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Global Conference on Ageing 2010 1 | Organised by: Malaysian Healthy Ageing Society Co-Sponsored:

Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

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Page 1: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 1 |

Organised by:

Malaysian Healthy Ageing Society

Co-Sponsored:

Page 2: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

John Beard

A Global View of Ageing

Page 3: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 3 |

Page 4: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 4 |

Proportion of Population Over Age 60, 2012

Page 5: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 5 |

Proportion of Population Over Age 60, 2050

Page 6: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 6 |

Real ageing is just beginning

0

5

10

15

20

25

30

35

40

1990 2000 2010 2020 2030 2040 2050

Pro

po

rtio

n 6

5 a

nd

over Japan

Spain

USA

China

India

Brazil

Australia

Thailand

Source: World Population

Prospects: 2008 Revision

Page 7: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 7 |

Pace of Ageing

Thailand

S Korea

Brazil

1860 1880 1900 1920 1940 1960 1980 2000 2020 2040

14%

7% France Sweden UK USA Japan China

% of Population Age 65+

Page 8: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 8 |

Life Expectancy at Age 60

        Li fe Expectancy at 60 years

WHO Region      Male 2009 (years)

Annual average

rate of change

2000-2009 (%) Female 2009 (years)

Annual average

rate of change

2000-2009 (%)

World   18 0.5% 21 0.5%

Africa  14 0.3% 16 0.3%

Americas        21 0.7% 24 0.5%

Eastern Mediterranean                16 0.4% 18 0.4%

Europe  19 1.0% 23 0.7%

South-East Asia 15 0.1% 18 0.2%

Western Pacific 19 0.5% 22 0.6%

Source:WHO. World Health Statistics 2011. Geneva, 2011.

Page 9: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 9 |

Years of Life Lost Age 60 and Over

Page 10: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 10 |

Years Lost to Disability Age 60 and Over

Page 11: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 11 |

A Life Course Approach to the Health of

Ageing Populations

Health Promotion across the life course

Primary Health Care and Long Term Care

Age-friendly Environments

Rethinking ageing

Page 12: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 12 |

A Life Course Approach to the Health of

Ageing Populations

Health Promotion across the life course

Primary Health Care and Long Term Care

Age-friendly Environments

Rethinking ageing

Page 13: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

Global Conference on Ageing 2010 13 |

Page 14: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 14 |

Linear Lifeplan

Education Work/Family Leisure

Age

0 10 20 30 40 50 60 70 80 85

Thanks to Ken Dychtwald

Page 15: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 15 |

Linear Lifeplan

“Longevity

Bonus”

Age

0 10 20 30 40 50 60 70 80 85

Education Work/Family Leisure

Thanks to Ken Dychtwald

Page 16: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 16 |

Age

0 10 20 30 40 50 60 70 80 85

Cyclic Lifeplan

Education Work/Family Leisure

Thanks to Ken Dychtwald

Page 17: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990
Page 18: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 18 |

A Life Course Approach to the Health of

Ageing Populations

Health Promotion across the life course

Primary Health Care and Long Term Care

Age-friendly Environments

Rethinking ageing

Page 19: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 19 |

SOME Examples of Factors Influencing Healthy

and Active Ageing across the Life Course

Page 20: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 20 |

Reproductive

Counselling and

education

Clinical interventions

Protective interventions

Enabling environment

Socioeconomic

interventions

Detection and treatment of metabolic/physiologic risks: diabetes, hypertension

Assistive devices

Age-friendly communities

Environments that promote road safety, physical activity, good nutrition, tobacco avoidance

Reduce IUGR

Breast

Feeding

Promotion of Healthy Lifestyles ( alcohol, diet, physical exercise )

Life long learning and health education

Incre

asing p

op

ulatio

n im

pact

Family

Planning

Note: this is not a comprehensive list of all health interventions to achieve healthy and active ageing

