Here's a way to tone the thighs and butt without a reformer. Begin by kneeling. Lean to the left, placing your left hand on the mat under the shoulder and your right hand behind the head with the elbow pointing up. Raise your right leg until it is parallel to the floor. Holding the torso steady, kick the leg to the front and then to the back, knee straight. Do five reps on each side.
The other important part? It has to be tough — 85% or more exertion for 30-seconds to one minute, followed by a 10-second rest. Or, as Heather Tyler, an NSCA-certified personal trainer and owner of Simply Fit LA wrote to me in an email, “you know that feeling like you’ve run up five flights of stairs, your heart’s pounding in your ears, you’re dripping sweat and you sound like a donkey wheezing?”
The Pull-up is performed by hanging from a chin-up bar above head height with the palms facing forward (supinated) and pulling the body up so the chin reaches or passes the bar. The pull-up is a compound exercise that also involves the biceps, forearms, traps, and the rear deltoids. A chin-up (palms facing backwards) places more emphasis on the biceps and a wide grip pullup places more emphasis on the lats. As beginners of this exercise are often unable to lift their own bodyweight, a chin-up machine can be used with counterweights to assist them in the lift.

Making the commitment to start an exercise program is an exciting first step in improving your life through increased physical and mental health. After all, what better investment can you make than in yourself? If you’ve struggled with not having enough time, money, energy or motivation to work out, push them aside and remember that you’re worth it. No excuses!
Jump up ^ Pratali L, Mastorci F, Vitiello N, Sironi A, Gastaldelli A, Gemignani A (November 2014). "Motor Activity in Aging: An Integrated Approach for Better Quality of Life". Int. Sch. Res. Notices. 2014: 257248. doi:10.1155/2014/257248. PMC 4897547. PMID 27351018. Research investigating the effects of exercise on older adults has primarily focused on brain structural and functional changes with relation to cognitive improvement. In particular, several cross-sectional and intervention studies have shown a positive association between physical activity and cognition in older persons [86] and an inverse correlation with cognitive decline and dementia [87]. Older adults enrolled in a 6-month aerobic fitness intervention increased brain volume in both gray matter (anterior cingulate cortex, supplementary motor area, posterior middle frontal gyrus, and left superior temporal lobe) and white matter (anterior third of corpus callosum) [88]. In addition, Colcombe and colleagues showed that older adults with higher cardiovascular fitness levels are better at activating attentional resources, including decreased activation of the anterior cingulated cortex. One of the possible mechanisms by which physical activity may benefit cognition is that physical activity maintains brain plasticity, increases brain volume, stimulates neurogenesis and synaptogenesis, and increases neurotrophic factors in different areas of the brain, possibly providing reserve against later cognitive decline and dementia [89, 90].
Our huge database of exercise guides are broken up into specific muscle groups and exercise categories. If you’re looking to work on toning up your butt, just choose this muscle group from the list and you’re all set. If you are interested in getting started using kettlebells, then choose this option from the exercise types list and you will have access to over 100 muscle building, fat burning kettlebell exercises! We have included easy to access dropdown lists to choose from along with a detailed “muscle map” below which shows the area of the body where each muscle group is located. Just click on the body part you want to tighten up and you’re on your way to a firmer physique! From free weight exercises using dumbbells and barbells, all the way to bodyweight movements, our extensive database of exercise guides really has a workout solution for anyone who is interested in living a healthier lifestyle.

