International Curriculum Guidelines









Current Issue

Fall 2000


Sandy O'Brien Cousins, Ed
In this issue, we are pleased to profile currentinitiatives of ISAPA members that promote physical activity, exercisescience, and fitness for the health and well-being of older persons. This is an attempt to share with members of ISAPA cutting-edge information regarding what is being done around the world to promote physical activity for older persons. Twelve organizations from Australia, Canada, France, Japan, Norway, and the United States submitted brief descriptions of their current (or very recent) research, education, and clinical activities. In addition to these articles, Dr. Wojtek Chodzko-Zajko shares the news concerning a major initiative from the American College of Sports Medicine called the Active Aging Partnership.

We are grateful to those individuals who contributed to this newsletter. It is your active participation, as ISAPA members, which contributes to the organization's growth around the globe. We hope that each of you will consider increasing your involvement with ISAPA in the future.

Michael E. Rogers, Ph.D., ISAPA Newsletter Editor
Wichita State University, Wichita, Kansas, USA



Table of Contents:

Press Release on ACSM Active Aging Partnership
Wojtek Chodzko-Zajko, Ph.D.
ISAPA President
University of Illinois at Urbana-Champaign
Urbana, Illinois, USA


Exercise Gerontology
University of Alberta
Edmonton, Alberta, Canada
Sandy O'Brien Cousins, Ed.D.


Institute of Health and Sport Sciences
University of Tsukuba
Tsukuba, Japan
Kiyoji Tanaka, Ph.D.


Center for Successful Aging
California State University
Fullerton, California, USA
Jessie Jones, Ph.D.


Center for Physical Activity and Aging
Wichita State University
Wichita, Kansas, USA
Michael E. Rogers, Ph.D.


Exercise Gerontology Laboratory
Nagoya City University
Nagoya, Japan
Nobuo Takeshima, Ph.D.


Centre for Physical Activity in Ageing
Hampstead Rehabilitation Centre
Northfield, Australia
Dr. Phil Hamdorf


School of Public Health, Faculty of Medicine
Nancy University
Nancy, France
Anne Vuillemin


Milwaukee County Department on Aging
Milwaukee, Wisconsin, USA
Linda Cieslik, Ph.D.


The Norwegian University of Sports and Physical Education
Ullevål Stadion
Oslo, Norway
Nina Waaler Loland, Ph.D.


University of Kansas
Lawrence, Kansas, USA
Wayne Osness, Ph.D.


Strength in Motion Inc.
Lethbridge, Alberta, Canada
Lori Chaki-Farrington


Preferred Care, Inc., You're in Charge!
Rochester, New York, USA
Laura A. Gladwin, M.S.


How to contribute to the ISAPA Newsletter
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ACSM Announces Major New Initiative in the Area of Aging and Physical Activity.

Wojtek Chodzko-Zajko, Ph.D.
ISAPA President
University of Illinois at Urbana-Champaign
Urbana, Illinois, USA





The American College of Sports Medicine has recently announced that it is significantly increasing its involvement in the area of aging and physical activity. ACSM is sponsoring a Specialty Conference on Aging as well as launching a major new public education project known as the Active Aging Partnership:

1.ACSM Special Conference on Aging:

ACSM will host a specialty conference at the Adam’s MarkHotel Downtown in Indianapolis, Indiana on Oct. 20-21, 2000. The conference is formally titled “Physical Activity Programming for the Older Adult,” and is directed to the health practitioner involved in prescribing and designing activity programs that will help older adults build strength for a better and healthier quality of life.

The focus will be to develop a consensus document concerning the role of physical activity in enhancing the functional status of the older adult. The consensus statement will address specific issues associated with physical activity programs, such as screening, evaluation, and liability. Participants will be able to identify new approaches and examine state-of-the-art information on assessment and motivation, taking away best practices for their own constituencies.

