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“Healthy/Optimal Aging: Is It Possible?”
October 2, 2019
Janice A Knebl, DO, MBADSWOP Endowed Chair and Professor in GeriatricsDirector, Center for GeriatricsInterim Chair, Department of Internal Medicine & GeriatricsProgram Director, HRSA WE HAIL ProgramUNTHSC @ Fort Worth
Disclosures
• I am a “Baby Boomer” (one of 78 million)• I love everything old!• I am a Geriatrician and Palliative Medicine & Hospice Physician• My favorite group are “super seniors”• I believe that progress has been made in geriatrics care and there is hope for
the future!• I believe every day above ground is a great day!
Health Status
• Most older persons view their health positively.• Most have at least one chronic condition.• Aging is not equated with sickness.
Active Ageing“the process of OPTIMIZING
opportunities for health, participation and security in order to enhance quality of life as people
age”WHO (2012)
Life Expectancy for Men (2012)
Life Expectancy in Women (2012)
Active Aging - “Optimal Aging”
Focus on what you can’t blame on your parents• Safety, Healthy habits/lifestyle, Exercise
Practice Prevention• Immunizations, Cancer Screening, Disease Screening
Social Interactions• Relationships, Spirituality, Purpose, Lifelong Learning
Plan for your Future !!!!!
Home and Community Safety!!
Bike Helmets
Driving (seat belts)
Driving Safety (55 Alive)
Smoke & Monoxide Detectors
Fraud Prevention
Elder Mistreatment
Home Safety
Blue Zone Lessons – Power 9
• Move Naturally• Purpose• Down Shift• 80% Rule• Plant Slant• Wine• Belong• Loved Ones First• Right Tribe
Blue Zone Lessons
Blue Zones Vitality Compass• Biological Age• Overall Life Expectancy• Healthy Life Expectancy• Years gaining/losing because of habits
American Heart Association &American Academy of Sports Medicine Recommendations:
Aerobic Activity Resistance Activity
Stretching/Flexibility Activity Balance Activity
Active Aging - “Optimal Aging”
Focus on what you can’t blame on your parents• Safety, Healthy habits/lifestyle, Exercise
Practice Prevention• Immunizations, Cancer Screening, Disease Screening
Social Interactions• Relationships, Spirituality, Purpose, Lifelong Learning
Plan for your Future !!!!!
Medicare Annual Wellness Visit (AWV)• Annual preventive health screening• Health Risk Assessment (HRA)/PMH/SH/FH• Medications and allergies• Height, Weight, BMI, BP• Does NOT require a Physical Exam• Screening and detection of:
• Depression• Cognitive impairment• Functional ability and safety, including• Hearing impairment• Ability to perform ADLs and IADLs• Fall risk• Home safety
USPSTFUnited Services Preventative Services Task Force Recommendations
Practicing Prevention for Better Health in Aging
http://www.cvriskcalculator.com/
http://www.heart.org/HEARTORG/
Active Aging - “Optimal Aging”
Focus on what you can’t blame on your parents• Safety, Healthy habits/lifestyle, Exercise
Practice Prevention• Immunizations, Cancer Screening, Disease Screening
Social Interactions• Relationships, Spirituality, Purpose, Lifelong Learning
Plan for your Future !!!!!
UNTHSC SAGE ProgramØ. • A unique senior mentoring program
designed to prepare health care professions students to better serve their older patients and work collaboratively. • Older adults mentor and learn from
health profession students
Active Aging - “Optimal Aging”
Focus on what you can’t blame on your parents• Safety, Healthy habits/lifestyle, Exercise
Practice Prevention• Immunizations, Cancer Screening, Disease Screening
Social Interactions• Relationships, Spirituality, Purpose, Lifelong Learning
Plan for your Future!!!!!
The Conversation Project
The Conversation Project is dedicated to helping people talk about their wishes for end-of-life care.The Conversation Project works in collaboration with the Institute for Healthcare Improvement, a not-for-profit organization that is a leader in health and health care improvement worldwide.
Healthy AgingImportance of Staying Active
Kathlene Camp, PT, DPT
Healthy Aging
qDiscuss Benefits of Exercise and Physical Activity on major organs/systems: Brain, Heart, Lungs, Muscles, Bones
qReview Current Guidelines for recommended Exercise and Intensity
qShare Current Initiatives and Resources: Local and National
Objectives
“If exercise could be packaged into a pill, it would be the single, most widely prescribed and beneficial medicine in the nation.”
Dr. Robert Butler, Founding Director of National Institute on Aging, NIH
Exercise as Medicine
• Higher resting blood pressure• Lower muscle mass and strength• Decreased flexibility• Decreased bone mass and density• Increased body fat and body mass index
Yes, but….Regular physical activity and appropriately intense exercise can slow down and even reverse the impact of some of these natural processes. 1
Normal Aging changes…
Heart Health“Sitting is the new smoking”
Dr. James Levine
Just 30 minutes/day of moderate intensity exercise can:
üReduce blood pressureüLower blood lipid levelsüImprove CHF symptoms and reduce risk of hospitalizationüReduce chance of heart of attacksüIncrease O2 transport in lungs
Benefits of Staying Active
Brain and Mental Health
Benefits of Staying Active
ü Enhances Brain Functionü Reduces anxiety and
depressionü Improved quality of sleep
Muscle and Bone • Weight-bearing and progressive
resistive strengthening exercises increase muscle strength, enhancebone density, and reduce falls
• Proper body alignment and exercise performance are important to protect bones and joints
Benefits of Staying Active
Balance and Fall Prevention
• Multi-component exercise programs:(strength, balance, flexibility, endurance)
• Cognitive restructuring/fear reduction• Targeted-medical intervention ……can reduce risk factors for falls
Benefits of Staying Active
Strength for Function
Benefits of Staying Active
Socialization
Benefits of Staying Active
How much?
Exercise Recommendations
2018 Physical Activity Guidelines
What are we doing as a Community?
What are we doing as a University?
Fall Prevention Balance Bone Health
Personal Areas of Interest
QUESTIONS?
