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Click to see full schedule with all course descriptions
Day 1 - Thursday July 29th, 2010
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- Session 1 - National and International Physical Activity Initiatives
- Description and Objectives
The importance of physical activity to health, function and quality of life during aging has resulted in a number of national and international initiatives to promote active aging. This session will review national and international efforts to promote physical activity and exercise as individual's age.
At the completion of this session participants will be able to:
- Review the "2008 Physical Activity and Public Health Guidelines", including the scientific rationale for these guidelines.
- Discuss the World Health Organization's "Active Aging" initiative and describe the evolution and expansion of the concepts critical to this international initiative.
- Describe national efforts to promote physical activity in the United States through the "National Blueprint: Increasing Physical Activity among Adults Age 50 and Older".
- Discuss the role of evidence-based community prevention programs in the development of public-private initiatives at the federal, state and local levels to promote active aging.
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| 8:30 - 8:40 |
Welcome and Introductions |
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| 8:40 - 9:25 |
Physical Activity and Public Health: Scientific Rationale and Implications of the 2008 Physical Activity Guidelines for Americans |
The 2008 Physical Activity Guidelines for Americans are based on an extensive systematic review of the scientific literature evaluating the health benefits and risks of physical activity. This review provided many insights into the strengths and weaknesses of this science base. How this science base was used to formulate the Guidelines and the rationale for specific recommendations will be discussed.
Presenter: William Haskell, PhD
Professor (Active Emeritus)
Stanford Prevention Research Center
Stanford University
Stanford, CA
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| 9:25 - 10:10 |
From Physically Active to Active Ageing - a Shift of Paradigm |
The WHO Ageing and Health Programme was established in 1995 and for the first few years a particular focus of its activities focused on promoting physical activity in older age. Subsequently a more encompassing programme of activities evolved around the term "Active Ageing" - defined by WHO as the "process of optimizing the opportunities for health, participation and security in order to enhance quality of life as individuals age". This shift of paradign was neither smooth or easy - but eventually influenced public policies in both developed and developing countries. This presentation will bring reflections and lessons learned from the former director of the WHO Ageing and Life Course Department.
Presenter: Alexandre Kalache, MD
Senior Policy Advisor on Global Aging
New York Academy of Medicine
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| 10:30 - 11:15 |
USA National Initiatives to Promote Successful Aging |
This talk will summarize a series of collaborative projects charged with developing a national strategy for promoting healthy aging in the USA. The National Blueprint: Increasing Physical Activity among Adults Age 50 and Older serves as a guide for multiple organizations, associations, and agencies, to inform and support their planning work related to increasing physical activity among America's aging population. The presentation will describe the process for developing, implementing and evaluating this major national initiative.
Presenter: Wojtek Chodzko-Zajko, PhD
Professor and Head
Department of Kinesiology and Community Health
University of Illinois at Urbana-Champaign
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| 11:15 - 12:00 |
Promoting Active Aging Through Evidence-based Community Programs |
This talk will summarize a series of collaborative projects charged with developing a national strategy for promoting healthy aging in the USA. The National Blueprint: Increasing Physical Activity among Adults Age 50 and Older serves as a guide for multiple organizations, associations, and agencies, to inform and support their planning work related to increasing physical activity among America's aging population. The presentation will describe the process for developing, implementing and evaluating this major national initiative.
Presenter: Nancy Whitelaw, PhD
Senior Vice President, Healthy Aging
National Council on Aging
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| 12:00 - 12:30 |
Panel Q and A |
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- Session 2 - Evidence Based Exercise Prescription
- Description and Objectives
Exercise plays a critical role in optimizing health and function among older adults aging with chronic conditions. Speakers in this session will review the scientific rationale and current best practices related to exercise prescription for some of the most common age-related conditions.
At the completion of these two sessions, participants will be able to do two of the following:
- Discuss current knowledge regarding exercise recommendations for individuals with osteoarthritis including educational strategies to improve functional outcomes.
- Describe evidence-based exercise guidelines for endurance, resistance, and ventilatory muscle training of individuals with chronic heart failure.
- Define physical frailty and discuss evidence based exercise training for the amelioration of physical frailty.
- Review the evidence supporting the prescription of beneficial and realistic exercise programs to promote health and function in people with metabolic disorders, including diabetes.