Topics include:

·Physical activity assessment

·Qualifications for senior fitness instructors

·Psychological determinants of PA

·Psychological consequences of aging

·PA programs in community settings

·Commercial PA programs

·ACSM initiatives in aging

·Assessing functional fitness in older adults

·Home-based PA programs

·PA enhancement of functional status

·Commercial equipment

·PA and cognitive functioning

·Nutritional supplementation

·Legal aspects of PA programs

·Exercise programming and prescription

·Physical activity and social, cultural and intellectual development

Presenters include:

·Steven N. Blair, P.E.D., Cooper Institute

·Loretta Di Pietro, Ph.D., Yale University

·Caroline Jones, Ph.D., California State

·Edward McAuley, Ph.D., University of Illinois

·James Collum, J.D., Canton, OH

·Roberta Rikli, Ph.D., California State

·Shelley Whitlatch, M.S., Tucson, AZ

·Susie Dinan, London, England

·Andrea Dunn, Ph.D., Cooper Institute

·Alan Jette, Ph.D., Boston University

·Wojtek Chodzko-Zajko, Ph.D., University of Illinois

·Waneen Spirduso, Ph.D., University of Texas

·Deborah Rohm Young, Ph.D., Johns Hopkins School of Medicine

·Peter Lemon, Ph.D., University of Western Ontario

2. Active Aging Partnership:

ACSM is launching a major new initiative that will highlight different issues surrounding physical activity and health, focusing on active aging. The Active Aging Partnership (AAP) is a multi-year campaign promoting the importance of physical activity and behavior modification within the population 50 years of age and over. The active aging partnerships will be launched at a leadership summit that will be held on Thursday, Oct. 19 in Indianapolis. Representatives of the Robert Wood Johnson Foundation, the Centers for Disease Control, ACSM, the National Institute on Aging (NIA), AARP, and the American Geriatric Society will meet to map out a blueprint for action. The discussion will focus on developing a campaign to promote the importance of physical activity and behavior modification in the over-50 population. Additional information about the Active Aging Partnership mission and goals will be published in future editions of the ISAPA newsletter.

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Exercise Gerontology
University of Alberta
Edmonton, Canada

Sandy O'Brien Cousins, Ed.D.





Aging with Attitude

This fall, Dr. Cousins is Program Chair for the Canadian Association on Gerontology Annual Scientific and Educational Conference, October 26-28, 2000, Edmonton, Alberta at the Westin Hotel. See web site at www.cagacg.ca for information on registration. The theme is AGING WITH ATTITUDE and we are! Harley Davidson is a key sponsor and its going to be a rip-roaring good time. Stan Dyer (age 79) and newly-wed Joyce Henderson (also a U of Ager gymnast) are part of the opening ceremonies.

A.L.L.'s Well Program

The Active Living Lab resumes September 28, 2000 and has 10 sessions of seniors coming to campus to be "exercise participants" for 4rth year P.E. students. After the first day, everyone relaxes and we have such a good time. The students are highly skilled but have never worked with seniors before. On Tuesday's class, the students prepare for the lab class, and on the Thursday lab, it all happens. Students and seniors are placed in groups at the beginning of the course by dealing out a deck of cards. After that, nothing is left to chance. We think this might be a unique approach to university training in older adult fitness leadership.

My Heart Couldn't Take It

My paper, "My heart couldn't take it": Older women's beliefs about exercise benefits and risks in the Journal of Gerontology: Psychological Sciences, 55B (5), P1-12 is getting a lot of media attention. One older woman age 77 called to tell me she is in "top-notch" shape and wanted others to know they shouldn't be afraid of being physically active, no matter how old they are. The advice from the experts is to start off slowly and build up gradually. Even if all you can do is some gentle stretches, you will feel better and your joints will appreciate it.

Special JAPA Edition

The Special JAPA Edition on Qualitative Research is coming along. Watch for this journal publication in the summer of 2001. A number of wonderful pieces of qualitative work are going to be part of that issue, and will set a standard for qualitative research for years to come.

For further information, please contact:

Sandy O'Brien Cousins, Ed.D.
Professor, Exercise Gerontology
Faculty of Physical Education & Recretion
University of Alberta
Edmonton, Alberta
T6G 2H9 Canada

Phone: (780) 492-1033
Fax: (780) 492-2364

E-mail: sandy.cousins@ualberta.ca


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Institute of Health and Sport Sciences
University of Tsukuba
Tsukuba, Japan

Kiyoji Tanaka, Ph.D.