Jump up ^ Petersen RC, Lopez O, Armstrong MJ, Getchius T, Ganguli M, Gloss D, Gronseth GS, Marson D, Pringsheim T, Day GS, Sager M, Stevens J, Rae-Grant A (January 2018). "Practice guideline update summary: Mild cognitive impairment – Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology". Neurology. Special article. 90 (3): 1–10. doi:10.1212/WNL.0000000000004826. PMID 29282327. Lay summary – Exercise may improve thinking ability and memory (27 December 2017). In patients with MCI, exercise training (6 months) is likely to improve cognitive measures and cognitive training may improve cognitive measures. ... Clinicians should recommend regular exercise (Level B). ... Recommendation

Zumba Fitness-Concert Live. Ever been to a concert and just danced around with abandon? This Zumba video is the next best thing and it’ll count as a workout! In addition to the cardio burn, you’ll feel all the electricity from the crowd during this 70-minute latin dance workout. The video features 16 high-energy, calorie-blasting routines that you can do all at once, or pause and break up into intervals.


Anaerobic exercise differs from aerobic exercise in that it is comprised by short bursts of a high-intensity activity such as that repeated during strength training. While aerobic exercise uses oxygen for fuel (an early definition of aerobic is, after all, "living only in the presence of oxygen"), anaerobic exercise draws its fuel from carbohydrates. Anaerobic exercise also produces lactic acid, unlike aerobic exercise. To get started with some anaerobic exercises, check out this list of anaerobic exercises you can do anywhere. While anaerobic exercise does not burn as many calories as aerobic exercise burns, it will still help to improve respiratory and cardiovascular fitness. Additionally, because anaerobic exercise depletes energy more quickly than the blood can replenish the muscles' oxygen, the body's anaerobic metabolism kicks in, burning glucose as fuel. Even after the the anaerobic activity has stopped, the metabolism remains increased for up to several hours. If anaerobic exercise is repeated often, it will even have an effect on your resting metabolic rate. This will cause your body to burn more calories in general—even when you're sleeping.
This move is sure to get your heart racing in no time. Master a basic lunge before progressing to this version. With right foot ahead of left foot and core tight, drop into a low lunge, bending both knees to 90 degrees. Now jump up, switching feet in middair so you land with left foot ahead of right foot and immediately drop into a low lunge on the other side.
A pair of small hand-weights adds punch to a Pilates workout at home. For this move, imagine you are twirling the weights like sparklers on the Fourth of July. Stand with the weights held at your thighs. Turn them slightly in to face each other and make eight small circles. Each circle should be a little higher until the hands are overhead. Make eight circles in the opposite direction as you lower the arms. Repeat 2-3 times.

Several exercises from Week 1 are carried over to Week 2, but one move is added to each bodypart routine—with the exception of abs—so you can train all muscle groups more completely from multiple angles. Chest, for example, includes two exercises: One is a compound movement (dumbbell bench press) that involves multiple joints (both the shoulder and elbow) to work the largest amount of muscle possible, and the other is an isolation exercise (dumbbell flye) that involves only one joint (shoulder) and targets the pecs to a greater extent. (When doing presses for chest, the deltoids and triceps are involved to a degree, meaning presses don’t isolate the pecs as much as flyes do.)
This stands for rate of perceived exertion, and refers to intensity. It’s a point of reference that trainers often use to communicate how hard you should be working since what feels easy or challenging is different for everyone. On the RPE scale a 1 pretty much means zero effort while a 10 means you’re working harder than you thought you possibly could.
Since almost any exercise requires some strength and some level of aerobic fitness, I recommend a training program that is a mix of both strength training and conditioning; similar to what I do but on a smaller scale (to start). The Stronglifts 5x5 workout that I mentioned above is an excellent place to start and requires only three days a week. Assuming you can exercise five days a week, you can do some aerobic/anaerobic work on Tuesdays and Thursdays. If five days a week is too much, start with a three-day strength workout. If you also want to do conditioning, you can choose to perform it after your strength routine for 10–30 minutes, or just shift your focus after a few weeks of strength training and do conditioning only for a week or two.
Data were analysed using three different methods: visual inspection, parametric statistics and calculation of sensitivity for both OTS and NFO detection. Because the sample size was rather small (ie, maximal 5 for each group), data were first inspected visually. Parametric statistics and sensitivity calculation were used to support conclusions from visual inspection of the data. For the purpose of visual inspection, we created graphs with averages and SE for both the OTS and the NFO groups.

