Christian Schweizer presentation for Age UK

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Christian Schweizer's presentation for Age UK's fit as a fiddle: A lasting legacy conference, 15 March 2012

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Christian Schweizer presentation for Age UK

  1. 1. WHO’s perspective on healthy andactive ageingChristian Schweizer, Manfred HuberWHO Regional Office for Europe, Copenhagen
  2. 2. The world ages at different speeds: old-age dependency ratios, 1995-2045Source: Scherbov et al. Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  3. 3. Demystifying the myths of ageing: a primegoal of our work • “Older persons are at the recipient end of society; they increasingly need to be cared for” • “Burden on public budgets” will become the main issue • Developed countries will face the biggest challenges Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  4. 4. Healthy and active ageing in Europe:Four strategic areas for action Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  5. 5. Strategic area 1: Healthy ageing over the lifecourse Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  6. 6. What is active ageing?• “Active ageing is the process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age.”• Postponement of retirement and an ageing workforce globally, only part of the story• “Healthy ageing” and “active ageing” reinforce each other Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  7. 7. Active & healthy ageing: where are thelimits? Fauja Singh, oldest Person ever to run a marathon, Toronto, 16 Oct 2011 aged 100 Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  8. 8. Human rights, gender, and healthinequalities among older persons• Human rights concerns, poverty of older persons, discrimination in quality and access to services• Men and women age differently• Inequalities in health accumulate over the life-course• An example: elder maltreatment often a neglected issue Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  9. 9. Strategic Area 2: Supportive environments• WHO supports the fast growing networks of age- friendly initiatives at community level• “Age-friendly cities” illustrate that “Health in all Policies” is key to healthy ageing at community level• WHO tools and initiatives stand ready to support EU initiatives on healthy ageing Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  10. 10. Strategic Area 3: Health systems fit forageing populations• Wider health system & coordination between health and social services (most diverse pillar of modern welfare systems)• Issues of adequate workforce and quality of care• Multiple barriers to access and gaps in services• Public support to informal care• Adapt palliative care to needs• The role of technology Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  11. 11. Strategic Area 4: Address gaps in evidenceand research• Important gaps in the evidence for policy about trends in population health of ageing societies• International comparisons of health and social services for older persons• WHO has a role as clearing house on evidence for policy in this area (transfer of knowledge)• European Advisory Committee on Health Research to play a stronger role in the future Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  12. 12. Population is ageing... Does this mean there is an increased need for institutional care? Age-standardised rates of institutionalisation (65+ living in institutions)Source: Facts & Figures on Healthy Ageing and LTC (forthcoming); Rodrigues & Schmidt (2011). Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  13. 13. The importance of physical activity for people in later life
  14. 14. Physical inactivity is a leading risk factor for health in Europe, associated to nearly 1 million deaths/year Disability adjusted life years lost due to risk factors in EURO, 2004 Source: Global Health Risks.. Geneva, World Health Organization, 2009 (http://www.who.int/healthinfo/global_burden_disease/global_health_risks/en/index.html/). Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  15. 15. Health effects of physical activity in adults  Life expectancy  Coronary heart disease  Cardiorespiratory fitness  High blood pressure  Muscular fitness  Stroke  Healthy body weight  Diabetes type II  Healthy body composition  Metabolic syndrome  Bone health  Colon cancer  Sleep quality  Breast cancer  Health-related quality of life  Depression  Strong evidence Additionally in older adults:  Medium evidence  Functional health / independence  Risk of falls  Cognitive functions Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC: U.S. Department of Health and Human Services, 2008. Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  16. 16. Quantification of effects of physicalinactivity• 21–25% of breast and colon Magnitude of benefits from reaching cancer burden minimum recommendations for physical• 27% of diabetes burden activity. Risk reductions:• 30% of ischaemic heart disease • 20-30% for CHD and CVD morbidity and mortality burden • Cancer risks: – 30% for colon cancer – 20% - 40% for breast cancer – 20% for lung cancer – 30% for endometrial cancer – 20% for ovarian cancerPhysical Activity Guidelines Advisory Committee. • 30% for developing functional limitationsPhysical Activity Guidelines Advisory CommitteeReport, 2008. Washington, DC: U.S. Department of • 30% for premature all-cause mortalityHealth and Human Services, 2008. Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  17. 17. Focus: regular walking saves lives Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012 Source: Hamer and Chida, 2008
