1. Healthy Women Healthy Lives March 18, 2014 Healthy in America in 2014 and Beyond

2. Healthy People 2020, Diabetes and Breast Cancer Allie Fischer

3. Healthy People (HP) 2020 Nation-wide effort launched in 2010 by the U.S. Department of Health and Human Services 10 year goals and plans to improve overall health of every American Information, advice and resources www.healthypeople.gov

4. HP 2020: Older Adults

6. Goals for Older Adults Increase the proportion of females aged 65+ who are up to date on a core set of clinical preventative services. 2008: 47.9%  Goal for 2020: 52.7% Increase the proportion of older adults who receive Diabetes Self-Management Benefits. 2008: 2.0%  Goal for 2020: 2.2%

7. Goals for Older Adults Reduce the proportion of older adults who have moderate to severe functional limitations. 2008: 29.3%  Goal for 2020: 26.4% Increase the proportion of older adults with reduced physical or cognitive function who engage in light, moderate, or vigorous leisure- time physical activities. 2008: 32.6%  Goal for 2020: 35.9%

8. Diabetes

9. Prediabetes Half of all Americans over the age of 65 If unmanaged 15-30% of people will develop diabetes within 5 years Research found reversal is possible –Loss of 5-7% of body weight –150 minutes of physical activity per week Many lifestyle change programs available through the CDC and the YMCA Medicare Diabetes Prevention Act: lower federal spending by $1.3 billion over the next 10 years

10. Diabetes & Sleep Many studies done linking inadequate sleep to diabetes First study completed in 1969 Since then, many similar studies have been done with similar results Getting 7 hours of sleep can lower this risk

11. Patient Centered Care Changing populations Constant technology advances Quality of life Demands of society Multi-component approach Management of disease Prevention of complications Short and long term outcomes Economically friendly

12. Breast Cancer Incidence Rate by RaceDeath Rate by Race

13. What Causes Breast Cancer? Family History/Genetics: 45.5% Lifestyle Choices: 29% Environmental Exposures: 25% Family History/Genetics: 10% 3+ Alcoholic Drinks/Week: 15% risk increase Smoking: 24% risk increase Walking 7 hours/week: 25% risk decrease Population PerceptionReality

14. Breast Cancer & Alcohol “Alcohol-Attributable Cancer Deaths and Years of Potential Life Lost in the United States” Alcohol responsible for one of every 30 cancer deaths in the U.S. each year 3+ drinks a day is highest risk 1.5 drinks or fewer a day related to 30% of all alcohol-related cancer deaths In female alcohol-related cancer deaths 56-66% due to breast cancer (highest)

15. Mammograms Recent Canadian study brought mammograms under question Suggested women should not begin mammograms until age 50 Heavily criticized American Medical Association, the American College of Obstetricians and Gynecologists, the American College of Radiology, the American Cancer Society, the National Cancer Institute and the National Comprehensive Cancer network all agree women should begin testing at age 40

16. Human Genome Project 1990-2003 20,000 human genes 3 billion pairings International research Public access