Staying Active in Cold Weather: A Safety Guide for Older Adults

Oct 01, 2023
Fact Checked
We consulted professionals to provide older adults with a comprehensive guide to safe physical activity in cold weather.

Key Takeaways

Exercise doesn’t have to feel like a chore. It can be fun, safe, and empowering with the right guidance. Our Reviews Team consulted the following professionals to develop the most comprehensive guide for physical activity in cold weather:

The importance of exercise in older adulthood

Age should never be a reason to stop challenging your mind and body. Exercise promotes physical, cognitive, emotional, and social benefits. [1]Benefits of Physical Activity. Centers for Disease Control and Prevention. June 28, 2023. Found on the internet at https://www.cdc.gov/physicalactivity/basics/pa-health/index.htm

An infographic of the top 11 benefits of exercise for older adults

11 benefits of exercise

Four primary types of exercises

Not every exercise has the same purpose. Depending on your goals, exercise can be categorized into four main groups, each focusing on a different fitness aspect: endurance, strength, flexibility and mobility, and balance.

While they’re all important, some people may focus on one category more than another, depending on their current status and wellness goals.

Endurance exercise

Also known as aerobic exercise, endurance activities are prolonged, repetitive exercises that get your heart beating faster. Although your heart rate, blood pressure, and breathing rate increase temporarily during exercise, long-term effects lower these factors for a healthier cardiovascular system. [11]Oh, Deuk-Ja, et al. The Effects of Strenuous Exercises on Resting Heart Rate, Blood Pressure, and Maximal Oxygen Uptake. Journal of Exercise Rehabilitation. Feb. 1, 2016. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771152/

Examples of endurance activities include:

Strength exercise

Strength or resistance training builds muscle and supports joint health. Research has suggested strength training alone can improve joint mobility in adults by up to 28%. [12]Leite, Thalita B., et al. Effects of Different Number of Sets of Resistance Training on Flexibility. International Journal of Exercise Science. Sept. 1, 2017. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609666/ This type of training involves working against resistance, like body weight or dumbbells, to improve your muscles’ capacity to work through heavy tasks. You can use your own body’s weight for resistance exercises. Push-ups, planks, lunges, and pull-ups are all strengthening exercises that can be done at home with little to no equipment.

When you add speed to strength training, it’s called power training. This involves moving against resistance quickly, creating explosive movements. Jumping is a classic example because your muscles are working quickly to move the weight of your body against the resistance of gravity.

Physical activities that incorporate strengthening include:

Flexibility and joint mobility training

Flexibility refers to a muscle’s ability to lengthen, while joint mobility refers to the joint’s ability to move freely. Both types of training go hand in hand because they allow you to move with less restriction.

Lack of flexibility and joint mobility contributes to feelings of stiffness and can limit your ability to participate in everyday activities. For example, if your knee joint is limited in bending, getting on and off the floor for exercises might be tough or painful.

Examples of flexibility and joint mobility activities include:

Balance training

Often overlooked, balance training is an essential part of independent movement and confidence. Your brain takes information from your body’s position and its surroundings to make adjustments that keep you steady. Without adequate balance, movements feel uncoordinated, leaving you vulnerable to injury.

Activities that incorporate balance and coordination include:

How much exercise do I really need?

The American College of Sports Medicine (ACSM) and the Centers for Disease Control and Prevention (CDC) recommend healthy adults engage in the following amount of exercise per week: [13]Physical Activity Guidelines. American College of Sports Medicine. Found on the internet at https://www.acsm.org/education-resources/trending-topics-resources/physical-activity-guidelines [14]Being Active As We Get Older—Exercise is Medicine. American College of Sports Medicine. 2019. Found on the internet at https://www.exerciseismedicine.org/assets/page_documents/EIM_Rx%20for%20Health_Being%20Active%20as%20We%20Get%20Older.pdf [15]How Much Physical Activity Do Older Adults Need? Centers for Disease Control and Prevention. April 13, 2023. Found on the internet at https://www.cdc.gov/physicalactivity/basics/older_adults/index.htm

What you consider moderate- or vigorous-intensity exercise might differ from someone else. Rating how difficult an exercise feels is the best way to rank its intensity. According to a 0–10 scale called the Rating of Perceived Exertion (RPE), an exercise that rates between 3–4 is considered moderate intensity, and an exercise between 4–6 is considered vigorous intensity. [16]Rating of Perceived Exertion. Journal of Physiology. 2012. Found on the internet at https://core.ac.uk/download/pdf/82265792.pdf

