliving.com stand out show your colors One way to maintain a competitive advantage is to stand out from your competitors. We can help. Let Benaroch Graphic Communication provide you with the creative tools to promote and enhance your corporate image. For details call: Benaroch Graphic Communication T: 604.856.6627 C: 604.230.8994 [email protected] www. benaroch.com ICAA PREFERRED B International Council on Active Aging® (ICAA) members gain access to companies interested in doing business with them, and in supporting the active-aging industry, through the ICAA’s Preferred Business Partner Program. The support of the following companies enables ICAA to provide members with programs and services. ICAA encourages its members to support these vendors in turn, and to take advantage of the additional savings they offer members on products and services. Premier Preferred Business Partners Institute for Preventive Foot Health (IPFH) 1519 West Front Street Statesville NC 28677 Toll-free: 877-777-IPFH (4734) Tel: 205-276-3030 Fax: 205-982-7931 [email protected] www.ipfh.org Focusing on preventive foot health, IPFH helps individuals achieve more, more significant and more enthusiastic participation in all of life’s activities, no matter what their age—in short, to enjoy greater quality of life. NuStep, Inc. 5111 Venture Drive, Suite 1 Ann Arbor MI 48108 Toll-free: 800-322-2209 Tel: 734-769-3939 Fax: 734-769-8180 [email protected] www.nustep.com At NuStep, Inc., customer satisfaction is our highest priority. Our customer commitment and quality guides us in delivering our brand’s core promise: assuring users the 82 opportunity for life transformation with every NuStep experience. THOR•LO, Inc. 2210 Newton Drive Statesville NC 28677 Toll-free: 800-438-0286 Tel: 704-872-6522 Fax: 704-838-7006 [email protected] www.thorlo.com THOR•LO designs and manufactures innovative sock products for active living and aging. The company is a founding sponsor of the Institute for Preventive Foot Health. Preferred Business Partners ACP – Accelerated Care Plus 4850 Joule Street, Suite A-1 Reno NV 89502 Toll-free: 800-350-1100 Fax: 800-350-1102 [email protected] www.acplus.com ACP combines progressive medical technology with evidence-based clinical protocols and on-site therapist training. The company partners with over 4,500 SNFs, ALFs, ILFs, outpatient clinics, hospitals and other post-acute therapy providers throughout the United States. 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BOSU, a division of Hedstrom Fitness 1 Hedstrom Drive Ashland OH 44805 Toll-free: 800-810-6528 Tel: 419-289-9310 Fax: 419-281-3485 [email protected] www.bosu.com BOSU believes that balance is the foundation of all human performance. We offer products and programming that encourage thoughtful and effective physical training to help prevent unnecessary falls and injuries while making training fun. CapTel captioned telephone shows wordfor-word captions of everything a caller says over the telephone—like captions on television. CapTel’s telephone helps people with hearing loss enjoy phone conversations, confident they’ll catch every word. CaptionCall 4215 South Riverboat Road Salt Lake City UT 84123 Toll-free: 877-557-2227 Tel: 801-293-6566 [email protected] www.captioncall.com CaptionCall is an innovative telephone for people with hearing loss. 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Converting a functional chair into a recumbent bike, strength-training tool and yoga/balance device, the ChairMaster makes fitness accessible to anyone and improves people’s lives. Continued on page 84 The Journal on Active Aging March/April 2015 www.icaa.cc 83 ICAA PREFERRED B Conductorcise, LLC PO Box 248 Bedford Hills NY 10507 Tel: 914-244-3803 Fax: 914-244-3878 [email protected] www.conductorcise.com Davey Coach Sales, Inc. 7182 Reynolds Drive Sedalia CO 80135 Toll-free: 800-873-1856 Tel: 303-683-9500 Fax: 303-683-6008 [email protected] www.daveycoach.com Conductorcise is a joyous, physical exercise that uses the magic of classical music to prompt brain and physical stimulation and engagement of all levels. A flexible, fun way to improve mind, body and spirit. Davey Coach Sales offers small and midsized buses for sale, rent and lease. 