GET HCM
magazine
Sign up for the FREE digital edition of HCM magazine and also get the HCM ezine and breaking news email alerts.
Not right now, thanksclose this window
HID Global
HID Global
HID Global
Follow Health Club Management on Twitter Like Health Club Management on Facebook Join the discussion with Health Club Management on LinkedIn Follow Health Club Management on Instagram
UNITING THE WORLD OF FITNESS
Health Club Management

Health Club Management

features

Policy: Fitness to wellbeing

Muir Gray has a vision for a world where exercise professionals help people live longer, better lives into old age

Published in Health Club Management 2021 issue 1
The normal biological ageing process does not cause problems until people are into their late 90s / Photo: AlessandroBiascioli / shutterstock
The normal biological ageing process does not cause problems until people are into their late 90s / Photo: AlessandroBiascioli / shutterstock
The industry should change from being focused on fitness and mostly working in real estate, to being a wellbeing industry, working with people of any age or level of health, wherever is needed

Before COVID, we were preparing an article for HCM called the Inverse Gym Law. This was based on a famous article published in The Lancet fifty years ago called the Inverse Care Law in which the author, the late Julian Tudor Hart, demonstrated that the volume and quality of healthcare was inversely related to need.

Our argument was that the fitness industry is also delivering a service that is inversely related to the potential for benefit.

Most of the people working with trainers and using gyms and fitness centres are young people, whereas the benefit that can be obtained from these resources increases with every decade of life that passes.

This is because the fitness gap opens up for most people in their early twenties when they get their first job – usually a sitting job – and their first car and that gap grows progressively wider until it reaches a point when it means the individual will drop below what has been called The Line, namely the level of ability where they can no longer carry out crucial tasks such as getting to the toilet in time.

The complicating factor is that the normal biological ageing process – which by itself does not cause problems until people are into their late 90s – does reduce resilience. This means that with each decade that goes by, fitness and ability are lost faster and are more difficult to recover.

However the evidence is clear that people of any age, no matter how many long-term conditions they may have, can close the fitness gap if they undertake the right exercise regime.

Although deprivation remains a huge problem, many older people are well off financially and so – pre-pandemic – represented an untapped market for the fitness industry, but then along came COVID-19.

Learning from the pandemic
Older people are at greater risk from coronavirus infection and for this reason are advised to practice what was initially called socially distancing – namely to avoid interaction with other, younger people, although it was emphasised in the prime minister’s first speech that getting out for exercise was very important.

COVID-19 has had a huge impact on older people in terms of fatalities, particularly in care homes, but what has emerged – more importantly – is the impact of lockdown on their health and this has been called the deconditioning pandemic, or the second pandemic.

The impact of this deconditioning is dramatically revealed in recent reports by AgeUK and the Centre for Ageing Better. One quarter of older people cannot walk as far and one fifth feel less steady on their feet and there have also been huge psychological impacts in terms of isolation and depression, which are both risk factors for dementia.

The need for reconditioning
Evidence shows people can regain lost ability, no matter their age or the number of conditions they have, but how can this reconditioning be brought about?

Social care bears a great burden as a result of deconditioning among older people, but is prevented from taking action by the current ‘culture of care’, which to most people means doing things FOR others.

This approach was laid down in 1948 in the National Assistance Act, which made it clear that younger people with special needs, “the crippled, deaf, dumb and blind”, needed education to overcome their difficulties, whereas the aged simply needed ‘practical assistance”, either at home or in care homes.

As a result, a culture developed which assumed that every problem was due to ageing and could be solved by just doing things for people.

Persistent culture
The Social Care Act of 2014 was much more enlightened and Section 2 emphasises the need to prevent the need for social care, but the culture has not changed.

The NHS is, by definition, a health service but in practice it is a National Disease Service and of course it has a vitally important role to play in, for example, treating stroke and providing joint replacement – two examples of the miracles of the second healthcare revolution – the high-tech revolution. The first being the Public Health Revolution of the 19th century.

With additional problems posed by COVID-19, it’s unlikely the NHS will be able to rise to the challenge of reconditioning the elderly, which should actually be the first step in the development of a completely different approach and culture to help people live longer, better and have a shorter period of multi-morbidity and dependency at the end of life.

