title: Effectiveness of health and wellness initiatives for seniors.
abstract: Given the increasing prevalence of obesity and lifestyle-related chronic diseases in the United States and abroad, senior wellness initiatives have emerged as a means to stem the troubling trends that threaten the well-being and the economy of many nations. Seniors are an important demographic for such programs because this age group is growing, both as a proportion of the overall population and as a contributor to health care cost escalation. The goal of senior wellness programs is to improve the overall health of seniors through a variety of approaches, including increased physical activity, better nutrition, smoking cessation, and support of other healthy behaviors. Outcome metrics of particular interest are the effects of participation in these programs on health care utilization and expenditures. This review describes several studies that demonstrate reduced inpatient admissions and health care costs, as well as improved health-related quality of life as a direct result of participation in large-scale senior wellness programs. Programs that effectively engage seniors in, and change behavior as a direct result of, participation provide strong evidence that health improvements and decreased health care expenditures can be achieved. However, solutions to the challenges of broader enrollment and sustained participation in these programs would increase the impact of their outcomes and health-related benefits.
authors.affiliation: Center for Health Research, Healthways, Inc., Franklin, Tennessee 37067, USA.
authors.forename: Carter
authors.initials: C
authors.lastname: Coberley
authors.forename: Elizabeth Y
authors.initials: EY
authors.lastname: Rula
authors.forename: James E
authors.initials: JE
authors.lastname: Pope
mesh_terms: D000367:Age Factors; D000368:Aged; D005853:Geriatrics / Q000191:economics* / Q000706:statistics & numerical data; D006291:Health Policy; D006293:Health Promotion / Q000191:economics* / Q000706:statistics & numerical data; D006304:Health Status; D006801:Humans; D008019:Life Style; D006278:Medicare / Q000191:economics / Q000706:statistics & numerical data; D009043:Motor Activity; D009752:Nutritional Status; D015397:Program Evaluation / Q000191:economics* / Q000706:statistics & numerical data; D011788:Quality of Life; D016540:Smoking Cessation; D040241:Social Marketing; D014481:United States