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The Journal on Active Aging March/April 2015 www.icaa.cc Healthways 1445 South Spectrum Boulevard, Suite 100 Chandler AZ 85286 Toll-free: 888-423-4632 [email protected] www.silversneakers.com SilverSneakers, a product of Healthways, is an evidence-based program, proven to reduce healthcare costs through a unique blend of fitness, fun and friends. HUR Health and Fitness Equipment 3019 Commercial Avenue Northbrook IL 60062 Toll-free: 877-729-2636 Tel: 847-729-2636 Fax: 847-509-4500 [email protected] www.hurusa.com/index.asp HUR, a leader in falls prevention and incontinence, offers computerized balance testing and training systems, strength training equipment for older adults and physical therapy, and specialty wheelchair accessible strength machines. HydroWorx 1420 Stoneridge Drive Middletown PA 17057 Toll-free: 800-753-9633 Tel: 717-902-1923 Fax: 717-902-1933 [email protected] www.hydroworx.com HydroWorx, a premier manufacturer of aquatic rehabilitation, fitness and wellness products, offers innovation in every pool with fully adjustable floor, underwater U S I N E S S PA R T N E R S treadmill and options to fit every application and budget. ICAA/ProMatura Wellness Benchmarks 3307 Trutch Street Vancouver BC V6L 2T3 Canada Toll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464 [email protected] www.icaa.cc/business/benchmarks.htm The ICAA/ProMatura Wellness Benchmarks is a free, Web-based business reporting tool to track wellness program outcomes in retirement communities. Enter information, track resident participation and satisfaction, and generate on-demand reports. Interactive Health Partner 785 West 1700 South, Suite 1 Salt Lake City UT 84104 Toll-free: 877-654-3837 Tel: 801-973-9993, Option 3 Fax: 801-973-9923 [email protected] www.interactivehealthpartner.com It’s Never 2 Late builds computers residents enjoy. Intuitive systems empower individuals to connect, engage and enjoy life with dignity through the benefits of today’s technology for therapy and activity use. Keiser 2470 South Cherry Avenue Fresno CA 93706 Toll-free: 800-888-7009 Tel: 559-256-8000 Fax: 559-256-8100 [email protected] www.keiser.com Keiser AIR series and Infinity Series exercise equipment feature pneumatic technology—which means users are “pumping air” and placing less stress on joints and connective tissue. Life Fitness Columbia Centre III, 9525 West Bryn Mawr Avenue Rosemont IL 60018 Toll-free: 800-527-6062 Fax: 614-675-7820 [email protected] www.lifefitness.com/index.html The Interactive Health Partner Wellness Program addresses fall prevention with assessments, outcomes tracking and exercise prescription in an easy-to-use, comprehensive online system. Life Fitness offers an extensive selection of cardio and strength-training products. From designing floor plans to offering flexible financing solutions, we make it easy to create a perfect solution. It’s Never 2 Late 7330 South Alton Way, Suite O Centennial CO 80112 Tel: 303-806-0797 Fax: 303-789-1533 [email protected] www.in2l.com Lifetime Wellness, Ltd. 1500 Waters Ridge Drive Lewisville TX 75057 Tel: 972-899-4176 [email protected] www.lifetimewellness.us Lifetime Wellness is dedicated to quality wellness services for all our clients. From program design and staffing to consulting and managing, our expertise lies in our ability to customize a successful solution for our clients. Mather LifeWays Institute on Aging 1603 Orrington Avenue, Suite 1800 Evanston IL 60201 Toll-free: 888-722-6468 Tel: 847-492-7433 [email protected] www.matherlifewaysinstituteonaging.com Through applied research, Mather LifeWays Institute on Aging has developed award-winning, evidence-based education programs in areas such as brain health, wellness and person-centered care, for professionals who serve older adults. Matrix Fitness 1600 Landmark Drive Cottage Grove WI 53527 Toll-free: 866-693-4863 Tel: 608-839-8686 Fax: 608-839-8687 [email protected] www.matrixfitness.com Matrix Fitness Systems is the commercial division of Johnson Health Tech Co. Ltd., a leading fitness equipment manufacturer. Matrix delivers durable commercial fitness products, with low total cost of ownership. Medical Fitness Solutions 543 East Alvarado Street Fallbrook CA 92028 Toll-free: 800-831-7665 Tel: 760-451-3445 Fax: 760-451-8995 [email protected] www.medicalfitsolutions.com Continued on page 86 The Journal on Active Aging March/April 2015 www.icaa.cc 85 ICAA PREFERRED B Medical Fitness Solutions’ staff has over 32 years’ experience in providing programs and products for physical therapy and senior health. The company is built on education, exemplary customer service and unwavering