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RN Nursing · Older Adults (65 Years and Older) · Practice question

A 70-year-old female has a reduction in muscle mass of the legs. Which recommendation would you make to ensure optimal status of the patient's mobility?

Answer & explanation

Correct: Engage in physical exercise every day

Age-related loss of muscle mass, known as sarcopenia, is a normal physiological change of aging that significantly affects mobility, balance, strength, and the risk of falls in older adults. The most effective and evidence-based intervention to counteract muscle loss and maintain or improve mobility is regular physical exercise, particularly resistance training and weight-bearing activities, which stimulate muscle protein synthesis, improve neuromuscular function, and enhance balance. Daily physical exercise is therefore the most directly relevant recommendation for a 70-year-old experiencing leg muscle mass reduction. While preventing obesity is broadly beneficial for joint health and mobility, it does not specifically address the underlying issue of sarcopenia and muscle loss. Ingesting adequate fluids every day is important for general health and prevents dehydration-related complications such as confusion and orthostatic hypotension, but it does not rebuild or preserve muscle mass. Pelvic floor exercises target the muscles of the pelvic region and are used to address urinary incontinence — they have no meaningful effect on leg muscle mass or lower-extremity mobility. Therefore, engaging in daily physical exercise is the most appropriate and targeted recommendation to optimize the mobility status of this patient.

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