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collected during the ND and the quality of care in institutionalised
subjects. Future studies are needed to address its role as indicator
of standard quality of NH.
Concluding section:
In summary, the audience will be informed
about the current state and future options of the nutritionDay
project and will be invited to participate with their own institutions
at the next nutritionDay on November 19th, 2015.
The symposium will bring persons together, who are interested
in nutritional care of older institutionalised people and will invite
them to participate and build an international network of experts
in this field.
Financial support: The nutritionDay project in general is supported
by ESPEN (European Society for Clinical Nutrition and Metabolism).
The nursing home part of the nutritionDay project is presently
supported by a research grant from Medical Nutrition International
Industries (MNI).
– Dorothee Volkert: incidental lectures for medical nutrition
companies (Nutricia, Nestl ´e, Fresenius)
– Regina Roller-Wirnsberger: no conflict of interest
– Marcello Maggio: participation in a clinical trial of Nutricia
Advanced Medical Nutrition, Danone Research (PROVIDE)
Symposium: Geriatric education
S-10
Dissemination and action to promote Physical Activity (PA).
Educational and behavioral aspects to increase PA in clinical
practice
E. Freiberger
1
, N. Van Meeteren
2
, E. Rydwik
3
, E. Tak
4
1
Friedrich-Alexander-University Erlangen-N¨urnberg, N¨urnberg,
Germany;
2
Netherlands;
3
Jakobsbergsgeriatriken/FoU, J¨arf¨alla,
Sweden;
4
TNO Leiden, Leiden, Netherlands
Symposium:
Dissemination and Action to promote Physical
Activity (PA)
Educational and behavioral aspects to increase PA in clinical practice
(EUGMS conference September 2015 in Oslo), hosted by EUNAAPA.
Chair: Ellen Freiberger; Co-Chair: Nico van Meeteren.
Chair’s Expertise:
Ellen Freiberger is currently working as an
Associated Professor at the Institute for Biomedicine of Aging at
the University of Erlangen-N ¨urnberg. She is member of the Steering
Committee of EUNAAPA since 2006. Her research area is the devel-
opment and implementation of exercise intervention program for
older persons with the special focus on fall prevention. In addition
the education for exercise instructors to enhance physical activity
in older persons and exercise instructors in fall prevention working
with older persons has also been part of her research activities.
Co-Chair’s Expertise:
Nico van Meeteren, physiotherapist and
neuroscientist, is currently Executive Director and Secretary General
of the Dutch Topsector Life Sciences and Health and Professor of
Physiotherapy, Physical Functioning of People with Chronic Disease
at Maastricht University in the Netherlands. From 2011 on Van
Meeteren is Chair of EUNAAPA. His research concerns the functional
recovery in (fragile) persons with all sorts of chronic loco-motor
tract (related) pathologies, both in the preclinical and clinical
setting as well as in society at large. Focus of research is: keeping
up peoples’ physical activity, functioning and vitality despite their
chronic disabling conditions and consequently encouraging their
sustainable participation in society.
Symposium Program and Target Audience:
It is common
understanding that exercise as well as physical activity (PA) among
community-dwelling older adults has beneficial effects on health
determinants. Given the fact that maintaining independence and
high functional status is of the utmost importance to older persons
one might think that older persons are lining up for exercise
classes. Despite evidence of positive impact of physical activity,
a huge proportion of older people do not full fill the required
amount of physical activity to gain positive health or functional
effects. Several domains of determinants for PA have been
indicated spanning from personal, interpersonal, environmental
to political domains. This symposium addresses several domains
of determinants for increasing physical activity in older age and
will target a wide audience, ranging from clinicians to researchers
to health care professionals and, of course, the population of the
elderly themselves.
Rationale for the Symposium:
Ageing is in the long run
accompanied by chronic health conditions such as diabetes,
sarcopenia and heart failure. The pathway to declining function
in older age is further encouraged by an increasingly sedentary
lifestyle stemming both from culture as well as from our nowadays
prevailing infrastructure. Almost 60% of older adult’s reported
sitting for more than 4 h per day. Promoting physical activity
in society at large and, in the context of its sub-settings, in an
interdisciplinary team seems mandatory for a gradual sustainable
increase in PA levels and function on a population base. Health care
personal, peers or family members as well as politician play an
important part in the promotion of PA in older adults. One barrier
in the interdisciplinary approach of promoting PA in older adults
are missing recommendations for physical activity in Europa and
standardized educational training curriculum for physical activity.
The symposium will provide newly created recommendations and
training curriculum based on the state-of-the-art as well as address
motivational and functional aspects to increase physical activity
level on older persons.
Learning Objectives:
After this symposium participants will be
able
– To be familiar with recommendation for physical activities (Nico
van Meeteren)
– To be introduced to the training curriculum for physical activity
(Elisabeth Rydwik)
– To gain competence about motivational aspects in physical
activity promotion (Erwin Tak)
– To become familiar with the functional approach from the
behavioral side (Ellen Freiberger)
1. Rome in to action
(Nico van Meeteren): The world, as seen as
a complex dynamic system, is constantly changing and likewise
are people and their in- and explicit thoughts and handlings
at all levels, from macro to micro. These dynamics find their
parallels in our demographics and in our behavior and life style,
especially in our physical activity habits. Our physical activity
decreases worldwide with increasing negative effects for our
health and physical functioning. Joint durable action is requested
in order to counteract this global process, especially for the
elderly. Consequently EUNAAPA and several international, mostly
EU partner-organizations concerned with physical activity in the
elderly issued recommendations for policymakers, researchers and
professionals in order to advise them how to act in the macro
and micro context to provide means to gradually and sustainably
increase physical activity for the next elderly generations. These
recommendations are collectively known as “The Rome-Statement”
and during this symposium the statement is presented and debated
in order to improve them where possible or even necessary and to
further disseminate them towards all relevant settings, institutes
and people involved.
2. Training curriculum by EUNAAPA
(Elisabeth Rydwik): The
EUNAAPA trainings curriculum will act as a solid recommendation
to use in development of different kind of courses for people
working in public health, healthcare and NGO organisations on
how to stimulate physical activity and reduce sedentary behaviour
among older adults. The curriculum is based on, and includes, the
latest evidence on the topic of promoting PA in older persons.