1. Multi-Approach Lifestyle Modifications for an Aging Population Dorris Ottens University of Georgia Doctor of Pharmacy Candidate, 2012

2. Level of Evidence: 1C

3. New Aging Issues: Increasing life expectancy ◦ United States (yrs):  1950 – 68  1970 – 71  1990 – 75  2007 – 78  2012 – 79 (women, 82) Increasing disability burden

4. Influence on Society: Increased cost of care Changing provision of care Changing quality of life

5. What Causes this Burden? Better chronic disease survival Increased: ◦ Morbidity ◦ Adult Obesity ◦ Patterns of Disuse and Deconditioning Decreased socioeconomic circumstances

6. What Can Healthcare Providers Encourage to Maximize the Potential of Elderly Patients? Encourage Physical Activity and Social Engagement!

7. Physical Activity Prevents and reduces chronic disease, obesity, and disuse Dept. 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

8. Multi-faceted Approach for an Active Lifestyle Walking Strength training – weights Social/civic activities – dancing Leisure – golf, swimming, cooking Bicycling (transportation) Health, function, and physical activity = Bi- directional

9. Clinical Advice Give 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

10. Social Engagement Promotes functional health Community service “Serve America Act” Volunteering: enhances cognitive function and social activity ◦ Tutoring students

11. Direction of Health Promotion National 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

12. References 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.cdc.gov/nchs/fastats/lifexpec.htm http://www.data360.org/dsg.aspx?Data_Set_Group_Id=195; Data 360 website, accessed January 27, 2012. http://www.data360.org/dsg.aspx?Data_Set_Group_Id=195 http://www.healthcare.gov/prevention/nphpphc; National Prevention Strategy, accessed January 27, 2012. http://www.healthcare.gov/prevention/nphpphc