Between exercise days, be sure to incorporate rest days of light activity (a 3 out of 10 or lower on the RPE scale) to allow your body to recover. [14]Being Active As We Get Older—Exercise is Medicine. American College of Sports Medicine. 2019. Found on the internet at https://www.exerciseismedicine.org/assets/page_documents/EIM_Rx%20for%20Health_Being%20Active%20as%20We%20Get%20Older.pdf

According to ACSM, older adults should regularly engage in balance, flexibility, and mobility training to prevent falls and to keep moving through older adulthood. [14]Being Active As We Get Older—Exercise is Medicine. American College of Sports Medicine. 2019. Found on the internet at https://www.exerciseismedicine.org/assets/page_documents/EIM_Rx%20for%20Health_Being%20Active%20as%20We%20Get%20Older.pdf You can combine these activities with endurance or strength exercises.

Two suggested weekly exercise schedules for those engaging in moderate-intensity training
Two suggested weekly exercise schedules for those engaging in vigorous-intensity training

Those with chronic conditions and difficulty meeting physical activity guidelines should adhere to recommendations as closely as possible and can make exercise shorter or less intense, if necessary. [15]How Much Physical Activity Do Older Adults Need? Centers for Disease Control and Prevention. April 13, 2023. Found on the internet at https://www.cdc.gov/physicalactivity/basics/older_adults/index.htm

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If you’re unsure of how you should incorporate an exercise routine, talk to a coach or trainer who can provide personalized recommendations. Those with chronic conditions or fear of falling should talk to their doctor and ask for a referral to a rehabilitation specialist, like a physical therapist.

Getting into an exercise routine

Starting any new habit takes time, and getting into an exercise routine is no different. We asked Kacyon to share advice on ways to combat common reasons older adults veer off-track.

Problem one: “I find it hard to stay accountable”

Kacyon recommends working with someone else who can help you stay on the right path, whether a trainer, family member, or friend. Together, you can work toward similar goals and build each other up when you feel unmotivated or lack confidence.

And if you’re having trouble completing your routine, Kacyon advised breaking the workout into smaller parts that last no longer than 10 minutes. “It’s easier to convince yourself to do 10 minutes compared to 30 minutes, and something is better than nothing,” he said.

Problem two: “My mobility is limited and sometimes painful”

“If you experience pain during movement, it is recommended to work with a trained professional, so you don’t increase your pain,” said Kacyon. A doctor’s referral to a rehabilitation specialist, like an occupational or physical therapist, might be appropriate. They’ll evaluate your movement, provide insight into why you may be feeling pain or limitation, and recommend safe exercises that can help improve your symptoms and get you back on track.

In the meantime, talk to your doctor or rehabilitation specialist to see if some adaptive exercises are appropriate while you heal.

Problem three: “I don’t have enough space or equipment”

People can still exercise in a small space, said Kacyon. And you don’t need special equipment for a good workout. He recommended using everyday household items. A few simple home exercises include:

If you’d like more variety and you’re able to commute, consider joining a community center, a local gym, or a senior center. Most senior centers offer exercise classes tailored to a wide range of interests and activity levels. The YMCA and YWCA are also good examples of gyms with diverse classes and activities for the entire community. They can be found throughout the U.S. Check out where they’re located near you by following the links above.

If your outdoor home environment is safe and you feel ready to venture outside, use greenway paths, sidewalk curbs, and park benches to complete your exercise routine. Not confident going outside, especially in cold weather? Don’t go alone. Find a friend or family member to accompany you, or bring a mobile medical alert system so you can call for help from wherever you are.

Safe activity in colder weather

While indoor activities are a great way to keep moving, outdoor activities and sun exposure should still be incorporated into your activity routine when possible. Sun exposure can boost vitamin D, an important nutrient that supports bone, nerve, and immune system health. [17]Vitamin D Fact Sheet for Consumers. National Institutes of Health, Office of Dietary Supplements. Nov. 8, 2022. Found on the internet at https://ods.od.nih.gov/factsheets/VitaminD-Consumer/ Unfortunately, many older adults have vitamin D deficiency, and a wide body of research has found that lack of sufficient vitamin D increases the risk of fractures, heart conditions, diabetes, and cancer. [18]Giustina, Andrea, et al. Vitamin D in the Older Population: A Consensus Statement. Endocrine. Oct. 26, 2022. Found on the internet at https://link.springer.com/article/10.1007/s12020-022-03208-3

Outdoor activities

Cold weather shouldn’t stop you from enjoying the outdoors. Here are some fun ways to get moving during the chilly winter months:

Outdoor exercise safety

Before heading outside, be aware of winter weather risks. When exposed to the cold, your body must adapt to prevent heat loss. Some adaptations slow with age or have negative consequences for those who have chronic conditions, leaving some older adults vulnerable to cold weather injuries. Falling on icy surfaces is also a concern, but with the right preparation, you can stay safe outdoors during the winter months.