Center for Tsukuba Advanced Research Alliance
The "Center for Tsukuba Advanced Research Alliance" (TARA) was established in May 20, 1994 at the University of Tsukuba, Tsukuba, Japan. The objectives are to develop advanced interdisciplinary academic research and to establish an innovative system for collaboration among industry, national research institutes and universities. These collaborations will help maximize the contribution of the university's research for the advancement of society. The TARA concept establishes and executes a new system to achieve these goals and responds to the needs of the society. TARA encompasses a wide range of academic research fields and has 222 faculty members. It is significant that no permanent research department has been established. Instead, 7 different "Research Aspects" are established in the following areas: 1) Biological Sciences, 2) Material Sciences, 3) Information Management through the Multimedia, 4) Human Beings in the Ecosystem, 5) Liaison, Research Management, Intellectual Property and Technology Transfer

Outline of the TARA Tanaka Project
Of special interest in our TARA research project is the substantial contribution that the physical dimension of life, consisting of health status, physical vitality, mental vitality, nutritional status, and life satisfaction can make to the overall QOL. Health status and/or physical vitality can be evaluated by the use of vital age (Tanaka et al., 1994) which is a modified index of biological age. A review of both the English-language and the Japanese-language research strongly suggest that "overall QOL" is heavily dependent upon many of the factors we plan to include in our overall index of "QOL". Unfortunately, to date, there is little consensus with respect to how precisely to measure "QOL" in older adult populations. Indeed there is a real need for more research in this area. Accordingly, the goal of the present research proposal (Tanaka project) is to develop procedures for the measurement of overall QOL of middle-aged and older Japanese people. This includes:

1) Qualitative analysis of health status, fitness, and senescence / aging
2) Development of vital age and functional fitness age prediction equations
3) Development of new assessment method of cardiorespiratory fitness
4) Provide sound exercise programs for older adults and patients with obesity, hypertension, ischemic heart disease, stroke, chronic obstructive pulmonary disease, Parkinson's disease etc.
5) Development of a sound exercise program that can reduce visceral fat and preserve bone mass in post-menopausal women

For further information, please contact:
Kiyoji Tanaka, Ph.D.
Institute of Health and Sport Sciences
University of Tsukuba 1-1-1 Tennohdai
Tsukuba 305
Japan

Phone: 011-81-298-53-2655
Fax: 011-81-298-53-6507

E-mail: tanaka@taiiku.tsukuba.ac.jp

Web address: www.taiiku.tsukuba.ac.jp/~tanaka/


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Center for Successful Aging
Division of Kinesiology and Health Promotion
California State University, Fullerton

C. Jessie Jones, Ph.D.






Roberta Rikli, Ph.D. & Jessie Jones, Ph.D. have written a new book titled "Senior Fitness Test Manual". It will be published by Human Kinetics in December, 2000.

Debbie Rose, Ph.D. was recently awarded a 3-year grant ($474,342) from the Retirement Research Foundation for "The short-and long-term effectiveness of a multidimensional fall risk reduction program for older adults residing in assisted living settings". Dr. Rose was also awarded a 3-year grant ($350,000) from Archstone Foundation to develop the Center for Successful Aging's Balance and Mobility Specialist Instructor Certification Program.

Debbie Rose, Ph.D. & Jessie Jones, Ph.D. are completing a 3-year grant ($308,000) from Archstone Foundation for the development and implementation of balance and mobility training programs into 18 senior centers. Results will be presented at the Gerontological Society of America in Washington DC, November 16-21, 2000, and the first joint national conference for the American Society on Aging and the National Council on the Aging in New Orleans, March, 8-12, 2001.

For further information, please contact:

C. Jessie Jones, Ph.D.
Center for Successful Aging
Division of Kinesiology and Health Promotion
California State University
Fullerton, California, 92834 USA

Phone: 714-278-2620

Email: jjones@Exchange.fullerton.edu


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Center for Physical Activity and Aging
Wichita State University
Wichita, Kansas, USA

Michael E. Rogers, Ph.D.


