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Recommended exercise in 20's, 30's and 60's


If you were REQUIRED to recommend ONLY one form of exercise- resistance training, cardiovascular, flexibility, mind/body (Pilates/Yoga, etc) or other (no combination, integrated training, circuit training, etc- strictly one form of exercise) to an individual to potentially enhance their quality of life then what form would you recommend for a healthy young adult cleared by a physician to begin an exercise program (late 20's - early 30's)? 
 
Resistance training, cardiovascular, and flexibility training are all great ways to improve the quality of life.  As many say, though, a healthy body starts with a healthy mind.  Therefore, in order to achieve ultimate health, in addition to the body, one should also train their mind and spirit.  Yoga provides an excellence opportunity to work on all of these elements.  Yoga, through its eight limbs, which are Abstentions (yama), Observances (niyama), Postures (asan), Life-force control (pranayama), Sense-withdrawal (pratyahara), Concentration (dharana), Meditation (dhyana) and Contemplation (samadhi) promotes the physical, psychological and spiritual well-being.
 
Physical balance, alertness, relaxation, centeredness, and harmony are integral to the discipline of yoga. In a well-rounded yoga practice, the postures emphasize the realignment of the skeletal system, stretching, and toning the muscular system. In addition, every part of the body is pushed, pulled, twisted, turned, and opened.  These movements facilitate the removal of waste products such as carbon dioxide, lactic acid and lymphatic fluid from the deep tissues and extremities of the body.
 
Breathing fully, without forcing the breath, is also an integral part of yoga.  Being able to breathe properly can help enormously with going through and holding various poses.  Breathing techniques coupled with yoga exercises have been found to alleviate migraine headaches, chronic pain conditions, hyperventilation, epilepsy, asthma, panic attacks, and coronary heart disease.  The Journal of Complementary and Integrative Medicine (2009) have done several studies that documented the health benefits of yoga.  Among the health benefits are increased energy level and sleep in individuals with chronic illness and stress.  Furthermore, reduced pain and disability and increased quality of life have been reported in randomized controlled trails for various conditions such as migraine and headaches, arthritis, osteoarthritis and chronic low back pain.  Increased strength and fitness have also been shown in healthy individuals and in people with chronic conditions. 
 
Yoga has been practiced for over 6000 years.  Over this time, many different forms of movements have evolved in response to different climates, cultures, and body constitutions.  For example, Ashtanga and Power Vinyasa Yoga are more vigorous than other styles of yoga and they involve heavier physiological demands.  On the other hand, Hatha Yoga concentrates on the connection of breath and position while stretching and toning the body.  The great varieties of styles of yoga make it possible for everyone to enjoy and benefit from their practice. 
 
Based on the above mentioned benefits of yoga, I would highly recommend Ashtanga or Power Vinyasa Yoga for clients in their late 20's and early 30's.  Sequences practiced in these yoga styles improve strength, flexibility, range of motion, and can increase metabolic and heart rate.  A study by Hart C. showed the positive effects of a popular type of yoga on strength, steadiness, and balance. It shows that maximum voluntary contraction forced has increased by 14% for the knee extensors and was unchanged for elbow flexors after yoga training. The study also found that a short-term yoga program for young adults can improve balance substantially, produce modest improvements in leg strength, and improve leg muscle control for less-steady subjects.
 
What would you recommend for an older (60+) healthy adult cleared by a physician to begin an exercise program? 
 
Hatha yoga is the most common form of yoga practiced in North America. Poses such as forward bends, backbends, twists, and inversions are held for a longer duration of time compared to Asthanga Yoga.  In addition, Hatha Yoga emphasizes breathing techniques and meditation exercises.  This makes Hatha yoga a great style to be practiced by older adults.  Roland K., Jakobi J. and Jones G. wrote a critical review on whether yoga engenders fitness in older adults.  Studies reported moderate improvements for gate, balance, upper-and lower-body flexibility and weight loss. The conclusion was that yoga has the ability to create improvements in some components of fitness in older adults.
 
Similar to any type of health exercise program, yoga has potential risks and safety matters as well.  It is crucial to choose the right style of yoga that fits the individual.  It is also important to choose a sufficiently trained teacher especially when the client has physical or physiological limitations. Experienced yoga teachers can help select the right poses and breathing exercises which will minimize the risk of injury.    
 
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1.Krohn J.and Taylor F. Natural Detoxification. A practical Encylopedia. 2000
2. Kriyananda G. The spiritual science of Kriya Yoga. 2006
3.Subhadra E., Sternlieb B., Tsao J., and Zelter L. Journal of Complimentary and Integrative medicine. Volume 6, Issue 1, 2009 Article 15
4. Cowen V. and Troy A. Journal of Bodywork & Movement Therapies Jan 2007: Vol 11 Issue 1.91-95
5. hart C. and Tracy B. Journal of Strength 7 Conditioning Research. 2008, Vol 22 Issue 5, p1659
6. Roland K., Jakobi J., and Jones G. Journal of Aging and Physical Activity. 20011, 19, 62-79

8 Comments to Recommended exercise in 20's, 30's and 60's:

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