Grand Challenges of Our Aging Society Workshop Summary (2010) / Chapter Skim
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3 Enhancing Healthy Aging
3 Enhancing Healthy Aging
Pages 15-22
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STRATEGIES FOR HEALTH PROMOTION Robert N Butler International Longeity Center, New York Despite all the advances in medicine and public health, life expectancy in the United States may decline from such factors as obesity, diabetes, smoking, and alcohol abuse as well as poor health care coverage.
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In addition to loss of mobility, obesity is also a predictor of many other forms of functional decline: joint disease, chronic disease, chronic proinflammatory state, decline in muscle mass, sedentary lifestyle, homebound status, and restrictions in activities of daily living. These build on each other, as the physical inactivity of a sedentary lifestyle leads to more substantial loss of muscle mass, further restricting mobility.
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However, research on which interventions are relevant for older obese people in particular is lacking. Pilot studies involving prudent diet, behavior modification, physical activity, and pedometers are showing positive results.
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From a public health perspective, how can exercise be encouraged so as to stimulate and maintain cognitive health? Exercise can be built into all environments for living, working, and playing.
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Chris Gibbons Urban Health Institute and Schools of Medicine and Public Health Johns Hopkins Uniersity Consumers increasingly are using information technology to acquire the necessary tools and information in order to promote their own healthy aging. In addition, the rising desire to age in place generates a growing home health care sector.
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The underserved and minorities do not use information technologies in the same way as the general population. Without attention to design, information technology could even increase health care disparities.
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The efficacy of traditional interventions could also be enhanced via technological adjuncts to treatment or care. The current challenge, Gibbons concluded, is not just what doctors and hospitals need in order to do a better job, but what patients and care givers need "in order to do the things we want them to do better over time to improve clinical outcomes." And the best approach is information technologies that are used and owned by patients or immediate caregivers and that do not depend on a physician or practitioner.
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