Man Zhang
Southeast University, China
Title: Integrated Health management model and lifestyle behaviors in community-dwelling older adults
Biography
Biography: Man Zhang
Abstract
Background: As rapidly ageing population in the world, age-dependent chronic diseases epidemics. Nearly 30% of the total disease burden is attributable to health conditions among those aged 60 years and above. 60% of chronic diseases are caused by unhealthy lifestyles. WHO urgently needs to find an affordable, accessible, high-quality and age-friendly health promoting interventions for the old .
Objective: To investigate the effect of integrated health management on modified lifestyle behaviors among older people.
Participants: 736 adults aged 60 years and above, without any cognitive disorder, were selected from community health service center in Nanjing from March 2013 to March 2016.
Interventions: Participants were randomly assigned into management and control group. The management group received care integrated individual health management with community health management model.
Main outcome measures: The primary outcomes include assessment of healthy lifestyle scores of 18 to 36 months. Value of 1 was given to different categories including non-smoking, physically active, moderate alcohol use, healthy weight and high diet quality.
Results: Longitudinal quantitative and qualitative data on 702 (management= 388; control = 314) participants were analyzed using repeated measurements and using Generalized Estimation Equation model. The number of new ones in management group for non-smoking, physically not inactive, moderate alcohol consumption, diet habits score≥13 and health weight were 18, 77, 26,178 and -6. Five healthy lifestyle scores rose 0.73 points in the management group and -0.38 in the control group. The most important finding is integrated health management has a cluster effect.
Conclusions: Our findings support the view that integrated health management model can promote the elderly modifiable lifestyle.
Keywords: older adults, integrated health management model, Lifestyle behaviors, smoking, diet, alcohol, physical activity