GET SKIN HEALTH SMART! WHY SKIN HEALTH AS YOU AGE MATTERS 1

WE HAVE REACHED A MILESTONE, WHICH FOR THE HISTORY OF HUMANITY HAS BEEN UNIMAGINABLE. THE ONCE EXTRAVAGANT PROSPECT OF GROWING OLD HAS BECOME THE NORM. 2

GLOBAL AGING PHENOMENON Average Global Life Span Increases by Three Decades Source: UN Population Division Birth Rates Are Falling Globally 3

GLOBAL POPULATION OVER 60: 1,000,000,000 BY All will have deteriorating skin. 4

OUR SKIN IS OUR LARGEST ORGAN It protects us from the environment, injuries and infection. It is our interface with the world around us. And because we are living longer, our skin has to protect us longer. 5

AS WE AGE, OUR SKIN CHANGES It becomes dryer, thinner and less elastic, making it more susceptible to irritation, infection, wounds and disease 6 Dryer, thinner, less elastic skin More susceptible to irritation, infection, wounds and disease Bacteria and germs can more easily enter the body Risk of severe bacterial and fungal infections of skin, skinfolds and nails Impact on skin as we age:

Psoriasis Eczema Xerosis CERTAIN SKIN CONDITIONS ARE MORE COMMON Pruritus Onychomycosis Hyperkeratosis Have you heard of any of these? Do you know what they look like? 7

RISK OF DEVELOPING CHRONIC DISEASES RISES WITH AGE… Cancer, diabetes and other non-communicable diseases to cost $47 trillion by Actinic Keratosis Melanoma Non- Melanoma Skin Cancer The number of people aged with diabetes will nearly double by 2030, from roughly 100 million to approximately 196 million. Those aged 65 and older receive 53% of all new cancer diagnoses in the U.S. 8

…LEADING TO HIGHER INCIDENCE OF SKIN CONDITIONS & SKIN SIDE EFFECTS Falls/Injuries and Hospital Admission/Readmission Side Effects of Oncologic Drugs Social Isolation Hand-Foot Syndrome Redness, swelling and pain on the soles of the feet HyperKeratosis Lesions, corns and calluses Diabetic Foot Sores cause by nerve damage from diabetes Acneiform Folliculitis Acne-like eruptions on the skin Onychomycosis Fungal infection of fingernails and toenails Xerosis Abnormal dryness of the skin that can lead to pruritus and eczema Quality of Life 9

1 out of 2 people over the age of 65 is affected by xerosis. Actinic Keratosis affects up to 50 percent of the U.S. population by the age of 70. The total cost of Actinic Keratosis and non-melanoma skin cancer is nearly $6 billion in the U.S. Skin side effects occur in some form in 36 to 80 percent of cancer treatment cases. More than 90% of all older people have some type of skin disorder. 7 percent of all physician visits by the elderly involve skin disorders. SKIN HEALTH AS WE AGE: BY THE NUMBERS $6 billion >90 % Up to 80% 1/2 7 % 10

Nutrition SKIN Environment Well-being Genetics GOOD SKIN HEALTH Prevent Improve COMPROMISED SKIN HEALTH Correct RestoreTreat MaintainEnhance Nourish GOOD SKIN HEALTH

GET EDUCATED AND TAKE ACTION To protect your skin at every stage of life Shield Hydrate Nourish Seek Help 12

TO RECAP…AS WE AGE, OUR SKIN CHANGES Impaired integrity and increased fragility of skin (dryer, thinner, less elastic) Skin side effects of chronic diseases and their treatments, including cancers and diabetes Aging skin is more fragile and prone to infection Increases likelihood of serious conditions of aging – falls, wounds, skin cancer, and mental and emotional health deterioration These also increase costs associated with re- hospitalization and care needs Poor skin health degrades overall health and increases health costs Skin interventions that improve skin structure, function & appearance can help delay morbidity and improve quality of life in aging populations Underscores need for life course approach to skin health 13

IT’S NEVER TOO LATE TO GET SKIN HEALTH SMART! Visit to download materials and get skin health smart! 14