Tom Kirkwood - High impact health interventions

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Professor Tom Kirkwood, Associate Dean for Ageing, University of Newcastle - presentation from Age UK's For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife

Published in: Business, Economy & Finance
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  • End with more participant photos taken at a celebratory party during the 3 year follow-up assessments age 88.
  • Tom Kirkwood - High impact health interventions

    1. 1. Enhancing health in later lifeScientific and medical research show ageing to be moremalleable than used to be thought.
    2. 2. The Continuing Increase in Life ExpectancyUN estimate 1980UN estimate 1990UN estimate 2000Declining early/mid-life mortality Declining later-life mortality
    3. 3. Ageing Process and Its MalleabilityAge-related Frailty, Disability, and DiseaseAccumulation of Cellular DefectsRandom Molecular DamageGOODNUTRITIONGOODLIFESTYLEANTI-INFLAMM.INFLAMMATIONSTRESSENVIRONMENTBADNUTRITION
    4. 4. Factors Influencing Health in Later LifeGenesNutritionLifestyle
    5. 5. The Benefits of a Healthy LifestyleExercisesignificantlyimproves healthacross the lifecourse anddelays diseaseslinked withageing
    6. 6. Factors Influencing Health in Later LifeGenesNutritionLifestyleEnvironmentSocioeconomic status
    7. 7. A few minutes on the Tyne & Wear metro (or theTube) can take years off your life …Courtesy Prof Peter Gore/Prof Carol Jagger/ONS74.866.170.163.8Age of expected onset of limiting long-term condition for 55 yr old personPonteland South68.071.5
    8. 8. Factors Influencing Health in Later LifeGenesNutritionLifestyleEnvironmentSocioeconomic statusAttitude
    9. 9. Attitudinal Barriers to Changing the Status QuoDistaste – “I’d rather not think about it”Ignorance – “I’m just not that interested (yet)”Fatalism – “I can’t change it anyway”.Negative stereotyping – “Old people are losers”.Youth bias – “We must invest in the future!”Tunnel vision – “This is how it has to be”Failure to engage – “I know all about ageing andit’s just …”Short-term’ism – “I’ll deal with it when I’ve fixed theimmediate crisis”.
    10. 10. The Trajectory of Mental Capital and WellbeingUK Government Office for Science - Foresight: Mental Capital andWellbeing. “Mental Capital Through Life: Future Challenges”, Kirkwood et al2008
    11. 11. Factors Influencing Health in Later LifeGenesNutritionLifestyleEnvironmentSocioeconomic statusAttitudeChance
    12. 12. 78% rated their health compared with others of the same age as“good” (34%), “very good” (32%) or “excellent” (12%).The Newcastle 85+ Study reveals the great extent of age-related multi-morbidity but surprising self-rated health
    13. 13. A quarter of men and a sixth of women have no important functional limitation at age 85.Extreme Diversity in Capability/Disability atAdvanced Old AgeDistribution of Individual Disability Scores withRespect to 17 Activities of Daily Living
    14. 14. Newcastle University: Campus for Ageing and Vitality

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