Adding life to years!


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Every year, World Health Day is celebrated on 7 April to mark the anniversary of the founding of the World Health Organization (WHO) in 1948.
World Health Day is a global campaign, It calls everyone – from global leaders to the public in all countries to focus on a single health challenge with global impact.
World Health Day provides an opportunity to start collective action to protect people’s health and well-being. It is an opportunity to engage in finding solutions that benefit us all.

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  • Healthy diet
  • Adding life to years!

    1. 1. ADDING LIFE TO YEARS!Happy, Healthy, Active Seniors Dr.Sujnanendra Mishra
    2. 2. World Health Day 2012 - Ageing and health -• Every year, World Health Day is celebrated on 7 April to mark the anniversary of the founding of the World Health Organization (WHO) in 1948. World Health Day is a global campaign,• It calls everyone – from global leaders to the public in all countries –• to focus on a single health challenge with global impact.• World Health Day provides an opportunity to start collective action to protect people’s health and well- being.• It is an opportunity to engage in finding solutions that benefit us all.
    3. 3. India’s population pyramid, 1950,
    4. 4. India’s population pyramid, 1970,
    5. 5. India’s population pyramid 1990
    6. 6. India’s population pyramid 2010
    7. 7. India’s population pyramid 2030
    8. 8. India’s population pyramid 2050
    9. 9. • “At work, older workers bring experience, stability and quiet deliberation to their workplaces.”• Someone once said that “age doesn’t matter unless you’re a cheese”. We hope that this book has shown you
    10. 10. Proportions Aged 65+ and Under Five: 1950-2050 14
    11. 11. Oldest and Youngest Countries: (median age)Nation 2005 2050Japan 43 55Italy 42 51Germany 42 49 WORLD 28 38Mali 16 25Niger 16 21Uganda 15 23 USA 36 41 China 33 45 India 24 39 15
    12. 12. Percent 65 Years or Older for World and Italy: 1950, 2000 and 2050 40 36 35Percent 65 years or older 30 25 20 18 16 15 10 8 7 5 5 0 1950 2000 2050 World Year Italy 16
    13. 13. Percent 80 Years or Older for World and Italy: 1950, 2000 and 2050 16.0 15 14.0Percent 80 years or older 12.0 10.0 8.0 6.0 5 4 4.0 2.0 1 0.5 0.5 0.0 1950 2000 2050 World Year Italy 17
    14. 14. Potential Support Ratio (PSR) for World and Italy: 1950-2050(persons 15-64 per person 65 14 11.6 12 Potential support ratio 10 9.1 or older) 7.9 8 6 4.1 3.7 4 2 1.5 World Italy 0 1950 2000 2050 Year 18
    15. 15. Ratio of Workers to Pensioner and Pensioners in China: 1980-2005 19
    16. 16. National Population Decline: 2006-2030 (millions) 20
    17. 17. From pyramid to mushroom
    18. 18. Population Ageing is first and foremost asuccess story for public health policies aswell as social and economicdevelopment… Gro Harlem Brundtland, WHO Director General
    19. 19. Elderly Dependency Ratio• The number of persons aged 65 and over per 1,000 persons aged between 15 and 64• People in the age group of 15 to 64 years old support persons aged 65 or over• Assumption: as population ages, fewer workers to support more older persons
    20. 20. But the question is:Are societal wealth and productivity onlygenerated by persons in the age group of 15to 64?
    21. 21. Research shows:• older workers are usually willing and enthusiastic about learning new skills• older workers can learn, although training techniques may need to be adapted• lower absenteeism and staff turnover among older workers
    22. 22. Research shows:• initial cognitive functioning of most individuals is higher than that needed for most ordinary tasks• older persons are still fit to work at 75 years of age with their IQ and EQ intact• while some older workers may be less flexible and adaptable, they are more reliable, conscientious, and loyal
    23. 23. Employment of older people can be a very positive socio-economic factor. Older workers: • continue to pay taxes • contribute to retirement fund schemes • generate wealth for themselves and societyBeing employed enhance personal dignity andkeep people out of poverty.
    24. 24. The fact is, older persons are going to be: • more healthy • better educatedand will aspire to play a different role in society
    25. 25. Need of the hour
    26. 26. HEALTHY AGING DEFINITION AND GOALSHealthy and active aging is a process to achievephysical, mental and social well being throughoutone’s life particularly in the later years WHAT IS THE GOAL ?Disease & disability free life with high physical &cognitive function and active engagement with lifein old age
    27. 27. HEALTHY AGING IS A REALITY AND NOT A DREAM• Functional capacity like ventilator capacity, muscle strength & cardiovascular output increases in childhood & peaks in early adulthood, eventually followed by a decline resulting in disease & disability in old age.• Rate of decline however gets accelerated by negative adult life style factors like smoking, alcohol, lack of exercise, improper diet as well as by environmental & external factors; Hence this decline can be slowed down or even reversed at any age through the individual himself or the policy makers.