Our balance-intervention programs continue to grow in popularity. Our Center offers a class that is similar to traditional aerobic dance classes but utilizes large inflated balance balls as the primary exercise modality. Some pictures of the class are available in the ISAPA image gallery. Also, we recently completed another balance intervention program on relatively frail older adults who were in their 80’s and 90’s. With the recent purchase of a Balance Master force platform, we are now able to better evaluate the effectiveness of these balance-training classes.

One of our graduate students recently conducted a study assessing the feasibility of exercise classes for adults with multiple developmental disabilities (e.g., mental retardation, autism, Down syndrome). Participants in the study were as old as 80 years. Similar to other older adult populations, low physical fitness profiles, specifically strength and mobility, are a major limitation in living independently for this group. Using elastic bands as the primary exercise modality, the program was successful in getting people at a local care-center to engage in exercise twice a week. The participants enjoyed the exercise sessions and many improved their fitness levels.

We are continuing to use our internet-based assessment tool for older adults called the Health and Lifestyle Review. It consists of a standardized functional fitness assessment available on a secured internet site and a centralized database. It includes measures strength, mobility, balance, agility, flexibility, fall efficacy, and activities of daily living. Currently, our Center and approximately 15 retirement communities are using this tool. You may view the site at www.shi-hlr.org, click on “registered members”, and log onto the training site by using “guest” as the username, and “hlr” as the password. If any facilities are interested in using this internet-based tool, please contact our Center.

To address the need for professionally trained specialists who can develop and instruct exercise programs for older adults in the community, we offered an eight-week (32 hour) course entitled “Fitness Instruction of Older Adults” this fall for the first time. We used the American Council on Exercise book “Exercise for Older Adults” as the primary reference. The course provided a training opportunity for practitioners to develop the skills needed to lead safe and effective activities for older adults in medical facilities, retirement centers, and nursing homes. Some of the people who enrolled in the course were older adults themselves who wanted to volunteer at churches and senior centers to lead activity programs. Hopefully, the knowledge and skills gained from this course will allow these people to better assist older adults throughout the community in adopting and maintaining physically active lifestyles. We are planning to offer the course again in the spring of 2001.

For more information, please contact:
Michael E. Rogers, Ph.D.
Director, Center for Physical Activity and Aging
110 Heskett Center
Wichita State University
Wichita, Kansas, USA 67260-0016

Phone: 316-978-5959
Fax: 316-978-5451

Email: michael.rogers@wichita.edu

Web address: www.twsu.edu/~cpaa/


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Exercise Gerontology Laboratory
Institute of Natural Sciences
Nagoya City University
Nagoya, Japan

Nobuo Takeshima, Ph.D.


Nagoya City is one of the largest cities in Japan with a population of over two million people, 15% of whom are elderly. Dr. Nobuo Takeshima, the founder and director of the Exercise Gerontology Laboratory at Nagoya City University, has been studying the physiologic response to exercise in older adults, and developing exercise intervention strategies that improve the health and fitness of older adults in and around Nagoya City for the last 15 years.

The older adult population is increasing in Japan at a rate much faster than that of any other country and Japan will soon become the "oldest" country in the world; it is predicted that by 2050, 28% of the population will be over the age of 65 years. This suggests that supervised laboratory-based exercise programs in a few specialized centers will not provide sufficient access to exercise for all older adults in Japan. To respond to these changing demographics and to ensure that all older adults can realize the benefits of participating in regular physical activity, community-based exercise programs must be developed. To determine the feasibility of providing such programs, this laboratory recently started a Home-Based Exercise (HBE) Program in collaboration with the Center for Physical Activity and Aging, Wichita State University, Wichita, Kansas, USA. As an alternative to the conventional heavy and expensive resistance exercise machines, the HBE utilizes elastic bands for resistance training. These elastic bands are lightweight, inexpensive, safe, and portable. Elastic bands (donated by Hygenic Corporation), a videotape, and a pictorial guidebook are provided to each of the HBE participants in Nagoya. The participants perform exercises at home and record their exercises in a diary provided by the laboratory. A weekly monitoring of the participants is performed at a local community center. On that day, all participants perform the exercises under the supervision of exercise instructors and the researchers. A high amount of interest and motivation has been observed in the HBE participants. The initial stage of this study will be completed at the end of this year.