Now that you understand the vast amount of categories available to you, you can start narrowing the field of choices down by looking at the specifics of exercise videos and deciding which ones will be something you will not only enjoy but continue to use long term. If you are starting out as a beginner to exercise, then you should expect to upgrade your exercise videos as your fitness levels increase. You don’t have to stay with a beginner video when your fitness level advances to intermediate or advanced. Below are some factors to look at when looking at individual videos.

As a "formerly advanced" climber who is trying to get back into a healthy regimen after a year or two off, this book was excellent review of some obvious components of active practice that I'd forgotten in my rush to get back to my old level of climbing. Horst continues to be the best when it comes to training guides. Cannot recommend this book (or any of the others) enough.

The effects of exercise training appear to be heterogeneous across non-mammalian species. As examples, exercise training of salmon showed minor improvements of endurance,[155] and a forced swimming regimen of yellowtail amberjack and rainbow trout accelerated their growth rates and altered muscle morphology favorable for sustained swimming.[156][157] Crocodiles, alligators, and ducks showed elevated aerobic capacity following exercise training.[158][159][160] No effect of endurance training was found in most studies of lizards,[158][161] although one study did report a training effect.[162] In lizards, sprint training had no effect on maximal exercise capacity,[162] and muscular damage from over-training occurred following weeks of forced treadmill exercise.[161]
Also important to know is how to determine how much weight you should use. Start with a light weight and perform a set. Continue adding weight until you can do the desired number of reps with good form, which includes moving slowly enough that you're using muscle—and not momentum—to lift the weight. The last rep should be difficult, but not impossible, and you should be able to keep good form while doing it.
Yoga is appropriate for individuals of all ages and fitness levels. Those who are seeking a workout that increases their mind, body and spiritual awareness will find yoga to be a good fit for them. Those who wish to increase their fitness level at a slower pace may find that yoga is perfect for them, although the physical intensity is just as high as in many other exercise methods. Yoga exercises utilize a variety of muscle groups at the same time, so an entire body workout is often achieved during each class. Yoga is effective in toning muscles without creating a bulky look.

Individuals can increase fitness following increases in physical activity levels.[15] Increases in muscle size from resistance training is primarily determined by diet and testosterone.[16] This genetic variation in improvement from training is one of the key physiological differences between elite athletes and the larger population.[17][18] Studies have shown that exercising in middle age leads to better physical ability later in life.[19]
Challenge yourself with interval training. Interval training involves alternating high-intensity and low-intensity exercises, and it’s a great way to burn calories. Since it involves high-intensity activities, such as running or sprinting, it's best to include interval training in your routine if you're already used to regular exercise. For a good, basic interval session, try doing a sprint-walk routine.[15]

Neuromuscular function tests were performed pre and post-exercise to quantify muscle fatigue. As previous studies documented the extent of isometric muscle fatigue induced by OLDE [8, 11, 17, 18], we chose to focus only on isokinetic muscle fatigue. Therefore, knee extensors (KE) MVCs were performed at 60 (MVC60), 100 (MVC100) and 140 (MVC140) deg/s pre (after the warm-up) and post-exercise (13 ± 4s after exhaustion). Subjects were asked to perform two maximal isokinetic knee extensions at each angular velocity (starting position corresponded to knee angle at 90 deg; range of motion was the same as the OLDE). The highest peak torque value of the two trials was considered, and a 20 s recovery was set between each set of KE MVCs. The order of contractions was randomized between sessions as follow (60-100-140 deg/s, 100-140-60 deg/s or 140-60-100 deg/s) and identical for testing pre and post-exercise of the same session. This randomization allows obtaining a time course of KE MVC torque recovery following the time to exhaustion test at each angular velocity was obtained at a different time point at each session: either shortly after exhaustion (13 ± 4 s after exhaustion), 20 s following exhaustion test (P20) and 40 s following exhaustion test (P40). An overview of timing can be found in Fig 1. Twenty seconds after completion of the last KE MVC, a maximal isometric MVC of the knee flexors was performed (isometric KF MVC). Visual feedback of the torque and strong verbal encouragement were provided for each MVC [please see reference 9 for more details].

