Lifting safely for (somewhat) older men

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Dolman

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Lifting safely for (somewhat) older men - Sunday, January 11, 2009 8:53 AM ( #1 )
Dan,

My dad wants to lose some weight and get in shape, so I'm trying to help him out with it.  He's 48 yrs old, 6'1" and about 250 lbs.  A good portion of this is from years of drinking beer every night, and is around his belly.

I think ditching the beer will help dramatically, but I'm still working on him about this...

Getting a 'decent' meal every few hours is something we're slowly steering towards also, but my main question has to do with lifting.

Since he's not used to lifting, these first few weeks I have him doing light weight to get the form down.  I know the benifits of squats and deadlifts are great, but he has knee problems.  He's just been doing the bar for squats, but just the act of bending down like that hurts his knees.  (He is in a very active profession where he is on his knees often doing mechanical tasks)

At this age, with those knees, whats the best thing to do?  I'm sure glucosamine is a good start, but should he avoid squats all together??  Or just take it very slow?

Thanks,
Jared
danmirage

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Re:Lifting safely for (somewhat) older men - Sunday, January 11, 2009 9:29 AM ( #2 )
It is fantastic that you are working with your dad to improve his level of lifetime fitness!

First, your dad is young and there is no better time to see amazing results!

Second, make sure his physician has given the ok for training, especially in any areas that have prior injury.  If necessary, see a Physical Therapist for a full program of home rehabilitation exercises that you can use for warm up and cool down as well as for some specific training in injury areas.

Should he have protective gear in his work to protect his knees?  I think if he is on them, then the answer is yes and it should be non-negotiable.

While it would be ideal if he switched from beer to say green tea, perceived quality of life and the perception that we have to "give something up" or "suffer" may make compliance a serious issue.  For things like that, you want to give him options and make them easy for him to enjoy, but let him make any decisions.  In truth, the beer may have contributed in a number of ways and some of what you want to try to do is change the effect of this on his body.

One thing you are aiming for is to change the chemical environment in his body.  Right now, he does not have the right chemistry to get optimal results from any training.

So, this is a transition period.  Lets say you think of this first period as a 6-8 week transition  period.

Now, starting of with low weights and slower movements has a few advantages.
He needs to strengthen the structural components of his physique as well as change the chemistry.  This time will help him train tendons and ligaments as well as muscle.  Additionally and perhaps more important, he will remodel his neural responses as he learns to model proper movements and form!

In short, your general approach is good!

What I would be sure to do...check him for any areas of pain, for any structural imbalances, assess him for any lingering injuries which might make certain movements uncomfortable or unsafe.  DO not do any movement that look like the movements that have caused any over use injury.

His knees hurt?  So select movements that don't hurt them.
But more important, why do they hurt?  Is there a muscle imbalance, an injury, is there a calcification in nearby tissue that impinges on the movement...

Just doing movements that are 1/8 squats or partial lunges with knees tracking over the toes and not extending forward of the line of the toe, might be better for him.

Use a rack to start lifts instead of squatting to pick up the bar.

Lying squat machines can also be good for this.  Try different things to see where there is no pain.

Watch him do a movement.  Do the knees track left or right, or do they stay centered over the middle toe.  Consistent movement to the side implies there is a possible muscle imbalance.  In general these can be corrected by relaxing the tighter muscle (the one on the side the joint pulls to) and isolation training the weak muscle (the one on the side the joint pulls away from.)

Key areas to watch for imbalance...
Neck, Lower Back, Shoulder, Hip, Ankle, Knee

Diet is important!

  • He needs good fats to combat swelling from poor diet choices and from injury (3-6 grams of Fish oils a day for instance).  Fat is also a precursor for growth hormones and we want to see those levels shoot up in the next 2 months of transitioning.
  • He needs a variety of good quality vegetables (anf fruits) to help buffer acid buildup and provide phytonutrients and antioxidants.
  • He needs enough unprocessed qualiry carbs to give him energy for training and recovery.
  • He needs enough quality and timely protein to insure uninturruted recovery.
Glucosamine (& chondroitin) is also something to consider.  You take it for life.  1500 mg/day Glucosamine is the effective dose in research for joint related issues.  For example, I use this:
Glucosamine and Chondroitine
for joint repair and health as well as tissue repair.

Make the workouts fun adn short.  ALWAYS warm up and cool down. (Try a walk before adn after to get the heart rate up/down)  Make the food choices easy and enjoyable.  Make the training interesting and safe, but a little challenging.

In 6-8 weeks, change the training to include a progressive component that includes working up to some of the basic maximal lifts.  Get his muscle and strength WORKING for him.

Once you get there, except for any special considerations, he is just like any one of us. 
Training, diet, recovery, lifestyle, progression.

Good luck!
Dolman

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Re:Lifting safely for (somewhat) older men - Sunday, January 11, 2009 8:10 PM ( #3 )
Thanks for the great in-depth reply!

LOL, it will probably be impossible to get him to a physician anytime soon for this.  He owns his own business and is super busy... plus he just isn't 'into' doing things like going to the doctor unless he has to. :)

He's never really had his knees checked out, they've just been bad for quite a few years.  He thinks it's that there is very little cartilage left in them because he's always been so hard on them.

Perhaps a good idea to just avoid squats and deadlifts for now?  Maybe when he loses weight it will be better.  (You mentioned a 1/8 squat.  Do you mean literally 1/8 of the rep range?)
danmirage

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Re:Lifting safely for (somewhat) older men - Sunday, January 11, 2009 8:27 PM ( #4 )
1/4 or 1/8 squats refer to the range of motion.

A full squat is going all the way to a sitting position.
1/2 is 1/2 way
1/4 and 1/8...etc.

This allows you to load the quads, hams, etc without doing a full range movement.

Squats have been shown to improve knee pain and function, so don't write them off...But work without pain.

Possibly there is just some swelling and some "arthritic" joint stuff in there.  Training can help or hinder.  So have him train only in ranges where there is no pain. 

Pro lifter Knee wraps are nice.  I used them when I had knee trouble and was able to wean myself off them.
Dolman

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Re:Lifting safely for (somewhat) older men - Monday, January 12, 2009 6:16 AM ( #5 )
Great!  We will try these soon, thanks!
danmirage

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Re:Lifting safely for (somewhat) older men - Tuesday, March 10, 2009 7:27 PM ( #6 )
Non-the less, lifting reduces overall swelling that results from low activity in aging and a good portion of the pain should subside as a result!
<message edited by on Tuesday, March 10, 2009 7:30 PM>
designer

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Re:Lifting safely for (somewhat) older men - Wednesday, March 18, 2009 1:57 PM ( #7 )
Tell him to pay particular attention to the correct form and not lifting too much too soon when doing squats. I'm 48 myself and a while back had a bit of any injury from just that.
175 lbs
47 48 years old
Feeling pretty good
Wetdawg

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Re:Lifting safely for (somewhat) older men - Wednesday, March 18, 2009 2:23 PM ( #8 )
It took me over a year of working my back muscles just to start squating over 200. With a Hyrniated disc I had to be sure my muscle could hold my spine together before i did anything heavier. Start slow and build up.
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LTee43

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Re:Lifting safely for (somewhat) older men - Thursday, March 26, 2009 8:11 AM ( #9 )
I agree, start out slow and add weight as you go. I can't stress how important form is to not hurting yourself and compromising gains.

LT

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