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