The opportunity
In a major project organised by the Oxfordshire Activity Partnership, seventeen Active Partnerships are working towards a common set of objectives to help people live longer, better and to change the culture from a culture of care to a culture of enablement – or perhaps we could even use the term coaching – based on a definition of coaching as being activities to help people close the gap between potential and performance.

The key workforce are PTs and this means that the sector formerly known as the fitness industry is playing a key role in promoting wellbeing.

The term fitness of course is an accurate term, but it is so deeply associated with younger people that to change the culture it is better to use another term, and wellbeing is probably the single best term to use.

I believe the industry should change its brand from being a fitness industry, mostly working in real estate, to a wellbeing industry, working with people of any age or any level of health, either individually or in groups – online as well as in buildings.

Muir Gray is director of the optimal ageing programme at Oxford, a member of Active Oxfordshire and an Honorary Fellow of the Faculty of Sport and Exercise Medicine

Opinion: Kenny Butler – ukactive

Gyms, pools and leisure centres are essential places for the health and wellbeing of older adults, where they achieve not only greater physical activity levels, but also improved social connections, generating health, economic and social value.

The industry has proven these places are COVID-secure and that they’re more important than ever in this new chapter in the fight against COVID-19.

These places deliver 66 per cent of cancer rehabilitation and all the nation’s GP Exercise on Referral services. They’re also where 17.1m people reach the recommended levels of activity each week – second only to walking.

The industry now has a partnership with NHS England through social prescribing, and has put itself forward to help with the backlog of rehabilitation for elective surgeries and other rehabilitation needs in an ever-growing deconditioning crisis.

This industry is an essential service in the prevention and treatment of disease, as well as enhancing the physical and mental health of the nation.

Sign up here to get HCM's weekly ezine and every issue of HCM magazine free on digital.
Exercise interventions can shorten the period of dependency at the end of life / Photo: CGN089/shutterstock
Exercise interventions can shorten the period of dependency at the end of life / Photo: CGN089/shutterstock
The fitness industry can play a key role in promoting wellbeing in older people / Photo: Jacob Lund/shutterstock
The fitness industry can play a key role in promoting wellbeing in older people / Photo: Jacob Lund/shutterstock
https://www.leisureopportunities.co.uk/images/2021/718719_859199.jpg
Muir Gray argues the industry needs a change of focus to optimise its potential
Muir Grey, ageing, optimal ageing programme, Kenny Butler, ukactive,wellbeing, fitness
HCM magazine
Most of the world is dealing with some form of disruption to daily life, work life and finances, as well as navigating an uncertain world. Even those who enjoy robust mental health are finding themselves suffering from stress, anxiety, low mood and insomnia. What can the health and fitness industry do to help? Kath Hudson reports
HCM magazine
HCM People

Scott O’Shea

Founder, Station Mill
Coming from a personal training background, my experience has taught me that people hire the trainer before the training
HCM magazine
HCM People

