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MANY THANKS for your INVITATION

MANY THANKS for your INVITATION. The tomorrow old people are already born. The tomorrow old people are already born. From quantity of life to active ageing and quality of life. NUMBER of YEARS of LIFE. ALIVE (healthy or not) Dead. Years. SURVIVAL CURVE Middle ages. Survival. Years.

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MANY THANKS for your INVITATION

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  1. MANY THANKS for your INVITATION

  2. The tomorrow old people arealready born

  3. The tomorrow old people arealready born From quantity of life toactive ageingandquality of life

  4. NUMBER of YEARS of LIFE

  5. ALIVE (healthy or not) Dead

  6. Years

  7. SURVIVAL CURVEMiddle ages Survival Years

  8. SURVIVAL CURVEXVIIth century Survival Years

  9. HUMAN LONGEVITY Number of years of life

  10. SURVIVAL CURVEXIXth century Survival Years

  11. HUMAN LONGEVITY Number of years of life PUBLIC HYGIENE: water separation

  12. SURVIVAL CURVEXXth century Survival Years

  13. HUMAN LONGEVITY Number of years of life CARE OF MOTHER AND CHILD PUBLIC HYGIENE: water separation

  14. SURVIVAL CURVEXXIst century Survival Years

  15. The tomorrow old are already born

  16. Percent POPULATION aged 65 and over: 2008 An Ageing World 2008, International population Reports, US department of Health and Human Services, June 2009

  17. Percent POPULATION aged 65 and over: 2040 An Ageing World 2008, International population Reports, US department of Health and Human Services, June 2009

  18. Population in DevelopED and developING countries by age and gender1960 An Ageing World 2008, International population Reports, US department of Health and Human Services, June 2009

  19. Population in DevelopED and developING countries by age and gender2000 An Ageing World 2008, International population Reports, US department of Health and Human Services, June 2009

  20. Population in DevelopED and developING countries by age and gender2040 An Ageing World 2008, International population Reports, US department of Health and Human Services, June 2009

  21. AGEING PROCESS VERY OLD OLD OLD OLD YOUNG OLD FUTURE OLD AGEING PERSON Culture, Socio-economic conditions, Anticipation

  22. 2005 – LIFE EXPECTANCY (LE) An Ageing World 2008, International population Reports, US department of Health and Human Services, June 2009

  23. 2005 – LIFE EXPECTANCY (LE) An Ageing World 2008, International population Reports, US department of Health and Human Services, June 2009

  24. Switzerland2.5 million inhabitants 1860 0.2% 5.1%

  25. Switzerland5.4 million inhabitants 1960 1% 10%

  26. Switzerland7.2 million inhabitants 2000 4.0% 15.4%

  27. 2000 2025 SWITZERLAND 2000 and 2025

  28. 2000 2025 SWITZERLAND 2000, 2025 and 2050 2050

  29. 2000 2025 SWITZERLAND 2000, 2025 and 2050 2050

  30. The tomorrow old are already born We are preparing our own future old age

  31. AGEING:Life course perspective VERY OLD OLD OLD OLD YOUNG OLD FUTURE OLD AGEING PERSON Adult Adolescent Child Socio-economics Culture

  32. AGEING EVIDENCE! Life course perspective

  33. NUMBER of YEARS of LIFE NUMBER of YEARS of LIFE without disability

  34. Years

  35. PATHOLOGICAL PROCESS ALIVE DEAD DEATH ICIDH 1, WHO Geneva 1980 et 1993

  36. PATHOLOGICAL PROCESS Social identity IMPAIRMENT DISABILITY HANDICAP DEATH Coping ability ORGAN INDIVIDUAL SOCIETY Activities of Daily Living Situational condition DEATH ICIDH 1, WHO Geneva 1980 et 1993

  37. Aging successfully until death Study of predictors of dying without disability in 1’097 US citizens who died in late old age with known disability LEVEILLE SG et al Am J Epidemiol 1999; 149: 654-64

  38. CAUSES of DISABILITY ? Which are the main causes ofthe inability of accomplishing alonethe Activities of Daily Living (ADL) Life styles ? Age by itself ? Diseases ?

  39. LIFE STYLES and ADL functioning 32 year-follow-up (1962-1994) of 1741 students born between 1913 and 1925 3 “modifiable” risk factors  PHYSICAL EXERCICES WEIGHT SMOKING . VITA AJ et al New Engl J Med 1998; 338: 1035-41 High risk group Low risk group

  40. LIFE STYLES and ADL functioning 32 year-follow-up (1962-1994) of 1741 university alumni born between 1913 and 1925 3 “modifiable” risk factors  PHYSICAL EXERCICES WEIGHT SMOKING DISABILITY was postponed by 10 y. VITA AJ et al New Engl J Med 1998; 338: 1035-41 High risk group Low risk group

  41. Longitudinal 32-years survey (1962-1994) 1,741 university alumni (cumulative disability) Bias of the study cohort ??? White men Highly educated Good socioeconomic status  GENERALIZABILITY of the FINDINGS ? CAMPION EW New Engl J Med 1998;338: 1064-6

  42. LIFE STYLES and ADL functioning 12 year-longitudinal study of a 65+ community dwelling population 418 death registered between 1986 and1998 ADL were analyzed considering 3 « modifiable» risk factors:physical exercices, weight and smoking habit HB HUBERT et al J Gerontol A Biol Sci Med Sci 2002; 57: M347-51 «HIGH RISK» group «LOW RISK» group

  43. LIFE STYLES and ADL functioning 12 year-longitudinal study of a 65+ community dwelling population 418 death registered between 1986 and1998 ADL were analyzed considering 3 « modifiable» risk factors:physical exercices, weight and smoking habit HB HUBERT et al J Gerontol A Biol Sci Med Sci 2002; 57: M347-51 «HIGH RISK» group «LOW RISK» group

  44. LIFE STYLES and ADL functioning 12 year-longitudinal study of a 65+ community dwelling population 418 death registered between 1986 and1998 ADL were analyzed considering 3 « modifiable» risk factors:physical exercices, weight and smoking habit HB HUBERT et al J Gerontol A Biol Sci Med Sci 2002; 57: M347-51 «HIGH RISK» group «LOW RISK» group

  45. CAUSES of DISABILITY ? Which are the main causes ofthe inability of accomplishing alonethe Activities of Daily Living (ADL) Life styles ?YES Age by itself ? Diseases ?

  46. BALANCED DIET PHYSICAL EXERCISES

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