Each month WebMD the Magazine puts your questions about weight loss and fitness to top exercise and motivational experts. This month, John Harvey, an 86-year-old retired physician, asked for help beginning a fitness routine. Harvey moved with his wife to a retirement community in Bethesda, Md., about a year ago. He's never been obese, but at 225 pounds he's leaning more on his cane and is unsteady on his feet. For advice, we turned to Anthony Absalon, a fitness trainer at Fox Hill Senior Living in Bethesda, who specializes in seniors and is arthritis rehabilitation-certified by the Arthritis Foundation.
John's question: I was a workaholic all my professional life. I never exercised or played golf or tennis -- I just worked all the time. Now I have trouble with my balance, I've had to use a cane for more than a year, and I've had arthritis for many years. What can I do to get more fit?
Even if a condition like heart disease runs in your family, you can do a lot to break that pattern. Your choices and lifestyle make a big difference.
Some genes lead to disease. "But for most people, a healthy lifestyle trumps inherited risk," says cardiologist Donald Lloyd-Jones.
Answer: "While today's seniors were growing up, fitness wasn't what it is today. The biggest issue is trying to get them to start with a fitness program that combines cardio, strength training, and balance." Some of Absalon's safe fitness tips for seniors:
Watch your steps. Get a simple pedometer -- many cost around $10, and some are even giveaways -- and track how many steps you take each day. The goal is at least 10,000 steps every day, but work up slowly -- you don't have to go from 1,000 to 10,000 overnight.
Take the stairs. Just walking up and down stairs instead of riding the elevator can help burn calories and build strength and balance. But it's not always easy with an old injury. "If you have a bum knee, it's up with the good, and down with the bad," says Absalon. "So lead with your good leg when going up the stairs, and lead with your bad leg going down."
Take a chair. You can boost your core strength -- essential for balance and muscle tone -- while sitting at a computer or watching TV. Scoot forward so you're sitting on the edge of the chair, sitting tall with chest up and shoulders back. Lean back from the hips until your shoulders touch the back of the chair, then come back up. "You'll feel how tight your stomach muscles are," says Absalon. "It's a safe way to exercise your core without torquing the spine."