loyalty to its customers. Morrison Senior Living 5801 Peachtree Dunwoody Road Atlanta GA 30342 Tel: 404-845-3330 [email protected] www.morrisonseniorliving.com Morrison specializes in the senior living industry, providing exceptional hospitality experiences across the United States. The company’s vision is simple: Great people will deliver great service and great results. Moving Toward Health 36555 Star Road Pleasant Hill OR 97455 Tel: 541-729-2894 [email protected] www.movingtowardhealth.com Moving Toward Health offers training to establish multilevel fitness programming. Chair Masters and The Nia Technique workshops for staff and clients include balance, strength, agility, bone density, and brain growth. Quality core program without outsourcing. National Institute for Fitness and Sport (NIFS) 250 University Boulevard Indianapolis IN 46202 Tel: 317-274-3432 ext. 208 Fax: 317-252-0738 [email protected] www.wellness.nifs.org 86 NIFS provides comprehensive management of your fitness and wellness program. Our staff deliver customized best-practice programs and services that elevate resident engagement. We also specialize in design and equipment layout of community fitness spaces. National Strength and Conditioning Association (NSCA) 1885 Bob Johnson Drive Colorado Springs CO 80906 Toll-free: 800-815-6826 Tel: 719-632-6722 Fax: 719-632-6367 [email protected] www.nsca.com Fitness professionals with the NSCA’s Certified Special Population Specialist (CSPS) credential are regarded as experts on delivering research-based programs to work with clients with varying health conditions, fitness abilities and age groups. Power Systems, Inc. 5700 Casey Drive Knoxville TN 37909 Toll-free: 800-321-6975 Tel: 865-769-8223 Fax: 865-769-8211 [email protected] www.powersystems.com Power Systems is a leading supplier of fitness and sports performance training equipment. We offer over 2,400 innovative products and training solutions, plus award-winning customer service, for customers such as health clubs and universities, among others. The Journal on Active Aging March/April 2015 www.icaa.cc Precor, Inc. 20031 142nd Avenue NE Woodinville WA 98072 Toll-free: 800-786-8404 Fax: 425-482-3888 [email protected] www.precor.com Precor, a leading brand in fitness, offers cardio, strength and entertainment equipment that helps users live beyond their limits. Precor equipment is simple to operate and offers a smooth, fluid experience. Redcord 83 Princeton Avenue Hopewell NJ 08525 Toll-free: 800-455-8982 Tel: 609-683-1010 [email protected] www.redcord.us Redcord is an integrated tool for therapists and patients for medical rehabilitation, functional enhancement exercise, injury prevention and performance training. It is effective and useful for those who want to improve their functional level. Rejuvenate Salon & Spa 2107 Gunn Highway, Suite 108 Odessa FL 33556 Toll-free: 877-792-1366 Tel: 813-792-1366 Fax : 813-792-0608 [email protected] www.rejuvenatesalonandspas.com Rejuvenate Salon & Spa is a multiservice spa and wellness solution for senior communities. Founders Abby and Tim Germain have been privileged to represent over 80 luxurious senior communities in five states since 1996. U S I N E S S PA R T N E R S Resistance Dynamics/MoveMor 9249 South Broadway, 200-366 Littleton CO 80129 Tel: 303-515-7070 Fax: 303-904-3218 [email protected] www.resistancedynamics.com Resistance Dynamics helps older adults regain and preserve the strength and mobility to live independently. MoveMor, the company’s multidirectional resistance system, builds lower-body strength from one safely seated position. SCIFIT 5151 South 110 East Avenue Tulsa OK 74146 Toll-free: 800-278-3933 Tel: 918-359-2000 Fax: 918-359-2012 [email protected] www.scifit.com SCIFIT offers an extensive range of comfortable, safe, age-friendly cardio and strength equipment. SCIFIT equipment and programs provide opportunities for people of all ages to stay active. SPRI Products 1769 Northwind Boulevard Libertyville IL 60048 Toll-free: 800-222-7774 Tel: 847-680-7774 Fax: 303-648-5418 [email protected] www.spri.com SPRI helps people enjoy a healthier, happier, active lifestyle. SPRI offers simple, effective exercise products for all fitness levels. Exclusive 15% discount for all ICAA members/subscribers (refer to code: ICAADISCOUNT). Viniferamine offers a complete system of skin and wound care products designed to protect and heal damaged skin, especially in the long-term care or