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 1 Dato'Dr.G.Selvaraju DIYA BODY MIND CENTER 28/04/2022
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12/04/2023 Dato'Dr.G.Selvaraju 1
Healthy Aging Dato’Dr.G.Selvaraju
DIMP; JSD; AMP;MBBS; ,MRCP(UK); AM (Mal); FIAMIS
Consultant Physician in Internal Medicine & GastroenterologistClinical Specialist Geriatric Medicine
Taman Desa Medical Center
DIYA BODY MIND CENTER
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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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Aging Process
• 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 Dato'Dr.G.Selvaraju
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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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What is old age?
• When does a person become old?– Chronological age– Biological age– Psychological age
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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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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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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Negative Outcomes: Hypokinetic Diseases
• Heart Disease• Stroke• Diabetes• Osteoporosis
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HEALTHY AGINGDEFINITION AND GOALS
Healthy and active aging is a process to achievephysical, mental and social well being throughoutone’s life particularly in the later years
WHAT IS THE GOAL ?Disease & disability free life with high physical &cognitive function and active engagement with lifein old age
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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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DETERMINANTS OF ACTIVE AGING• Behavioural: smoking, alcohol,
exercise, diet, drugs
• Environmental: pollution, home safety, rural/urban
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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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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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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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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How do I age gracefully ?
• 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