Another of the laboratory's ongoing research projects is the assessment of daily physical activity level of Japanese older adults, both subjectively (questionnaires, physical activity record books) and objectively (commercially available accelerometers). The aim of this study is to determine 1) an optimum level of daily physical activity to maintain/improve fitness and the ability to perform activities of daily living, and 2) to determine the associations between leisure time physical activity, cardiovascular risk factors, and functional fitness level. Other ongoing research projects in the laboratory focus on water exercise, cognition, and nutritional status of Japanese older adults.

The exchange of information is a priority of the laboratory, and a good exchange of research information is maintained with relevant research institutes in Japan such as the Institute of Health and Sports Sciences, University of Tsukuba, Tsukuba, Japan; Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan; and Meiji Physical Fitness Research Institute, Meiji Life Foundation of Health and Welfare, Tokyo, Japan. Research-related information exchange on a national and an international level is cordially welcome.


For further information, please contact:

Nobuo Takeshima, PhD
Associate Professor
and Director of
The Laboratory of
Exercise Gerontology
Institute of Natural Sciences

Nagoya City University
1 Mizuho-cho, Mizuho-ku
Nagoya, 467-5802
Japan

Phone: 81 52 872 5838
Fax: 81 52 872 5838

Email: nob@nsc.nagoya-cu.ac.jp

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Centre for Physical Activity in Ageing
Hampstead Rehabilitation Centre
Adelaide, South Australia

Dr. Phil Hamdorf


The Centre for Physical Activity in Ageing (CPAA) is a unit of the Eastern Domiciliary Care Service (Royal Adelaide Hospital, South Australia) and specifically provides services and programs to older persons.

Background
The CPAA is managed by exercise physiologists with support from other allied health and fitness professionals who are employed to conduct specific programs.

Established in 1981, the Centre espouses a unique model in the provision of its physical activity programs to older persons. The CPAA’s core business is ‘post-acute’ clinical rehabilitation but it also provides a wide range of preventive health classes aimed at the older person.

The CPAA also conducts ‘specifically funded’ research focused on investigating relationships between physical activity and ageing. Such programs have been a strength of the CPAA in that its research findings have helped ‘drive’ its preventive health program.

The CPAA derives its funding from Government (State level), fees charged to clients attending preventive health programs, educational courses and workshops, worker’s compensation rehabilitation programs and public donations. Research funding is obtained through specific grant applications.

The Preventative Health Program
The CPAA preventive health initiative (also known as Staying Fit and Healthy) first commenced in 1987 as an ‘out-reach’ program. The CPAA now operates over 45 weekly exercise classes with an ‘active client’ listing of over 750 persons.

Clients attending the CPAA program do so through a process of ‘self-referral’ involving the completion of e a Physical Activity Readiness Questionnaire (PAR-Q) and medical history form. Clients are then required to obtain clearance from a medical practitioner and attend a counseling session where an experienced exercise physiologist will determining the most appropriate regimen of physical activity.

Program Design
The range of CPAA classes includes: water exercise, circuit training, community fitness (walking), stroke fitness, cardiac rehabilitation, swim fitness and learn to swim. Classes are graded into one of three (3) specific levels, which reflect the pace, or exertional requirements of the class (ie active, moderate and slow pace). No age or geographical restrictions apply for entry into CPAA programs. However, the programs do specifically cater for the needs of the older person.

Physical Rehabilitation Programs
The Centre conducts general physical rehabilitation programs for clients recovering from a work related injury. Full assessment and physical training programs are available. Training programs and assessment services are also available for clients recovering from sporting / other injuries or those with a chronic disability.

Research
The CPAA has an active scientific research program with its major emphasis being to investigate the various relationships between exercise and ageing. Research work relating to the effects of exercise and older women has been published which has alluded to the benefits of an active lifestyle for older persons.