An infographic listing ways older adults can exercise safely in cold weather

Indoor exercise

Don’t let freezing weather stop you in your tracks. Indoor exercises can be just as effective as outdoor activities. Get moving with a variety of options.

Indoor exercise safety

While the following precautions aren’t exclusive to indoor activities, they are important reminders about exercise safety. Keep these in mind when you’re exercising at the gym, in your home, or on the indoor field.

An infographic listing ways older adults can exercise safely indoors

Adaptive cold-weather exercise considerations

Where there’s a will, there’s a way. We collaborated with Ohling to share recommendations on how older adults can adapt their exercise routine to common medical conditions and maintain their activity levels during cold weather. Use your best judgment when starting a new activity, and always refer to a doctor if you’re unsure what’s safe for your condition.

Limited upper body mobility and strength

Many conditions can affect dexterity, and some are common as we age. Familiarizing yourself with common, age-related conditions can help you to prepare for them, instead of being alarmed when (or if) the symptoms begin. Arthritis is a common diagnosis that can affect the use of our hands, like opening a jar or clasping a necklace. Unfortunately, cold weather can aggravate arthritis symptoms, exacerbating stiff and painful joints. [27]Mori, Hiroaki, et al. Influence of Seasonal Changes on Disease Activity and Distribution of Affected Joints in Rheumatoid Arthritis. BMC Musculoskeletal Disorders. Jan. 18, 2019. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339394/ It’s important to stay warm and keep moving during winter months to keep symptoms at bay. When you head outdoors, opt for warm, waterproof gloves that protect your wrists, hands, and fingers. If possible, get cold-weather gloves that have touch-screen fingertips so you don’t have to remove the gloves to use your cellphone.

Ask your doctor for a referral to a rehabilitation professional, who can teach strategies to overcome dexterity issues and safely practice upper body exercises for your condition. If symptoms limit your ability to hold and carry items, focus on lower body activities instead, like:

Limited lower body mobility and strength

Those with limited lower body mobility and strength may also be at risk for falls. Take the Falls Free CheckUp to screen your risk for a fall, and if you’re at risk, ask your doctor for a referral to a rehabilitation professional who can teach you appropriate activities to practice. They can help you feel more confident on your feet and may recommend using an assistive device, like a cane or walker, to stay safe.

Arthritis can also affect the hips, knees, and ankles, contributing to stiffness and pain with movement. Remember to bundle up appropriately since cold weather can worsen symptoms. [27]Mori, Hiroaki, et al. Influence of Seasonal Changes on Disease Activity and Distribution of Affected Joints in Rheumatoid Arthritis. BMC Musculoskeletal Disorders. Jan. 18, 2019. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339394/ And if you’re preparing for some cold weather activities, allot extra time to warm up your joints with preliminary exercises to prepare your body for movement.

If it’s not safe for you to perform standing activities unassisted, focus on seated upper body exercises instead, like:

Vision loss

Visual impairments are common among older adults, and prevalence increases with age. [28]Varadaraj, Varshini, et al. Vision Impairment Has Implications for Aging and Health Outcomes, Beyond Ophthalmology. Journal of the American Medical Association. May 24, 2022. Found on the internet at https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2792603 In 2019, about 3.2 million people age 65 and older experienced visual impairment, according to the American Foundation for the Blind. [29]Estimates of Older People with Vision Loss from the American Community Survey (ACS). American Foundation for the Blind. Found on the internet at https://www.afb.org/research-and-initiatives/statistics/statistics-older-vision-loss/statistics-older-vision-loss-acs

It’s possible to learn strategies and exercises that will help keep you independent. Ask your doctor to work with a rehabilitation professional who can teach you safe balance exercises, which reduce fall risk by improving body awareness, control, and coordination. [30]Mansori, Mohammad H., at al. Effects of a Four-Week Vestibular Exercise Program on Postural Control, Risk of Falling, and Quality of Life in Visually-Impaired Individuals. Physical Treatments. May 31, 2020. Found on the internet at http://ptj.uswr.ac.ir/browse.php?a_id=421&sid=1&slc_lang=en Specific exercise recommendations depend on the extent of your vision loss, although Ohling recommended using the buddy system or a sighted guide when venturing into cold weather. Icy conditions and slick surfaces can be difficult to detect even under the best conditions.