inpatient hospital settings. SwimEx, Inc. 846 Airport Road Fall River MA 02720 Toll-free: 800-877-7946 Tel: 508-646-1600 Fax: 508-675-0525 [email protected] www.swimex.com SwimEx pools offer an exercise environment that’s gentle on joints, and takes up little space. The pools feature an adjustable paddlewheel water current that is smooth and nonturbulent for clients’ exercise routines or swimming strokes. UltraSite 1675 Locust Street Red Bud IL 62278 Toll-free: 800-458-5872 Tel: 618-282-8200 Fax: 618-282-8202 [email protected] www.actionfitoutdoors.com UltraSite introduces FiftyPlus Fitness, a brand new outdoor fitness solution that provides older adults the opportunity to absorb valuable Vitamin D, to socialize with others, and to be empowered and healthy for life. Viniferamine 2769 Heartland Drive, Suite 303 Coralville IA 52241 Toll-free: 855-312-8667 Tel: 319-351-3201 Fax: 319-545-2040 [email protected] www.viniferamine.com WaterFit c/o DSW Fitness, Human Kinetics Continuing Education PO Box 5076 Champaign IL 61825-5076 Toll-free: 800-873-6759 Tel: 217-351-5076 Fax: 217-351-1549 [email protected] www.humankinetics.com/ continuing-education WaterFit offers educational courses (via correspondence or on-site workshops) based on current health and medical fitness science and practice. WaterFit also supplies equipment for water exercise comfort, progression and safety. Welcamp, Fitness Where You Live 4420 Valley View Road, Suite 201 Edina MN 55424 Tel: 952-873-7900 Fax: 952-873-7999 [email protected] www.welcamp.com The brainchild of Tom and Suzy Boerboom, long-time healthcare executives and active-aging experts, Welcamp is a turnkey fitness franchise for residents living on a senior campus. Continued on page 88 The Journal on Active Aging March/April 2015 www.icaa.cc 87 I C A A PREFERRED BUSINESS PARTNERS New Preferred Business Partners Arrowhead Medical 35010 Rolland Road Cohasset MN 55721 Toll-free: 888-932-0016 Tel: 218-328-0016 Fax: 218-328-0015 [email protected] www.arrowheadmed.com Arrowhead Medical Resources (AMR) provides therapeutic and senior wellness equipment. AMR supplies products such as balance systems, physical therapy tables and electrotherapy equipment, including PhysioFit and Therapy Propeller. The company also offers equipment consulting services. Become an ICAA Preferred Business Partner The ICAA Preferred Business Partner Program is another great way to keep your products and services in front of ICAA members year-round. Want more information? To learn about the benefits of becoming an ICAA Preferred Business Partner, call ICAA toll-free at 866.335.9777. 88 To learn about the benefits of becoming an ICAA Preferred Business Partner, call ICAA toll-free 866.335.9777 or email [email protected] Or go online to www.icaa.cc ICAA-PBP 2c ad.indd 1 The Journal on Active Aging March/April 2015 www.icaa.cc International Council on Active Aging® 3307 Trutch Street Vancouver BC V6L 2T3 Canada Toll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464 15-02-09 12:11 PM d i r e c t i o n s Catch up with the association that supports professionals in older-adult wellness ICAA founder heads to Washington As of press time, Colin Milner, CEO of the International Council on Active Aging®, will go to Washington, DC, in late April to share his expertise at the National Council on Aging (NCOA) 2015 Falls Prevention Summit. The invitation only summit is a 2015 White House Conference on Aging event. The summit’s purpose is to update the 2005 Falls Free® National Action Plan and recommendations from the 2008 National Advisory Group, as well as to engage key stakeholders in committing to implement recommendations of the revised National Action Plan. Findings from the Washington summit will help inform the agenda for the 2015 White House Conference on Aging. A member of the NCOA-led Falls Free Coalition, ICAA has participated in National Plan efforts since December 2004. Alliance launches implementation guide, small grants program The Osteoarthritis Action Alliance (OAAA), in which ICAA participates, is a broad coalition of public health leaders and stakeholders committed to elevating osteoarthritis as a national health priority. ICAA’s vice president of education, Pat Ryan, represents the association on OAAA’s Physical Activity workgroup. Recently, the alliance launched an “Implementation Guide for Environmental and Policy Strategies to Increase Physical Activity Among Adults with Arthritis.” The Guide is