the presentation covers aging process and tipe to control them. Happy Aging

1. Healthy Aging
Dato’Dr.G.Selvaraju
DIMP; JSD; AMP;
MBBS; ,MRCP(UK); AM (Mal); FIAMIS
Consultant Physician in Internal Medicine & Gastroenterologist
Clinical Specialist Geriatric Medicine
Taman Desa Medical Center
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2. Self assessment
• What is your goal in life
when you reach 60
years of age ?
• You are given 5 minutes
• Set your goals
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3. Aging Process
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Scalp
Fore head & brow
Upper eye lids
Lower eyelids
Mid face
Lips & smile lines
Lower face & neck
The skin
Aging begins the moment you are born
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4. Why does the body change &become old ?
• Process of growing old
• Changes in the cells & organs
– Functions
– Performance
– Appearance
• Cell death ……………………Cancer
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6. What is old age?
• When does a person
become old?
– Chronological age
– Biological age
– Psychological age
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7. Early Aging
• Disease
– Dementia
– Alzheimer’s Disease
– Progeria – “Rapid Aging “
• Unhealthy Life Style
• Brain power
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8. Myths of aging
• Common beliefs
– Aging means decline in
health /or disability
– Memory loss is
inevitable in old age
– Inability to contribute
• In reality aging is
– 30% genes
– 70% lifestyle
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9. Why do we age rapidly ?
Sedentary lifestyle.
Poor food choices.
Use of alcohol.
Use of tobacco products.
Lack of understanding of
consequences.
Lack of motivation to
change.
Poor Lifestyle Choices
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10. What happens as you age ?
• Higher level of fatigue
and pain with aging.
• May lead to decrease in
physical activity.
• Result is downward
spiral in fitness and
increase in health
problems.
Cycle of De-conditioning
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11. Practical Issues of aging …
• Independent living leads
to more responsibility for
food choices, BUT…
– Nutrition knowledge is
low.
– Food preparation skills
limited.
– Diets high in fat and
calories.
– Use of fruits and
vegetables is low.
Diet Concerns
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12. Negative Outcomes:
Hypokinetic Diseases
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Heart Disease
Stroke
Diabetes
Osteoporosis
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13. HEALTHY AGING
DEFINITION AND GOALS
Healthy and active aging is a process to achieve
physical, mental and social well being throughout
one’s life particularly in the later years
WHAT IS THE GOAL ?
Disease & disability free life with high physical &
cognitive function and active engagement with life
in old age
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15. HEALTHY AGING IS A REALITY AND
NOT A DREAM
• Functional capacity like ventilator capacity, muscle strength
& cardiovascular output increases in childhood & peaks in
early adulthood, eventually followed by a decline resulting
in disease & disability in old age.
• Rate of decline however gets accelerated by negative adult
life style factors like smoking, alcohol, lack of exercise,
improper diet as well as by environmental & external
factors; Hence this decline can be slowed down or even
reversed at any age through the individual himself or the
policy makers.
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17. DETERMINANTS OF ACTIVE AGING
• Behavioural: smoking, alcohol,
exercise, diet, drugs
• Environmental: pollution, home
safety, rural/urban
• Socioeconomic:
family,community ,income,
literacy
• Personal: biology, genetics,
coping mechanisms
• Services: primary care, health
prom. disease prevention
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19. MODIFIABLE DISEASE RISK FACTORS
Cardiovascular: sedentary, obesity, lipids, BP, salt, diet, smok, pollut
Pulmonary:
smoking, environmental pollution
Neurological:
BP, smoking, alcohol, diet, depress,mental inactivity
Diabetes:
diet,sedentary , obesity
Musculoskeletal: sedentary, obesity, hormone deficiency
Gastrointestinal: low fibre, alcohol, poor oral hygiene
Urogenital:
BP, hormone deficiency
Infections:
under nutrition, poor skin care and no vaccination
Cancers:
diet, smoking, chewing tobacco
Special senses: sunlight, noise, diabetes, water fluoride, drugs
Accidents :
unsafe homes
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21. SUMMARY OF LIFE STYLE GOALS
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Physical activity
Healthy diet
Avoid smoking
Judicious medication
Good oral hygiene
Health screening
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Social involvement
Mental activity
Immunizations
Hormones – HRT
Clean environment
Home safety
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22. PHYSICAL ACTIVITY
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Benefits: Physiological, psychological
and social.
if physical exercise could be dispensed
as a pill, it could be the most
valuable prescription to prevent
diseases (Edward Staneley)
• Varieties: Aerobic, resistance and
balance exercises.
yogic, spiritual & exercise related to
work, recreation, household and
social interaction
• Duration: Brisk walk for 20-60 mts
for 3-5 d/week
morning walk better as he is fresh,
walks with his whole body; in
evening he walks only with his legs
1.WHO. The Heidelberg Guidelines. JAPA 5: 2-8, 1997; 2.Vinod Kumar.
JAPA 6: 205-6, 1998
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24. HEALTHY DIET
• Low fat, low salt, adequate
liquids, proteins, vitamins,
calcium, micronutrients and
high
fibre,
fruits
and
vegetables
• Relish you food with good
flavour, smell, colour, utencils
and environment
• Regular meals, no overeating
food left on the table does
more good than what has
been taken
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25. SMOKING AND EXCESS ALCOHOL
• It is never too late to quit
smoking
• Consuming alcohol in
excess is different from
taking in moderation
• Scientific methods are in
place to give up these
addictions and to deal
with
problems
of
withdrawl
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27. JUDICIOUS MEDICATIONS
• Properly understand
directions of their use
• Take with or after food
unless told otherwise
• Get ingredients checked to
avoid duplication
• Consult doctor to avoid
unnecessary medicines
• Never hoard medicines you
no longer require
• Do not share medicines
with anyone
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28. MISCELLANEOUS
• Personal cleanliness and oral
hygiene
• Bowel movements and sound
sleep
• Avoid dust and pollution
• Home and road safety
• Specific tasks e.g. Screening,
HRT, immunization
• Engagement with life is a
must: A perpetual holiday is a
good working definition of
hell-Bernard Shaw
• Have a positive attitude: To
me old age is always 15 years
older than I am
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29. How do I age gracefully ?
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Move naturally
Cut calories
Avoid meat and processed foods
Drink alcohol, especially red wine, in moderation
Maintain a positive outlook on life
Reduce stress
Belong to a community
Keep family first
Surround yourself with people who have similar
values
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30. Natural food
Balanced diet
Red wine
Secret recipe
Exercise
Family
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Avoid meat
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Avoid processed food
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Reduce stress

31. Healthy Aging Tips
Stay connected
Learn new skills
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Family first
Celebrate birthday
Go on Holidays
Laugh
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32. In a nut shell ……..
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Follow strict routine
Eat Vegetarian diet
Be relaxed
Be happy
Find time for yourself
Find time for family
Concentration
Contemplation
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No smoking
No alcohol
No drugs
No overindulgence in
sex
• Control anger, lust and
greed
• Avoid fear & anxiety
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33. What should you do ?
• Be Prudent
– Follow doctor’s orders
• Be Persistent
– Take right medicine,
right dose
– Undergo routine check
ups
• Be Organized
– Happy married life
– Satisfying work life
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34. Outcome
• You are wealthy
• You are healthy
• You have inner peace
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35. In conclusion ……………
• What do you think about
the goal you have set in
the beginning
– Given your current life
style
– Given your current
financial status
– Given your current health
status
– Given your current mind
set
• Q?
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