Diabetes

Physical activity can make your body more sensitive to insulin, which helps manage diabetes. [31]Get Active! Centers for Disease Control and Prevention. Nov. 3, 2022. Found on the internet at https://www.cdc.gov/diabetes/managing/active.html But cold weather may cause blood sugar spikes due to hormonal changes that reduce insulin production, allowing blood sugar to stay in the system longer. [32]Managing Diabetes in Cold Weather. Centers for Disease Control and Prevention. Jan. 4, 2023. Found on the internet at https://www.cdc.gov/diabetes/library/features/managing-diabetes-cold-weather.html

Although people with diabetes can safely exercise, check your blood sugar to ensure it’s at a good level before starting. If it’s below 100 milligrams per deciliter (mg/dL), you’ll need to eat a snack with carbohydrates before you start exercising in order to prevent feeling faint during your workout. If it’s above 240 mg/dL, it’s too high for activity and you should closely monitor your levels for a few hours while drinking water. If they don’t drop, you may need to take a dose of insulin, but you should consult with a medical professional immediately. [31]Get Active! Centers for Disease Control and Prevention. Nov. 3, 2022. Found on the internet at https://www.cdc.gov/diabetes/managing/active.html [33]If Your Blood Glucose Is Too High or Too Low—Hyperglycemia and Hypoglycemia. Beth Israel Lahey Health. March 25, 2019. Found on the internet at https://www.lahey.org/article/if-your-blood-glucose-is-too-high-or-too-low/

Ohling added a caution for those with diabetes: Always have a sugary snack or drink nearby in case you feel your blood sugar drop, especially when leaving the house. Symptoms include feeling faint, nauseous, or dizzy. But avoid taking your insulin with you, since freezing temperatures will damage the medication. Cold weather can also damage insulin pumps, so keep them warm and close to your skin. [32]Managing Diabetes in Cold Weather. Centers for Disease Control and Prevention. Jan. 4, 2023. Found on the internet at https://www.cdc.gov/diabetes/library/features/managing-diabetes-cold-weather.html

Some people with diabetes lack foot sensation. Be sure to examine your feet and toes for blisters, sores, and cuts. When it’s cold out, take extra care to keep your feet warm and dry to prevent frostbite. If you notice an injury that’s not healing after a few days, have it examined by a doctor. [31]Get Active! Centers for Disease Control and Prevention. Nov. 3, 2022. Found on the internet at https://www.cdc.gov/diabetes/managing/active.html

High Blood Pressure

Winter hypertension refers to high blood pressure in the cold. It naturally occurs for unknown reasons, although some studies suggest it’s due to constricting blood vessels in response to cold temperatures, which increases blood pressure.

Ohling told us that those with existing high blood pressure should closely monitor their vitals during the winter months. If you don’t already own an automatic blood pressure cuff at home, purchase one online or at your local pharmacy and follow the directions closely to receive an accurate reading and log your numbers twice a day. Normal blood pressures sit just below 120/80 millimeters of mercury (mmHg). [34]High Blood Pressure and Older Adults. National Institutes of Health; National Institute on Aging. Oct. 1, 2022. Found on the internet at https://www.nia.nih.gov/health/high-blood-pressure-and-older-adults If you notice a trend of higher than normal numbers, talk to your doctor and show them your daily logs.

