multi-approach lifestyle modifications for an aging population dorris ottens university of georgia...
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Multi-Approach Lifestyle Multi-Approach Lifestyle Modifications for an Aging Modifications for an Aging PopulationPopulationDorris Ottens
University of Georgia
Doctor of Pharmacy Candidate, 2012
Level of Evidence: 1CLevel of Evidence: 1C
New Aging Issues:New Aging Issues:Increasing life expectancy
◦United States (yrs): 1950 – 68 1970 – 71 1990 – 75 2007 – 78 2012 – 79 (women, 82)
Increasing disability burden
Influence on Society:Influence on Society:Increased cost of careChanging provision of
careChanging quality of life
What Causes this Burden?What Causes this Burden?Better chronic disease survivalIncreased:
◦Morbidity◦Adult Obesity◦Patterns of Disuse and
DeconditioningDecreased socioeconomic
circumstances
What Can Healthcare What Can Healthcare Providers Encourage to Providers Encourage to Maximize the Potential of Maximize the Potential of Elderly Patients?Elderly Patients?
Encourage Physical Activity and Social Engagement!
Physical ActivityPhysical ActivityPrevents and reduces chronic
disease, obesity, and disuseDept. of Health & Human Services
Guidelines:◦ Increase from sedentary to low activity:
increases function, decreases hospitalization, protects against chronic disease
◦ Regular activity decreases dementia rates and delays cognitive decline
◦ Move more, sit less◦ It’s never too late to enhance function and
increase quality of life through physical activity
Multi-faceted Approach for Multi-faceted Approach for an Active Lifestylean Active Lifestyle
WalkingStrength training – weightsSocial/civic activities – dancing Leisure – golf, swimming, cookingBicycling (transportation)
Health, function, and physical activity = Bi-directional
Clinical AdviceClinical AdviceGive patients specific programs and
methods to increase physical activity:◦Ex – Silver Sneaker’s fitness program
for Medicare patients
Technology-based health promotion ◦ Automated phone counseling◦Funded from the 2009 American
Recovery and Reinvestment Act
Social EngagementSocial Engagement
Promotes functional healthCommunity service“Serve America Act”Volunteering: enhances
cognitive function and social activity◦Tutoring students
Direction of Health Direction of Health PromotionPromotionNational health reform legislation
◦Patient-centered community health teams for persons with chronic conditions
◦National Prevention, Health Promotion, and Public Health Council 2011 Prevention Status Report Each department is responsible for its
own specific program/initiative
Goal = reduce cost, improve QOL
ReferencesReferences Guralnik, JM; King, AC. Maximizing the Potential
of an Aging Population. JAMA. 2010 Nov; 304(17): 1944-45.
http://www.cdc.gov/nchs/fastats/lifexpec.htm; CDC website, accessed January 27, 2012.
http://www.data360.org/dsg.aspx?Data_Set_Group_Id=195; Data 360 website, accessed January 27, 2012.
http://www.healthcare.gov/prevention/nphpphc; National Prevention Strategy, accessed January 27, 2012.
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