For further information, please contact:
Dr. Phil Hamdorf
Head & Chief Exercise Physiologist
Centre for Physical Activity in Ageing
Hampstead Rehabilitation Centre
Hampstead Road
Northfield SA Australia 5085

Phone: 61 8 8222 1891
Fax: 61 8 8222 1828

E-mail: phamdorf@hampstead.rah.sa.gov.au
Web address: www.cpaa.sa.gov.au/


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School of Public Health
Faculty of Medicine
Nancy University
Nancy, France

Anne Vuillemin




Research Activities:
The research activities of the laboratory cover three major topics:

 

  1. Evaluation of preventive programs and of the care of chronic diseases, including research on health care consumption and outcome. This unit is developing several programs of clinical epidemiology in the field of health status and quality of life measurement, prevention and management of chronic diseases (especially cardio-vascular and rheumatic).
  2. Methods for promoting adolescent’s health. The group in charge is conducting research on adolescents behavior and problems specific to this age (reproductive health, health education and promotion, specific health-related and risk taking behaviors, use of health care facilities).
  3. Health in developing countries. This program aimed, at evaluating health care and training health professionals in developing country, comprehends a research component, particularly in epidemiology.


Within the first topic, we develop a sub-topic entitled "Involvement in physical activities during life: measurement and influence on health and quality of life".

The impact of the physical practice must be measured to account for its influence on physical abilities (observable and\or perceived) but also to account for the relevance of certain educational considerations on the use of sport according to age.  Physical activity assessment is essential to study the role of physical activity and its conditions of practice in the human aging process. Numerous questionnaires are designed to assess physical activity during short period of time but fewer are elaborated to assess lifetime physical activity. Then, we have developed a new computer-assisted tool to assess physical activity over the whole life (Quantap). Application of the Quantap system to health, particularly bone mass and muscle strength, allows us to study the role of physical activity in elderly population.

Objectives:

  1. to adapt the Quantap system to other cultures in association with foreign researchers.
  2. to set up studies intended to show the influence of physical practice during life, or during specific periods of life, on health and quality of life.
  3. to establish some recommendations concerning the practice of physical activities according to age and physical abilities to be maintained or to be developed.
  4. to establish a classification of physical activities according to their impact on health.
  5. to formalize some transverse laws to elaborate educational and didactic models of physical activities adapted to the specificity of the populations.


For further information, please contact:
Anne Vuillemin
Research engineer
Faculty of Sport
30 rue du Jardin Botanique
54600 Villers-les-Nancy, France

Phone: +33 3 83 90 56 00
Mobile phone: +33 6 62 61 77 75
Fax: +33 3 83 90 28 42

E-mail: Anne.Vuillemin@staps.uhp-nancy.fr
Web address: www.sante-pub.u-nancy.fr/


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Milwaukee County Department on Aging
Milwaukee, Wisconsin, USA

Linda Cieslik Ph.D.


Thanks to a $471,000 grant from the State of Wisconsin Department of Health and Family Services, the partnership of Milwaukee County Department on Aging and the Department of Human Kinetics at UW Milwaukee is off to a flying start.

A research team headed by Dr. Steve McCole of U.W. Milwaukee has begun work focused on factors that motivate older adults to change their health related behaviors. Using Milwaukee County Department on Aging Senior centers as field study sites, students and faculty are observing and measuring the effects of three program types on seniors of widely disparate ages and functional fitness levels.

The programs to be examined are:

1.  Computer generated health risk assessments based on self-report with additional access to health and fitness information on the Internet.
2.  Individual fitness assessments by a trained exercise physiologist (personal trainer) with access to exercise equipment and structured workout time.
3.  Print material and information delivery via pamphlets, booklets and newsletter style publications.

As of 10/10/00 Most of the research cohort participants have gone through the informed consent drill and been measured for functional fitness.

We have had some trouble attracting people who wish to participate in the print material cohort, but we will soon be recruiting at one of the senior center sites.

WellMed Inc. has been licensed to provide a health risk assessment site modified for our local area. Computers with Internet access have been installed at three large senior center sites and a technical support person is making the rounds to each senior center helping participants access the website, enter information and print out their personal health assessments.