When venturing outdoors, Ohling suggested bundling up appropriately and avoiding overexertion to keep your blood pressure steady. If your blood pressure is in the high range (above 130/80 mmHg), talk to your doctor about safe outdoor activities during the winter months and avoid other factors that may elevate your levels, like smoking and alcohol. [34]High Blood Pressure and Older Adults. National Institutes of Health; National Institute on Aging. Oct. 1, 2022. Found on the internet at https://www.nia.nih.gov/health/high-blood-pressure-and-older-adults You may opt for indoor activities instead. Remember to breathe through movements, as breath-holding during strenuous activities can spike blood pressure. [35]Srivastav, Shival, et al. Valsalva Maneuver. StatPearls. Oct. 25, 2022. Found on the internet at https://www.ncbi.nlm.nih.gov/books/NBK537248/

On the other hand, low blood pressure, or hypotension, is also a risk for some people. Referred to medically as exercise-associated postural hypotension (EAPH), blood pressure drops following a strenuous workout, resulting in less oxygen going to the organs—including the brain—and increasing the risk of falls and loss of consciousness. Other symptoms can include dizziness, confusion, and blurred vision. Some medical conditions and medications can influence the risk factor for EAPH, so talk to your doctor about your risk. [36]Irelan, Micheal C. and Schroeder, Jeremy D. Exercise-Associated Collapse. StatPearls Publishing. Jan. 2, 2023. Found on the internet at https://www.ncbi.nlm.nih.gov/books/NBK576425/

Taking care of your body before and after a workout

Kacyon told us that warmups and cool-downs are an important part of any workout. “A proper warmup and cool-down allows older adults to safely exercise in any condition, including the cold,” he said.

How to warm up

Before your workout or activity, allot some time for a warmup. “The warmup prepares your heart, muscles, and joints for more intense movement,” said Kacyon. About 5–10 minutes of movement prepares the body for your upcoming activity and helps prevent injury. [37]Warm Up, Cool Down. American Heart Association. Sept. 1, 2014. Found on the internet at https://www.heart.org/en/healthy-living/fitness/fitness-basics/warm-up-cool-down For cold weather conditions, allot about 15 minutes to warm up adequately. It’s best to start your main activity while you’re warm and ready. [38]Spitz, Marissa G., et al. The Effects of Elapsed Time After Warm-Up on Subsequent Exercise Performance in a Cold Environment. Journal of Strength and Conditioning Research. May 2014. Found on the internet at https://journals.lww.com/nsca-jscr/fulltext/2014/05000/the_effects_of_elapsed_time_after_warm_up_on.22.aspx

The most important aspect of a warmup is to ease into movement—stretching while seated on a chair doesn’t have the same effect as a dynamic warmup that gets the blood pumping to the muscles you’re about to use. [39]Perrier, Erica T., et al. The Acute Effects of a Warm-Up Including Static or Dynamic Stretching on Countermovement Jump Height, Reaction Time, and Flexibility. Journal of Strength and Conditioning Research. July 2011. Found on the internet at https://journals.lww.com/nsca-jscr/Fulltext/2011/07000/The_Acute_Effects_of_a_Warm_Up_Including_Static_or.19.aspx Opt for movements that get the whole body involved, prioritizing the body regions you’re about to use the most. For example, if you’re preparing for a boxing class, your instructor may lead you through a warmup consisting of low-intensity upper-body movements to get your arm and core muscles ready for action.

How to cool down

After you complete your exercise, you should perform a five-minute cooldown, which settles the body into a more rested state. Your movement intensity should drop significantly, allowing your heart and breathing rates to slow down.

Kacyon suggests a slow walk at the end of your workout, then engaging in gentle stretching. Take your time—hold stretches for 30 seconds and focus on breathing in through your nose and out through your mouth.

Always allot time to ramp down your activity and allow your body to recover. If you stop exercising immediately without a cool down, especially after more intense exercise, you risk feeling sick or fainting. [37]Warm Up, Cool Down. American Heart Association. Sept. 1, 2014. Found on the internet at https://www.heart.org/en/healthy-living/fitness/fitness-basics/warm-up-cool-down

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Stay hydrated

Ohling urged older adults to stay hydrated during winter months. Up to 40% of older adults are under-hydrated, and cold weather doesn’t help. [40]Porterfield, Andrew. Study Finds a Lack of Adequate Hydration Among the Elderly. University of California Los Angeles Newsroom. March 5, 2019. Found on the internet at https://newsroom.ucla.edu/releases/study-finds-a-lack-of-adequate-hydration-among-the-elderly People typically don’t feel as thirsty in cold weather as in hot weather, but you still need to drink water to stay healthy. [41]Hydration in Cold Weather. PennState Extension. Feb. 16, 2022. Found on the internet at https://extension.psu.edu/hydration-in-cold-weather The standard recommendation is about eight glasses daily, but consult your doctor to determine how much water is healthy considering your weight, activity level, and health status. [42]Picetti, Dominic, et al. Hydration Health Literacy in the Elderly. Nutrition and Healthy Aging. Dec. 7, 2017. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5734130/ There may be medical factors that influence your recommended fluid intake, like your medication regimen.

