Do we have a blind spot for the importance of physical activity in - - PowerPoint PPT Presentation

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Do we have a blind spot for the importance of physical activity in - - PowerPoint PPT Presentation

Aug 10, 2023 35 likes •276 views

Do we have a blind spot for the importance of physical activity in older people? An Eye-opener Prof.emeritus.dr. Marijke Hopman-Rock Honorary member EUNAAPA Expecting the future? Body@Work 2 This is what I hope: Body@Work 3

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Do we have a blind spot for the importance of physical activity in older people?

An Eye-opener

Prof.emeritus.dr. Marijke Hopman-Rock Honorary member EUNAAPA

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Expecting the future…?

2 Body@Work

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This is what I hope:

Body@Work 3

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Importance of physical activity: a blind spot?

Body@Work 4

Unknown to the public Known to researchers

Blind spot

Known to yourself Open space Hidden area Unknown area Unknown to

  • thers

Known to

  • thers

Unknown to yourself Blind Spot

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1987: Vitality and Aging

Body@Work 5

mortality Compression of morbidity Recommendation: prevention by healthy lifestyle!

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ECSS 2013 6

Source: Hildebrandt et al, 2013, TNO report

Percentage of Dutch people meeting HEPA standards (30 minutes PA a day or sports > 3x pw) according to age group

30 40 50 60 70 2000- 2001 2002- 2003 2004- 2005 2006- 2007 2008- 2009 2010- 2011 18-34 35-55 56-64 65-74 75+

In Dutch nursing homes PA mean 5,3 minutes a day! (De Ligny et al, 2010)

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Levels of Evidence for Physical Activity and Exercise on Health

Body@Work 7 Osteoarthritis Kidney disease Low back pain Parkinson disease Co-ordination Reaction time Quality of life (? C/D) Independent living Falls In hospital mortality C (generally positive or suggestive evidence) COPD Osteoporosis (osteopenia) Stroke Anxiety, depression Reumatoïd arthritis Epilepsy Cystic fibrosis Stroke Depression Colon cancer Breast cancer Dementia Cognitive decline Bone mass Sarcopenia Self esteem B (strong evidence) CHD Diabetes mellitus II CHD Diabetes mellitus II Osteoporosis Body weight (BMI) Body fat Blood pressure HDL/LDL cholesterol Glucose intolerance Sleep pattern Disability Muscle strength A (overhelming from RCT’s and

  • bservational

studies)

Tertiary prevention Disease Prevention (primary) Positive effects on Health parameters

Level of Evidence A,B,C

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Risk of incident B-ADL disability

Erwin Tak et al Physical Activity & Disability

1 2

Wu (1999) Van den Brink (2005) Stessman (2009) Ostbye (2002) Leveille (1999) Jenkins (1999) Ishizaki (2000) Haveman-Nies (2003) Avlund (2002) Summary

  • Statistical heterogeneity
  • No publication bias
  • Age, FU-period and

confounders did not significantly alter relationship

  • Quality of study not

linearly related to the association PA-disability Pooled OR medium/high vs. low Physical Activity: 0.51 (95% CI: 0.38-0.68; p<.001)

Tak E, Kuiper R, Chorus A, Hopman-Rock M. Prevention of onset and progression of basic ADL disability by physical activity in community dwelling older adults: a meta-

  • analysis. Ageing Res Rev. 2013 Jan;12(1):329-38.

Physical activity and Disability: the evidence

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Ecss 2013

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Biddle et al. position stand ECSS 2012

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Effective strategies

  • Best Practice Statement ACSM (Cress et al, 2004):

Principles of behaviour change (in older persons):

Social support Self-efficacy Active choices Health contracts Assurance of safety Positive reinforcement

  • UK National institute for health and clinical

Excellence (NICE, Cavell et al, 2006, chapter older adults) http://www.nhs.uk/Livewell/fitness/Pages/physical- activity-guidelines-for-older-adults.aspx

Picture Katharine Devereux, Perth Australia

FUN!!

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Body@Work 11

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5 October 2009 APA Sydney 12

Why should we promote behavioural change in older persons?

Topp et al, 2002, Van der Sluis et al, 2007

Event (fall, operation, etc)

Critical zone

condition → time →

Slide from dr. Nico van Meeteren Nico.vanmeeteren@tno.nl

Example: Better in is Better out= Peri operative physiotherapy

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1

Dronkers PhD thesis (May 2013): http://dare.ubvu.vu.nl/handle/1871/40383

Young Old Frail

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What is your blind spot?

  • Who sports/exercises 2-3 times a week?
  • Who is going almost always by car?
  • Who usually bikes to his or her work?
  • Who walks/bikes with older family

members?

  • Who wants to be physically active more

frequently?

  • Who sits for more than 3 hours a day?

Body@Work 14

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Special issue

  • n

Physical Inactivity (July 2012)

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Research community

Body@Work 18

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Body@Work 19

EUNAAPA

www.eunaapa.org

Started in 2005 Free membership Projects from the European Commission 2014: Operating grant

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Body@Work 20

www.eunaapa.org

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Body@Work 21

Blind spot in our culture?? An Eye-opener

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Body@Work 22

To increase physical activity in

  • lder people!
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Thanks for your attention!

Prof.em.dr. Marijke Hopman-Rock marijke.hopman@tno.nl VU university Amsterdam: m.hopman@vumc.nl Twitter @marijkehopman www.EUNAAPA.org Twitter: @eunaapa www.bodyatwork.nl

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Body@Work 24