It was just a y
ear ago that Marion Iwane, 88, read a story in Generations Magazine about a senior in her 90s who started exercising at age 77. Inspired by the story, Marion decided to come in for help with balance, weakness and pain in her hips and shoulders. One month into the program, Marion suffered a mild stroke. After a brief stay in the hospital, she was sent to a nursing rehabilitation facility. Two months later, Marion’s daughter brought her back in to see me. Seeing her with a walker and weak on the left side of her body due to the stroke, I knew we had some work to do. I had successfully worked with another client who suffered a much stronger stroke, so I had high hopes for Marion’s recovery.
Marion has come in twice a week for the last 10 months. We started with moving the joints and light stretching, working our way up to strength and flexibility exercises. While training the right and then the left side of the body, it was important that she not lead with her dominant side. When she accomplishes one task we move on to a new one, continually stimulating her brain and connecting the mind to the movement. In the beginning there were times when she wanted to stop coming. Thanks to her daughter who encouraged her to continue, her attitude toward exercise has changed. One day she said to me, “I want to be strong like you.” Wow, that made my day!
In addition to exercise, Marion and I have worked on infusing her diet with healthy nutrients through green smoothies. Getting enough fruits and vegetables into our diets is important for good health and longevity. We also need healthy fats (monounsaturated and polyunsaturated fats from avocados, raw nuts, fatty fish, etc.) to maintain brain function and help with cellular communication. We add flaxseed and coconut oil into our smoothies as an easy way to ensure we get our good fats.
Nearly a year later, Marion is stronger and more flexible than prior to the stroke. The pain she was having in her shoulders and hips is gone. She no longer uses a walker and sometimes forgets her cane in the studio after her workout.

Marion continues to feel better and stronger. I am so proud of her and grateful that she allowed me to share her story to inspire others not to give up regardless of our age and obstacles.
It is important for all of us to connect the mind and body through movement patterns and exercise (neuromechanics). The more connections — the more brain activity — the healthier the mind, body and spirit.
Shaping Up!
808-221-3905
shapingup@hawaii.rr.com
www.shapingup808.com

More than ever, we have to take charge of our own health, including doing what we can to avoid health problems, such as preventing falls. According to the Centers for Disease Control, falls are the leading cause of accidental fatal and non-fatal injuries among Hawai‘i’s older adults. Every five hours a kupuna is injured so severely in a fall that he/she must be treated in a hospital.
One in seven adults in Hawai‘i has kidney disease. An additional one in three people are at risk for getting it, and most don’t know it. Kidney disease can be found and treated early to prevent more serious kidney disease and other complications. Three simple tests can help.
A physical therapist specializing in cardiac rehab will perform an evaluation and develop a plan consisting of patient education on diet, relaxation techniques, aerobic training and strengthening exercises. The therapist will closely monitor vital signs, such as blood pressure, heart rhythm and rate, and oxygen saturation levels. The therapist should also prescribe a safe exercise program, with appropriate duration, frequency and intensity. While everyone can exercise at a gym or at their home after a cardiac event, a rehab program offers a safe and effective en- vironment to improve your heart health with the supervision of a medical professional.

It is sometimes difficult to be sure whether we, as seniors, are taking our multiple medications correctly. Help has arrived. If you have a Medicare drug plan and take medications for more than one chronic health condition — such as hypertension, diabetes or cardiac disease — you may be eligible for Medication Therapy Management (MTM) at no cost to you. Local pharmacists can review your medications and discuss any concerns. Contact your drug plan to see if your plan will cover MTM.
Cataracts affect more than 24 million Americans, with nearly 115,000 of them right here in Hawai‘i. A cataract is when the normally clear lens of the eye starts to become cloudy, which blocks and distorts light necessary for the retina to process images.
In these situations, it’s important to consider alternate interventions for the elderly — especially for those with joint pain and medical conditions that restrict land training. A recent study from University of California, San Francisco found that water exercises were more effective in improving balance than land exercises.
Are you aware of the caution about drinking cola drinks? According to a 2007 study, “carbonated beverage consumption has been linked with diabetes, hypertension and kidney stones, all risk factors for chronic kidney disease (CKD). Cola beverages, in particular, contain phosphoric acid and have been associated with urinary changes that promote kidney stones.”(1) Drinking two or more colas per day was associated with increased risk of CKD.