Epidemiology of Aging A.M.Clarfield MD, FRCPC Professor of Gerontology Ben Gurion University, Israel Open Health Institute, Moscow Saturday, Jul 10, 2004.

Slides:

Advertisements

Similar presentations

REVIEW CHAPTER 9.

Advertisements

What kills us?: Yesterday, today & tomorrow How much have mortality patterns changed and why? R.Fielding.

APOE Genotype Effects on Alzheimer’s Disease Clinical Onset, Epidemiology, and Gompertzian Aging Functions J.Wesson Ashford, M.D., Ph.D. Stanford / VA.

Population and Urbanization Demography -- study of human population Fertility incidence of childbearing in a society’s population. Fecundity -- maximum.

Chapter 4 The Social Demography of Health: Gender, Age, and Race

Chap 9: Elders Anita Sego Spring, Chap 9: Elders Chapter Objectives Identify the signs of an aging population. Define the following groups-old,

Epidemiology of Peripheral Vascular Disease Sohail Ahmed School of Population and Health Sciences.

Bridget Dillon February 11,  Cardiovascular disease affects the heart and circulatory system. It is often a result of blockages of blood vessels.

Population Distribution & Growth Population density - is a measure of how compact or concentrated a population is. It takes an area of land into account.

Health & Medicine n Medical Sociology. Society shapes human health n Cultural patterns define what is or is not healthy n Social inequality n Technology.

Physiology of the Aging Process Painting by Domenico Ghirlandaio (Florence ) Spring 2007.

EPIDEMIOLOGY OF AGING DEFINITION AND INTRODUCTION TO RESEARCH IN THIS AREA PRESENTATION OF AGING AND PHYSICAL ACTIVITY AS AN EXEMPLAR FOR RESEARCH IN THE.

EPIDEMIOLOGY OF AGING DEFINITION AND INTRODUCTION TO RESEARCH IN THIS AREA PRESENTATION OF AGING AND PHYSICAL ACTIVITY AS AN EXEMPLAR FOR RESEARCH IN THE.

Demographic Trends of an Aging Society b Senior Citizens What do you think of getting older?What do you think of getting older? Why study gerontology?Why.

USC/UCLA Center on Biodemography and Population Health Eileen M. Crimmins Andrus Gerontology Center October 21, 2004.

Human Population. SOME ALARMING STATISTICS Late 1600’s – ½ billion people 1830 – 1 billion 1930 – 2 billion Since 1975 – world’s population has added.

Section #1: Studying Human Populations

K yriakos S. Markides, PhD University of Texas Medical Branch Galveston, Texas, USA Adelaide, Australia, July 2, 2011.

Organization of Health Care Services for the Elderly: Russia A.M.Clarfield MD, FRCPC Professor of Gerontology Ben Gurion University, Israel.

The Demographic Transition Model (DTM) Mr Elliott SSOT.

The study of the human population

Copyright © Allyn & Bacon 2008 CHAPTER 1: THE GROWTH OF SOCIAL GERONTOLOGY.

Structure of Population

12th Global Conference on Aging

Demography Population trends in history Population trends in history –The demographic transition Contemporary demography Contemporary demography –The rich.

The Physical Earth. The World Has Made Impressive Progress in the Last Century  Food production vs. population growth.  Science.

Bell Ringer Miniature Earth – If the population of the Earth were shrunk to just 100 people, but the proportions were kept the same, what would it look.

Chap. 9: The Human Population Sect

The population structure of an ageing population has more older people than younger people because few people are being born and people are living to be.

Mental Health Introduction. “A serious disturbance in thinking, mood, or behavior, which may have an impact on [your] ability to function over a long.

Health and the Environment Chapter 17. Sociological Perspectives on Health and Illness Health: “State of complete physical, mental, and social well-being,

National Health Priority Areas (NHPAs). NHPAs Cancer control Cardiovascular disease Injury prevention and control Mental health Arthritis and musculoskeletal.

The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.

1 THE ELDERLY IN ISRAEL: SELECTED TRENDS Jack Habib DIRECTOR MYERS-JDC BROOKDALE INSTITUTE February, 2010.

Epidemiology of CVD in the Elderly Karen P. Alexander MD Duke University Medical Center Duke Clinical Research Institute Disclosures: (1) Minor Research:

Work and Elder Care: Effects on Health, Well-Being, and Work Margaret B. Neal, Ph.D. Portland State University Institute on Aging School of Community Health.

Starter: Match up the key words with the correct definitions.

Human Geography Lesson 1

Demographic Transition Model. Birth Rate and Death rate are both high. Population growth is slow and fluctuating. Reasons Birth Rate is high as a result.

What do you think these cartoons are saying?

Environmental Science

Six Steps to a Better Brain Majid Fotuhi, MD PhD March 6, 2014.

POPULATION STRUCTURE OBJECTIVES At the end of this lesson you should be able to… Interpret population pyramids for MDCs and LDCs Calculate dependency.

Studying mortality trends: The IMPACT CHD Policy Model

Washington D.C., USA, July 2012www.aids2012.org Sources of HIV Epidemiological Data for Monitoring and Estimating the burden of HIV Txema Calleja,

 Blog questions from last week  hhdstjoeys.weebly.com  Quick role play on stages of adulthood  Early Middle Late  Which component of development are.

Hanel, Germany J. Gathorpe-Hardy What do you think these cartoons are saying?

Edward Mills PhD, Associate Professor, Faculty of Health Sciences University of Ottawa AIDS Mortality Among Men in Africa: An overview of the evidence.

Socio-economic implications of demographic changes: Healthy Ageing 7 July 2010 Anne-Sophie Parent.

Dr. Muhammad Razzaq Malik. Dr. Muhammad Razzaq Malik Dr. Muhammad Razzaq Malik MBBS, MPH, MCPS (Com Med) MBBS, MPH, MCPS (Com Med) Assistant Professor.

