The Active Aging Blueprint: A National Initiative
     for the Promotion of Successful Aging



                       Woj...
Overview

           • The Aging of America

           • Physical Activity

           • Physical Inactivity

           ...
America is Aging

                        2000 - 35 million over 65
                    •
                        yrs.
   ...
Aging and Health
                        88% of over 65 have
                    •
                        at least one ch...
Aging and Health

                        60% of people age 70 and
                    •
                        older rep...
Aging and Health

                        Osteoporosis is a major
                    •
                        health thr...
Aging and Health


                    33% or more people
                    age 85 and older have
                    mo...
Physical
Activity
Physical Activity - Defined


                quot;...All movements in
                everyday life, including
          ...
Physical Activity


                    Provides the greatest
                    opportunity to extend
                  ...
Physical Activity


                     There is no segment of
                     the population that can
             ...
Physical
Activity


Benefits
WHO Guidelines
             Reasons for Physical Activity

                Benefits for the individual

                  ...
Physiological
                   Long Term Benefits
         Aerobic/cardiovascular endurance

         Resistive training...
Psychological
                   Long Term Benefits

                 General Well Being

                 Improved Mental...
Social
                   Long Term Benefits
            Enhanced Integration

            Formation of new friendships

 ...
Reasons for
              Physical Activity for Society

    Reduced Health and Social Care Costs

    Enhancing the Produ...
Who Should Be Active?




                            Frail
Healthy   Less-Healthy
Physical
Inactivity
Physical Inactivity

                        38% of population age
                    •
                        55 and ol...
Physical Inactivity


                      33% of men and 50% of
                      women age 75 and
                 ...
Physical Inactivity


                       Prevalence of inactivity
                       among white women
           ...
Physical Inactivity

                     Fewer than 50% of
                     older adults ever receive
               ...
Adjusted* Odds Ratios for Development of
Functional Limitations




   1

                                                ...
National Blueprint


Increasing Physical
  Activity Among
Adults Aged 50 and
       Older

   Release Date
   May 1, 2001
Participating Organizations
 46 National Organizations
 including…
 The National Institute on
 Aging
 Centers for Disease ...
Barriers
to                   GENERAL
Physical Activity

                                 MEDICAL
 RESEARCH
              ...
Barriers - General

                     No national
                 •
                     organization to
             ...
Barriers - Research

                          Lack of research about
                      •
                          ho...
Barriers - Community
                     Poorly designed and
                 •
                     unsafe environments
...
Barriers – Work Place

                    Insufficient data about
                •
                    cost-to-benefit r...
Barriers – Medical Systems
                   Inadequate medical
               •
                   education

          ...
Barriers – Marketing and
Communications
                      Messages about physical
                  •
                ...
Strategic
             GENERAL
Plan

                         MEDICAL
RESEARCH
                         SYSTEMS




COMMUN...
Solutions - General
                      Develop National
                  •
                      Clearinghouse on
    ...
Solutions - Research
                      Increase funding for
                  •
                      behavioral resea...
Solutions - Community
                     Identify individuals in the
                 •
                     community w...
Solutions – Work Place
                      Provides employers with
                  •
                      tax incenti...
Solutions – Medical Systems
                     Improve medical
                 •
                     education

      ...
Solutions – Public Policy
                       Consider incentives to
                   •
                       states...
Call to Action




National Blueprint: Active Aging
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Blueprint- A National Initiative For The Promotion Of Successful Aging

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Transcript of "Blueprint- A National Initiative For The Promotion Of Successful Aging"