Fitness equipment including state of the art Keiser strength training machines have been purchased and installed at one of the senior centers. Participants have begun working with faculty and students to develop personal fitness goals and activities. Workout time began on Monday October 9th with great enthusiasm on the part of all concerned. We are the first consumer group to purchase Keiser's new computerized strength line with strength machines built to track reps, sets, weight and seat adjustments. Attached computer software allows us to download each participant’s information onto the fitness center computer for an instant database. The grant has provided funds to hire a full time fitness center coordinator and to pay for student intern assistants and other support staff.

Thus far, everyone - University faculty and students, Department on Aging Staff and seniors - are very enthusiastic about beginning this project. The opening of the fitness center has given students the opportunity to work directly with older adults. Already, the students are developing a new awareness for the wide variety of functional fitness levels across the “generations” of older adults.

The grant project is funded through May of 2001. We hope to receive continuation or expansion funds for 2002. We will also be looking for other sources of funding to expand the fitness center program and possibly to develop a more senior friendly computer assessment tool.

For further information, please contact:

Linda Cieslik Ph.D.
Program Coordinator – Community Health
Milwaukee County Department on Aging
Associate Professor – University of Wisconsin, Milwaukee
School of Allied Health Professions – Department of Human Kinetics

Milwaukee County Department on Aging

Schlitz Park
235 West Galena St.
Milwaukee, Wisconsin, 53212-3925 USA

Phone: (414) 289-6633
Fax: (414) 289-8525

E-mail: Lcieslik@milwaukeecounty.com


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The Norwegian University of Sports and Physical Education
Ullevål Stadion
Oslo, Norway

Nina Waaler Loland, Ph.D.



The Relationship Between Physical Activity and Self-Concept Among the Elderly in Norway.

Background
Demographic prognoses show that there is a constant increase in the group of people above 65 years of age. At the same time, we live in societies in which aging and the elderly are associated with negative values. Research demonstrates that to a certain extent elderly people fear the aging process during which they develop a negative self-image. Research shows that physical activity can strengthen peoples’ self-image. However, few studies exist on possible relationships between physical activity and self-image among elderly people.

Methods
Both questionnaire and interviews will be used. A questionnaire will be sent to a representative sample of Norwegian men and women above 65 years of age (N=5000). Data will be collected about health status, activity patterns (The Physical Activity Scale for the Elderly (PASE) will be included), and questions will be asked linked to self-image among the respondents. In addition, physically active and non-active people above 65 years of age will be interviewed.

Schedule
Start of the project is January 1, 2000 and the project will last for 4 years. During the first half-year questionnaire and interview-guide will be developed and a pilot study will be conducted. The main study will be carried out during fall 2000/spring 2001.

For further information, please contact:
Nina Waaler Loland, Ph.D.
The Norwegian University of Sports and Physical Education
P.O. Box 4014, Ullevål Stadion
N-0806 Oslo, Norway

E-mail: ninawl@nih.no


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University Of Kansas
Lawrence, Kansas, USA

Wayne Osness, Ph.D.


PATH Lifestyle Management Program
The University Of Kansas is working with several other agencies in Lawrence, Kansas to provide a lifestyle management program for people over 60 years. The program includes exercise, nutrition, stress management, and personal habit instruction as well as practical experience in these areas. This program has been in conducted for over ten years and has a large group of graduates that continue to do the program on their own. Each semester, 30 new people start the program that lasts for 12 weeks. A great deal of data has been collected related to the change that has occurred during this time period over the many years of the project.

For further information, please contact:
Wayne Osness, Ph.D.
Professor
University Of Kansas
161 Robinson Center
Lawrence, Kansas 66045

Phone: (785) 864-5482
Fax: (785) 864-3343

E-mail: wosness@ukans.edu


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Strength in Motion Inc.
Lethbridge, Alberta, Canada

Lori Chaki-Farrington


I have started a new company, Strength in Motion Inc., in Lethbridge, Alberta, Canada. The company is focusing on functional exercise and rehabilitation programs for seniors. Our purpose is two-fold, one to promote active living, and the other is to provide appropriate rehabilitation to seniors with "specialized problems", for the goal of keeping these individuals independent, and remaining in their homes, for as long as reasonably possible.