Pre-conception

Intrauterine ChildAdult

Old Age

Management of PET

and diabetes

in pregnancyAcute treatment and

rehabilitation from stroke

Long term care

HEA

LTHY

AN

D A

CTIV

E AG

EING

Reduce IUGR

Examples of Life Course Interventions for

Stroke

Page 21: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 21 |

Reproductive

Counselling and

education

Clinical interventions

Protective interventions

Enabling environment

Socioeconomic

interventions

Detection and treatment of metabolic/physiologic risks: diabetes, hypertension

Assistive devices

Age-friendly communities

Environments that promote road safety, physical activity, good nutrition, tobacco avoidance

Reduce IUGR

Breast

Feeding

Promotion of Healthy Lifestyles ( alcohol, diet, physical exercise )

Life long learning and health education

Incre

asing p

op

ulatio

n im

pact

Family

Planning

Note: this is not a comprehensive list of all health interventions to achieve healthy and active ageing

Pre-conception

Intrauterine ChildAdult

Old Age

Management of PET

and diabetes

in pregnancyAcute treatment and

rehabilitation from stroke

Long term care

HEA

LTHY

AN

D A

CTIV

E AG

EING

Reduce IUGR

Examples of Life Course Interventions for

Stroke

Page 22: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 22 |

Prevalence of risk factors in older

people in SAGE countries

China Ghana India Mexico

Russian

Federation South Africa

Male Female Male Female Male Female Male Female Male Female Male Female

current

daily

smoker 50.9 3.0 11.3 3.7 62.9 30.2 18.8 8.5 39.5 4.9 22.9 16.6

heavy

drinkers 15.2 0.8 4.1 1.2 1.2 0.1 14.9 0.6 20.3 3.4 6.0 2.5

insufficient

nutrition 33.6 33.7 69.6 67.3 87.9 93.5 74.6 86.0 78.9 77.2 63.2 70.4

obese 3.4 7.8 6.3 13.6 1.3 3.0 21.7 34.5 28.0 41.7 38.2 50.6

hypertensi

on 49.3 51.4 50.2 54.7 24.4 26.8 48.7 51.4 52.2 53.7 66.6 69.4

low

physical

activity 26.8 30.6 22.0 29.0 23.4 26.1 33.2 44.9 21.9 23.4 56.8 63.0

Page 23: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 23 |

Hypertension in older people in SAGE

countries

Page 24: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 24 |

Page 25: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 25 |

A Life Course Approach to the Health of

Ageing Populations

Health Promotion across the life course

Primary Health Care and Long Term Care

Age-friendly Environments

Rethinking ageing

Page 26: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 26 |

Outdoor space &

buildings Transportation

Communication &

information Housing

Respect & social

inclusion Social participation

Civic participation &

employment

Community support

& health services

The idea of an age-friendly city

Page 27: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 27 |

1. Joining the network

-Involve older people

-Baseline assessment

of age-friendliness

-Develop action plan

-Identify indicators

2. Implementation

-Implement action

plan

-Monitor indicators

3. Evaluate progress and

continual improvement

-Measure progress

-Identify successes and

remaining gaps

-Develop new action plan

Ongoing 5

year cycles

Years 1-2

Years 3-5 External Review External Review

WHO Global Network of Age-friendly Cities

Page 28: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 28 |

Affiliated National Programmes

– Canada/Quebec, Ireland, Portugal, Spain, France, Slovenia,

Bashkortostan

Individual Cities

– Include New York Philidelphia, Montreal, Manchester,

Brussels, Dijon, Qiqihaer, Canberra, La Plata

WHO Global Network of Age-friendly Cities

Page 29: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 29 |

School buses

Age-friendly businesses

Seniors centers

Simple ideas from New York

Page 30: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 30 |

Page 31: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 31 |

New York – a City for All Ages http://www.agefriendlynyc.org

Page 32: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 32 |

Safe Streets for Seniors - Early Action

Seniors given more

time to cross the

major street at 26 of

the 43 intersections

Page 33: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 33 |

Streetscape 1

Page 34: Malaysian Healthy Ageing Society Global Conference on Ageing 2010 · 2012-05-26 · 6 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990

IFMSA August 2009 34 |

Streetscape 1