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| 1:30 - 2:45 |
Concurrent Sessions |
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Evidence-based Exercise Prescription for Older Adults with Osteoarthritis |
Osteoarthritis is the leading cause of restricted physical activity and disability in the United States. Even when OA is not the primary diagnosis or reason for referral, it is a common complication in attempts to increase physical activity. The safety and benefit of exercise for this population have been demonstrated repeatedly in clinical trials; however, individual response to various types of exercise is extremely variable. This presentation will discuss current knowledge regarding exercise recommendations with respect to a) individual and disease characteristics, and b) educational strategies to improve functional outcomes.
Presenter: Marian Minor, PhD, PT
Professor and Chair
Department of Physical Therapy
School of Health Professions
University of Missouri
Columbia, MO
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Evidence Based Exercise Prescription: Balance and Fall Prevention |
Balance is a critical part of independent function. Impaired balance is a common problem in both geriatric and neurologic populations, and leads to increased risk for falls, loss of functional independence and reduced quality of life. This presentation will review evidence based exercise prescription to improve balance and reduce falls among older adults.
Presenter: Tiffany E. Shubert, PhD, MPT
Research Scientist at University of North Carolina Institute on Aging
Adjunct Assistant Professor, University of North Carolina Division of Physical Therapy
Presenter: Debra Rose, PhD
Professor, Director, Center for Successful Aging
Co-Director, Fall Prevention Center of Excellence
California State University, Fullerton
Fullerton, CA
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Amelioration of Physical Frailty |
This talk will include the contemporary views of physical frailty including the assessment, classification and major impairments that contribute to frailty. There will be an emphasis on research findings in support of exercise training for the amelioration of physical frailty in 1) community-dwelling older adults; 2) adults after hip fracture; and 3) obese older adults undergoing voluntary weight loss.
Presenter: David R. Sinacore, PT, PhD, FAPTA
Professor, Physical Therapy & Medicine
Washington University School of Medicine
Saint Louis, MO
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Diabetes and Metabolic Syndrome - How Evolution Can Guide Practice |
The progression of many metabolic disorders such as diabetes can be impacted by physical activity and exercise. Research indicates that the most beneficial types of exercise are not those that are typically prescribed. The presentation will examine the signaling pathways in the body that have evolved to promote health and how current behaviors impede those pathways. The goal of the presentation is to assist in designing beneficial and realistic exercise programs for people with metabolic disorders. .
Presenter: Lisa Stehno-Bittel, PhD, PT
Professor and Chair
Department of Physical Therapy and Rehabilitation Science
Scientific Director, Midwest Diabetes Coalition
University of Kansas Medical Center
Kansas City, KS
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-
| 3:15 - 4:30 |
Concurrent Sessions |
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Evidence-based Exercise Prescription for Older Adults with Osteoarthritis |
Osteoarthritis is the leading cause of restricted physical activity and disability in the United States. Even when OA is not the primary diagnosis or reason for referral, it is a common complication in attempts to increase physical activity. The safety and benefit of exercise for this population have been demonstrated repeatedly in clinical trials; however, individual response to various types of exercise is extremely variable. This presentation will discuss current knowledge regarding exercise recommendations with respect to a) individual and disease characteristics, and b) educational strategies to improve functional outcomes.
Presenter: Marian Minor, PhD, PT
Professor and Chair
Department of Physical Therapy
School of Health Professions
University of Missouri
Columbia, MO
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| |
Evidence Based Exercise Prescription: Balance and Fall Prevention |
Balance is a critical part of independent function. Impaired balance is a common problem in both geriatric and neurologic populations, and leads to increased risk for falls, loss of functional independence and reduced quality of life. This presentation will review evidence based exercise prescription to improve balance and reduce falls among older adults.
Presenter: Tiffany E. Shubert, PhD, MPT
Research Scientist at University of North Carolina Institute on Aging
Adjunct Assistant Professor, University of North Carolina Division of Physical Therapy
Presenter: Debra Rose, PhD
Professor, Director, Center for Successful Aging
Co-Director, Fall Prevention Center of Excellence
California State University, Fullerton
Fullerton, CA
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Amelioration of Physical Frailty |
This talk will include the contemporary views of physical frailty including the assessment, classification and major impairments that contribute to frailty. There will be an emphasis on research findings in support of exercise training for the amelioration of physical frailty in 1) community-dwelling older adults; 2) adults after hip fracture; and 3) obese older adults undergoing voluntary weight loss.