We have partnered up with a physiotherapy clinic in Lethbridge, Dynamic Rehab Ltd, so that we can provide a multidisplinary approach to this program. We will have access to an orthopaedic surgeon, physiotherapists, kinesiologists, athletic injury therapists, and dietitians. We have ordered exercise equipment through Keiser Corporation in California.

We are currently in our start-up phase. I would appreciate any suggestions or advise from other members regarding their experiences with these types of programs. Because of our socialized medicine in Canada, people are reluctant to "pay" for healthcare services. We are trying to educate people to "invest in their health and well-being".

I look forward to hearing from other members. Thank you for this opportunity to let you know what we are doing here in Lethbridge for our seniors.

For further information, please contact:
Lori Chaki-Farrington
Strength in Motion Inc.
Lethbridge, Alberta, Canada

Phone: (403) 329-3212

E-mail: lchaki@home.com


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Preferred Care, Inc., You're in Charge!
Rochester, New York, USA

Laura A. Gladwin, M.S.


A division of Preferred Care Inc. (Rochester Area Health Maintenance Organization) dedicated to providing health and wellness programs to the Medicare population.

The following is a listing of programs and services offered through You're in Charge!  Many of these programs are provided at over 14 locations throughout Preferred Care's nine county service area in upstate New York. Our focus is to serve healthy seniors as well as those with multiple medical conditions who may be frail and/or dependent on others.  We are fortunate to have a company who recognizes the value of health and wellness programs and has positioned You're in Charge! as part of the medical management team.

Disease Management
Living a Healthy Life with Chronic Conditions*
Living a Healthy Life with Arthritis*
Living a Healthy Life with Congestive Heart Failure*
Speaking of Pain

Nutrition

Eating Well, Aging Well: Nutrition for Our Later Years*
Food, Fluid, and Feelings: Addressing the Nutritional Needs of Those with Congestive Heart Failure*
Ask the Dietitian - Monthly nutritional seminars

Physical Activity
Bodies in Motion - Physical activity programming focusing on range of motion, flexibility, muscular strength and endurance, balance and coordination
Functional Fitness Evaluations
Healthperks
â - negotiated discounts on health related services such as gym memberships, arthritis classes

Prevention
Safe Stepping: Fall Prevention Program*
Medicine Bag Review Program*

General Wellness
Take Control of Your Health: A Guide to Developing and Implementing Health Related Changes*
Aging to Perfection: Building Self-Esteem*

Social and Educational Programs
Learn the Computer (introductory and intermediate computer classes
Ask the Doctor - presentation and open forum regarding healthcare issues such as pharmacy
Tour the World - Travel information presented by local travel agencies and Preferred Care older adults.

*To improve accessibility many of our programs have been created as a home study with course manuals for those who are unable to physically attend on-site due to lack of transportation or physical limitations.  The Medicine Bag Review Program is available for members at area locations or in the comfort of their home through phone consultations.

For more information, please contact:
Laura A. Gladwin, M.S.
Preferred Care, Inc., You're in Charge!
259 Monroe Ave., Rochester, NY 14607 USA

E-mail: lgladwin@preferredcare.org

Web address: www.preferredcare.org


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How to Contribute to the ISAPA Newsletter


The content of the ISAPA Newsletter consists of items submitted regularly by members of ISAPA. Appropriate submissions include brief commentary/opinion articles, descriptions of innovative physical activity programs, and other physical activity and aging information. In order to submit information for consideration for inclusion in the ISAPA Newsletter please send your submission to Michael E. Rogers, Ph.D., ISAPA Newsletter Editor.

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Contact ISAPA:
President Wojtek Chodzko-Zajko, (217) 244-0823, wojtek@zajko.org
ISAPA Webmaster, Michael E. Rogers, 1-316-978-5959, michael.rogers@wichita.edu
Human Kinetics, 217-351-5076, webmaster@hkusa.com
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