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Health and Wellness Programs for Older Adults

  • Wayne Brewer
  • Mindy A. Patterson
  • Christopher T. RayEmail author
Chapter
Part of the Handbooks in Health, Work, and Disability book series (SHHDW)

Abstract

Attenuating the physical, functional, cognitive, and emotional declines associated with the aging process is imperative to maximize overall health and wellness in older adults. Health and wellness programs that include both physical activity and nutritional components are necessary to overcome the challenges associated with the aging process. The purpose of this chapter is to identify the aging processes that threaten the functional independence in older adults and outline the physical activity and nutritional modalities to ameliorate these threats. Physical declines include loss of muscle mass and strength, cardiorespiratory fitness, and flexibility. Nutritional concerns include the presence of chronic disease, polypharmacy, reduced energy needs coexisting with enhanced micronutrient needs, and minimal access to healthy foods. Evidence-based health and wellness programs focusing on physical activity, nutrition, or both are summarized, and practical solutions to improve the programs are provided. Key recommendations to develop a health and wellness program targeted for older adults are given. Health and wellness programs should identify and target critical health needs in the population and incorporate both physical activity, nutrition, and behavioral components into the program to maximize success. In conclusion, these programs are necessary to improve the overall health status of older adults to allow them to have the maximal quality of life.