Technologies to keep you healthy and active

If you want to keep track of your activity levels, there are multiple tools available to help. Cellphones and watches often incorporate activity-tracking software designed to count your steps, watch your heart rate, and ensure you fit activity into your day.

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Beware of nutrition apps

Kacyon cautioned older adults away from nutrition applications. “None have been found to be safe and specific enough for older adults. Many older individuals are on medications that can cause their weight to fluctuate. Additionally, certain medical conditions, such as diabetes and heart disease, may require specific dietary restrictions or considerations,” he said. If you’re concerned about your diet, talk to your physician before making any changes.

Bottom line

Don’t let cold weather put a damper on your activity levels. It’s important to stay active all year to keep your body strong and your mind sharp, so be adventurous and explore new ways to move.

Bundle up and head outdoors to soak in nature, but take precautions to stay safe. If the weather doesn’t permit outdoor exercise, get creative with some indoor activities, like a home workout, a boxing lesson at your local gym, or Tai Chi at your local senior center.

Unsure what activities are most appropriate for you? Talk to a personal trainer who can give you some advice. If you have a chronic condition, like pain or limited mobility, ask your doctor how to incorporate exercise into your daily routine. You may benefit from a referral to a physical therapist.

Have questions about this article? Email us at reviewsteam@ncoa.org.

