Healthy aging must become a priority objective for both population and personal health services, and will require innovative prevention programming to span those systems. Uptake of essential clinical preventive services is currently suboptimal among adults, owing to a number of system- and office-based care barriers. To achieve maximum health results, prevention must be integrated across community and clinical settings. Many preventive services are portable, deliverable in either clinical or community settings. Capitalizing on that flexibility can improve uptake and health outcomes. Significant reductions in health disparities, mortality, and morbidity, along with decreases in health spending, are achievable through improved collaboration and synergy between population health and personal health systems.
"There have been concerted efforts to help older adults eat better and move more. Prior studies suggest older adults can lose weight by increasing eating self-efficacy (Rejeski et al. 2011), having congregate meals (Porter and Johnson 2011), receiving obesity screening and counseling (Ogden et al. 2012), and improving community design to increase their walkability (Kerr et al. 2012). Given that the positive association between being food insecure and being obese shown by the current study, community gardening can be one of the valid efforts to increase physical activity and fresh produce intake as well as life satisfaction among older adults (Sommerfeld et al. 2010). "
[Show abstract][Hide abstract] ABSTRACT: Increasing obesity levels portend a challenging societal healthcare issue, while the current economic crisis may foster food insecurity, characterized by limited or uncertain access to adequate food. This study examines associations among food insecurity, meeting recommendations for dietary and physical activity patterns, and body mass index (BMI) among baby boomers and older adults completing the 2010 Brazos Valley Health Survey. Subjects included 2,985 respondents (1,589 baby boomers and 1,396 older adults). Thirty-six percent of participants were obese while 15 % of participants were food insecure. Approximately 8 % of baby boomers and older adults were both food insecure and obese. Among all study participants, an increased BMI was more common among those who were ethnic minorities and had depression. An increased BMI was less common among those who met fruit/vegetable intake and physical activity recommendations. There was a positive association between food insecurity and BMI only among baby boomer and older adult females. A combined emphasis on availability of healthy foods and increased opportunities for meeting physical activity guidelines can help to counter the food insecurity-obesity connection among both baby boomer and older adult females.
[Show abstract][Hide abstract] ABSTRACT: Breast cancer continues to have a substantial impact on the health of women in the United States. It is the most commonly diagnosed cancer (excluding skin cancers) among women, with more than 210,000 new cases diagnosed in 2008 (the most recent year for which data are available). Incidence rates are highest among white women at 122.6 per 100,000, followed by blacks at 118 per 100,000, Hispanics at 92.8, Asian/Pacific Islanders at 87.9, and American Indian/Alaskan Natives at 65.6. Although deaths from breast cancer have been declining in recent years, it has remained the second leading cause of cancer deaths for women since the late 1980s with >40,000 deaths reported in 2008. Although white women are more likely to receive a diagnosis of breast cancer, black women are more likely to die from breast cancer than women of any other racial/ethnic group. In addition, studies have demonstrated that nonwhite minority women tend to have a more advanced stage of disease at the time of diagnosis. Breast cancer also occurs more often among women aged ≥50 years, those with first-degree family members with breast cancer, and those who have certain genetic mutations. Understanding who is at risk for breast cancer helps inform guidelines for who should get screened for breast cancer.
MMWR. Morbidity and mortality weekly report 06/2012; 61 Suppl:46-50.
[Show abstract][Hide abstract] ABSTRACT: Cardiovascular disease (CVD) is the most highly prevalent disease in the United States and remains the leading cause of death among adults aged ≥18 years despite advancements in treatment and prevention in recent decades. Each year, approximately 800,000 persons die from CVD, which includes coronary heart disease (CHD); the majority of those persons who die from CVD had underlying atherosclerosis. Approximately 7.9 million U.S. adults have a history of heart attack, approximately 7 million U.S. adults have a history of stroke, and, approximately 16 million U.S. adults have received a diagnosis of CHD. CVD and CHD cause a substantial economic burden in the United States. In 2010, the estimated annual cost (direct and indirect) of CVD in the United States was approximately $450 billion, including $109 billion for CHD and $54 billion for stroke alone.
MMWR. Morbidity and mortality weekly report 06/2012; 61 Suppl:11-8.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.