Keywords

Health Wellness Older adult Nutrition Physical activity 

References

  1. Agmon, M., Kelly, V. E., Logsdon, R. G., Nguyen, H., & Belza, B. (2015). The effects of EnhanceFitness (EF) training on dual-task walking in older adults. Journal of Applied Gerontology, 34(3), NP128–NP142.  https://doi.org/10.1177/0733464812465921CrossRefPubMedGoogle Scholar
  2. Allen, L. H. (2009). How common is vitamin B-12 deficiency? The American Journal of Clinical Nutrition, 89(2), 693S–696S.  https://doi.org/10.3945/ajcn.2008.26947ACrossRefPubMedGoogle Scholar
  3. Avin, K. G., Hanke, T. A., Kirk-Sanchez, N., McDonough, C. M., Shubert, T. E., Hardage, J., … Academy of Geriatric Physical Therapy of the American Physical Therapy Association. (2015). Management of falls in community-dwelling older adults: Clinical guidance statement from the Academy of Geriatric Physical Therapy of the American Physical Therapy Association. Physical Therapy, 95(6), 815–834.  https://doi.org/10.2522/ptj.20140415CrossRefPubMedPubMedCentralGoogle Scholar
  4. Banerjee, A. T., Kin, R., Strachan, P. H., Boyle, M. H., Anand, S. S., & Oremus, M. (2015). Factors facilitating the implementation of church-based heart health promotion programs for older adults: A qualitative study guided by the precede-proceed model. American Journal of Health Promotion, 29(6), 365–373.  https://doi.org/10.4278/ajhp.130820-QUAL-438CrossRefPubMedGoogle Scholar
  5. Belza, B., & The Prevention Research Centers-Health Aging Research Network Physical Activity Conference Planning Workgroup. (2007). Moving ahead: Strategies and tools to plan, conduct, and maintain effective community-based physical activity programs for older adults. Atlanta, GA: Centers for Disease Control and Prevention.Google Scholar
  6. Bernstein, M., Munoz, N., & Academy of Nutrition & Dietetics. (2012). Position of the Academy of Nutrition and Dietetics: Food and nutrition for older adults: Promoting health and wellness. Journal of the Academy of Nutrition and Dietetics, 112(8), 1255–1277.  https://doi.org/10.1016/j.jand.2012.06.015CrossRefPubMedGoogle Scholar
  7. Bouaziz, W., Vogel, T., Schmitt, E., Kaltenbach, G., Geny, B., & Lang, P. O. (2017). Health benefits of aerobic training programs in adults aged 70 and over: A systematic review. Archives of Gerontology and Geriatrics, 69, 110–127.  https://doi.org/10.1016/j.archger.2016.10.012CrossRefPubMedGoogle Scholar
  8. Buckworth, J., & Buckworth, J. (2013). Exercise psychology (2nd ed.). Champaign, IL: Human Kinetics.Google Scholar
  9. Carpenter, R. A., & Finley, C. E. (2017). Healthy eating every day (2nd ed.). Champaign, IL: Human Kinetics.Google Scholar
  10. Castro, C. M., & King, A. C. (2002). Telephone-assisted counseling for physical activity. Exercise and Sport Sciences Reviews, 30(2), 64–68.CrossRefGoogle Scholar
  11. Centers for Disease Control and Prevention. (2008). Percent of U.S. adults 55 and over with chronic conditions. Retrieved from https://www.cdc.gov/nchs/health_policy/adult_chronic_conditions.htm
  12. Centers for Disease Control, National Vital Statistics System, National Center for Health Statistics. (2013). 10 leading causes of death by age group, United States – 2013. (Produced by National Center for Injury Prevention and Control, Centers for Disease Control). Retrieved from https://www.cdc.gov/injury/wisqars/pdf/leading_causes_of_death_by_age_group_2013-a.pdf
  13. Centers for Disease Control and Prevention. (2017). National centers for health statistics: Number of deaths for leading causes of death. Retrieved from https://www.cdc.gov/nchs/fastats/leading-causes-of-dealth.htm
  14. Cress, M. E., Buchner, D. M., Questad, K. A., Esselman, P. C., deLateur, B. J., & Schwartz, R. S. (1996). Continuous-scale physical functional performance in healthy older adults: A validation study. Archives of Physical Medicine and Rehabilitation, 77(12), 1243–1250. https://doi.org/S0003-9993(96)90187-2
  15. Dishman, R. K., Vandenberg, R. J., Motl, R. W., & Nigg, C. R. (2010). Using constructs of the transtheoretical model to predict classes of change in regular physical activity: A multi-ethnic longitudinal cohort study. Annals of Behavioral Medicine, 40(2), 150–163.  https://doi.org/10.1007/s12160-010-9196-2CrossRefPubMedPubMedCentralGoogle Scholar
  16. Enhance. (2017). What is Enhance Fitness? Retrieved from http://www.projectenhance.org/EnhanceFitness.aspx
  17. Favaro-Moreira, N. C., Krausch-Hofmann, S., Matthys, C., Vereecken, C., Vanhauwaert, E., Declercq, A., … Duyck, J. (2016). Risk factors for malnutrition in older adults: A systematic review of the literature based on longitudinal data. Advances in Nutrition, 7(3), 507–522.  https://doi.org/10.3945/an.115.011254CrossRefPubMedPubMedCentralGoogle Scholar
  18. Fletcher, G. F., Balady, G., Blair, S. N., Blumenthal, J., Caspersen, C., Chaitman, B., … Pollock, M. L. (1996). Statement on exercise: Benefits and recommendations for physical activity programs for all Americans. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart Association. Circulation, 94(4), 857–862.CrossRefGoogle Scholar
  19. GeriFit. (2017). Strength training programs that work! Retrieved from http://www.gerifit.com
