Aging Statistics The Active Aging Toolkit

For Healthcare Providers Promoting Physical Activity in Older Adults The number of Americans over 65 will increase to 80 million (double) by 2050. 1 out of 4 older Americans have at least one functional limitation 88% of older Americans have at least one chronic disease
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Physical inactivity is more common among elderly than any other group
After 65, 40% of women & 30% of men are sedentary CDC, 1996

Changes with Aging: Biology or Inactivity?

The biological changes seen with aging are the same as those seen with bed rest.
Loss of muscle & bone Increase in fat and cholesterol Loss of mobility and functional ability

The good news.

PHYSICAL ACTIVITY can prevent or reverse these aging changes!
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Physical Activity & Aging

Physical Activity & Aging

Because of their low functional status and high incidence of chronic disease, there is no segment of the population that can benefit more from exercise than the elderly.
American College of Sports Medicine
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The US Surgeon General recommends community-based physical activity programs that include cardiovascular, flexibility, and strengthening activities. USDHHS, 1996
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Funded by Robert Wood Johnson Foundation In May, 2001, a coalition of 50 organizations released a major national planning document that addresses physical activity & aging www.agingblueprint.org
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Active Aging Partnership (Steering Committee)

AARP ACSM AGS CDC NCOA NIA
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Blueprint Barriers
The National Blueprint identified several barriers to physical activity, including:
Research Home & Community Workplace Public Policy Medical Systems
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Medical System Barriers

Lack of education on disease prevention Lack of time to address physical activity Lack of evidence-based protocol evidenceLack of adequate educational materials

Needs Exercise

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Medical Systems Strategies

Disseminate best practices Facilitate patient referrals to community resources Develop Toolkits for healthcare providers
Needs Exercise

Importance of Healthcare Provider

Most important factor for participation in an exercise program was a recommendation from healthcare provider
Less than 50% of physicians counseled their older patients on exercise
(Ades et al. 1992)
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2004. The Hygenic Corporation

National Blueprint Partners developed the Active Aging Toolkit in 2003. Therapists, Physicians & Researchers developed and refined the document

The Active Aging Toolkit contains:

The AAT White Paper Provider Manual First Step to Active Health Program
Patient Kit Training program for professionals

www.FirstSteptoActiveHealth.com

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2004. The Hygenic Corporation

www.FirstStepToActiveHealth.com
The First Step to Active Health program was identified by the Active Aging Toolkit Partners as an example of a scientifically based and well-rounded program to increase physical activity.
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First Step to Active Health: First Step Well-Rounded Program

1. Cardiorespiratory Program
Emphasizes adding physical activity to daily life
Taking the stairs Walking the dog

Recommends gradual increase in enjoyable cardio activities toward 30 minutes, most days of the week Uses Borgs RPE Scale for moderate intensity activity (Borg, 1998)
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First Step to Active Health:

First Step to Active Health:

2. Flexibility Program
Recommends 2-3 x/ week stretching activities of muscles prone to tightness Suggests adding stretching activities as part of warm-up and cool-down

3. Strengthening Program
Clinically proven protocol
Improvements in:
strength balance gait function

Correlated with functional tasks

(Mikesky, 1994; Topp, 1993, 1996, 1998)

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2004. The Hygenic Corporation

First Step to Active Health:

4. Balance Program
Clinically proven protocol
(Rogers et al. 2001, 2002, 2003; Shores et al. 2002)

The First Step kit contains:

Easy to read fold-outs with 4 progressive steps Program manual includes assessment, goal setting, and behavioral strategies Daily Activity Log Elastic Band
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Recommend multifactoral approach

(ACSM, 1998)

balance training (progressive difficulty) resistive exercise walking weight transfers

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Thera-Band Clinical Outcomes Clinical Outcomes in Older Adults using in Older Adults the Thera-Band System (8/03)

Chronic Diseases & Disabilities Special Populations using the Thera-Band System in the Literature (8/03)

Strength Gait & Mobility Balance Function/ADL Cardio/Aerobic Grip Strength Improvments Pain Quality of Life Disability ROM/Flexibility Fall Risk Bone Density Phys Activity Blood Pressure Lipid Profile Body Comp 0 1 1 5 10 15 20 25 30 35 40 45 2 2 3 3 3 4 4 5 6 10 20 24 23

46

Frail RA Fall Risk OA Hip Fx Disabled CHF Stroke Osteoporosis Series1 Dementia COPD PeriphNeuro Parkinsons OrthoHypo ESRD Cardiac Rehab Cancer CAD 50 Amputation 0 1 1 1 1 1 1 1 1 1 2
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7 6 6 5 4 4 3 2 2 2 2 Series1

Number ofHygenic Corporation 2004. The Clinical Studies

First Step Programming Options

Individual Programming Group Programming
Behavioral Changes Assessment & Goal-setting 4 Progressive Steps for Well-Rounded program Modifications for Special Populations
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First Step Research

Feasibility & Implementation
Local Community level Within Medical Systems

Outcomes
Functional Improvements (decrease in disability) Quality of Life Improvements Disease Management (medication, admissions)

Cost Effectiveness Across different populations, sub groupings, and settings

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Program Implementation
Inpatient
At discharge

Why its important to you

The National Blueprint organizations will be disseminating the Toolkit & First Step program to their members Future CDC guidelines for physicians will include counseling on physical activity Local communities will need programs for professional referrals
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Outpatient Clinic
Referral or Prescription

Medical Fitness Facility

Weekly Program

Senior Centers YMCAs

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What you can do.

Promote increasing physical activity in your patients using Toolkit strategies Educate colleagues and other professionals on promoting activity Begin a First Step program in your facility or community WALK THE TALK!
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Summary
The Toolkit is a collaborative project of Blueprint Partners to address medical system barriers The First Step program is an evidencebased, turn-key program designed with healthcare providers in mind Healthcare providers are uniquely qualified to provide interventions & facilitate continuum of care
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Thank you !

Visit www.FirstStepToActiveHealth.com info@firststeptoactivehealth.com

The Hygenic Corporation offers an educational license to use this presentation for educational purposes only. Unauthorized reproduction or distribution is strictly prohibited.
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