Fitness tips for those who are old adults and travelling:

Fitness tips for those who are old adults and travelling:

Older adults should plan their trip very well, taking into account not only the final destination but also the itinerary and the risks present in each place. It is advisable to make planned trips, preferably on tour, all-inclusive hotels or cruises where recreational activities or walks are group and meals are planned. In this type of trips, in addition, baggage handling, transportation, mobility, medical assistance and adequate rest are often assured which reduces the risk compared to an independent and adventure trip.

Fitness for the trip:

It is necessary for the older adult to consult with his or her primary care physician to carry out a checkup and evaluate his or her health before the trip, especially if during the trip he is going to carry out activities that require unusual physical effort. In addition, you must consult a traveler’s medical service to carry out appropriate advice before traveling. This consultation must be done well in advance to be able to indicate the prevention measures. Ideally, it should be done at least 4-6 weeks before the departure date.

An individualized risk assessment must be carried out that takes into consideration the exact location of the trip, the itinerary and individual factors of the traveler. Special attention should be given to immunizations, prevention of malaria and traveler’s diarrhea. Do not forget that the appropriate behavior of the traveler can substantially reduce the risk of many specific health problems as well as those related to safety. Care guidelines, behavioral education, and self-management strategies should be provided.

Travelers with underlying illnesses should be aware that the entire trip can have risks even when traveling on trains, buses, taxis or several hours in waiting areas in different terminals. When the trip is by plane, the main concerns are the exacerbations of chronic medical problems due to changes in air pressure and humidity. The Aerospace Medical Association (USA) and guidelines for pre-flight medical assessment and people with the following cardiovascular conditions have a contraindication to air travel:

•    Myocardial infarction 2 weeks before.

•    Complicated myocardial infarction within the previous 6 weeks.

•    Coronary artery bypass (by-pass) within two weeks before the flight.

•    Uncontrolled hypertension.

•    Coronary revascularization surgery 10-14 days before.

•     Symptomatic severe valvular heart disease.

Other conditions in which air travel is contraindicated are:

•    Any active contagious disease.

•    Decompression sickness after diving.

•    Increased intracranial pressure due to hemorrhage, trauma or infection.

•    Infections of the sinuses, ears or nose, especially if the Eustachian tube is blocked.

•    Stroke (the time elapsed since the event depends on the severity of the illness and the duration of the trip)

•    Surgery or recent injury, especially abdominal trauma and gastrointestinal surgery.