Adam Tranter

Founder, #Bike is Best and Cycling Marketing Board
If we could get bike journeys up from 2% to 4% it would make a huge impact on emissions, people’s health and mental wellbeing
HCM Magazine
Sponsored
Welcome to the world of creative fitness, where exercise and fun merge to change the way we train
HCM Magazine
Retention
More than 1,700 industry professionals from 47 different countries joined the virtual Retention Convention recently, making it one of the sector’s largest online events of the year
HCM Magazine
Interview
The duo have joined forces to launch a free virtual ‘couch to exercise’ programme called RISE. They talk to HCM about what they’ve learned from collaborating on Sport Relief and how they’re using this knowledge to deliver the new not-for-profit
HCM Magazine
Research
Tracking consumers’ sentiment in relation to lockdowns gives valuable insights into members’ priorities. Leisure-net surveyed the first two UK lockdowns and is currently working on the third. Dave Monkhouse reports on results from the lockdown 2 survey
HCM Magazine
Editor's letter
There’s never been a more important time for us all to be focused on lobbying, as the industry fights for its work and potential to be recognised and supported
HCM Magazine
Interview
COVID survival strategies, growth plans, and a belief that government is finally recognising the value of the fitness sector. The Gym Group CEO speaks to Kate Cracknell
HCM Magazine
Sponsored
Offering red light therapy to your members can create a valuable source of secondary spend, while also supporting them with their recovery and delivering improvements to mobility, circulation and muscle soreness, as Karen Maxwell explains
HCM Magazine
Latest News
Gyms and leisure centres in Scotland are set to open on 26 April, provided that ...
Latest News
Hundreds of gyms, swimming pools and leisure centres have been forced to close and thousands ...
Latest News
People placing increased emphasis on their physical fitness, the advances made in digital fitness and ...
Latest News
A new guide looks to offer local level practitioners and commissioners – as well as ...
Latest News
What are the effects on public health of gyms and leisure centres being shut during ...
Latest News
Mobile data and analytics provider App Annie has released its State Of Mobile 2021 report, ...
Latest News
The world's largest fitness trade fair, FIBO, has been rescheduled to November. The event will ...
Latest News
PM, Boris Johnson, has confirmed that gyms, swimming pools and leisure centres in England will ...
Featured supplier news
Featured supplier: What does a socially distanced leisure centre and health club look like?
The world has had to get used to social distancing in 2020 and any business operating in the leisure and hospitality sectors has had to face this challenge more than most.
Featured supplier news
Featured supplier: The Retention People unveil 2020 Member Experience Awards winners
Member engagement software provider The Retention People (TRP) has unveiled the winners of its annual 2020 Member Experience Awards (MEA).
Company profiles
Company profile: Merrithew™ - Leaders in Mindful Movement™
Merrithew™ enriches the lives of others with responsible exercise modalities and innovative, multidisciplinary fitness offerings ...
Company profiles
Company profile: Hussle
Hussle exists for two reasons: To increase opportunities for people to engage in physical activity ...
Supplier Showcases
Supplier showcase - Venueserve Fitness
Supplier Showcases
Supplier showcase - Egym: Game changer
Catalogue Gallery
Click on a catalogue to view it online
Directory
Management software
fibodo Limited: Management software
Hydrotherapy / spa fragrances
Kemitron GmbH: Hydrotherapy / spa fragrances
Fitness equipment
Precor: Fitness equipment
Lockers/interior design
Safe Space Lockers Ltd: Lockers/interior design
Exercise equipment
Matrix Fitness: Exercise equipment
Uniforms
Service Sport: Uniforms
Trade associations
International SPA Association - iSPA: Trade associations
Independent service & maintenance
Servicesport UK Limited: Independent service & maintenance
Spa software
SpaBooker: Spa software
Whole body cryotherapy
Art of Cryo: Whole body cryotherapy
Property & Tenders
Diary dates
03-04 Mar 2021
NEC, Birmingham, United Kingdom
Diary dates
03-06 Jun 2021
Expo Centre & Riviera di Rimini, Italy
Diary dates
12 Jun 2021
Worldwide, Various,
Diary dates
13-14 Jun 2021
Online,
Diary dates
16-17 Jun 2021
ExCeL London, London, United Kingdom
Diary dates
18-19 Sep 2021
Locations worldwide,
Diary dates
21-24 Sep 2021
Messe Stuttgart, Germany
Diary dates
01-07 Dec 2022
tbc, Dunedin, New Zealand
Diary dates

features

Policy: Fitness to wellbeing

Muir Gray has a vision for a world where exercise professionals help people live longer, better lives into old age

Published in Health Club Management 2021 issue 1
The normal biological ageing process does not cause problems until people are into their late 90s / Photo: AlessandroBiascioli / shutterstock
The normal biological ageing process does not cause problems until people are into their late 90s / Photo: AlessandroBiascioli / shutterstock
The industry should change from being focused on fitness and mostly working in real estate, to being a wellbeing industry, working with people of any age or level of health, wherever is needed

Before COVID, we were preparing an article for HCM called the Inverse Gym Law. This was based on a famous article published in The Lancet fifty years ago called the Inverse Care Law in which the author, the late Julian Tudor Hart, demonstrated that the volume and quality of healthcare was inversely related to need.

Our argument was that the fitness industry is also delivering a service that is inversely related to the potential for benefit.

Most of the people working with trainers and using gyms and fitness centres are young people, whereas the benefit that can be obtained from these resources increases with every decade of life that passes.

