healthy women healthy lives march 18, 2014 healthy in america in 2014 and beyond
TRANSCRIPT
Healthy Women Healthy Lives
March 18, 2014
Healthy in America in 2014 and Beyond
Healthy People 2020, Diabetes and Breast Cancer
Allie Fischer
Healthy People (HP) 2020• Nation-wide effort launched in 2010 by the
U.S. Department of Health and Human Services
• 10 year goals and plans to improve overall health of every American
• Information, advice and resources
• www.healthypeople.gov
HP 2020: Older Adults
HP 2020: Older Adults
Goals for Older Adults• Increase the proportion of females aged 65+
who are up to date on a core set of clinical preventative services.
2008: 47.9% Goal for 2020: 52.7%• Increase the proportion of older adults who
receive Diabetes Self-Management Benefits.
2008: 2.0% Goal for 2020: 2.2%
Goals for Older Adults• Reduce the proportion of older adults who have
moderate to severe functional limitations.
2008: 29.3% Goal for 2020: 26.4%• Increase the proportion of older adults with
reduced physical or cognitive function who engage in light, moderate, or vigorous leisure-time physical activities.
2008: 32.6% Goal for 2020: 35.9%
Diabetes
Prediabetes• Half of all Americans over the age of 65• If unmanaged 15-30% of people will develop
diabetes within 5 years• Research found reversal is possible
– Loss of 5-7% of body weight– 150 minutes of physical activity per week
• Many lifestyle change programs available through the CDC and the YMCA
• Medicare Diabetes Prevention Act: lower federal spending by $1.3 billion over the next 10 years
Diabetes & Sleep• Many studies done linking inadequate
sleep to diabetes
• First study completed in 1969
• Since then, many similar studies have been done with similar results
• Getting 7 hours of sleep can lower this risk
Patient Centered Care • Changing populations• Constant technology
advances• Quality of life • Demands of society
• Multi-component approach
• Management of disease
• Prevention of complications
• Short and long term outcomes
• Economically friendly
Breast Cancer
Incidence Rate by Race Death Rate by Race
What Causes Breast Cancer?
• Family History/Genetics: 45.5%
• Lifestyle Choices: 29%
• Environmental Exposures: 25%
• Family History/Genetics: 10%
• 3+ Alcoholic Drinks/Week: 15% risk increase
• Smoking: 24% risk increase
• Walking 7 hours/week: 25% risk decrease
Population Perception Reality
Breast Cancer & Alcohol• “Alcohol-Attributable Cancer Deaths and
Years of Potential Life Lost in the United States”
• Alcohol responsible for one of every 30 cancer deaths in the U.S. each year
• 3+ drinks a day is highest risk • 1.5 drinks or fewer a day related to 30% of
all alcohol-related cancer deaths• In female alcohol-related cancer deaths
56-66% due to breast cancer (highest)
Mammograms• Recent Canadian study brought mammograms
under question• Suggested women should not begin
mammograms until age 50• Heavily criticized• American Medical Association, the American
College of Obstetricians and Gynecologists, the American College of Radiology, the American Cancer Society, the National Cancer Institute and the National Comprehensive Cancer network all agree women should begin testing at age 40
Human Genome Project• 1990-2003
• 20,000 human genes
• 3 billion pairings
• International research
• Public access