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Epidemiology of Aging PowerPoint Presentation

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Description : "Epidemiology of Aging" employs a dynamic PowerPoint (PPT) presentation to illuminate the demographic shifts and health trends associated with aging populations. Exploring factors such as disease prevalence, mortality rates, and healthcare utilization, it offers valuable insights into the epidemiological landscape of aging, informing strategies for public health interventions and policy-making.

Tags : epidemiology of aging,physiology of aging,aging,aging physiology,old age,process of becoming older,reverse aging

Published on : Mar 08, 2024 | Views : 546 | Downloads : 0

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Slide 1-

Epidemiology of Aging A.M.Clarfield MD, FRCPC Professor of Gerontology Ben Gurion University, Israel Open Health Institute, Moscow Saturday, Jul 10 , 2004
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Scope of Problem : Large
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Aging: A Biological Definition “A progressive, generalized impairment of function resulting in a loss of adaptive response to stress (loss of biological reserve) and in a growing risk of age-associated disease.“ After Kirkwood T, 1996
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Squaring of the curve: ideal situation
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Demography % elderly depends on : 1. fertility 2. mortality 3. migration
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Squaring of the curve: ideal situation
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Stages of the Demographic Transition Bangladesh Israel Sweden
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Survival Curves for Australian Males, 1988:Proportion Surviving (%)
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Are today’s elderly healthier than yesterday’s?
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Increase in life expectancy
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Alois Alzheimer et al
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Prevalence of AD in US:3 Projections( Arch Neurol 2003 )
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Aggregate Changes in Severe Cognitive Impairment Among Older Americans: 1993-1998 (Freedman VA et al. J Gerontol 2001)
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Examined: 7443 (1993) and 7624 (1998) non-institutionalized elderly (70+) Percentage with “severe cognitive impairment”: 1993 = 6.1% 1998 = 3.6% } p<0.001
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Trends in Institutionalization (Jacobzone S. Health Affairs, 2000)
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Trends in Disability (Women Only)
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Are today’s elderly healthier than yesterday’s?
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What can explain this phenomenon?
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What can explain this phenomenon? Genetics?
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Money/ education? What can explain this phenomenon?
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Classic public health measures e.g. Hygiene/ diet/ water/ milk ? What can explain this phenomenon?
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Medical technology ( atx, ASA, statins, stents?) What can explain this phenomenon?
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Secular trend (McKeown) What can explain this phenomenon?
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What can explain this phenomenon? Lifestyle/health behaviour: -  smoking - diet -  exercise - alcohol
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Use of aids: - canes, handrails - microwave ovens What can explain this phenomenon?
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Social support What can explain this phenomenon?
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Something else? All of the above? What can explain this phenomenon?
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The Situation in Russia
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Age structure -Russia 13.7% 65+ ( cf. Israel 10%, UK 18%) % 60+ 1990: 16% 2015: 20% Very rapid growth in old-old (80+)
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The Situation in Russia Catastrophic impact of WW 1, WW2 ,famine: - eg 36♂: 100 ♀ - female advantage for life expectancy is widest in the world: 10.4 yr. ( cf. 4 yr. in Israel ) Low fertility % 65+ poverty, esp. among 65+ ( pension, cost of living)
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The Situation in Russia Degradation of health and social services  life expectancy in the middle aged men (trauma, alcohol, suicide) MORE OLD PEOPLE
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What is to be done?
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?
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Thank You