  18. 18. Inactivity status in the European Region• WHO estimates that in adults : – 63% are not reaching the minimum recommended level of physical activity – 20% of those are rated as “inactive” – 38% are sufficiently/highly active• Citizens of Mediterranean and central European countries tend to exercise less• In England only 17% of men and 13% Global Health Risk Report, World Health Organization, 2009 of women aged 65-74 are physically Eurobarometer 72.3. Special Eurobarometer 334: Sport and PA National Centre for Social Research et al (2004) Health Survey for active. England 2003 Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  19. 19. WHO Global Recommendations on Physical Activity for Health
  20. 20. How much physical activity do we need?WHO Global Recommendations• Main aim: providing guidance on dose response relation between frequency, duration, type and total amount of PA needed for prevention of NCD’s• Three age-groups; 5-17 year olds; 18-64; and 65+• Main target audience; national and local policy makers Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  21. 21. Global Recommendations Intensity of activity Domains of activity recreation and sportsmoderate transportation How often?vigorous How long? household How much in total? work/school Type of activityAerobic Strength Balance Flexibility Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  22. 22. Adults aged 18-64• At least 150 minutes of Moderate intensity PA spread throughout the week OR at least 75 minutes of Vigorous PA spread throughout the week OR an equivalent combination of those two• Bouts of at least 10 minutes. Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  23. 23. Older adults – >64 years old• Same recommendations as for adultsSpecific recommendations:• perform PA to enhance balance and prevent falls on 3 or more days/ week.• Muscle-strengthening activities on 2 or more days a week.• be as physically active as their abilities and conditions allow. Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  24. 24. Main points to keep in mind• The more physical activity, the less disease• Some physical activity is better than none• Minimum recommendation of 150 minutes (or 5x30) per week of at least moderate intensity• All bouts of physical activity of at least about 10 minutes duration count• More physical activity is good for health, most of all in inacitve and low-active individuals Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  25. 25. Conclusions and outlook
  26. 26. Strategy and Action Plan on healthy aging2012-16Priority interventions:• Falls prevention• Environments & social activities for physical activity• Vaccination of older persons and of care staff• A basic support package for home care• Improved training of staff in geriatrics and gerontology Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  27. 27. Strategy and Action Plan on healthy aging2012-16Supportive interventions:• Prevention of social isolation and social exclusion• Quality of care strategies for older people• Prevention of elder maltreatment Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  28. 28. Lets keep the momentum:2012 , the year of “Ageing & Health”• World Health Day 2012 on Ageing and Health: 7 April• EU Year of active and healthy ageing and intergenerational solidarity• WHO “Strategy and Action Plan on Healthy Ageing in Europe”• 10th Anniversary of Madrid International Plan of Action on Ageing Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  29. 29. Denmark: City of all Generations • Competition for most attractive city for all generations to live in • Award ($$$) by the Danish Ministry of Social Affairs and Integration to further develop local projects • Focus on how the built environment can promote activeDanish Ministry of Social Affairs and Integration living Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012
  30. 30. Good health adds life to years ‫الصحة الجيدة تضيف حيا ة ً إلى السنين‬ 健康有益长寿 Une bonne santé pour mieux vieillirХорошее здоровье прибавляет жизни к годам La buena salud añade vida a los años Gesundheit erfüllt die Jahre mit Leben For more information: www.euro.who.int/ageing Fit as a fiddle - A Lasting Legacy for Healthy Ageing London, 15 March 2012

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