This is because the fitness gap opens up for most people in their early twenties when they get their first job – usually a sitting job – and their first car and that gap grows progressively wider until it reaches a point when it means the individual will drop below what has been called The Line, namely the level of ability where they can no longer carry out crucial tasks such as getting to the toilet in time.

The complicating factor is that the normal biological ageing process – which by itself does not cause problems until people are into their late 90s – does reduce resilience. This means that with each decade that goes by, fitness and ability are lost faster and are more difficult to recover.

However the evidence is clear that people of any age, no matter how many long-term conditions they may have, can close the fitness gap if they undertake the right exercise regime.

Although deprivation remains a huge problem, many older people are well off financially and so – pre-pandemic – represented an untapped market for the fitness industry, but then along came COVID-19.

Learning from the pandemic
Older people are at greater risk from coronavirus infection and for this reason are advised to practice what was initially called socially distancing – namely to avoid interaction with other, younger people, although it was emphasised in the prime minister’s first speech that getting out for exercise was very important.

COVID-19 has had a huge impact on older people in terms of fatalities, particularly in care homes, but what has emerged – more importantly – is the impact of lockdown on their health and this has been called the deconditioning pandemic, or the second pandemic.

The impact of this deconditioning is dramatically revealed in recent reports by AgeUK and the Centre for Ageing Better. One quarter of older people cannot walk as far and one fifth feel less steady on their feet and there have also been huge psychological impacts in terms of isolation and depression, which are both risk factors for dementia.

The need for reconditioning
Evidence shows people can regain lost ability, no matter their age or the number of conditions they have, but how can this reconditioning be brought about?

Social care bears a great burden as a result of deconditioning among older people, but is prevented from taking action by the current ‘culture of care’, which to most people means doing things FOR others.

This approach was laid down in 1948 in the National Assistance Act, which made it clear that younger people with special needs, “the crippled, deaf, dumb and blind”, needed education to overcome their difficulties, whereas the aged simply needed ‘practical assistance”, either at home or in care homes.

As a result, a culture developed which assumed that every problem was due to ageing and could be solved by just doing things for people.

Persistent culture
The Social Care Act of 2014 was much more enlightened and Section 2 emphasises the need to prevent the need for social care, but the culture has not changed.

The NHS is, by definition, a health service but in practice it is a National Disease Service and of course it has a vitally important role to play in, for example, treating stroke and providing joint replacement – two examples of the miracles of the second healthcare revolution – the high-tech revolution. The first being the Public Health Revolution of the 19th century.

With additional problems posed by COVID-19, it’s unlikely the NHS will be able to rise to the challenge of reconditioning the elderly, which should actually be the first step in the development of a completely different approach and culture to help people live longer, better and have a shorter period of multi-morbidity and dependency at the end of life.

The opportunity
In a major project organised by the Oxfordshire Activity Partnership, seventeen Active Partnerships are working towards a common set of objectives to help people live longer, better and to change the culture from a culture of care to a culture of enablement – or perhaps we could even use the term coaching – based on a definition of coaching as being activities to help people close the gap between potential and performance.

The key workforce are PTs and this means that the sector formerly known as the fitness industry is playing a key role in promoting wellbeing.

The term fitness of course is an accurate term, but it is so deeply associated with younger people that to change the culture it is better to use another term, and wellbeing is probably the single best term to use.

I believe the industry should change its brand from being a fitness industry, mostly working in real estate, to a wellbeing industry, working with people of any age or any level of health, either individually or in groups – online as well as in buildings.

Muir Gray is director of the optimal ageing programme at Oxford, a member of Active Oxfordshire and an Honorary Fellow of the Faculty of Sport and Exercise Medicine

Opinion: Kenny Butler – ukactive

Gyms, pools and leisure centres are essential places for the health and wellbeing of older adults, where they achieve not only greater physical activity levels, but also improved social connections, generating health, economic and social value.

The industry has proven these places are COVID-secure and that they’re more important than ever in this new chapter in the fight against COVID-19.

These places deliver 66 per cent of cancer rehabilitation and all the nation’s GP Exercise on Referral services. They’re also where 17.1m people reach the recommended levels of activity each week – second only to walking.