  1. 1. The Active Aging Blueprint: A National Initiative for the Promotion of Successful Aging Wojtek Chodzko-Zajko, PhD Department of Kinesiology University of Illinois Urbana-Champaign USA
  2. 2. Overview • The Aging of America • Physical Activity • Physical Inactivity • Active Aging Blueprint • Going Beyond the Physica
  3. 3. America is Aging 2000 - 35 million over 65 • yrs. By 2030, 70 million over 65 • yrs. 85 plus age group is fastest • growing age group By 2050 the 85 plus age • group will increase to almost 5% of our population Source: NIA, 2000
  4. 4. Aging and Health 88% of over 65 have • at least one chronic health condition 21% of over 65 have • chronic disabilities. Source: NIA, 2000
  5. 5. Aging and Health 60% of people age 70 and • older report having arthritis. 50% of women age 70 to • 80 have difficulty walking a few blocks, climbing a flight of stairs, or doing housework. Source: NIA, 2000
  6. 6. Aging and Health Osteoporosis is a major • health threat for 28 million Americans. Accounts for 1.5 million • fractures a year 24% of people over 50 • who have hip fractures die within a year Source: AGS, 2000
  7. 7. Aging and Health 33% or more people age 85 and older have moderate or severe cognitive impairment. Source: NIA, 2000
  8. 8. Physical Activity
  9. 9. Physical Activity - Defined quot;...All movements in everyday life, including work, recreation, exercise, and sporting activities... quot; WHO, 1997
  10. 10. Physical Activity Provides the greatest opportunity to extend years of active independent life, reduce disability, and improve the quality of life for older persons Source: NIA, 2000
  11. 11. Physical Activity There is no segment of the population that can benefit more from exercise than the elderly. Source: ACSM, 2000
  12. 12. Physical Activity Benefits
  13. 13. WHO Guidelines Reasons for Physical Activity Benefits for the individual • Physiological • Psychological • Social Chodzko-Zajko et al, 1997
  14. 14. Physiological Long Term Benefits Aerobic/cardiovascular endurance Resistive training/muscle strengthening Flexibility Balance/coordination Velocity of movement Chodzko-Zajko et al, 1997
  15. 15. Psychological Long Term Benefits General Well Being Improved Mental Health Cognitive Improvements Chodzko-Zajko et al, 1997
  16. 16. Social Long Term Benefits Enhanced Integration Formation of new friendships Widened Social and Cultural Networks Role maintenance and new role acquisition Chodzko-Zajko et al, 1997
  17. 17. Reasons for Physical Activity for Society Reduced Health and Social Care Costs Enhancing the Productivity of Older Adults Promoting a Positive and Active Image of Older Person Chodzko-Zajko et al, 1997
  18. 18. Who Should Be Active? Frail Healthy Less-Healthy
  19. 19. Physical Inactivity
  20. 20. Physical Inactivity 38% of population age • 55 and older is sedentary. Source: NIA, 2000
  21. 21. Physical Inactivity 33% of men and 50% of women age 75 and older engage in no physical activity Source: NIA, 2000
  22. 22. Physical Inactivity Prevalence of inactivity among white women age 75 and older is 47.4% 61% among black women age 75 and older. Source: NIA, 2000
  23. 23. Physical Inactivity Fewer than 50% of older adults ever receive a suggestion to exercise from their physicians Source: NIA, 2000
  24. 24. Adjusted* Odds Ratios for Development of Functional Limitations 1 Women 0.5 Men 0 Low fit Mod fit High fit Cardiorespiratory Fitness Categories *Adjusted for age, BMI, length of follow-up, smoking status Blair, 1999
  25. 25. National Blueprint Increasing Physical Activity Among Adults Aged 50 and Older Release Date May 1, 2001
  26. 26. Participating Organizations 46 National Organizations including… The National Institute on Aging Centers for Disease Control and Prevention AARP The Robert Wood Johnson Foundation American College of Sports Medicine American Geriatrics Society
  27. 27. Barriers to GENERAL Physical Activity MEDICAL RESEARCH SYSTEMS COMMUNITY MARKETING WORK PLACE
  28. 28. Barriers - General No national • organization to systemically address physical activity of older Americans Physical activity • engineered out of many routine activities.
  29. 29. Barriers - Research Lack of research about • how to achieve long-term increases in physical activity Inadequate translation of • research findings into practical guidelines
  30. 30. Barriers - Community Poorly designed and • unsafe environments Neighborhoods • discourage physical activity Need integrated • community approach to enabling physical activity.
  31. 31. Barriers – Work Place Insufficient data about • cost-to-benefit ratio to employer Concerns about • employer liability Little information about • model programs
  32. 32. Barriers – Medical Systems Inadequate medical • education Health care professionals • lack time to address physical activity No easy-to-use protocol • for activity counseling
  33. 33. Barriers – Marketing and Communications Messages about physical • activity and exercise are unclear, inconsistent, and confusing Need mass media • campaign about physical activity and aging
  34. 34. Strategic GENERAL Plan MEDICAL RESEARCH SYSTEMS COMMUNITY MARKETING WORK PLACE
  35. 35. Solutions - General Develop National • Clearinghouse on Physical Activity and Aging Increase • collaborations between public and private sector organizations
  36. 36. Solutions - Research Increase funding for • behavioral research Study active seniors- • who are they, what do they do, what are their stories Build translational • component into funded studies
  37. 37. Solutions - Community Identify individuals in the • community who can serve as resources Disseminate information • about model programs Encourage non- • traditional partnerships (urban planners, transportation, medical systems, physical activity specialists)
  38. 38. Solutions – Work Place Provides employers with • tax incentives for physical activity programs Develop time sharing • models of physical activity Work with health care • provider and HMO’s
  39. 39. Solutions – Medical Systems Improve medical • education Develop specific physical • activity counseling protocols Encourage active referral • systems
  40. 40. Solutions – Public Policy Consider incentives to • states and communities that achieve measurable increases in the activity levels Develop HCFA/Medicare • benefits guidelines related to physical activity
  41. 41. Call to Action National Blueprint: Active Aging
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