With life expectancy increasing globally, older adults around the world want to live active lifestyles with improved health and higher quality of life. Physiology of Exercise and Healthy Aging, Second Edition, examines the effects of the aging process on the major physiological systems and identifies the positive impacts of physical activity and regular exercise for older adults, including delaying specific diseases and increasing quality of life.

Students will be presented with foundational concepts of physiology to understand the structural and functional changes on the major physiological systems throughout the aging process. Physiological responses to acute and chronic exercise are examined, with comprehensive coverage of studies on age-related diseases and other common issues for older adults, including cardiovascular disease, cardiorespiratory fitness, type 2 diabetes, muscle metabolism and strength, osteoporosis, neurophysiology, and arthritis, plus content new to this edition that addresses mental health, pelvic floor issues and incontinence, and sexual activity.

Programming recommendations in each chapter translate exercise science into practice, examining the benefits of exercise, contraindicated exercises, and other forms of physical activity beneficial to the aging population. Exercise considerations address the training needs of older adults in three unique groups: average aging adults, frail elderly with special needs, and masters athletes, with expanded content more reflective of today's active seniors. With an emphasis on screening and assessment, coupled with basic principles of exercise and training programs, students will learn to safely administer exercise programs that meet the needs of older adults—in any stage of aging and at various levels of physical activity—to contribute to increased health and quality of life for all.

Chapter-opening quotes bring content to life with insights from scientists, fitness professionals, and other experts. Chapter objectives, new to this edition, help readers to understand and apply key concepts. Questions to Consider at the end of each chapter provide tools for reflection, while references direct students to additional reading and opportunities for further learning. An appendix offers easy access to assessments and forms, including a Three-Day Nutritional Assessment form and a Client Report form, preparing readers for professional use in their careers with older adult clients.

Physiology of Exercise and Healthy Aging, Second Edition, delivers a thorough discussion of the physiological effects of aging and illustrates the power of exercise as a tool to reduce or offset the effects of aging in order to improve the quality of life enjoyed by our aging population.

Examine the effects of the aging process on the major physiological systems, then apply basic assessment and exercise principles to safely administer exercise programs that contribute to improved health and quality of life for older adults.

Introduction
Physical and Cognitive Changes With Aging
The Process of Aging
Aging and Homeostatic Processes
Aging Demographics
Theories of Aging
Physical Activity and Aging
Programming Recommendations
Summary

Part I. Physiological Systems, Age-Related Changes, and the Role of Physical Activity

Chapter 1. Cardiopulmonary System
Kevin Shoemaker and Patrice Brassard
Structure and Function
Age-Related Changes
Cardiovascular Disease and Age
Summary

Chapter 2. Musculoskeletal System
Kevin Milne, Matthew Krause, and Albert W. Taylor
Muscle Morphology
Age-Related Changes in Biochemical Properties
Skeletal Muscle, Aging, and Training
Age-Related Diseases Limiting Exercise
Programming Recommendations
Summary

Chapter 3. Nervous System
Pierre M.L. Deprez
Overview of the Nervous System
Age-Related Diseases
Interventions in Age-Related Changes in the Nervous System
Summary

Chapter 4. Sensory Systems
Pierre M.L. Deprez
Hearing
Vision
Touch
Smell
Taste
Programming Recommendations
Summary

Part II. Related Common Diseases and Maladies, and the Role of Physical Activity

Chapter 5. Diet and Diabetes Management
Sarah O’Connor and Paul Poirier
Introduction
Types of Diabetes
Complications Associated With Diabetes
Basic Nutritional Principles in the Management of Diabetes
Prevention of Diabetes
Diabetes and Physical Activity
Dietary Guidelines for Diabetes
Beneficial Dietary Patterns for Diabetes
Dietary Considerations for Diabetes During Pregnancy
Diabetes Management Among Older Adults
Clinical Approaches and Practical Tools
Summary

Chapter 6. Bone Health, Osteoporosis, and Exercise
Darien Lazowski-Fraher
Bone Function and Structure
Osteoporosis
Nutrition for Bone Health
Physical Activity for Bone Health
Programming Recommendations
Summary

Chapter 7. Osteoarthritis, Aging, and Physical Activity
Jane Thornton and Gilbert Moatshe
Structure and Function of the Joints
Osteoarthritis
Treatment
Programming Recommendations
Risks and Precautions for People With OA
Summary

Chapter 8. Aging, the Pelvic Floor, Incontinence, and Exercise
Linda McLean and Carolyn Vandyken
Introduction
Continence Control and Types of Urinary Incontinence
Anatomy and Function of the Pelvic Floor
Evidence for Age-Related Changes in the Pelvic Floor as They Relate to Continence Function
Evidence-Based Strategies for the Maintenance of a Healthy Pelvic Floor With Aging
Pelvic Floor Muscle Training Exercise Prescription
A Final Word
Summary

Chapter 9. Mental Health, Aging, and Physical Activity
Andrea Lazosky
Prevalence of Mental Health Issues With Aging
Pathophysiology of Depression With Aging
Psychosocial Theories of Aging
The Role of Physical Activity on Mental Health With Aging
Forms of Physical Activity
Summary

Chapter 10. Sex, Aging, and Physical Activity
Lee Smith and Igor Grabovac
Prevalence of Sexual Activity in Aging
Biopsychosocial Model of Changes Related to Sexuality in Later Life
Prevalence of Sexual Dysfunction in Older Adults
Physical and Mental Health Benefits of a Frequent and Trouble-Free Sex Life in Later Life
The Role of Physical Activity on Sexuality in Older Adults
Summary

Part III. Physiologic Adaptability to Training and Physical Activity

Chapter 11. Balance Control and Prevention of Falls in Older Adults
Grant Handrigan
The Biomechanics of Balance Control
Fall Risk Factors
Fall Risk Prevention
Summary

Chapter 12. A Functional Approach to Exercise
Denise M. Connelly
Principles of Exercise
Exercise and Cognitive Impairment
Exercise Prescription
Exercise Programming
Programming Recommendations
Summary

Chapter 13. Training for Aerobic and Anaerobic Fitness
Edward Todd Taylor and Tom Overend
Brief Review of Exercise Physiology
Benefits of Aerobic and Anaerobic Fitness
Research on the Positive Effects of Aerobic Exercise and Training
Research on the Positive Effects of Anaerobic Exercise and Training
Programming Recommendations
Recommendations for “Frail” Elderly
Aerobic and Anaerobic Exercise Integration
Summary

Chapter 14. Training for Muscle Performance for Older Adults
Michelle Cardoso and Chantale R. Brun
Muscle Performance and Aging
Muscle Mass, Strength, and Function
Summary

Chapter 15. Exercise Adherence and Safety Measures
James Sawchuk and Albert W. Taylor
Exercise Adherence
Safety
Programming Recommendations
Summary

Chapter 16. Clean Sport for Masters Athletes
Taryn-Lise Taylor and Sean Mindra
Masters Athletes
Hormones
Anabolic Steroids
Analgesics and Anti-Inflammatories
Hypertension Medications
Erythropoietin
Dietary Supplementation and Ergogenic Aid
Summary

Appendix A: Web Resources
Appendix B: Forms