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Considerations in Planning Physical Activity for Older Adults in Hot Climates: A Narrative Review

Author

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  • Lydia See

    (Western Australian Centre for Rural Health, School of Population and Global Health, University of Western Australia, Crawley 6009, Australia
    Oral Health Centre of Western Australia, School of Dentistry, University of Western Australia, Nedlands 6009, Australia)

  • Rohan L. Rasiah

    (Western Australian Centre for Rural Health, School of Population and Global Health, University of Western Australia, Crawley 6009, Australia)

  • Rachael Laing

    (Western Australian Centre for Rural Health, School of Population and Global Health, University of Western Australia, Crawley 6009, Australia)

  • Sandra C. Thompson

    (Western Australian Centre for Rural Health, School of Population and Global Health, University of Western Australia, Crawley 6009, Australia)

Abstract

Regular physical activity has multiple health benefits for both the prevention and management of disease, including for older adults. However, additional precautions are needed with ageing given physiological changes and the increasing prevalence of comorbidities. Hot ambient temperatures increase the risks of exercise at any age, but are particularly important given thermoregulatory changes in older people. This narrative review informs planning of physical activity programs for older people living in rural areas with very hot climates for a period of the year. A multi-database search of peer-reviewed literature was undertaken with attention to its relevance to Australia, starting with definitions and standard advice in relation to physical activity programming and the incremental limitations imposed by age, rurality, and extreme heat. The enablers of and barriers to increasing physical activities in older adults and how they can be modified for those living in extreme hot climates is described. We describe multiple considerations in program design to improve safety, adherence and sustaining physical activity, including supervision, simple instructions, provision of reminders, social support, encouraging self-efficacy. Group-based activities may be preferred by some and can accommodate special populations, cultural considerations. Risk management is an important consideration and recommendations are provided to assist program planning.

Suggested Citation

  • Lydia See & Rohan L. Rasiah & Rachael Laing & Sandra C. Thompson, 2021. "Considerations in Planning Physical Activity for Older Adults in Hot Climates: A Narrative Review," IJERPH, MDPI, vol. 18(3), pages 1-18, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1331-:d:491472
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    References listed on IDEAS

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    1. Ania Zubala & Stephen MacGillivray & Helen Frost & Thilo Kroll & Dawn A Skelton & Anna Gavine & Nicola M Gray & Madalina Toma & Jacqui Morris, 2017. "Promotion of physical activity interventions for community dwelling older adults: A systematic review of reviews," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-36, July.
    2. Barbara Schehl & Joerg Leukel, 2020. "Associations between individual factors, environmental factors, and outdoor independence in older adults," European Journal of Ageing, Springer, vol. 17(3), pages 291-298, September.
    3. Emma E. Dahlberg & Sandra J. Hamilton & Fatuma Hamid & Sandra C. Thompson, 2018. "Indigenous Australians Perceptions’ of Physical Activity: A Qualitative Systematic Review," IJERPH, MDPI, vol. 15(7), pages 1-13, July.
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