A Balancing Act

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A Balancing Act, Joan Pagano, The Three Tomatoes

(Note:  Make sure to watch the video below with excellent exercises for your balance.)

Years ago there was an ad on TV that showed a woman putting on panty hose while standing up. My mother asked me then if I could do that and at the time, I could. Now, however, when I try to wiggle into leggings and tights while balancing, it’s a real challenge!

Our ability to balance peaks around age 20 and normally stays excellent through our early 40s. From the mid-40s to early 70s, balance starts to deteriorate. The changes are so subtle that most women are not aware of them.

After the mid-70s, loss of balance begins to affect our quality of life. In the U.S., falls are the leading cause of injury for people over age 65. In fact:
•25% of older people who fall and fracture a hip die within a year.
•80% have severe mobility problems causing a sudden loss of independence.

Balance is controlled by the brain’s cerebellum, which is responsible for movement and coordination. It’s a complicated function involving vision, muscle strength, proprioception and attention. With age, these elements deteriorate.

What are some of the risk factors for falling?
•Muscle weakness: balancing is directly related to the strength of our ankles, knees and hips
•Muscle tightness and loss of agility
•Arthritis of the knees (related to lack of joint mobility)
•Previous falls
•Age-related sensory changes, like slower reaction time, reduced vision
•Changes in spinal alignment and center of gravity, e.g. bent-over posture of osteoporosis
•Medications, e.g. for hypertension which can cause postural hypotension and dizziness

However, while certain declines with age are unavoidable, studies show that much of the sense of balance can be preserved and even restored through exercises that require no special equipment or training.

Test your balance:
•Stork stance on one leg, eyes open, eyes closed
•Tandem stance, on both legs as if on a tight rope, eyes open, eyes closed
•Weight shift: do a squat (weight back on your heels) followed by a calf raise (lifting up on the balls of your feet)

Easy ways to improve balance in daily life:
•Stand on one leg while brushing teeth
•”Subway surfing” – hold onto hand rails very lightly or not at all
•Walk on different surfaces – unstable ones make the muscles work harder
•Strengthen ankles, stretch and practice weight shift, also at the kitchen sink


  • Joan Pagano

    Joan Pagano has specialized in strength training for women since 1988 – training, teaching, and writing books on the subject, including Strength Training Exercises for Women (DK, 2014). When the health benefits of strength training started making headlines in the 1990s, and in particular how weight training could protect the bones and prevent osteoporosis, it was a natural segue for her. At that time, Joan was developing and delivering fitness training guidelines for osteoporosis to national audiences of exercise professionals. Currently Joan is recognized by the industry as a leading authority on exercise program design for osteoporosis. She is certified as an Exercise Physiologist by the American College of Sports Medicine (ACSM) and is on the Ambassadors Leadership Council for the National Osteoporosis Foundation. Visit Joan at: www.joanpaganofitness.com/

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