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Comment 1
The aging adult experiences a slower metabolism, decreased energy and decrease in bone density and musculoskeletal degeneration. Edelman, Kudzma, & Mandel (2015) note middle age adults can decrease the ris k of cardiovascular disease, osteoporosis and depression by simply engaging in moderate physical activity daily. 
The aging of the cardiovascular system, of middle aged adults can be directly related to lifestyle habits, such as diet and exercise (Jarvis, 2011).  There is a decrease in the elasticity of blood vessels, increase in left ventricular hypertrophy, and decrease cardiac output with exercise. These changes can lead to increased muscle fatigue, and shortness of breath.  The Centers for Disease Control reports that heart disease is one of the leading causes of mortality among middle age adults with as many as 610,000 deaths annually. Patients should consult with their physicians prior to starting exercise regime. The nurse should assess the patient history for risk factors such as age, gender, ethnicity, sedentary lifestyle, obesity, smoking, high blood pressure, and high cholesterol.  Education and resources can be provided to the patient about habits that be changed like smoking cessation, increased activity, and weight loss (Wei, 2015). It is recommended for middle aged adults to participate in at least 30 minutes of brisk exerci

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se for 3-4 days weekly, it’s important to make sure the activity is something enjoyable for the individual or that can be incorporated into their leisure activities (Edelman, 2013). Nurses can encourage realistic activity increase such as taking the stairs instead of elevators. 
Bone density and muscle mass decrease in the aging adult. Osteoporosis, arthritis and degenerative joint disease are disorders that are related to the loss of bone density. Regular exercise and weight decrease can help decrease the risk of early onset of osteoporosis and arthritics. According to the CDC arthritis is on e of the leading causes of chronic pan in the United states, with more than 54.4 adults being affected.  The CDC recommends water exercise programs two to three times a week for an hour to reduce pain and improve function.  Water aerobics is activity that does not put as much stress and strain on joints and bones.
Regular exercise and physical activity can have benefits in combating depression and other mood disorders(Edelman,2015).  The CDC reports 1 in 5 Americans will experience a m mental illness annually.  Regular exercise can reduce symptoms of anxiety and depression and increases endorphins allowing for increased feeling of wellbeing as noted by the CDC. Increased physical activity and exercise has many benefits including physical and mental aspects. 

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