Sources

  1. Centers for Disease Control and Prevention. Benefits of Physical Activity. June 28, 2023. Found on the internet at https://www.cdc.gov/physicalactivity/basics/pa-health/index.htm
  2. McNamara, Gabrielle, et al. Effectiveness and Benefits of Exercise on Older People Living With Mental Illness’ Physical and Psychological Outcomes in Regional Australia: A Mixed-Methods Study. Human Kinetics Journals. Oct. 26, 2022. Found on the internet at https://journals.humankinetics.com/view/journals/japa/31/3/article-p417.xml
  3. Geneen, Louise J., et al. Physical Activity and Exercise for Chronic Pain in Adults: An Overview of Cochrane Reviews. Cochrane Library. April 24, 2017. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461882/
  4. Physical Activity for Pain Prevention. International Association for the Study of Pain. July 9, 2021. Found on the internet at https://www.iasp-pain.org/resources/fact-sheets/physical-activity-for-pain-prevention/
  5. Sliwa, Jim. Regular Exercise May Slow Decline in Those at Risk of Alzheimer’s. American Psychological Association. Aug. 9, 2019. Found on the internet at https://www.apa.org/news/press/releases/2019/08/exercise-decline-alzheimers
  6. Blumenthal, James A., et al. Effects of Exercise Training on Older Patients With Major Depression. Journal of the American Medical Association. Oct. 25, 1999. Found on the internet at https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/485159
  7. Pinheiro, Marina B., et al. Evidence on Physical Activity and Osteoporosis Prevention for People Aged 65+ Years: A Systematic Review to Inform the WHO Guidelines on Physical Activity and Sedentary Behaviour. International Journal of Behavioral Nutrition and Physical Activity. Nov. 26, 2020. Found on the internet at https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-01040-4?fd=5919341930653900|5317710456904024&lp=/research-ED-osteoporosis
  8. Langhammer, Birgitta, et al. The Importance of Physical Activity and Exercise Among Older Adults. BioMed Research International. Dec. 5, 2018. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304477/
  9. Sherrington, Catherine, et al. Exercise to Prevent Falls in Older Adults: An Updated Systematic Review and Meta-Analysis. British Journal of Sports Medicine. December 2017. Found on the internet at https://pubmed.ncbi.nlm.nih.gov/27707740/
  10. World Health Organization. Global Action Plan on Physical Activity 2018–2030: More Active People for A Healthier World. 2018. Found on the internet at https://apps.who.int/iris/bitstream/handle/10665/272722/9789241514187-eng.pdf?sequence=1&isAllowed=y
  11. Oh, Deuk-Ja, et al. The Effects of Strenuous Exercises on Resting Heart Rate, Blood Pressure, and Maximal Oxygen Uptake. Journal of Exercise Rehabilitation. Feb. 1, 2016. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771152/
  12. Leite, Thalita B., et al. Effects of Different Number of Sets of Resistance Training on Flexibility. International Journal of Exercise Science. Sept. 1, 2017. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609666
  13. American College of Sports Medicine. Physical Activity Guidelines. Found on the internet at https://www.acsm.org/education-resources/trending-topics-resources/physical-activity-guidelines
  14. American College of Sports Medicine. Being Active As We Get Older—Exercise is Medicine. 2019. Found on the internet at https://www.exerciseismedicine.org/assets/page_documents/EIM_Rx%20for%20Health_Being%20Active%20as%20We%20Get%20Older.pdf
  15. Centers for Disease Control and Prevention. How Much Physical Activity Do Older Adults Need? April 13, 2023. Found on the internet at https://www.cdc.gov/physicalactivity/basics/older_adults/index.htm
  16. Rating of Perceived Exertion. Journal of Physiology. 2012. Found on the internet at https://core.ac.uk/download/pdf/82265792.pdf
  17. National Institutes of Health, Office of Dietary Supplements.Vitamin D Fact Sheet for Consumers. Nov. 8, 2022. Found on the internet at https://ods.od.nih.gov/factsheets/VitaminD-Consumer/
  18. Giustina, Andrea, et al. Vitamin D in the Older Population: A Consensus Statement. Endocrine. Oct. 26, 2022. Found on the internet at https://link.springer.com/article/10.1007/s12020-022-03208-3
  19. An, Ning and Chuo, Jing. Walking and Activeness: The First Step toward the Prevention of Strokes and Mental Illness. Computational Intelligence and Neuroscience. March 14, 2022. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938141/
  20. MacIntosh, Brian R., et al. What Is Moderate to Vigorous Exercise Intensity? Frontiers in Physiology. Sept. 22, 2021. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8493117/
  21. Kaufman, James. Creativity as a Stepping Stone toward a Brighter Future. Journal of Intelligence. March 26, 2018. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480761/
  22. Basit, Hajira, et al. Frostbite. StatPearls. June 26, 2023. Found on the internet at https://www.ncbi.nlm.nih.gov/books/NBK536914/
  23. Huang, Zhi-Guan, et al. Systematic Review and Meta-Analysis: Tai Chi for Preventing Falls in Older Adults. BMJ Open. Feb. 6, 2017. Found on the internet at https://bmjopen.bmj.com/content/7/2/e013661.abstract
  24. Sivaramakrishnan, Divya, et al. The Effects of Yoga Compared to Active and Inactive Controls on Physical Function and Health-Related Quality of Life in Older Adults—Systematic Review and Meta-Analysis of Randomised Controlled Trials. International Journal of Behavioral Nutrition and Physical Activity. April 5, 2019. Found on the internet at https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-019-0789-2
  25. Valdés-Badilla, Pablo, et al. Effects of Olympic Combat Sports on Older Adults’ Health Status: A Systematic Review. International Journal of Environmental Research and Public Health. July 10, 2021. Found on the internet at https://www.mdpi.com/1660-4601/18/14/7381
