Abstract

An approximately designed exercise programme for the elderly patient draws upon a tremendous breadth of knowledge in the various sub-disciplines of sports medicine, exercise science and physical education (Shephard, 1983a). In a substantial proportion of individuals, specific problems are created by sub-clinical or overt disease. Activity must be adjusted not to calendar age, but to biological age and health status. Too often, evaluations of exercise have focused upon longevity. However, the main benefit of exercise to the elderly is an enhancement of the quality of life. Regular physical activity cannot retard the fundamental processes of aging, but nevertheless the welltrained individual gains the equivalent of 10-20 years of cardio-respiratory rejuvenation. Practical exercise prescriptions must take due account of both safety and the special interests and needs of the elderly. While programmes must be adapted to specific pathologies, immediate medical supervision is both costly and unnecessary for the average senior citizen. The key to an appropriate prescription is an amount of exercise which the old person enjoys, which induces only pleasant tiredness, but yet initiates a slow but progressive improvement of physical condition. Verf.-Referat