Two moves is better than one, right? You may want to do this move on a mat or a towel for padding. Start in a high plank position with core tight. Lower onto both forearms at the same time, maintaining a tight core and level hips. Now push back up onto hands at the same time to return to starting position. Finish by drawing right knee into chest, then left knee into chest, doing a mountain climber.

Each reliability session took place on a Monday, Wednesday and Friday morning at the same time and within the same week. All subjects were given written instructions to drink 35 ml of water per kilogram of body weight, sleep for at least 7 h, refrain from the consumption of alcohol, and avoid any vigorous exercise the day before each visit. Participants were also instructed to avoid any caffeine and nicotine for at least 3 h before testing. Finally, subjects were instructed to consume a set breakfast (2 slices of toast spread with margarine or butter, 250 ml of orange juice, and a banana) 1 h before all testing sessions. At each visit to the lab, subjects were asked to complete a pre-test checklist to ascertain that they had complied with the instructions given to them, and were asked to report any pain or soreness experienced in their leg (to check for the presence of previous session-induced muscle damage). None of our subjects reported leg muscle pain or soreness at the beginning of each session.
^ Jump up to: a b Kyu, Hmwe H; Bachman, Victoria F; Alexander, Lily T; Mumford, John Everett; Afshin, Ashkan; Estep, Kara; Veerman, J Lennert; Delwiche, Kristen; Iannarone, Marissa L; Moyer, Madeline L; Cercy, Kelly; Vos, Theo; Murray, Christopher J L; Forouzanfar, Mohammad H (9 August 2016). "Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013". BMJ. 354: i3857. doi:10.1136/bmj.i3857. PMC 4979358. PMID 27510511.

Our exercise guide video animation feature is a great benefit since it shows you exactly how to perform each exercise safely and effectively. Multiple photos are merged together into a video style demonstration which displays the movement of the exercises smoothly which gives the viewer a real-time experience of how the exercise is performed. Under each exercise video is textual content with specific instructions and advice on how to properly execute the movement. This allows you to both visually see the exercise and read important facts about things you should follow when performing the exercises.


This move works best if you use a low bench. With the low bench at your right side, start with knees slightly bent and hips back. Shift weight to left foot then jump over the bench first with right foot, allowing the left foot to follow. Land lightly on right foot first then left foot. Reverse the move, starting with left foot, to return to starting position.

Both groups exercised most frequently outdoors in nearby area and in nature (Fig. 5). Additional analyses showed that outdoors was the most frequently reported exercise location in both warmer (April–October) and colder (November–March) months. The MCT group had a significantly higher proportion of sessions outdoors than the HIIT group. Contrary, compared to the MCT group, HIIT had a higher proportion of sessions at a gym, sports facility and at home (Fig. 5).