Presenter: David R. Sinacore, PT, PhD, FAPTA
Professor, Physical Therapy & Medicine
Washington University School of Medicine
Saint Louis, MO
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| |
Diabetes and Metabolic Syndrome - How Evolution Can Guide Practice |
The progression of many metabolic disorders such as diabetes can be impacted by physical activity and exercise. Research indicates that the most beneficial types of exercise are not those that are typically prescribed. The presentation will examine the signaling pathways in the body that have evolved to promote health and how current behaviors impede those pathways. The goal of the presentation is to assist in designing beneficial and realistic exercise programs for people with metabolic disorders. .
Presenter: Lisa Stehno-Bittel, PhD, PT
Professor and Chair
Department of Physical Therapy and Rehabilitation Science
Scientific Director, Midwest Diabetes Coalition
University of Kansas Medical Center
Kansas City, KS
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| 4:30 - 6:00 |
Break and Recreation |
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| 6:00 - 10:00 |
Dinner and Poster Session - on campus |
Day 2 - Friday July 30th, 2010
Click the time or title to expand/collapse the events details
- Session 3 - Effects of Physical Activity & Exercise on Components of Health & Aging
- Description and Objectives
Research has supported the therapeutic role of physical activity and exercise on many aspects of aging. This session will review current evidence related to the role of physical activity and exercise on components of health and function including biologic mechanisms such as inflammation and neural plasticity, as well as the maintenance of function and prevention of disability onset.
At the completion of these two sessions, participants will be able to do two of the following:
- Review current research on the role of inflammatory processes in the development of age-related diseases and discuss the evidence for attenuating inflammation through physical activity and exercise.
- Discuss the scientific rationale for evidence-based recommendations related to physical activity in individuals with new onset disabilities like stroke.
- Describe the strengths and limitations of current research regarding the therapeutic potential of physical activity and exercise to prevent disability onset among aging adults.
- Discuss current knowledge related to the effects of physical activity on cognition and brain function, including neural plasticity, in older adults.
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| 8:30 - 8:40 |
Welcome and Introductions |
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| 8:40 - 9:25 |
Inflammatory Processes and Aging: Can Exercise Help? |
Increasing evidence suggests that inflammatory processes during aging play a key role in many age-related diseases. This presentation will review current research on the role of inflammatory processes during aging. A special emphasis will be given to the role of physical activity and exercise on attenuating inflammatory processes during aging.
Presenter: Luigi Ferrucci, MD, PhD
Chief, Longitudinal Studies Section
Director, Baltimore Longitudinal Study of Aging
Editor-in-Chief, Journals of Gerontology Medical Sciences
Clinical Research Branch
National Institute on Aging
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| 9:25 - 10:10 |
The Role of Physical Activity for those with Disabilities: An Example from Stroke |
There is a major chasm between the research and evidence based recommendations for walking recovery, falls prevention, and physical activity in those with new onset disabilities like stroke. Individuals with stroke who return to the community engage in less than 10% of recommended physical activity. This presentation will review the evidence for physical activity in those with stroke and the estimations of physical activity post stroke; identify barriers to engaging in continued physical activity; and make recommendations for future programs that should be implemented and evaluated.
Presenter: Pamela Woods Duncan, PhD, PT, FAPTA, FAHA
Professor and Bette Busch Maniscalco Research Fellow
Doctor of Physical Therapy Division, Department of Community and Family Medicine
Senior Fellow, Duke Center for Aging
Duke University Medical Center
Durham, NC
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| 10:30 - 11:15 |
The Effect of Physical Activity on Function and Disability in Older Persons |
The beneficial effects of physical activity on a variety of physiological systems, including the musculoskeletal system and the cardiovascular system, have been well documented. Epidemiological studies of physical function and disability in older persons find a strong association between sedentary lifestyle and poor functional outcomes. However, these observational studies can not fully adjust for potential confounders of the relationships and establish causality, so randomized controlled trials are needed to establish the therapeutic potential of physical activity to prevent disability onset. This is especially critical in older persons who already have chronic diseases and functional decline but have not yet progressed to disability.
