the health of the nation - older, sicker, fatter! by dr john searle obe
DESCRIPTION
The health of the nation - older, sicker, fatter! By Dr John Searle ObeTRANSCRIPT
![Page 1: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/1.jpg)
DR JOHN SEARLE OBEThe health of the nation - older, sicker,
fatter!
![Page 2: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/2.jpg)
![Page 3: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/3.jpg)
What is new about health and exercise?
NOTHING!
![Page 4: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/4.jpg)
PLATO - (427-347 BC)
‘Lack of activity destroys the good condition of every human being while movement and methodical physical exercise save it and preserve it.’
![Page 5: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/5.jpg)
Sir Liam Donaldson
‘the benefits of regular physical activity on health, longevity and wellbeing easily surpass the effectiveness of any drugs or other medical treatment’
![Page 6: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/6.jpg)
How much exercise?• 30 x 5 - minimum
ACSM /BASES: weekly• aerobic: 150’ moderate or 75’ high
intensity• resistance: 2 sessions - 8 -10
exercises• flexibility• motor function
![Page 7: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/7.jpg)
What is the reality?Adults who meet 30 x 5 (2008)
self-reported measuredmen 32% 6%
women 29% 4%
![Page 8: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/8.jpg)
What do we have?
A sedentary, overweight population, costing the NHS billions of pounds every year, heading for dementia and nursing homes.
![Page 9: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/9.jpg)
Obesity2010• men 24%• women 25%• children 16%2050• Men 60%• women 50%• children 25%
![Page 10: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/10.jpg)
Client: 110kg; body fat = 40%
44kg of fat
88 0.5kg packets of lard!
![Page 11: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/11.jpg)
Heart disease in UK
• Annual: 275,000 heart attacks
• Fatal: 120,000• UK death rates the
highest in the world
![Page 12: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/12.jpg)
Type 2 diabetes
Number of cases in UK: 1,700,000
4 fold risk of heart attack
![Page 13: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/13.jpg)
Strokes in the UK
• Annual: 110,000
• Third biggest killer
![Page 14: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/14.jpg)
![Page 15: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/15.jpg)
Falls
• 30% of 65+ have a fall
• 50% they are recurrent
![Page 16: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/16.jpg)
Fractured neck of femur
• annual UK: 70,000• Hospital death rate:
4-11%• deaths at 1 year:
30%• 45% need
community support• 14% go to falls
prevention clinic
![Page 17: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/17.jpg)
Dementia• 820,000 cases of
dementia• 1:3 >65 will suffer
from some form of dementia
• Annual cost of care is £23 billion
![Page 18: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/18.jpg)
What else?
Arthritis, osteoporosis and depression are all common
Eg - 40 million prescriptions for depression issued every year in the UK
![Page 19: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/19.jpg)
Older people
• 9.7m 65 and over (16% population)
• 2025: 14m (42% population)
• 60% of hospital bed days and a majority of NHS expenditure
![Page 20: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/20.jpg)
What is the answer?
• Exercise reduces the risk of developing all these diseases
• Exercise is a key component of their management
• Exercise promotes a healthy and independent old age
![Page 21: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/21.jpg)
Why doesn't it happen?
![Page 22: The health of the nation - older, sicker, fatter! By Dr John Searle Obe](https://reader033.vdocuments.site/reader033/viewer/2022060117/5587a70ed8b42af9678b46a6/html5/thumbnails/22.jpg)
DR JOHN SEARLE OBE