Online Program

Prevention of OA through community prevention, education, physical activity, and other programs

Monday, November 4, 2013 : 10:40 a.m. - 10:50 a.m.

Alicia Zbehlik, MD, MPH, Division of Rheumatology, Department of Medicine, Division of Rheumatology, Dartmouth-Hitchcock Medical Center, The Center for Aging Research, The Dartmouth Institute for Health Policy and Clinical Practice, The Geisel School of Medicine at Dartmouth, Lebanon, NH
Our current health care system is poorly suited to engage individuals of all ages in prevention and chronic disease management. Therefore, public health interventions are critically important to changing the course of disabling chronic disease in our population. Osteoarthritis of the lower limbs, marked by pain, stiffness and swelling, is the leading cause of mobility disability in older adults in the United States and the prevalence is increasing. The pathophysiology of the disease remains poorly understood and there is no cure. The fee for service medical system frequently overlooks osteoarthritis prevention and care until disability has progressed to where surgery is the preferred treatment. Obesity is the greatest modifiable risk factor.

If obesity rates returned to levels seen decade ago, an estimated 100,000 knee replacements would be prevented annually. In 2010, stakeholders led by the Center for Disease Control and the Arthritis Foundation, issued a National Public Health Agenda for Osteoarthritis. The public health agenda outlines a four-component model: education and disease self-management, physical activity, injury prevention and weight management to address this burgeoning public health problem. Implementation of these interconnected components proves to be challenging.

This presentation will examine primary, secondary and tertiary prevention in osteoarthritis through the lens of the public health agenda and will outline opportunities for prevention of osteoarthritis across the lifespan. Interdisciplinary and community-based programs that are prevention-focused, with an emphasis on lifestyle and behavioral modification to decrease the risk of osteoarthritis and other chronic diseases will be highlighted.

Learning Areas:

Clinical medicine applied in public health
Other professions or practice related to public health
Provision of health care to the public
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
Discuss the four evidence based intervention strategies of the 2010 National Public Health Agenda for Osteoarthritis. Describe opportunities for prevention of osteoarthritis across the lifespan. Describe programs that implement behavioral and lifestyle modification to decrease the risk of osteoarthritis and other chronic diseases.

Keyword(s): Aging, Arthritis

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present this information because: I am clinically prepared in internal medicine, preventive medicine, and rheumatology. I am also an MPH currently funded by the Dartmouth Institute for Health Policy and Clinical Practice to study the implementation of behavioral and lifestyle interventions for the osteoarthritis in the community.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.