Presenter: Jack M. Guralnik, MD, PhD
Chief, Laboratory of Epidemiology, Demography and Biometry
National Institute on Aging
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| 11:15 - 12:00 |
Exercise and Physical Activity Effects on Brain and Cognition |
This presentation will discuss our current state of knowledge on the effects of fitness training and physical activity on cognition and brain function of older adults. A number of different literatures will be covered including prospective observational studies, cross-sectional studies and randomized intervention studies of physical activity and exercise. I will conclude with a discussion of future studies needed to address unanswered questions.
Presenter: Arthur Kramer, PhD
Beckman Institute
University of Illinois
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| 12:00 - 12:30 |
Panel Q and A |
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- Session 4 - Evidence Based Exercise Prescription
- Description and Objectives
Exercise plays a critical role in optimizing health and function among older adults aging with chronic conditions. Speakers in this session will review the scientific rationale and current best practices related to exercise prescription for some of the most common age-related conditions.
At the completion of these two sessions, participants will be able to do two of the following:
- Discuss evidence based exercise prescription for osteoporosis, including exercises to 1) maximize bone mass, 2) prevent/correct spinal deformity, 3) prevent fractures, and 4) return people to optimal functional status after an osteoporotic fracture.
- Review current best practices for fall prevention among community living elders, including evidence based exercise prescription to improve balance and reduce falls in older adults.
- Discuss the scientific rationale, current best practices and challenges associated with prescribing exercises for seniors with cognitive impairment and dementia.
- Discuss current models for tailoring physical activity and exercise programs to people aging with a disability; discuss the role of community resources in promoting physical activity among disabled older adults.
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| 1:30 - 2:45 |
Concurrent Sessions |
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Exercise for Osteoporosis: Beyond Weight-bearing for Prevention and Treatment |
This session will review the evidence for exercise 1) maximizing bone mass, 2) preventing/correcting spinal deformity, 3) preventing fractures, and 4) returning people to optimal functional status after an osteoporotic fracture. Emphasis will be on the specifics of the exercise prescription (mode, duration, intensity, frequency, and progression of exercise) at various stages of disease severity.
Presenter: Kathy M. Shipp, PT, MHS, PhD
Assistant Professor
Division of Physical Therapy, Department of Community and Family Medicine
Duke University
Durham, NC
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Developing Exercise Programs for Individuals with Chronic Heart Failure |
A brief overview of the pathophysiology of chronic heart failure will be presented as well as the different types, classification schemes and current medical management strategies. The focus of this presentation will be on the evidence-based exercise guidelines for endurance, resistance, and ventilatory muscle training of individuals with heart failure. At the end of this session participants will be able to develop an appropriate exercise prescription for an individual with chronic heart failure.
Presenter: Joseph F. Norman, PT, PhD, CCS, FAACVPR
Professor and Associate Director
Division of Physical Therapy Education
University of Nebraska Medical Center
Omaha, NE
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The Role of Exercise in the Promotion of Cognition and Functional Ability Among Those with Cognitive Impairment |
In my presentation I will discuss our current state of knowledge on the effects of exercise on cognition and functional ability among seniors with cognitive impairment and dementia. In addition to providing a literature review of this emerging area of research, I will also discuss the challenges that clinicians may face in prescribing exercise to this population and possible strategies. I will conclude with a discussion of future studies needed to address unanswered questions.
Presenter: Teresa Liu-Ambrose, PhD, PT
Assistant Professor
Department of Physical Therapy, University of British Columbia
Centre for Hip Health, Vancouver Coastal Health Research Institute
Brain Research Centre, University of British Columbia
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Tailoring Exercise/Physical Activity Programs for Adults Aging with a Physical Disability |
Community-based physical activity programs can be used as a mechanism for transitioning patients/clients from rehabilitation to self-maintenance of health and function across the life span. The first part of this presentation will describe a model for tailoring physical activity for patients/clients aging with a physical disability. The second part will focus on specific types of recreation, fitness, and sports activities that individuals with disabilities can engage in, and identifies appropriate community-based resources.