ACT on Alzheimer’s Disease Curriculum Module II: Demographics.

 Injuries is one area of the National Health Priority Areas. Injuries include: -Intentional Harm (Suicide) and - Non-Intentional Harm (Falls, poisoning,

Is It Alzheimer’s? The Latest Update on Optimal Evaluation and Treatment of Patients with Memory Loss Majid Fotuhi, MD PhD March 5, 2014.

The Human Population and Its Impact Chapter 6. Core Case Study: Are There Too Many of Us?  Estimated 2.4 billion more people by 2050  Are there too.

Alcohol consumption and all-cause mortality among elderly in Finland Jukka T. Halme 1, Kaija Seppä 2, Hannu Alho 1, Mauri Aalto 1 1 National Institute.

POPULATION PYRAMIDS.

Canadian Study of Health and Aging The Prevalence of Dementia 1991 Baseline Study.

Study on global AGEing and adult health (SAGE) | 1 |1 | Health of older Ghanaians: Health Risks and Chronic Non-communicable Diseases Dr Alfred E Yawson.

Dr. Muhammad Razzaq Malik. DEMOGRAPHY It is the scientific study of human population concerning their size, distribution, structure and changes within.

Health Statistics and Informatics Non-communicable diseases A global overview.

The Aging Process from a Quality of Life Perspective Ingalill Rahm Hallberg, Professor, Director of the Swedish Institute for Health Sciences Assistant.

Roots. Demography Demography is the study of population characteristics Changing population trends in the UK is an important topic for geographers to.

Health analysis at ONS Jamie

Demography Study of Human Populations. Birth rates Death rates Age Males/Females.

Distribution of health and Illness Social Class. Aims & Objectives Analyse data that demonstrates health inequality (class, gender, ethnicity) Analyse.

Forecasting Population Size

-2014 Korea National Health & Nutrition Examination Survey-

ACT on Alzheimer’s Disease Curriculum

Presentation transcript:

Epidemiology of Aging A.M.Clarfield MD, FRCPC Professor of Gerontology Ben Gurion University, Israel Open Health Institute, Moscow Saturday, Jul 10, 2004

Scope of Problem : Large

Aging: A Biological Definition “ A progressive, generalized impairment of function resulting in a loss of adaptive response to stress (loss of biological reserve) and in a growing risk of age-associated disease. “ “ A progressive, generalized impairment of function resulting in a loss of adaptive response to stress (loss of biological reserve) and in a growing risk of age-associated disease. “ After Kirkwood T, 1996

Squaring of the curve: ideal situation

Demography % elderly depends on : % elderly depends on : 1. fertility 1. fertility 2. mortality 2. mortality 3. migration 3. migration

Squaring of the curve: ideal situation

Stages of the Demographic Transition BangladeshIsrael Sweden

Survival Curves for Australian Males, 1988: Proportion Surviving (%)

Are today ’ s elderly healthier than yesterday ’ s?

Increase in life expectancy

Alois Alzheimer et al

Prevalence of AD in US:3 Projections ( Arch Neurol 2003 )

Aggregate Changes in Severe Cognitive Impairment Among Older Americans: (Freedman VA et al. J Gerontol 2001)

Examined: 7443 (1993) and 7624 (1998) non-institutionalized elderly (70+) Percentage with “ severe cognitive impairment ” : 1993=6.1% 1998=3.6% } p<0.001

Trends in Institutionalization (Jacobzone S. Health Affairs, 2000)

Trends in Disability (Women Only)

Are today ’ s elderly healthier than yesterday ’ s?

What can explain this phenomenon?

Genetics? Genetics?

Money/ education? Money/ education? What can explain this phenomenon?

Classic public health measures e.g. Hygiene/ diet/ water/ milk ? Classic public health measures e.g. Hygiene/ diet/ water/ milk ? What can explain this phenomenon?

Medical technology ( atx, ASA, statins, stents?) Medical technology ( atx, ASA, statins, stents?) What can explain this phenomenon?

Secular trend (McKeown) Secular trend (McKeown) What can explain this phenomenon?

Lifestyle/health behaviour: Lifestyle/health behaviour: -  smoking -  smoking - diet - diet -  exercise -  exercise - alcohol - alcohol

Use of aids: Use of aids: - canes, handrails - canes, handrails - microwave ovens - microwave ovens What can explain this phenomenon?

Social support Social support What can explain this phenomenon?

Something else? Something else? All of the above? All of the above? What can explain this phenomenon?

The Situation in Russia

Age structure -Russia 13.7% 65+ ( cf. Israel 10%, UK 18%) 13.7% 65+ ( cf. Israel 10%, UK 18%) % : 16% % : 16% 2015: 20% 2015: 20% Very rapid growth in old-old (80+) Very rapid growth in old-old (80+)

The Situation in Russia Catastrophic impact of WW 1, WW2,famine: Catastrophic impact of WW 1, WW2,famine: - eg 36 ♂: 100 ♀ - eg 36 ♂: 100 ♀ - female advantage for life expectancy is - female advantage for life expectancy is widest in the world: 10.4 yr. ( cf. 4 yr. in widest in the world: 10.4 yr. ( cf. 4 yr. in Israel ) Israel ) Low fertility  % 65+ Low fertility  % 65+  poverty, esp. among 65+ (  pension,  cost of living)  poverty, esp. among 65+ (  pension,  cost of living)

The Situation in Russia Degradation of health and social services Degradation of health and social services  life expectancy in the middle aged men (trauma, alcohol, suicide)  life expectancy in the middle aged men (trauma, alcohol, suicide) MORE OLD PEOPLE MORE OLD PEOPLE

What is to be done?

?

Thank You