© 2004. the hygenic corporation the active aging toolkit for healthcare providers promoting...

© 2004. The Hygenic Corporation

The Active Aging Toolkit

For Healthcare Providers Promoting Physical Activity in

Older Adults


Aging Statistics

The number of Americans over 65 will increase to 80 million (double) by 2050.

1 out of 4 older Americans have at least one functional limitation

88% of older Americans have at least one chronic disease


Physical inactivity is more common among elderly than any other group

After 65,40% of women & 30% of men are sedentary CDC, 1996


Changes with Aging: Biology or Inactivity?

The biological changes seen with aging are the same as those seen with bed rest. Loss of muscle & bone Increase in fat and cholesterol Loss of mobility and functional ability

The good news…. PHYSICAL ACTIVITY can prevent or

reverse these aging changes!


Physical Activity & Aging

Because of their low functional status and high incidence of chronic disease, there is no segment of the population that can benefit more from exercise than the elderly.

American College of Sports Medicine


Physical Activity & Aging

The US Surgeon General recommends community-based physical activity programs that include cardiovascular, flexibility, and strengthening activities.

USDHHS, 1996


In May, 2001, a coalition of 50 organizations released a major national planning document that addresses physical activity & aging

www.agingblueprint.org


Funded by Robert Wood Johnson Foundation

Active Aging Partnership (Steering Committee)

AARP ACSM AGS CDC NCOA NIA


Blueprint Barriers

The National Blueprint identified several barriers to physical activity, including: Research Home & Community Workplace Public Policy Medical Systems


Medical System Barriers

Lack of education on disease preventionLack of education on disease prevention Lack of time to address physical activity Lack of time to address physical activity Lack of evidence-based protocolLack of evidence-based protocol Lack of adequate educational materialsLack of adequate educational materials

Needs Exercise


Medical Systems Strategies

Disseminate best practices

Facilitate patient referrals to community resources

Develop Toolkits for healthcare providers

Needs Exercise


Importance of Healthcare Provider

Most important factor for Most important factor for participation in an exercise participation in an exercise program was a program was a recommendation from recommendation from healthcare provider healthcare provider Less than 50% of physicians

counseled their older patients on exercise

(Ades et al. 1992)


National Blueprint Partners developed the “Active Aging Toolkit” in 2003.

Therapists, Physicians & Researchers developed and refined the document


The Active Aging Toolkit contains: The AAT “White Paper” Provider Manual First Step to Active Health Program

Patient Kit Training program for professionals

www.FirstSteptoActiveHealth.com


The “First Step to Active Health” program was identified by the Active Aging Toolkit Partners as an example of a scientifically based and well-rounded program to increase physical activity.


www.FirstStepToActiveHealth.com


First Step Well-Rounded Program


First Step to Active Health: 1. Cardiorespiratory Program

Emphasizes adding physical activity to daily life Taking the stairs Walking the dog

Recommends gradual increase in enjoyable cardio activities toward 30 minutes, most days of the week

Uses Borg’s RPE Scale for “moderate intensity” activity (Borg, 1998)


First Step to Active Health: 2. Flexibility Program

Recommends 2-3 x/ week stretching activities of muscles prone to tightness

Suggests adding stretching activities as part of warm-up and cool-down


First Step to Active Health: 3. Strengthening Program

Clinically proven protocol Improvements in:

strength balance gait function

Correlated with functional tasks

(Mikesky, 1994; Topp, 1993, 1996, 1998)


First Step to Active Health:4. Balance Program

Clinically proven protocol(Rogers et al. 2001, 2002, 2003; Shores et al. 2002)

Recommend multifactoral approach (ACSM, 1998)

balance training (progressive difficulty) resistive exercise walking weight transfers


The First Step kit contains:

Easy to read fold-outs with 4 progressive steps

Program manual includes assessment, goal setting, and behavioral strategies

Daily Activity Log

Elastic Band


1

1

2

2

3

3

3

4

4

5

6

10

20

23

24

46

0 5 10 15 20 25 30 35 40 45 50

Number of Clinical Studies

Body Comp

Lipid Profile

Blood Pressure

Phys Activity

Bone Density

Fall Risk

ROM/Flexibility

Disability

Quality of Life

Pain

Grip Strength

Cardio/Aerobic

Function/ADL

Balance

Gait & Mobility

Strength

Imp

rovm

ents

Thera-Band Clinical Outcomes in Older Adults

Series1

Clinical Outcomes in Older Adults using the Thera-Band® System (8/03)


1

1

1

1

1

1

1

1

2

2

2

2

3

4

4

5

6

6

7

0 1 2 3 4 5 6 7

Amputation

CAD

Cancer

Cardiac Rehab

ESRD

OrthoHypo

Parkinsons

PeriphNeuro

COPD

Dementia

Osteoporosis

Stroke

CHF

Disabled

Hip Fx

OA

Fall Risk

RA

Frail

Chronic Diseases & Disabilities

Series1

Special Populations using the Thera-Band® System in the Literature (8/03)

Number of Clinical Studies


First Step Programming Options

Individual Programming Group Programming

Behavioral Changes Assessment & Goal-setting 4 Progressive Steps for

Well-Rounded program Modifications for Special

Populations


First Step Research

Feasibility & Implementation Local Community level Within Medical Systems

Outcomes Functional Improvements (decrease in disability) Quality of Life Improvements Disease Management (medication, admissions)

Cost Effectiveness Across different populations, sub groupings,

and settings


Program Implementation

Inpatient At discharge

Outpatient Clinic Referral or Prescription

Medical Fitness Facility Weekly Program

Senior Centers YMCA’s


Why it’s important to you

The National Blueprint organizations will be disseminating the Toolkit & First Step program to their members

Future CDC guidelines for physicians will include counseling on physical activity

Local communities will need programs for professional referrals


What you can do….

Promote increasing physical activity in your patients using Toolkit strategies

Educate colleagues and other professionals on promoting activity

Begin a First Step program in your facility or community

WALK THE TALK!


Summary

The Toolkit is a collaborative project of Blueprint Partners to address medical system barriers

The First Step program is an evidence-based, turn-key program designed with healthcare providers in mind

Healthcare providers are uniquely qualified to provide interventions & facilitate continuum of care


Thank you !

Visit [email protected]

The Hygenic Corporation offers an educational license to use this presentation

for educational purposes only. Unauthorized reproduction or distribution is strictly prohibited.

© 2004. the hygenic corporation the active aging toolkit for healthcare providers promoting...

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