Professional Documents
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If we could give every individual the right amount of nourishment and exercise, not too little and not too mutch, we would have found the safest way to health
Hipocrates, 460 BC
Demographic transition
Projected demography
Frailty
Homecare services
Hospital admissions
Physical condition in middle and old age: times per age group of marathon runners
- Significant age-related performance losses start from 54 years - Half of the young runners reach the finishing after the best 25 % 65-69 year old runners
To late to start active lifestyle? Changes in physical activity in 50 year old men reduce mortality risk
In order to improve cost-efficacy of spa treatments, preventive interventions in chronic diseases related with age and lifestyle should be performed in our centres, specially in the actual economic situation Programs combining physical activities, health education, spa therapies and other modalities are widely represented in the recent literature, and were discussed mainly by Socit Franaise de Mdecine Thermale at the 38 th ISMH World Congress Protocols of multidisciplinary approaching in spas are avaliable for various conditions: fibromyalgia, hip and knee osteoarthritis, low back pain, venous insufficience, and COPD In our opinion, general programs for delayng or improving the most ferquent chronic conditions (CVD, COPD, dibetes, osteoporosis, etc) could be performed emphasizing recomendations for Active Ageing
Multidimensional approach: physical, mental and social wellness (WHO definition) Multidisciplinary intervention: consultation, rehabilitation, group activities, psychotherapy, trainning, etc Preventive, early detection of risk factors: sedentary lifestyle, inadecuate nutrition, tobacco / alcohol consumption, depressive mood, etc Individual evaluation of physical condition: avoidance of adverse events, improve program efficacy
Left: risk factors of cardiovascular diseases Right: risk of mortality after MI and correlation with depressive symptoms (BDI: Beck depression inventory)
Biventricular function
Training
Control
Light grey: control group before Dark grey: control group after
SF 36 questionnaire
Prevention of falls
- 23 % higher oxygen uptake - 22 % higher caloric expenditure - 16 % higher heart rate - Walking longer and harder with less exertion - Less impact on lower extremity joints - Fewer complaints and side effects reported