Presenter: James H. Rimmer, PhD, Professor
Department of Disability and Human Development, University of Illinois at Chicago
Director, Center on Health Promotion Research for Persons with Disabilities
Director, National Center on Physical Activity and Disability and Rehabilitation Engineering Research Center RecTech
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-
| 3:15 - 4:30 |
Concurrent Sessions |
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| |
Exercise for Osteoporosis: Beyond Weight-bearing for Prevention and Treatment |
This session will review the evidence for exercise 1) maximizing bone mass, 2) preventing/correcting spinal deformity, 3) preventing fractures, and 4) returning people to optimal functional status after an osteoporotic fracture. Emphasis will be on the specifics of the exercise prescription (mode, duration, intensity, frequency, and progression of exercise) at various stages of disease severity.
Presenter: Kathy M. Shipp, PT, MHS, PhD
Assistant Professor
Division of Physical Therapy, Department of Community and Family Medicine
Duke University
Durham, NC
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| |
Developing Exercise Programs for Individuals with Chronic Heart Failure |
A brief overview of the pathophysiology of chronic heart failure will be presented as well as the different types, classification schemes and current medical management strategies. The focus of this presentation will be on the evidence-based exercise guidelines for endurance, resistance, and ventilatory muscle training of individuals with heart failure. At the end of this session participants will be able to develop an appropriate exercise prescription for an individual with chronic heart failure.
Presenter: Joseph F. Norman, PT, PhD, CCS, FAACVPR
Professor and Associate Director
Division of Physical Therapy Education
University of Nebraska Medical Center
Omaha, NE
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The Role of Exercise in the Promotion of Cognition and Functional Ability Among Those with Cognitive Impairment |
In my presentation I will discuss our current state of knowledge on the effects of exercise on cognition and functional ability among seniors with cognitive impairment and dementia. In addition to providing a literature review of this emerging area of research, I will also discuss the challenges that clinicians may face in prescribing exercise to this population and possible strategies. I will conclude with a discussion of future studies needed to address unanswered questions.
Presenter: Teresa Liu-Ambrose, PhD, PT
Assistant Professor
Department of Physical Therapy, University of British Columbia
Centre for Hip Health, Vancouver Coastal Health Research Institute
Brain Research Centre, University of British Columbia
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Tailoring Exercise/Physical Activity Programs for Adults Aging with a Physical Disability |
Community-based physical activity programs can be used as a mechanism for transitioning patients/clients from rehabilitation to self-maintenance of health and function across the life span. The first part of this presentation will describe a model for tailoring physical activity for patients/clients aging with a physical disability. The second part will focus on specific types of recreation, fitness, and sports activities that individuals with disabilities can engage in, and identifies appropriate community-based resources.
Presenter: James H. Rimmer, PhD, Professor
Department of Disability and Human Development, University of Illinois at Chicago
Director, Center on Health Promotion Research for Persons with Disabilities
Director, National Center on Physical Activity and Disability and Rehabilitation Engineering Research Center RecTech
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| 4:30 - 6:00 |
Break and Recreation |
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| 6:00 - 10:00 |
Dinner and Social Event - on campus |
Day 3 - Saturday July 31st, 2010
Click the time or title to expand/collapse the events details
- Session 5 - Adherence to Exercise: Determinants of Behavior Change
- Description and Objectives
Despite overwhelming evidence demonstrating the importance of physical activity and exercise to optimal aging, participation and adherence remains low across all age groups, but especially among older adults. This session reviews individual and environmental determinants of behavior change related to physical activity and exercise in older adults. Specific cultural and psychosocial factors associated with adherence in culturally diverse populations as well as those in long-term care facilities will be reviewed.
At the completion of this session, participants will be able to:
- Discuss the factors associated with physical activity participation and adherence in aging adults using a socioecologic model.
- Review specific barriers to exercise and physical activity among frail elders and describe successful interventions for increasing physical activity among individuals in long-term care facilities.
- Describe issues related to physical activity participation and adherence among culturally diverse populations; review methods for identifying unique cultural and psychosocial factors associated with adoption and maintenance of exercise and physical activity programs.
- Discuss environmental facilitators and barriers to physical activity among older adults. including both physical and perceptual factors affecting participation in physical activity programs.
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| 8:30 - 8:40 |
Welcome and Introductions |
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| 8:40 - 9:25 |
Easy to Explain but Hard to Solve: Factors Affecting Adherence to Exercise in Older Odults |
Using a socioecological model, this presentation will provide an overview of the prevalence of physical activity in adults from mid-life into older adulthood and review factors associated with physical activity participation and adherence. The presentation will set the stage for subsequent talks that deal with specific topics.