  26. Lin, Yen-An, et al. The Effectiveness of a Group Kickboxing Training Program on Sarcopenia and Osteoporosis Parameters in Community-Dwelling Adults Aged 50–85 Years. Frontiers in Medicine. April 25, 2022. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9081979/
  27. Mori, Hiroaki, et al. Influence of Seasonal Changes on Disease Activity and Distribution of Affected Joints in Rheumatoid Arthritis. BMC Musculoskeletal Disorders. Jan. 18, 2019. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339394/
  28. Varadaraj, Varshini, et al. Vision Impairment Has Implications for Aging and Health Outcomes, Beyond Ophthalmology. Journal of the American Medical Association. May 24, 2022. Found on the internet at https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2792603
  29. American Foundation for the Blind. Estimates of Older People with Vision Loss from the American Community Survey (ACS). Found on the internet at https://www.afb.org/research-and-initiatives/statistics/statistics-older-vision-loss/statistics-older-vision-loss-acs
  30. Mansori, Mohammad H., et al. Effects of a Four-Week Vestibular Exercise Program on Postural Control, Risk of Falling, and Quality of Life in Visually-Impaired Individuals. Physical Treatments. May 31, 2020. Found on the internet at http://ptj.uswr.ac.ir/browse.php?a_id=421&sid=1&slc_lang=en
  31. Centers for Disease Control and Prevention. Get Active! Nov. 3, 2022. Found on the internet at https://www.cdc.gov/diabetes/managing/active.html
  32. Centers for Disease Control and Prevention.Managing Diabetes in Cold Weather. Jan. 4, 2023. Found on the internet at https://www.cdc.gov/diabetes/library/features/managing-diabetes-cold-weather.html
  33. Beth Israel Lahey Health. If Your Blood Glucose Is Too High or Too Low—Hyperglycemia and Hypoglycemia. March 25, 2019. Found on the internet at https://www.lahey.org/article/if-your-blood-glucose-is-too-high-or-too-low/
  34. National Institutes of Health; National Institute on Aging.High Blood Pressure and Older Adults. Oct. 1, 2022. Found on the internet at https://www.nia.nih.gov/health/high-blood-pressure-and-older-adults
  35. Srivastav, Shival, et al. Valsalva Maneuver. StatPearls. Oct. 25, 2022. Found on the internet at https://www.ncbi.nlm.nih.gov/books/NBK537248/
  36. Irelan, Micheal C. and Schroeder, Jeremy D. Exercise-Associated Collapse. StatPearls Publishing. Jan. 2, 2023. Found on the internet at https://www.ncbi.nlm.nih.gov/books/NBK576425/
  37. American Heart Association. Warm Up, Cool Down. Sept. 1, 2014. Found on the internet at https://www.heart.org/en/healthy-living/fitness/fitness-basics/warm-up-cool-down
  38. Spitz, Marissa G., et al. The Effects of Elapsed Time After Warm-Up on Subsequent Exercise Performance in a Cold Environment. Journal of Strength and Conditioning Research. May 2014. Found on the internet at https://journals.lww.com/nsca-jscr/fulltext/2014/05000/the_effects_of_elapsed_time_after_warm_up_on.22.aspx
  39. Perrier, Erica T., et al. The Acute Effects of a Warm-Up Including Static or Dynamic Stretching on Countermovement Jump Height, Reaction Time, and Flexibility. Journal of Strength and Conditioning Research. July 2011. Found on the internet at https://journals.lww.com/nsca-jscr/Fulltext/2011/07000/The_Acute_Effects_of_a_Warm_Up_Including_Static_or.19.aspx
  40. Porterfield, Andrew. Study Finds a Lack of Adequate Hydration Among the Elderly. University of California Los Angeles Newsroom. March 5, 2019. Found on the internet at https://newsroom.ucla.edu/releases/study-finds-a-lack-of-adequate-hydration-among-the-elderly
  41. PennState Extension. Hydration in Cold Weather. Feb. 16, 2022. Found on the internet at https://extension.psu.edu/hydration-in-cold-weather
  42. Picetti, Dominic, et al. Hydration Health Literacy in the Elderly. Nutrition and Healthy Aging. Dec. 7, 2017. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5734130/
  43. Tudor-Locke, Catrine, et al. How Many Steps/Day Are Enough? For Older Adults and Special Populations. The International Journal of Behavioral Nutrition and Physical Activity. July 28, 2011. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3169444/
  44. Chan, John S.Y., et al. Effects of Meditation and Mind-Body Exercises on Older Adults’ Cognitive Performance: A Meta-Analysis. The Gerontologist. Feb. 23, 2019. Found on the internet at https://academic.oup.com/gerontologist/article/59/6/e782/5363988
  45. Park, Denise C., et al. The Impact of Sustained Engagement on Cognitive Function in Older Adults: The Synapse Project. Psychological Science. Nov. 8, 2013. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154531/
  46. Centers for Disease Control and Prevention. The Color of the Light Affects the Circadian Rhythms. April 1, 2020. Found on the internet at https://www.cdc.gov/niosh/emres/longhourstraining/color.html
Nicole Hernandez is a writer and physical therapist who empowers people to make informed decisions about their health as a writer and clinician. She has written for NCOA, AginginPlace.org, and physical therapy clinics to educate readers on fall and injury prevention, rehabilitation, home modifications, and other clinical themes including hearing aids and medical alert systems.
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Brittany Ferri Medical Reviewer
Brittany Ferri, PhD, OTR/L is an occupational therapist, author, writer, and business owner. She specializes in mental health, teletherapy, geriatrics, and medical writing. Clinically, she has worked in assisted living facilities, hospitals, and home health agencies. She attended Quinnipiac University for her Master’s and Saybrook University for her PhD in Integrative Mental Health.
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