Man Zhang
Southeast University, Nanjing, China
Title: Integrated Health management model and lifestyle behaviors in community-dwelling older adults
Biography
Biography: Man Zhang
Abstract
Background: As ageing population in the world is rapidly increasing, 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 servicecenter in Nanjing from March 2013 to March 2016.
Interventions: Participants were randomly assigned into management and control group. The management group received careintegrated 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 wasgiven 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 usingrepeated measurements and using Generalized Estimation Equation model. The number of new ones in management group fornon-smoking, physically not inactive, moderate alcohol consumption, diet habits score≥13 and health weight were 18, 77, 26, 178and -6. Five healthy lifestyle scores rose 0.73 points in the management group and -0.38 in the control group. The most importantfinding 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.