Presenter: Barbara Ainsworth, PhD, MPH
Professor
Healthy Lifestyles Research Center
Program in Exercise and Wellness
Arizona State University
College of Nursing and Health Innovation (CONHI)
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| 9:25 - 10:10 |
Optimizing Physical Activity Among Physically Frail and Cognitively Impaired Older Adults |
There are many factors that contribute to functional decline and decreased physical activity among frail and cognitively impaired older adults, particularly those that are institutionalized such as the type and amount of care provided by staff in these facilities, degree of cognitive impairment, mood, perceptions of health status, motivation, cultural expectations, environmental factors, coexisting disease states, pain, fear of falling, and beliefs about their abilities to engage in physical activity and in the benefit of this at activity at this late point in their lives. This presentation will provide tricks of the trade and describe successful interventions for increasing physical activity among individuals in long term care facilities and address the many benefits to these residents, the caregivers, and their families.
Presenter: Barbara Resnick, PhD, CRNP, FAAN, FAANP
Professor
University of Maryland School of Nursing
Sonya Ziporkin Gershowitz Chair in Gerontology
Adjunct Professor
Department of Epidemiology and Preventive Medicine
University of Maryland School of Medicine
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| 10:30 - 11:15 |
Recruitment and Retention in Exercise Programs Among Older African Americans |
This session will present findings from a series of studies examining factors associated with recruitment and retention of older African Americans in group based exercise programs. Methods for identifying the unique cultural and psychosocial factors associated with various stages of recruitment into exercise programs and attrition during exercise programs are provided. Findings are also provided on how to convert a university-based research exercise program to a self-sustained, community owned program.
Presenter: Thomas R. Prohaska, PhD
Co-Director Center for Research on Health and Aging
Institute for Health Research and Policy
Professor, School of Public Health
University of Illinois at Chicago
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| 11:15 - 12:00 |
Place Matters: Building Community Environments to Support Lifelong Physical Activity |
Physical activity is a critical determinate of healthy aging. The environment is animportant determinant of adherence to physical activity, and thus plays a significant role in the disabling process. This talk will discuss environmental factors affecting adherence to physical activity among older adults. Environmental factors including both objective variables, such as walking infrastructure and crossing aids, as well as perceptual factors, such as fear of crime, and social cohesion, are associated with older adult engagement in neighborhood-based physical activity. In addition, environmental facilitators or barriers to specific types of activity will be considered.
Presenter: Diane K. King, PhD, OTR
Behavioral Scientist & Senior Project Manager, Institute for Health Research
Kaiser Permanente
Denver, Colorado
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| 12:00 - 12:30 |
Panel Q and A |
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- Next Steps
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| 1:30 - 2:45 |
Establishing the Next Steps: Integration of Evidence Based Research |
(each participant will choose one)
• Academic: integrating research on PA, exercise and aging into entry level curriculum
• Clinical/Community Focus: initiating community programs
• Research Focus: identifying critical research questions
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| 3:15 - 4:00 |
Panel Discussion/Reports |
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| 4:00 - 4:45 |
Key Note Address - The Future of Wellness, Aging and Health |

Presenter: James Canton, PhD
Closing Keynote Address: "The Future of Wellness, Aging and Health" The aging of society represents unique challenges for physical therapy professionals. Health promotion, disease prevention and wellness offer a blueprint for a healthy society of the future. What innovations and trends will drive this healthy future? What is it that physical therapists can do to embrace wellness and a healthier future for society? This presentation by America's leading futurist will explore what the future may hold for wellness, prevention, health enhancement and personalized medicine.
James Canton PhD is a futurist, author and visionary adviser. He is CEO & Chairman of the Institute for Global Futures, a leading think tank that advises global multinationals and government on future trends in health and medicine for twenty five years. He is the author of The Extreme Future (available at ExPAAC) and Technofutures. He has served worked with NASA, National Science Foundation, American Association for the Advancement of Science, US Dept. Health and Human Services and over 100 organizations. Dr. Canton will be available during the day on Saturday for book signing.
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| 5:00 - 6:00 |
Break and Recreation |
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| 6:00 - 10:00 |
Dinner and Closing Social - on campus |
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