    28. 28. DETERMINANTS OF ACTIVE AGING• Behavioural: smoking, alcohol, exercise, diet, drugs• Environmental: pollution, home safety, rural/urban• Socioeconomic: family,community ,income, literacy• Personal: biology, genetics, coping mechanisms• Services: primary care, health prom. disease preven
    29. 29. IS PRESENT MINDSET CHANGING ?• Traditionally, elderly in India have come to accept failing health & dependency as a part of their old age, disengage from material life, practice spirituality and live in joint family.• With increasing life span, greater social & household involvement of elderly is happening but it is a challenge for Indian geriatricians to change their mindset so that they begin adopting healthy lifestyles & environment to eliminate risk factors and remain fit and independent.
    30. 30. HEALTHY AGING DETERMINANTS With Impact on Life Long Development and QOL POSITIVE NEGATIVE Joint Family • Poverty & Abuse Active Involvement • Illiteracy Physical Activity • Double Burden Vegetarianism • Insanitation Spirituality & Relax • Inaccessible Care 35
    31. 31. MODIFIABLE DISEASE RISK FACTORSCardiovascular: sedentary, obesity, lipids, BP, salt, diet, smok, pollutPulmonary: smoking, environmental pollutionNeurological: BP, smoking, alcohol, diet, depress,mental inactivityDiabetes: diet,sedentary, obesityMusculoskeletal: sedentary, obesity, hormone deficiencyGastrointestinal: low fibre, alcohol, poor oral hygieneUrogenital: BP, hormone deficiencyInfections: under nutrition, poor skin care and no vaccinationCancers: diet, smoking, chewing tobaccoSpl senses: sunlight, noise, diabetes, water fluoride, drugsAccidents : unsafe homes K S Sunil. Primer on Geriatric Care. Pp 12-18, 2002
    32. 32. SUMMARY OF LIFE STYLE GOALS• Physical activity • Social involvement• Healthy diet • Mental activity• Avoid smoking • Immunizations• Judicious medication • Hormones – HRT• Good oral hygiene • Clean environment• Health screening • Home safety
    33. 33. PHYSICAL ACTIVITY• Benefits: Physiological, psychological and social. if physical exercise could be dispensed as a pill, it could be the most valuable prescription to prevent diseases (Edward Staneley)• Varieties: Aerobic, resistance and balance exercises. yogic, spiritual & exercise related to work, recreation, household and social interaction• Duration: Brisk walk for 20-60 mts for 3-5 d/week morning walk better as he is fresh, walks with his whole body; in evening he walks only with his legs1.WHO. The Heidelberg Guidelines. JAPA 5: 2-8, 1997; 2.Vinod Kumar. JAPA 6: 205-6, 1998
    34. 34. HEALTHY DIET• Low fat, low salt, adequate liquids, proteins, vitamins, calcium, micronutrients and high fibre, fruits and vegetables• Make them relish their food with good flavour, smell, colour, utencils and environment• Frequent small meals, no overeating food left on the table does more good than what has been taken
    35. 35. SMOKING AND EXCESS ALCOHOL• It is never too late to quit smoking• Consuming alcohol in excess is different from taking in moderation• Scientific methods are in place to give up these addictions and to deal with problems of withdrawl
    36. 36. JUDICIOUS MEDICATIONS• Properly understand directions of their use• Take with or after food unless told otherwise• Get ingredients checked to avoid duplication• Consult doctor to avoid unnecessary medicines• Never hoard medicines you no longer require• Do not share medicines with anyone
    37. 37. MISCELLANEOUS• Personal cleanliness and oral hygiene• Bowel movements and sound sleep• Avoid dust and pollution• Home and road safety• Specific tasks e.g.Screening, HRT, immunization• Engagement with life is a must: A perpetual holiday is a good working definition of hell-Bernard Shaw• Have a positive attitude: To me old age is always 15 years older than I am
    38. 38. Reinvest in Ageing• compartmentalized life course: - education when young - work in adulthood - leisure after retirement
    39. 39. Reinvest in Ageing• integrated life course- lifelong learning interspersed with periods of work and leisure and self-reflection• promotion of lifelong learning among elders- joint process of individuals, families, communities and Government
    40. 40. Initiatives to be considered• rethinking retirement and human resources practices• review volunteering activities for older persons and explore new opportunities
    41. 41. Initiatives to be considered• demonstration projects in cultural, arts and sports arena to highlight the abilities of active, healthy and creative older persons• encourage lifelong learning programmes and promote intersectoral collaboration in the provision of lifelong learning opportunities for older persons
    42. 42. The challenge: –to socially evolve in a forward-looking, sustainable manner –add life to years after adding years to life –transition into a satisfying retirement in old age –a win-win situation for older persons and the rest of society
    43. 43. Good health in older age can be achieved by:• Promoting health across the life- course.• Creating age-friendly environments that foster the health and participation of older people.• Providing access to basic primary healthcare, long-term care and palliative care.• Acknowledging the value of older people and help them participate fully in family and community life.
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