The exercises developed by Checkley, Müller, Randell, Alexander, Pilates, and Morris were secular in nature. The holistic unity between harmonious movements and beauty, health, performance and youth, between the body and mind, and between human and nature were all emphasized yet these universal concepts were unimpeded by religious, political, or commercial influences. The exercises were simply harmonious functional human movements learned from observations of nature.
Okay, this one if for the kids, but grown-ups can do it to too. With animated instructions, catchy music, and all the basics of the other full-body workouts, this is another top choice overall. The exercises include some more advanced moves, like tricep dips with a chair and push-ups with rotation, so it’s a great one to do with your kids.                                    
This is a two-fold explanation: 1) how long it takes to train per session and 2) how frequently we recommend training. We believe – and basic muscle physiology principles state – that the best way to stimulate a muscle is by short, intense bouts of exercise. Not in long, drawn-out workouts, which simply can’t be as intense. Ideally, a resistance training workout should only last 20 to 30 minutes. Longer workouts are typically less intense and can release catabolic hormones (which we don’t want). When it comes to exercise, “more” is not necessarily “better.” Working out is merely a method of stimulating your results. Your actual gains or improvements occur when your body “recovers” from the exercise. If you exercise before your muscles are completely recovered from a bout of exercise, you’re just … beating a dead horse. You need to find the right “dose” of exercise for you. Too little exercise limits your progress, but too much or too frequent exercise doesn’t allow your body to recover properly and may hinder your progress as well. The ideal frequency of your training may change over time based on things like your specific genetics or how intensely you train. Our clients typically train only once or twice per week, with only a handful ever training more frequently than that. The best way to know how frequently you should train is through very detailed and accurate record keeping. Your personal trainer at SMX will always monitor your training. Once a fair amount of data is compiled by your trainer, we can dial in and fine-tune how frequently and what intensities are ideal for you to maximize your results.

In addition to determining the optimal position from which to initiate an exercise based on the patient's related impairments and level of pain, exercise dosage and progression are important aspects of a rehabilitation program. Intervention details, such as number of repetitions and sets, exercise order, and work-to-rest ratios, should be tailored to each patient based on his or her specific needs. The proposed protocol does not describe a method to determine the initial exercise intensity or the criteria for modification or progression. Using a criterion-based method to determine the initial intensity and progression would individualize these guidelines of the exercise program. In their randomized controlled trial designed to address the effectiveness of exercises to treat RCIS, Lombardi et al6 used a 6-repetition maximum load to establish the starting intensity of strengthening exercises. They6 also recommended a reevaluation every 2 weeks to make necessary adjustments to exercise intensity. Although we do not know whether the 6-repetition maximum-load criteria used in their study is optimal, it is an excellent example of a criterion-based method to determine initial exercise intensity and progression. Future research on exercise for the treatment of RCIS should include criterion-based methods to determine the optimal exercise dosage and progression.