a collection of online resources aimed at increasing physical activity around six key sectors, including business, healthcare, parks and recreation, mass media, communities, and transportation and land use. It is intended to engage community organizations and to advance the objectives of OAAA’s 2011 report, “Environmental and Policy Strategies to Increase Physical Activity Among Adults with Arthritis.” To encourage use of the guide, the alliance has also established ICAA’s Colin Milner (center) marks his visit to Lambeth House with a photograph taken with community residents and leaders. Photo: Julie Milner a mini-grants program to fund several small community-based projects. For information, refer to OAAA’s new website at http://oaaction.unc.edu. Stanford Center names design contest winner In fall 2014, ICAA announced its marketing sponsorship of the 2014–2015 Stanford Center on Longevity Design Challenge, a global competition intended to spur students to create products and services that improve the lives of older adults. The association also assisted with judging entries for the contest, which focused on the theme, “Enabling personal mobility across the life span.” Eight finalists were announced at the end of January. They were tasked with further developing their ideas and creating a presentation for the finals at Stanford University on April 9. There, the winning project was SPAN, designed by the California College of the Arts. This portable structure provides users with a secure platform to get up/down from the ground in a safe, independent manner. The device will be featured in the Journal on Active Aging’s upcoming Special Developer’s Issue. ICAA leaders journey to the ‘Big Easy’ With planning well underway for the ICAA Conference 2015, association leaders traveled to New Orleans, Louisiana, at the start of March for a site visit. The annual conference returns to the Ernest N. Morial Convention Center in the “Big Easy” from November 19 to 21—and the educational program is just about final. (Watch for the full conference brochure and schedule with the May/June Journal.) While in New Orleans, Colin and Julie Milner called at Lambeth House, a continuing care retirement community in the city’s uptown. Lambeth House warmly welcomed and assisted ICAA staff ahead of the 2012 ICAA Conference, and a number of the community’s residents volunteered at the event. ICAA’s CEO presented at Lambeth House in 2012, and gave a talk during this year’s visit as well. Colin Milner presented to the community’s leaders and residents—with familiar faces in the audience—about steps to age well. Spreading the word in the media In February 2015, the New York Times’ Elizabeth Olson talked to ICAA’s Colin Milner for the article “Training for Triathlons at an Older Age.” Published on February 27, the article shows the media’s increasing interest in older people performing at higher levels. For Continued on page 90 The Journal on Active Aging March/April 2015 www.icaa.cc 89 d i r e c t i o n s Continued from page 89 the article, Olson also interviewed ICAA member Denise Heimlich, director of wellness at Still Hopes Episcopal Retirement Community in West Columbia, South Carolina. The community’s Triathlon Team and Training Program was featured in the September/October 2014 issue of ICAA’s journal. Then, in March, Milner shared the message of active aging in an interview for the BBC World Service (the international radio channel of the British Broadcasting Corporation). Dan Damon, host of the high-profile news program World Update, asked Milner about people’s ability to be active in later life—including higher levels of activity—in the fourminute interview. The clip can be heard through World Update’s online iPlayer Radio at www.bbc.co.uk/programmes/ p02lr6fp. Advisor honored with award for achievements ICAA congratulates Lawrence Biscontini, a member of the ICAA Advisory Board, who recently received the 2015 ECA/OBOW Lifetime Achievement Award. An author and award-winning instructor/trainer, Biscontini creates group fitness and personal training programming for clubs and spas. The mindful movement specialist presents at industry conferences, including ICAA’s annual meeting, and contributes to industry magazines. In this issue of the Journal on Active Aging, the first part in his two-part article on “Training the brain to change the way we age” appears on pages 36–42. The second installment will follow. ECA World Fitness