A3 Action Group. Prevention and early diagnosis of functional decline, both physical and cognitive, in older people. Professor Olle Ljungqvist

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1 A3 Action Group Prevention and early diagnosis of functional decline, both physical and cognitive, in older people Professor Olle Ljungqvist Chairman ENHA Professor of Surgery Orebro University Hospital & Karolinska Institutet, Sweden

2 What is the Action Plan A3 about? Frailty, Undernutrition and functional decline are not inevitable consequences of Ageing Aims: Increase awareness of reasons behind problems and what we can do. Shift focus from treatment to prevention e.g. screening Define optimal approaches for prevention and treatment of frailty/dementia Identify and validate appropriate tools where necessary

3 What is the Action Plan A3 about? Headline Objective Develop and implement sustainable multimodal interventions for the prevention and comprehensive management of functional/cognitive decline and frailty. Between to develop projects which will show measurable and specific change. >200 possible projects identified by partners with timescales and deliverables

4 Structure Seven General Objectives: 1.Management of Functional decline and frailty 2. Empowerment 3. Screening 4. Integrated Pathways of Care 5. Research & Methods 6. Sustainability 7. Co-operation (cross sector)

5 Action Plan: Close up example Objective 1 Management Frailty and Functional Decline Activity - Develop physical exercise training programs and physical activities tailored to older people. Benefit - Can be expanded, validated and implemented via AG partners across Europe Deliverable E-learning tools and modules on prevention of frailty and functional decline, tailored to train health professionals. Partners CBIM - Consortium of Bioengineering and Medical Informatics CCTR - Campania Region CHARGE-UCC Ireland Department of Health, Social Services and Public Safety Northern Ireland

6 Action Plan: Close up example Objective 3 - Promote systematic-routine screening for pre-frailty and Undernutrition Activity - To support the development of nutrition screening policy in EU member states Benefits - Provides a policy for the development of national, local and regional implementation work by A3 partners Deliverable Implementation of nutrition screening policy in EU member states 2 per year Partners ENHA and A3 Partners EUGMS, ESPEN, MNI, EFAD, AIM, HOPE, IAGG, ENDA, PGEU

7 CBIM Pavia Partners Department of Health, Social Services and Public Safety Northern Ireland (DHSSPS NI) ENHA - European Nutrition for Health Alliance European Hydration Institute Faculdade de Ciencias, Universidade de Lisboa University Federico II, Naples, Campania Region HANNN: Medical Center Leeuwarden Hanze University of Applied Sciences NHS Scotland Pfizer Consumer Healthcare SERMAS University of Coimbra University of Valencia (FRESHAGE)

8 Consortium members ESPEN - European Society of Clinical Nutrition, Medical Nutrition Industries, Nutricia Danone, Nestle Health Sciences, EFAD (European Federation of Association of Dietitians) HOPE, AIM, PGEU Pharmaceutical Group of EU, ENDA European Nurse Directors Assoc, EUROCARERS, EUSALT, EHMA, Alzheimer s Europe, AGE UK, Nijmegen health care providers Radboud University, NL Regional Authority of the Emilia Romagna Region, IT, Aston University, UK, Asociacion Salus Vitae, Asociacion espanola para el estudio cientifico del envejecimiento saludable (AECES), University of Valencia, Valentian health Service, Consoft Caretek CED Council of European Dentists, CPME Comité Permanent des Médecins Européens CRNH - Centre de Recherche en Nutrition Humaine EFORT - European Federation of National Associations of Orthopaedics and Traumatology EMSA - European Medical Students Association, EUGMS - European Union Geriatric Medicine Society EULAR - European League Against Rheumatism, FAU - Friedrich-Alexander-Universität Erlangen- Nürnberg, INRCA - Istituto Nazionale di Ricovero e Cura per Anziani Italia Longeva Mensana - Medical Center for Sports, Business and Related Research, Sanofi Toulouse Gerontopole, UGent - Universiteit Gent, UNICATT - Università Cattolica del Sacro Cuore, Université Paris Descartes UTT - Université de Technologie de Troyes, UNIFAI/ ICBAS University of Porto, University of Heidelberg (Ger), CHARGE-UCC, Cork,IRL CCTR, NL, UTT - Université de Technologie de Troyes, University of Minho, University Miguel Hernández, IK4 (Spain), CSIC.

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