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Activities to Stay Activities to Stay Healthy Healthy
and Live Longerand Live Longer
Professor Anne Hiller Scott, PhD, OTRProfessor Anne Hiller Scott, PhD, OTR
Professor Rebecca States, PhDProfessor Rebecca States, PhD
Associate Dean, William Susman, PhD, PTAssociate Dean, William Susman, PhD, PT
Interdisciplinary, Community-Based, Interdisciplinary, Community-Based, Health Education for Diverse Elders.Health Education for Diverse Elders.
HRSA Grant#1 D37 HP 00838-01HRSA Grant#1 D37 HP 00838-01
HEALTHY PEOPLE 2010
• National program to improve the health of all Americans - to promote healthy behavior & create healthy environments
• GOALS
–Increase number of years of healthy life• To help people live longer
–Increase Quality of Life• Personal sense of physical and mental health
HEALTHY PEOPLE 2010
Leading Causes of DeathHeart Disease, Cancer and Stroke
• MOST PREVENTABLE Causes of Death:
• SMOKING – increases risk of– Heart Disease, Stroke, Lung Cancer, Chronic Lung
Disease
– During Pregnancy – may cause
• Miscarriage, premature birth, sudden infant death syndrome (SIDS), asthma, bronchitis
• OBESITY – increases risk of– High blood pressure, high cholesterol, type 2 diabetes,
heart disease, stroke, arthritis, breathing problems, etc.
• LEADING HEALTH INDICATORS– Behaviors that affect the health of individuals, examples…
• PHYSICAL ACTIVITY– People in the Northeast and South exercise less– Women exercise less than men– People over age 75:
• 2 in 3 WOMEN have NO regular physical activity• 1 in 3 MEN have NO regular physical activity
• OBESITY– Need to follow diet guidelines, eat healthy, lose weight
• TOBACCO USE– Affects the smoker and others through second hand smoke – Children and pregnant women are at greatest risk for harm
HEALTHY PEOPLE 2010
What YOU Can DO to Stay Healthy!• PHYSICAL ACTIVITY (30 Minutes a day) helps prevent: • (But ANY exercise is better than NO exercise)
– Heart disease– High blood pressure– Obesity – excess weight– Diabetes– Depression – mental disorders
• EATING RIGHT – LESS is MORE– LESS: Fats, Fried Foods, Starches, Sugar, Salt– MORE: Fresh Fruits, Vegetables,
Lean Meat, Fish, Grains
• WEIGHT CONTROL– after 45 years of age people gain
more weight– watch the amount you eat - portion size
HEALTHY AGING…What is the key?
SUCCESSFUL AGING A study by Rowe & Kahn 1998
♦ STAY ACTIVE♦ HEALTHY LIFESTYLE♦ PREVENTION
MAJORITY of HEALTHY AGING is LIFESTYLE &
PREVENTION(Rowe & Kahn, 1998)
♦ IF YOU DON’T USE IT – LOSE IT
♦ CONFIDENCE in Your Abilities to Adapt and Stay Active
♦ ACTIVE PARTICIPATION Work and Play
♦ BEING PRODUCTIVE Volunteer Work/Work,
Caregiving
HEALTHY AGING (Rowe & Kahn, ‘98)
♦ SOCIAL SUPPPORT Family, Friends, Community
♦ MENTAL ACTIVITY Reading, Puzzles, Games
♦ PHYSICAL ACTIVITY Walk, Dance, Swim, Gardening, Senior Exercise Tapes, Stair Climbing, Mall Walking
♦ DIET and SUPPLEMENTS
A FEW MORE STUDIES ON HEALTHY ACTIVITIES
PetsTai ChiOccupational Therapy
PETS: Best Friend Dogs are lifesavers People who had heart
attacks: Lived longer if they
had a pet – WHY? Reduces Stress and
Blood Pressure Companion Care Exercise
TAI CHI: A Gentle Martial Art
Research Findings:Better BalanceLess FallsIncreased MovementLower Blood
PressureLower StressBetter Breathing
RANGE OF MOTION–ROM DANCE: Tai Chi, Music & Relaxation
Harlowe & Yu 1984, 1997
Occupational Therapy Program to:Increase MovementReduce PainReduce StressResearch Studies – helps with
Arthritis and other illnessesChronic Pain & Fatigue Depression
7 Minute Videotape: Commercially available1 800 488-4940 or www.taichihealth.com
OCCUPATIONAL THERAPY:Extends QUALITY of LIFE in well elderly Journal American Med. Assoc. JAMA: 1997, 278, 1321-26.OCCUPATIONAL THERAPY helps people keep
doing everyday activities that are important in their livesOCCUPATION means ALL ACTIVITIES or TASKS
that OCCUPY you in a day, the Skills for the Job of Living:– Self-care Eating, Cooking, Dressing, Grooming,
Housework– Caregiving– Social Activity– Leisure/Recreational Activity– Work/Volunteer Work– Physical & Mental Tasks Staying active at home and
participating in the community
Occupational Therapy Research Well Elderly Study
JAMA, 1997 Clark, et. al.
The value of staying involved and active Participating in activities important to youOvercoming fears – gaining confidenceExample: Clara had arthritis and diabetes and lived
alone staying mostly in her apartment complex• rarely went out due to fear of falling • after the OT Lifestyle Redesign Program she
finished 1 mile with her walker in the LA Marathon
How do YOU make CHANGES?
What are ACTIVITIES you can DO
to keep HEALTHY
and live LONGER
with good QUALITY of LIFE?
How should YOU start to make CHANGES?
Identify concrete GOALS for healthy activities Start SMALL – STEP by STEP
o You can’t change everything at once!Get SUPPORT
o Talk with family and friendso Get information from your health care
provider and other resourceso Try to include others in your plans- For
example start a walking group
Making CHANGES in Your LIFESTYLE Keep Track of Your PROGRESS
WHAT activity/change are you trying to accomplish? Break it down into small steps.
WHY do you want to make this change? Remember your motivation.
DON’T GIVE UPKEEP TRYINGYOU ARE WORTH ITYOU CAN DO IT!