Alliance, an international association for fitness professionals, holds its OBOW Awards every year to recognize excellence in the field of fitness. To receive the Lifetime Achievement Award, individuals must have won previous ECA awards plus awards from several other associations; be recognized as a leader and innovator in the indus90 try, as well as for making a significant impact on it as a presenter and trainer/ instructor; and have contributed to the industry’s growth through their specific teachings and programs. From a field of selected nominees, ECA’s 50,000-strong community chooses the winner. Answering ICAA surveys brings rewards ICAA recognizes that it’s a challenge to carve out time to complete an ICAA survey. Yet putting aside 10–15 minutes to answer a survey will benefit industry professionals and contribute to their organizations, as well as to everyone in the ICAA community. Surveys provide the big picture of wellness, from different angles. Professionals can use the information to reach out to a new group, back up a new program or budget item, validate their efforts with outside data, and show their colleagues how wellness is important to fulfilling an organization’s purpose. In January, ICAA released the topline results for its most recent survey, the ICAA Active-Aging Industry Development Survey 2015, sponsored by Precor. As a way to thank people who completed the survey, the association invited them to provide their emails to enter a drawing. Three emails were randomly selected. The grand-prize winner was Kim Eichinger of Country Meadows Retirement Communities, headquartered in Hershey, Pennsylvania. In addition to an iPad mini, Eichinger won a complimentary registration to the ICAA Conference 2015 in New Orleans. Additional prize winners were Angela Butler-Hackett of Parc Communities, Georgia, and Rhonda MacIsaac of Willis-Knighton Health System, Louisiana. Each received a complimentary registration to ICAA’s 2015 conference. ICAA thanks everyone who completed the survey.. The Journal on Active Aging March/April 2015 www.icaa.cc ICAA 100: investing in the future The ICAA 100 is a group of committed leaders who guide the active-aging industry through their contributions to strategic planning and research. In this Journal on Active Aging® issue, ICAA recognizes these organizations for their industry support: • Aegis Senior Communities • Alberta Retired Teachers’ Association • Atria Senior Living Group • Brightview Senior Living • Brookdale Senior Living • Covenant Retirement Communities • Good Samaritan Society • Healthcare Therapy Services, Inc. • Heritage Healthcare, Inc. • Kisco Senior Living • Life Care Services • Lifespace Communities • Masterpiece Living • Presbyterian Homes & Services • RehabCare • Select Rehab • Senior Lifestyle Corporation • Senior Resource Group • Vi (formerly Classic Residence by Hyatt) • Watermark Retirement Communities • Westminster Communities of Florida ICAA 100 membership is open to organizations with more than 14 locations. To learn more, call toll-free 866-335-9777. Stay on top of a changing industry with ICAA research and resources Sponsored by: International Council on Active Aging® 3307 Trutch Street Vancouver, BC V6L 2T3 Toll-free: 866-335-9777 Tel: 604-734-4466 www.icaa.cc Let the International Council on Active Aging® become your one-stop source for guidance on industry issues. From practical solutions to industry research, you’ll find valuable resources and tools to help you decide every step of your active-aging journey. To learn more, call ICAA toll-free at 866-335-9777 or visit www.icaa.cc/businessresourcesandtools.htm HELP YOUR RESIDENTS LIVE AT THEIR SE LEA W A NE N A E INTO R U F T LI ON r e t t b e ay wl i f e of LEARN I TO LIVNG E empow e red EmpowerUSM, by Morrison Senior Living, is a powerful and proven wellness program that helps your residents eat better, move better and feel better. It’s a complete wellness program that empowers participants to stay actively in charge of their lives and make the most of all that your community has to offer. With EmpowerU, you’ll not only help create a difference your residents can see and feel in themselves, but a marketable difference others will associate with life in your community. morrisonseniorliving.com ENGAGE through a series of functional assessments and lifestyle surveys. EDUCATE through a variety of lectures and interactive experiences. EVOLVE through a positive mind and body connection.