The goal in training competitive athletes is to provide training loads that are effective in improving performance. At some stages during the training process, athletes may experience an unexplainable decrease in performance. This might happen when prolonged excessive training takes place concurrent with other stressors and insufficient recovery. This unexplainable performance decrements can result in chronic maladaptations that can lead to the overtraining syndrome (OTS). A keyword in the recognition of OTS might be “prolonged maladaptation” not only of the athletic performance but also of several biological, neurochemical and hormonal regulation mechanisms. When athletes deliberately use a short-term period (eg, training camp) to increase training load, they can experience short-term performance decrement, without severe psychological or lasting other negative symptoms.1 2 This functional over reaching (FO) will eventually lead to an improvement in performance after recovery. However, when athletes do not sufficiently respect the balance between training and recovery, non-functional over-reaching (NFO) can occur.1 2 At this stage, the first signs and symptoms of prolonged maladaptation such as performance decrements, psychological disturbance (decreased vigour, increased fatigue) and hormonal disturbances are present, and the athlete will need weeks or months to recover. The distinction between NFO and OTS is very difficult and will depend on the clinical outcome and exclusion diagnosis.
This classic move helps flatten the tummy by using your abs efficiently. Hold on behind the knees, scoop the belly in, and curl down to the floor to get into position. Now curl the head and shoulders up slightly, lower back still pressed to the floor. Pump the arms up and down in small motions at your sides. Breathe in for five and out for five until you hit 50 pumps. Sit up and repeat for a total of 100 pumps.
Around 1900, Tasmanian-born Australian professional reciter and theatrical producer Frederick Alexander developed a novel methodology to harmonize full-body functional movements. As a child, Alexander suffered respiratory ailments, leading to the initial purpose of developing the method – to normalize his personal voice function in order to materialize a stage performance dream. In 1902, Alexander established the Sydney Dramatic and Operatic Conservatorium and in 1904, moved to London to spread his teaching method. During the first years, Alexander focused on teaching ‘full chest breathing’ techniques mainly to stage artists and people with breathing pathologies.19 Staring J. Frederick Matthias Alexander 1869-1955. The Origins and History of the Alexander Technique. A medical historical analysis of F.M. Alexander’s life, work, technique, and writings. Nijmegen: Radboud Universiteit; 2005. [Google Scholar] However, he soon discovered that retrieving the natural ‘conscious control’ via mindful postures and movements resulted in benefits not only for the vocal health and performance but also the health and performance of the whole body and mind.20 Alexander FM. Man's supreme inheritance. London: Methuen; 1910. [Google Scholar] This holistic evolvement transformed the newly formed ‘Alexander Technique’ into a general remedy and preventative tool suitable for all populations. Alexander explained in his 1910 book ‘Man’s Supreme Inheritance:’20 Alexander FM. Man's supreme inheritance. London: Methuen; 1910. [Google Scholar]
You won’t find another person like Brooke, in this whole world. The inspiration and motivation she carries is way beyond what most people hold. the knowledge she has about pregnancy and post pregnancy exercise is something you will want to connect with, and continue to work with. Taking a step to work with Brooke is making a choice to support your whole life: family, baby, body, mind, spirit. thank you Brooke for making exercise and fitness such an essential and safe part of pregnancy.
The MMB exercises are not pathology orientated or sport specific, rather all exercises are recommended for everybody, whether they are injured, healthy, or a competitive athlete; the ability to perform the exercises represents the normal. The exercises and sequence do not change, besides the difficulty levels which are adjusted according to the individual level of practice. The MMB progressions occur when the exercises become easier and eventually autonomous and harmonious, ensuring the short- and long-term benefits of practice. Harmonious breathing and relaxation techniques are employed in every exercise repetition. Furthermore, there is the recommendation to train daily in relaxed environments, with abundant fresh air and appropriate sunlight levels and to bath regularly. Studio training is recommended for beginners, people with ailments or performing athletes.
Degenhardt B [Internet]. Joe's anatomy. 2014 Sep 8 [cited 2015 Aug 30]. Available from: http://benjamindegenhardt.com/joes-anatomy/.  In 1912, Pilates moved to England to become a professional boxer. He found employment as a circus performer41 Contrology Pilates Method [Internet]. The history of Joseph and Clara Pilates. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.contrology-pilates-method.com/history_joe_pilates.asp. [Google Scholar] and fitness trainer for Scotland Yard.39 Balanced Body, Inc. [Internet]. Origins of Pilates. 2015 Aug 30 [cited 2015 Aug 30]. Available from: https://www.pilates.com/BBAPP/V/pilates/origins-of-pilates.html. [Google Scholar] With the outbreak of World War I in 1914, being German, Pilates was placed in an ‘alien camp,’ initially in Lancaster where he trained fellow inmates and conceptualized his method of Contrology.41,42 Contrology Pilates Method [Internet]. The history of Joseph and Clara Pilates. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.contrology-pilates-method.com/history_joe_pilates.asp.
Rake those leaves. Raking is already an excellent calorie-burning activity, so do it! Raking is not only great for your yard and lawn, but also for your body. Because your core (your back and abdomen) has to work to stabilize your body while your arms are maneuvering the rake, raking is good exercise for both your arms and core. Weirdly, there's a page all about raking as a workout, which you can read here.
We prefer 1-min incremental exercise testing on a cycle ergometer rather than constant work studies because of its speed, repeatability, and ease of identification of the anaerobic threshold. Although values such as VO2 and anaerobic threshold from both types of studies are reported to be comparable, we questioned whether VD/VT and AaPO2, which depend on simultaneous arterial blood and mixed ... [Show full abstract]Read more

