Older adults and Pa Flashcards

1
Q

define old age

A
  • chronology
  • change in social role (ie work patterns , retirement
  • change in capabilities (ie MCI, change in physical characteristics
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2
Q

what age world-wide is considered elderly ?

A

65+ for most countries.

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3
Q

Causes of death worldwide ?

A

-increase age related disease as people live longer
- e.g. heart disease, stroke , cancer, Alzheimer’s, arteriosclerosis
- most deaths in 2014 were people aged 90. different from 1900 (infant mortality)

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4
Q

Aging statistics

A
  • 2010, 17% population were 65. by 2030, nearly 25% of people in EU will e over 65
    -Europe’s’ old-age dependency ration (the number of people >65 compared with the number of working-age people) will be more than double by 2050.
    -1.5 million aged 85 and over. By 2035 this number is projected to be 3.5 million.
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5
Q

Older people in Leeds

A
  • since 2001 there has been increase of 15% in those over the age of 85.
  • improved heath and well-being, improved health of poorest older people , increase healthy life expectancy.
  • reduced dependence on long term residential and acute hospital care
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6
Q

what factors influence longevity ?

A
  • genetics - 25% down to genetics
  • environmental - lifestyle, diseases
  • ethnic
  • gender- women live around 5 more years than men.
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7
Q

why do women live longer than men?

A
  • men are more vulnerable to disease
  • men are risk-takers
  • men smoke and use alcohol more than women
  • ## men allow stress of enter lives more than women
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8
Q

How to increase longevity within society ?

A
  • increasing risk of precocity faced by older women who assume the main responsibility in caring for their dependent aged parent
  • ageing workforce
  • rising need for long-term care among the elderly (uk not planned for this)
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9
Q

How to define age successfully ?

A

-is about quality of life as well as longevity
-is the combination of absence of disease and macitence of functional capacities
- avoiding disease and disability
- engagement with life
- high cognitive and physical function

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10
Q

types of interventions to enhance physical function and mobility

A
  • diet - restrictions to weight = decreased joint load , reduced pain
  • exercise - only interventions consistently demonstrated to attenuate functional decline.
    -cognitive training - varied results
  • exergaming - e.g. Wii fit, cost effective, shows promise
    -Pharmaceutical - some evidence for sarcopenia but mixed results. But when used in conjunction with exercise.
    -Non-invasive stimulation – increase or decrease firing rate of neurons.
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11
Q

Impact of Physical activity on ageing

A
  • Pa can modify risk factors that contribute to whether or not we age successfully
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12
Q

Recommend Pa levels for 65+

A
  • at least 150 minutes of moderate-intensity aerobic PA throughout week or do at least 75 minutes vigorous activity.
  • aerobic activity in 10 minute bouts
    -older adults should increase their moderate-intensity aerobic physical activity to 300 minutes per week, or engage in 150 minutes of vigorous-intensity aerobic physical activity per week.
    -Older adults, with poor mobility, should perform physical activity to enhance balance and prevent falls on 3 or more days per week.
    -Muscle-strengthening activities, involving major muscle groups, should be done on 2 or more days a week.
  • reduce time sitting down or lying dow, break up with moving periods.
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12
Q

Recommend Pa levels for 65+

A
  • at least 150 minutes of moderate-intensity aerobic PA throughout week or do at least 75 minutes vigorous activity.
  • aerobic activity in 10 minute bouts
    -older adults should increase their moderate-intensity aerobic physical activity to 300 minutes per week, or engage in 150 minutes of vigorous-intensity aerobic physical activity per week.
    -Older adults, with poor mobility, should perform physical activity to enhance balance and prevent falls on 3 or more days per week.
    -Muscle-strengthening activities, involving major muscle groups, should be done on 2 or more days a week.
  • reduce time sitting down or lying dow, break up with moving periods.
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13
Q

How did Pa levels change between 2015-16 to 2016-17?

A
  • activity levels increased for 55-74 and 75+ age groups.
  • proportion of those who were inactive decreased for 55-74 years.
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14
Q

what is a emerging problem with aging ?

A
  • sitting behaviour becoming more common
  • Getting inactivity people to do a little bit of physical activity, even if they don’t meet the recommendations, might provide greater population health gains (Barretto, 2015).
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15
Q

health cost of Pa (public health England)

A

-Pa helps prevent and ,manage over 20 health conditions
-inadequate PA contributes to 1 in 10 early deaths (equal to smoking)

16
Q

Social cost of Pa (public health England)

A

-communities with higher levels of Pa have greater community cohesion and inclusion, but the number of walked trips (including journey’s to school) are on the decline.

17
Q

Economic cost of Pa (public health England)

A
  • a physically active individual on average earns £6,500 more each year, and the cost of physical inactivity in England has been estimated at £8.2 billion a year.
18
Q

Benefit of using Pa as medicine

A
  • Morality - less likely to develop cardiovascular disease, type 2 diabetes, cancer
  • functional independence - due to increased muscle strength and aerobic fitness
  • cognitive benefits - auditory attention, processing speed, does and type of exercise still up for debate.
19
Q

what was the dilemma with covid-19 and Pa?

A
  • encouragement of sedentary lifestyles and less social engagement
    -vulnerable should stay indoors preventing elderly from participating in Pa outdoors
  • increased loneliness
  • exercise should be “as vigorously promoted as social distancing itself”