  20. Goble, D. J., Hearn, M. C., & Baweja, H. S. (2017). Combination of BTrackS and Geri-Fit as a targeted approach for assessing and reducing the postural sway of older adults with high fall risk. Clinical Interventions in Aging, 12, 351–357.  https://doi.org/10.2147/CIA.S131047CrossRefPubMedPubMedCentralGoogle Scholar
  21. Guralnik, J. M., Simonsick, E. M., Ferrucci, L., Glynn, R. J., Berkman, L. F., Blazer, D. G., … Wallace, R. B. (1994). A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology, 49(2), M85–M94.CrossRefGoogle Scholar
  22. Hamar, B., Coberley, C. R., Pope, J. E., & Rula, E. Y. (2013). Impact of a senior fitness program on measures of physical and emotional health and functioning. Population Health Management, 16(6), 364–372.  https://doi.org/10.1089/pop.2012.0111CrossRefPubMedPubMedCentralGoogle Scholar
  23. Houston, D. K., Nicklas, B. J., Ding, J., Harris, T. B., Tylavsky, F. A., Newman, A. B., … Health ABC Study. (2008). Dietary protein intake is associated with lean mass change in older, community-dwelling adults: The Health, Aging, and Body Composition (Health ABC) study. The American Journal of Clinical Nutrition, 87(1), 150–155.CrossRefGoogle Scholar
  24. Hughes, S. L., Seymour, R. B., Campbell, R. T., Whitelaw, N., & Bazzarre, T. (2009). Best-practice physical activity programs for older adults: Findings from the national impact study. American Journal of Public Health, 99(2), 362–368.  https://doi.org/10.2105/AJPH.2007.131466CrossRefPubMedPubMedCentralGoogle Scholar
  25. Institute of Medicine. (2002). Dietary intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washington, DC: The National Academies Press.Google Scholar
  26. Institute of Medicine. (2011). Dietary reference intakes for calcium and vitamin D. Washington, DC: National Academy of Sciences. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/Dietary-Reference-Intakes-for-Calcium-and-Vitamin-D/Vitamin%20D%20and%20Calcium%202010%20Report%20Brief.pdf
  27. Institute of Medicine (U.S.). Committee on Using Performance Monitoring to Improve Community Health, Durch, J., Bailey, L. A., & Stoto, M. A. (1997). Improving health in the community: A role for performance monitoring. Washington, DC: The National Academy Press.Google Scholar
  28. Institute of Medicine, Dietary Reference Intakes. (2006). The essential guide to nutrient requirements. Washington, DC: The National Academies Press.Google Scholar
  29. Kaiser, M. J., Bauer, J. M., Ramsch, C., Uter, W., Guigoz, Y., Cederholm, T., … Mini Nutritional Assessment International Group. (2010). Frequency of malnutrition in older adults: A multinational perspective using the mini nutritional assessment. Journal of the American Geriatrics Society, 58(9), 1734–1738.  https://doi.org/10.1111/j.1532-5415.2010.03016.xCrossRefPubMedGoogle Scholar
  30. Korda, H., & Itani, Z. (2013). Harnessing social media for health promotion and behavior change. Health Promotion Practice, 14(1), 15–23.  https://doi.org/10.1177/1524839911405850CrossRefPubMedGoogle Scholar
  31. Krebs-Smith, S. M., Guenther, P. M., Subar, A. F., Kirkpatrick, S. I., & Dodd, K. W. (2010). Americans do not meet federal dietary recommendations. The Journal of Nutrition, 140(10), 1832–1838.  https://doi.org/10.3945/jn.110.124826CrossRefPubMedPubMedCentralGoogle Scholar
  32. Kreuter, M. (1992, April). Patch: Its origin, basic concepts, and links to contemporary public health policy. Journal of Health and Education, 23(3), 135–139.CrossRefGoogle Scholar
  33. Kristal, A. R., Beresford, S. A., & Lazovich, D. (1994). Assessing change in diet-intervention research. The American Journal of Clinical Nutrition, 59(1 Suppl), 185S–189S.CrossRefGoogle Scholar
  34. Law, T. D., Clark, L. A., & Clark, B. C. (2016). Resistance exercise to prevent and manage sarcopenia and dynapenia. Annual Review of Gerontology & Geriatrics, 36(1), 205–228.  https://doi.org/10.1891/0198-8794.36.205CrossRefGoogle Scholar
  35. Little, M. O. (2017). Updates in nutrition and polypharmacy. Current Opinion in Clinical Nutrition and Metabolic Care, 21, 4–9.  https://doi.org/10.1097/MCO.0000000000000425CrossRefGoogle Scholar
  36. Mazloomymahmoodabad, S., Masoudy, G., Fallahzadeh, H., & Jalili, Z. (2014). Education based on precede-proceed on quality of life in elderly. Global Journal of Health Science, 6(6), 178–184.  https://doi.org/10.5539/gjhs.v6n6p178CrossRefPubMedPubMedCentralGoogle Scholar
  37. Millen, B. E., Ohls, J. C., Ponza, M., & McCool, A. C. (2002). The elderly nutrition program: An effective national framework for preventive nutrition interventions. Journal of the American Dietetic Association, 102(2), 234–240.CrossRefGoogle Scholar
  38. National Cancer Institute. (2000). [National Institutes of Health, Eating at America’s Table Study, All-Day Screener]. Retrieved from https://epi.grants.cancer.gov/diet/screeners/fruitveg/allday.pdf
  39. National Council on Aging. Active choices: Telephone assisted physical activity self-management program for older adults. Retrieved from https://www.ncoa.org/wp-content/uploads/F_Active-Choices-FINAL.pdf
  40. National Council on the Aging. (2004). Healthy eating for successful living in older adults. Washington, DC. Retrieved from https://pdfs.semanticscholar.org/7f20/7c86cb51b24608f3f48a3b615009bb111944.pdf