The industry now has a partnership with NHS England through social prescribing, and has put itself forward to help with the backlog of rehabilitation for elective surgeries and other rehabilitation needs in an ever-growing deconditioning crisis.

This industry is an essential service in the prevention and treatment of disease, as well as enhancing the physical and mental health of the nation.

Sign up here to get HCM's weekly ezine and every issue of HCM magazine free on digital.
Exercise interventions can shorten the period of dependency at the end of life / Photo: CGN089/shutterstock
Exercise interventions can shorten the period of dependency at the end of life / Photo: CGN089/shutterstock
The fitness industry can play a key role in promoting wellbeing in older people / Photo: Jacob Lund/shutterstock
The fitness industry can play a key role in promoting wellbeing in older people / Photo: Jacob Lund/shutterstock
https://www.leisureopportunities.co.uk/images/2021/718719_859199.jpg
Muir Gray argues the industry needs a change of focus to optimise its potential
Muir Grey, ageing, optimal ageing programme, Kenny Butler, ukactive,wellbeing, fitness
Latest News
Gyms and leisure centres in Scotland are set to open on 26 April, provided that ...
Latest News
Hundreds of gyms, swimming pools and leisure centres have been forced to close and thousands ...
Latest News
People placing increased emphasis on their physical fitness, the advances made in digital fitness and ...
Latest News
A new guide looks to offer local level practitioners and commissioners – as well as ...
Latest News
What are the effects on public health of gyms and leisure centres being shut during ...
Latest News
Mobile data and analytics provider App Annie has released its State Of Mobile 2021 report, ...
Latest News
The world's largest fitness trade fair, FIBO, has been rescheduled to November. The event will ...
Latest News
PM, Boris Johnson, has confirmed that gyms, swimming pools and leisure centres in England will ...
Latest News
The re-opening of gyms in Wales has been pushed back by the country's First Minister ...
Latest News
The physical and mental health of women in the UK has been put under unprecedented ...
Latest News
Excess body fat and obesity are likely to have contributed to more deaths in England ...
Featured supplier news
Featured supplier: What does a socially distanced leisure centre and health club look like?
The world has had to get used to social distancing in 2020 and any business operating in the leisure and hospitality sectors has had to face this challenge more than most.
Featured supplier news
Featured supplier: The Retention People unveil 2020 Member Experience Awards winners
Member engagement software provider The Retention People (TRP) has unveiled the winners of its annual 2020 Member Experience Awards (MEA).
Company profiles
Company profile: Merrithew™ - Leaders in Mindful Movement™
Merrithew™ enriches the lives of others with responsible exercise modalities and innovative, multidisciplinary fitness offerings ...
Company profiles
Company profile: Hussle
Hussle exists for two reasons: To increase opportunities for people to engage in physical activity ...
Supplier Showcases
Supplier showcase - Venueserve Fitness
Supplier Showcases
Supplier showcase - Egym: Game changer
Catalogue Gallery
Click on a catalogue to view it online
Directory
Management software
fibodo Limited: Management software
Hydrotherapy / spa fragrances
Kemitron GmbH: Hydrotherapy / spa fragrances
Fitness equipment
Precor: Fitness equipment
Lockers/interior design
Safe Space Lockers Ltd: Lockers/interior design
Exercise equipment
Matrix Fitness: Exercise equipment
Uniforms
Service Sport: Uniforms
Trade associations
International SPA Association - iSPA: Trade associations
Independent service & maintenance
Servicesport UK Limited: Independent service & maintenance
Spa software
SpaBooker: Spa software
Whole body cryotherapy
Art of Cryo: Whole body cryotherapy
Property & Tenders
Diary dates
03-04 Mar 2021
NEC, Birmingham, United Kingdom
Diary dates
03-06 Jun 2021
Expo Centre & Riviera di Rimini, Italy
Diary dates
12 Jun 2021
Worldwide, Various,
Diary dates
13-14 Jun 2021
Online,
Diary dates
16-17 Jun 2021
ExCeL London, London, United Kingdom
Diary dates
18-19 Sep 2021
Locations worldwide,
Diary dates
21-24 Sep 2021
Messe Stuttgart, Germany
Diary dates
01-07 Dec 2022
tbc, Dunedin, New Zealand
Diary dates
Search news, features & products:
Find a supplier:
HID Global
HID Global