better ageing Conor Breen, CARDI 24 April 2015 Overview 1. - - PowerPoint PPT Presentation

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better ageing Conor Breen, CARDI 24 April 2015 Overview 1. - - PowerPoint PPT Presentation

Keeping active for better ageing Conor Breen, CARDI 24 April 2015 Overview 1. Setting the context 2. Increasing physical activity in older adults 3. Case studies and policy lessons How to live longer? Person Nationality Longevity secrets


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Keeping active for better ageing Conor Breen, CARDI 24 April 2015

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Overview

  • 1. Setting the context
  • 2. Increasing physical activity in older adults
  • 3. Case studies and policy lessons
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How to live longer?

Person Nationality Longevity secrets Jeanne Calment, 122 French Olive oil, port wine, chocolate, exercise Alexander Imich, 111 (died 2014) Polish-American Genes, nutrition, exercise Misao Okawa, 117, world’s

  • ldest woman (died 2015)

Japanese Sushi, 8 hours’ sleep, exercise (squat thrusts) Jiroemon Kimura, 116, longest living man Japanese Small portions of food, exercise

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Blue zones

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  • Current levels of physical inactivity

(World Health Organization, 2014)

  • Study of declining rates of physical

activity in the US over 50 years (Brownson et al., 2005).

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WHO Global recommendations on physical activity for health

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CARDI RESEARCH – KEEPING ACTIVE FOR BETTER AGEING (2015)

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Factors that encourage activity

  • Individual
  • Social
  • Environmental

Barriers to activity

  • Health
  • Psychological
  • External
  • Environmental
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Factors that encourage more activity

  • Social and individual

factors have more of an influence than environmental factors (Cerin et al., 2013)

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Interventions: what works?

Healthcare professionals providing information Building self-efficacy Incorporating physical activity into daily life Improving physical activity environments Addressing inequalities

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  • Noordman et al., 2010
  • Kerse et al., 2005
  • Johnson et al., 2014

Healthcare professionals providing information

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  • Convincing evidence that

targeting self-efficacy is an effective means of increasing physical activity

– Warner et al. (2014) – Williams & French (2011) – Darker et al. (2009) – Burke et al. (2008)

Building self-efficacy

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  • Active travel
  • Sedentary older adults (Fox,

2014)

Incorporating physical activity into daily life

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  • Using Local Authority

planning, Transport plans, public space consultations, etc.

Improving physical activity environments

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  • Remove barriers over the life

cycle

Addressing inequalities

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Case study 1: Green prescription, New Zealand

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Case study 2: Katanning, Australia

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Case study 3: National Walking and Running Programme, Portugal

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Case study 4: Dutch District Approach, the Netherlands

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Case study 5: Active living by design, US

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FOUR LESSONS FOR POLICY AND PRACTICE

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Lesson 1: Clinical guidelines on physical activity

  • Guidelines for the clinical management of
  • verweight and obese adults and children
  • GPs / Public Health Nurses / Other health

professionals

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Lesson 2: Build self-efficacy

  • Should underpin all physical activity

interventions

  • Five simple steps
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Lesson 3: Move from no activity to some activity

  • Greatest reduction in risk is between inactive

and moderately inactive groups

  • A 20 minute brisk walk each day
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Lesson 4: Plan and design activity- friendly environments

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  • Physical activity is “today’s best buy in public

health” (Morris, 1994)

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For copies of report www.cardi.ie