Leilei Duan: Elderly Falls Prevention in China
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Presentation by Dr. Leilei Duan, Director, Division of Injury Prevention National Center for Chronic and Noncommunicable Diseases: Elderly Falls Prevention in China At the Safety 2016 conference in Tampere
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Leilei Duan: Elderly Falls Prevention in China
- 1. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Elderly Falls Prevention in China Dr. Leilei Duan Director, Division of Injury Prevention National Center for Chronic and Noncommunicable Disease Control and Prevention, China CDC 2016. 9 Finland
- 2. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Overview of the talk • Situation of older adults injury • Elderly falls prevention • Next step
- 3. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Situation of older adults injury
- 4. 单击此处编辑母版标题样式 单击此处编辑母版标题样式0.00 2.00 4.00 6.00 8.00 10.00 12.00 Proportion(%) Source: National Bureau of Statistic of the People’s Republic of China Trend of population proportion of the elderly aged ≥65 in China ,1995-2015 4.30% Situation — Aging in China 16.1% 10.5% ≥65 years : 140 million ≥60 years : 220 million Proportion of elderly aged ≥60 and ≥65 of China, 2015
- 5. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Death rate of injuries among the elderly aged ≥65 : 157.21 /100,000 Mortality of injuries by causes among the elderly aged ≥65, 2014 Source: Data Sets of Death Surveillance of China ,2014 Situation - Older adults fatal injuries 50.02 35.27 30.3 18.19 8.98 8.75 3.66 0.64 0.02 0 10 20 30 40 50 60 Falls Road Traffic Injuries Self-harm Other Unintentional Injuries Drowning Poisoning Burn Assault Other Intentional Injuries Rateper100000population
- 6. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Falls 32.1% RTIs 22.6% Self-harm 19.4% 11.7% 5.8% 5.6% 2.4% 0.4% Falls Road Traffic Injuries Self-harm Other Unintentional Injuries Drowning Poisoning Burn Assault Other Intentional Injuries Distribution of injury deaths by causes among the elderly aged ≥65, 2014 Source: Data Sets of Death Surveillance of China ,2014 Situation - Older adults fatal injuries Falls is the first leading cause of injury deaths among the elderly aged ≥65.
- 7. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Distribution of injuries by causes among the elderly aged ≥65, 2015 Source: National Injury Surveillance System (NISS), 2015 Situation - Older adults nonfatal injuries 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Male Female Total Proportion (%) Falls RTIs Blunt object Sharp object Animal Bite Poisoning Burning Suffocation Firearm Drowning Others Unknowm
- 8. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 0 50 100 150 200 250 300 350 65-69 70-74 75-79 80-84 ≥85 Rateper100000population Age Group Male Female Death rate: 50.02/100,000 Proportion: 31.82% of all fatal injuries Death rate caused by falls among the elderly aged ≥65 by age and sex group, 2014 Source: Data Sets of Death Surveillance of China ,2014 Situation - Older adults fatal falls
- 9. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Source: National Injury Surveillance System (NISS), 2015 Situation - Older adults nonfatal falls Home 52.3% Fracture 24.0% Head, 25.8% 36.6% Place Nature Severity M & S Body part
- 10. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Data source: GBD 2013 (aged ≧70 years) DALYs: 735,423 person year DALY rates: 930 /100,000 Change of DALYs (1993—2013): 8.53% Source: Global Burden of Disease, 2013 Situation - DALYs of older adults falls DALY rates of falls by province, ≥70 years, China, GBD 2013
- 11. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 1990 rank 2013 rank 24. Falls 18. Falls Change of the rank of DALY Rates among population aged ≥70 between 1990 and 2013, China Source: Global Burden of Disease, 2013 Situation - DALYs of older adults falls
- 13. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 • Disease Surveillance Points System (DSPs） • Nation Injury Surveillance System (NISS) • Chronic disease risk factor surveillance in China • Other falls-specific surveys Data collection Distribution of surveillance sites of NISS Distribution of surveillance sites of DSPs Distribution of surveillance sites of Chronic disease risk factor surveillance
- 14. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Community-based elderly falls intervention programs Hebei Zhejiang Shenzhen Dalian Henan Beijing Shanghai Integrated intervention
- 16. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 • Technical Guide: – Technical Guide on elderly falls intervention,2008 • Mass media: – National social advocacy activity on elderly falls prevention, the Double Ninth Festival of 2014 – Elderly falls prevention Public Service Advertising • Core information: – Health Literacy of Chinese Residents (2015 version) Advocacy and health communication
- 17. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 National Action Plan for Disability Prevention in China (2016-2020) The main actions: (2) Reducing the disability caused by injuries Reducing the disability caused by child injuries and elderly falls.......Removing the risk factors in environment to prevent falls and raising the awareness of falls prevention among elderly and their caregivers … Policy
- 18. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 The project supported by the Ministry of Science and Technology Community-based integrated intervention project on elderly falls Research
- 19. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Research 八 段 锦Ba Duan Jin
- 20. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 What is Ba Duan Jin ? Ba Duan Jin Movements Ba Duan Jin is an ancient practice that can be traced back to 1000 years ago. It consists of eight movements, like a shorter version of Tai Chi. Research
- 21. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Why Ba Duan Jin ? Tai Chi • Can Improve balance and reduce falls • History of hundreds of years • Support by Chinese traditional medicine theory • Complicated • … Ba Duan Jin • Impacts on balance improvement and falls reduction is unknown • History of moret than 1000 of years • Support by Chinese traditional medicine theory • Simple: Easy to learn • … Research
- 22. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Research Hypothesis： Research Study on the Impacts of BaDuanJin Exercise on Balance Function among Older Adults
- 23. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Literature review Pilot study Plan development Training Recruitment Baseline survey Intervention (exercise) Data collection Evaluation …… Expert Discussion Pilot study Training Ba Duan Jin Training Research
- 24. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Literature review Pilot study Plan development Training Recruitment Baseline survey Intervention (exercise) Data collection Evaluation …… Balance evaluation Intervention Balance evaluation Ba Duan Jin Team Research Ba Duan Jin Training
- 25. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Ba Duan Jin Bracelet Prof. Yubin Zhao Research Project Logo3D gyroscope
- 26. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 • Function of the bracelet Research Record Evaluate Measure Exposure dose measurement
- 27. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Ba Duan Jin Curves Research
- 29. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Research • “HEALTH” is the project theme • “BADUANJIN－“八段锦” • “Propping up the Sky” • Two “八” • Color
- 30. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 Research Pu Dong, Shanghai City Research teams Ci Xi, Zhejiang Province Shi Jiazhuang, Hebei Province Guang zhou, Guangdong Province Nan Shan, Shenzhen City NCNCD，China CDC
- 31. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 What is in progress? Ba Duan Jin training and exercise The 6-month intervention will finish next year. Research
- 32. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 • Data collection and data utilization • Strategy development • Intervention • Policy development • Research • Cooperation … Next Step
- 33. 单击此处编辑母版标题样式 单击此处编辑母版标题样式 SAVING LIVES Dr. Leilei Duan Director，Divisionof Injury Prevention, National Center for Chronic and Non-communicable Disease Control and Prevention,China CDC leileiduan@vip.sina.com Thanks!