  41. Nutrition Screening Initiative. (1991). Nutrition screening manual for professionals caring for older adults. Washington, DC: Nutrition Screening Initiative.Google Scholar
  42. O’Dare Wilson, K. (2017). Community food environments and healthy food access among older adults: A review of the evidence for the Senior Farmers’ Market Nutrition Program (SFMNP). Social Work in Health Care, 56(4), 227–243.  https://doi.org/10.1080/00981389.2016.1265631CrossRefPubMedGoogle Scholar
  43. Oates, L. L., & Price, C. I. (2017). Clinical assessments and care interventions to promote oral hydration amongst older patients: A narrative systematic review. BMC Nursing, 16, 4.  https://doi.org/10.1186/s12912-016-0195-xCrossRefPubMedPubMedCentralGoogle Scholar
  44. Paddon-Jones, D., & Rasmussen, B. B. (2009). Dietary protein recommendations and the prevention of sarcopenia. Current Opinion in Clinical Nutrition and Metabolic Care, 12(1), 86–90.  https://doi.org/10.1097/MCO.0b013e32831cef8bCrossRefPubMedPubMedCentralGoogle Scholar
  45. Palmer, R. C., Batra, A., Anderson, C., Page, T., Vieira, E., & Seff, L. (2016). Implementation of an evidence-based exercise program for older adults in South Florida. Journal of Aging Research, 2016, 9630241.  https://doi.org/10.1155/2016/9630241CrossRefPubMedPubMedCentralGoogle Scholar
  46. Patterson, M., Wang, W., & Ortiz, A. (2018). Dietary and physical activity outcomes determine energy balance in U.S. adults aged 50–74. Journal of Aging and Physical Activity, 561–569.  https://doi.org/10.1123/japa.2017-0304CrossRefGoogle Scholar
  47. Phillips, M. B., Foley, A. L., Barnard, R., Isenring, E. A., & Miller, M. D. (2010). Nutritional screening in community-dwelling older adults: A systematic literature review. Asia Pacific Journal of Clinical Nutrition, 19(3), 440–449.PubMedGoogle Scholar
  48. Proctor, B., Semega, J., & Kollar, M. (2016). Income and poverty in the United States: 2015. Washington, DC: U.S. Government Printing Office.Google Scholar
  49. Reibe, D. (2018). American College of Sports Medicine: Guidelines for exercise testing and prescription (10th ed.). Philadelphia, PA: Wolters Kluwer Health.Google Scholar
  50. Resnick, B., & D’Adamo, C. (2011). Factors associated with exercise among older adults in a continuing care retirement community. Rehabilitation Nursing, 36(2), 47–53, 82.CrossRefGoogle Scholar
  51. Rhodes, R. E., Martin, A. D., Taunton, J. E., Rhodes, E. C., Donnelly, M., & Elliot, J. (1999). Factors associated with exercise adherence among older adults. An individual perspective. Sports Medicine, 28(6), 397–411.CrossRefGoogle Scholar
  52. Rikli, R. E., & Jones, C. J. (2001). Senior fitness test manual. Champaign, IL: Human Kinetics.Google Scholar
  53. Ritter, P. L., Gonzalez, V. M., Laurent, D. D., & Lorig, K. R. (2006). Measurement of pain using the visual numeric scale. The Journal of Rheumatology, 33(3), 574–580. https://doi.org/0315162X-33-574
  54. Sapega, A. A., & Drillings, G. (1983). The definition and assessment of muscular power. The Journal of Orthopaedic and Sports Physical Therapy, 5(1), 7–9.  https://doi.org/10.2519/jospt.1983.5.1.7CrossRefPubMedGoogle Scholar
  55. Schlaff, R. A., Baruth, M., Adams, V. J., Goldufsky, T. M., Peters, N. A., Kerr, G., … Ewald, A. (2016). Effects of a group-based behavioral intervention on dietary behaviors in older adults. Journal of Aging and Health, 30(1), 105–117.  https://doi.org/10.1177/0898264316668936CrossRefPubMedGoogle Scholar
  56. U.S. Department of Health and Human Services and U.S. Department of Agriculture. (2015, December). 2015–2020 dietary guidelines for Americans (8th ed.). Retrieved from http://health.gov/dietaryguidelines/2015/guidelines/
  57. Wellman, N. S., Kamp, B., Kirk-Sanchez, N. J., & Johnson, P. M. (2007). Eat better & move more: A community-based program designed to improve diets and increase physical activity among older Americans. American Journal of Public Health, 97(4), 710–717.  https://doi.org/10.2105/AJPH.2006.090522CrossRefPubMedPubMedCentralGoogle Scholar
  58. Winkler, S., Garg, A. K., Mekayarajjananonth, T., Bakaeen, L. G., & Khan, E. (1999). Depressed taste and smell in geriatric patients. Journal of the American Dental Association (1939), 130(12), 1759–1765.CrossRefGoogle Scholar
  59. World Health Organization. (2017). Constitution of WHO: Principles. Retrieved from https://www.who.int/about/mission/en/
  60. Wright, N. C., Looker, A. C., Saag, K. G., Curtis, J. R., Delzell, E. S., Randall, S., & Dawson-Hughes, B. (2014). The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine. Journal of Bone and Mineral Research, 29(11), 2520–2526.  https://doi.org/10.1002/jbmr.2269CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Wayne Brewer
    • 1
  • Mindy A. Patterson
    • 2
  • Christopher T. Ray
    • 3
    Email author
  1. 1.School of Physical Therapy - Houston CenterTexas Woman’s UniversityHoustonUSA
  2. 2.Department of Nutrition and Food Sciences - Houston CenterTexas Woman’s UniversityHoustonUSA
  3. 3.Texas Woman’s UniversityDentonUSA

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