Leading Speaker for Nursing Conferences 2019- Mohammod Monirul Islam

Title: Cost-effective home-based physical exercises suitable for older adults

Mohammod Monirul Islam

National Institute of Fitness and Sports in Kanoya, Japan

Biography

Dr. Islam studied Medicine at the Mymensing Medical college in Bangladesh and graduated as MBBS in 1989. He received his PhD degree from the Aichi Medical University in Japan in 2000. He worked as a JSPS postdoctoral fellow at the Nagoya City University (2002-2004) in Japan. He worked as a geriatric rehabilitation adviser at Yonaha General Hospital in Japan (2005-2016). Currently, he has been working as an Associate Professor of Public Health at the National Institute of Fitness and Sports in Kanoya. He wrote more than 60 scientific papers and presented his research works in about 200 scientific meetings.Dr. Islam studied Medicine at the Mymensing Medical college in Bangladesh and graduated as MBBS in 1989. He received his PhD degree from the Aichi Medical University in Japan in 2000. He worked as a JSPS postdoctoral fellow at the Nagoya City University (2002-2004) in Japan. He worked as a geriatric rehabilitation adviser at Yonaha General Hospital in Japan (2005-2016). Currently, he has been working as an Associate Professor of Public Health at the National Institute of Fitness and Sports in Kanoya. He wrote more than 60 scientific papers and presented his research works in about 200 scientific meetings.

Abstract

Aging is associated with declines in activities of daily living (ADL) and physical function that can lead to physical impairment, disability, and loss of independence (Spirduso, 2005). Due to a significant change in demography, many older adults in recent days get minimum assistance from others while performing their ADL. Reduction of lean body mass (particularly the skeletal muscle mass) and muscular strength are important factors associated with age. Both the decreased muscle mass and muscular strength diminish the capacity to perform ADL, retain employment or participate in social events; in short, there occurs reductions in the overall quality of life. An optimum and regular physical exercise programs along with an appropriate caloric intake may offset aging-associated declines in physical health.
The number of elderly population is increasing rapidly in many developed countries (for instance, it is predicted that by 2025, 28% of the population in Japan will be over the age of 65 years). This suggests that supervised laboratory-based exercise programs in a few specialized centres will not provide sufficient access to exercise for all older adults. To respond to these changing demographics and to ensure that all older adults can realize the benefits of participating in regular physical activity, home-based exercise programs must be developed.
On the other hand, open spaces such as public parks and lakes are becoming occupied by unauthorized vendors and merchants in order to construct either new shopping malls or other kind of business centres in many developing countries. As a result, open spaces to perform outdoor physical exercises are decreasing in number and sizes each year in these countries which is affecting badly the health and wellbeing of the general population. To address this issue professionally, home-based physical exercise program (Islam et al., 2016) could be a better alternative of outdoor exercises for older people in these countries.
In our community outreach physical exercise programs, we use elderly friendly mode of exercise such as elastic band-based resistance exercise, chair-based stretching and aerobic exercises etc. As a part of our well rounded exercises, we conduct balance training either in sitting position or on standing position depending upon the level of fitness of the participants. Recently, we started to use less expensive, portable, recyclable PET water bottles as an alternative to the conventional heavy and expensive machines to perform cost-effective resistance exercises especially for older adults of low socio-economic status. In one of our home-based and community-based physical exercise intervention studies on older adults of a remote island in Japan, significant improvement was noted in upper body muscular performance, lower body muscular performance, and a tendency in improvement in agility (including dynamic balance) and static balance performance. Based on this exercise program, a local CABLE TELEVISON channel of that remote island developed a TV-based exercise program which has been being telecasting regularly on each day (twice a day) since May, 2018 (https://www.youtube.com/watch?v=6IY14-Bjf0M&feature=youtu.be). This home-based and community-based program was well covered by local newspapers (http://amamishimbun.co.jp/2018/11/02/14393/) as well.