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The "10 keys" to healthy aging: 24-month follow-up results from an innovative community-based prevention program.

Abstract
The purpose of this report was to evaluate a prevention program to reduce risk factors for common diseases among older individuals in a lower income community. This randomized community-based study enrolled older adults into a Brief Education and Counseling Intervention or a Brief Education and Counseling Intervention plus a physical activity and (for those with hypertension) a dietary sodium intervention. Outcomes were collected on 389 adults with a mean age of 73.9 years over 24 months. Adherence to the "10 Keys" improved significantly in the proportion meeting goals for low-density lipoprotein cholesterol (+14%), bone mineral density testing (+11%), pneumonia vaccination (+11%), colonoscopy (+14%), and adherence to antihypertensive medication (+9%). This program resulted in significant reductions in key risk factors, increases in immunizations, and adherence to established prevention guidelines over 2 years. Further research is needed to refine the use of community health counselors for translating prevention knowledge into community settings. A major limitation of these studies is the low participation percentage.
AuthorsJoseph F Robare, Constance M Bayles, Anne B Newman, Kathy Williams, Carole Milas, Robert Boudreau, Kathleen McTigue, Steven M Albert, Christopher Taylor, Lewis H Kuller
JournalHealth education & behavior : the official publication of the Society for Public Health Education (Health Educ Behav) Vol. 38 Issue 4 Pg. 379-88 (Aug 2011) ISSN: 1552-6127 [Electronic] United States
PMID21652780 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, U.S. Gov't, P.H.S.)
Topics
  • Aging
  • Bone Density
  • Colonoscopy
  • Community-Based Participatory Research
  • Diet
  • Exercise
  • Female
  • Health Behavior
  • Humans
  • Male
  • Medication Adherence
  • Patient Education as Topic (organization & administration)
  • Poverty Areas
  • Risk Factors
  • Socioeconomic Factors
  • Vaccination

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