To start toning your abs by hitting up the lower abdominal muscles, Riggins suggests 30 seconds of leg raises. Here’s how: Turn on your back with legs straight and your feet and ankles together. Raise your legs up and down in a vertical position from your body, while keeping your belly button. Slowly bring legs back down, but if that is too difficult, tuck your knees. (And be careful not to strain your lower back!)
At the end of each pregnancy journey, you’re greeted by the mother of all marathons and we want to help you prepare for your birth experience in the best possible ways. Our Bloom classes as well as our 1:1 foundational crash courses were designed with empowerment in mind. We can’t promise you’ll find gentle workouts behind our studio door [you’ve got a marathon to train for] but we can promise that each workout will give you the safest, most effective, mind + body focused workout you’ll find in the prenatal world. Our workouts will make you sweat, challenging you both mentally and physically, while we integrate our signature techniques seamlessly into each exercise you move through. Think of it as childbirth education meets a safe sweat session gifting you tools to be used time and time again.
Since our data is self-reported, we do not know for sure if we have data from all exercise sessions performed throughout the year. Furthermore, subjective measures are susceptible to recall bias, especially among older adults [17, 18]. However, our results are based on nearly 70000 exercise logs, which is the largest data material on exercise patterns in older adults. In addition, exercise logs have an advantage over the widely employed exercise questionnaires where the subject is asked to recall exercise performed in the past as opposed to recording the exercise right after the moment of occurrence, as is the case with exercise logs.

Reading customer reviews and comments is an excellent way to get some insider information about the exercise videos that you are interested in purchasing. These reviews are mostly given by people who have actually purchased the product in question and have given it a review and a star rating. Really pay attention to what these customers are saying. You can learn about what they liked and what they didn’t like. Even though not every customer is going to like every video they get, most people are honest about what they loved and didn’t love. Amazon is an excellent place to get these reviews and comments and check out the videos you are interested in.
It is well known that exercise in the older population may prevent several diseases [1–4]. Reduced physical activity impairs the quality of life in elderly people with Alzheimer's Disease [4], Parkinson's Disease [5], and Depressive Disorders [6]. Moreover, musculoskeletal, cardiopulmonary, and cerebrovascular decline are associated with poor physical fitness because of the cumulative effects of illness, multiple drug intake, fatigue, and bed rest [7, 8]. The effects of physical activity and exercise programs on fitness and health-related quality of life (HRQOL) in elderly adults have been widely studied by several authors [9–11]. De Vries et al. [11] conducted a meta-analysis focusing on elderly patients with mobility problems and/or multimorbidity. Eighteen articles describing a wide variety of actions were analyzed. Most used a multicomponent training program focusing on the combination of strength, balance, and endurance training. In 9 of the 18 studies included, interventions were supervised by a physical therapist. Intensity of the intervention was not reported and the duration of the intervention varied from 5 weeks to 18 months. This meta-analysis concluded that, considering quality of life, the exercise versus no-exercise studies found no significant effects. High-intensity exercise appears to be somewhat more effective in improving physical functioning than low-intensity exercise. These positive effects are of great value in the patient population but the most effective type of intervention remains unclear. Brovold et al. [7] recently examined the effects of high-intensity training versus home-based exercise programs using the Norwegian Ullevaal Model [12] on a group of over-65-year-olds after discharge from hospital. These authors based their study on the Swedish Friskis-Svettis model [13] which was designed by Johan Holmsater for patients with coronaropathy to promote their return to work and everyday activities and improve their prognoses. This model includes three intervals of high intensity and two intervals of moderate intensity, each one lasting for 5 to 10 minutes. Included in each is coordination. Exercises consist of simple aerobic dance movements and involve the use of both upper and lower extremities to challenge postural control [13]. Exercise intensity was adjusted using the Borg Rating of Perceived Exertion (RPE) Scale. Moderate intensity was set between 11 and 13, and high intensity was set between 15 and 17 on the Borg Scale.
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