title: Combining balneotherapy and health promotion to promote active and healthy ageing: the Balaruc-MACVIA-LR®approach.
abstract: Scaling up and replication of successful innovative integrated care models for chronic diseases is one of the targets of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA). MACVIA-LR®(MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon) is a Reference Site of the EIP on AHA. The main objective of MACVIA-LR®is to develop innovative solutions in order to (1) improve the care of patients affected by chronic diseases, (2) reduce avoidable hospitalization and (3) scale up the innovation to regions of Europe. The MACVIA-LR®project also aims to assess all possible aspects of medicine-including non-pharmacologic approaches-in order to maintain health and prevent chronic diseases. These approaches include hydrotherapy and balneotherapy which can be of great importance if health promotion strategies are considered. Balneotherapy at Balaruc-les-Bains focusses on musculoskeletal diseases and chronic venous insufficiency of the lower limbs. Each year, over 46,000 people attend an 18-day course related to a new falls prevention initiative combining balneotherapy and education. On arrival, each person receives a flyer providing information on the risk of fall and, depending on this risk, a course is proposed combining education and physical activity. A pilot study assesses the impact of the course 6 and 12 months later. This health promotion strategy for active and healthy ageing follows the FEMTEC (World Federation of Hydrotherapy and Climatotherapy) concept.
authors.affiliation: Department of Geriatrics, Montpellier University Hospital, Montpellier, France.|EUROMOV. EA 2991, Euromov, University Montpellier, Montpellier, France.
authors.forename: H
authors.initials: H
authors.lastname: Blain
authors.affiliation: EUROMOV. EA 2991, Euromov, University Montpellier, Montpellier, France.
authors.forename: P L
authors.initials: PL
authors.lastname: Bernard
authors.affiliation: Maire, Balaruc-Les-Bains, France.
authors.forename: G
authors.initials: G
authors.lastname: Canovas
authors.affiliation: Société Publique Locale d'Exploitation de Balaruc-les-Bains, Balaruc-Les-Bains, France.
authors.forename: N
authors.initials: N
authors.lastname: Raffort
authors.affiliation: Société Publique Locale d'Exploitation de Balaruc-les-Bains, Balaruc-Les-Bains, France.
authors.forename: H
authors.initials: H
authors.lastname: Desfour
authors.affiliation: Société Publique Locale d'Exploitation de Balaruc-les-Bains, Balaruc-Les-Bains, France.
authors.forename: L
authors.initials: L
authors.lastname: Soriteau
authors.affiliation: Caisse Assurance Retraite et Santé Au Travail Languedoc-Roussillon (CARSAT-LR), Montpellier, France.
authors.forename: M
authors.initials: M
authors.lastname: Noguès
authors.affiliation: , Montpellier, Région Languedoc-Roussillon-Midi-Pyrénées, France.
authors.forename: T
authors.initials: T
authors.lastname: Camuzat
authors.affiliation: PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier, Montpellier, France.
authors.forename: J
authors.initials: J
authors.lastname: Mercier
authors.affiliation: EUROMOV. EA 2991, Euromov, University Montpellier, Montpellier, France.|Department of Physical and Medical Rehabilitation, Nîmes University Hospital, Nîmes, France.
authors.forename: A
authors.initials: A
authors.lastname: Dupeyron
authors.affiliation: Internal Medicine Department, Montpellier University Hospital, Montpellier, France.
authors.forename: I
authors.initials: I
authors.lastname: Quéré
authors.affiliation: EUROMOV. EA 2991, Euromov, University Montpellier, Montpellier, France.|Department of Physical and Medical Rehabilitation, Montpellier University Hospital, Montpellier, France.
authors.forename: I
authors.initials: I
authors.lastname: Laffont
authors.affiliation: Department of Physical and Medical Rehabilitation, Montpellier University Hospital, Montpellier, France.
authors.forename: C
authors.initials: C
authors.lastname: Hérisson
authors.affiliation: School Of Medicine, State University of Milan, Milan, Italy.|WHO Collaborating Center For Traditional an Complementary Medicine, Milan, Italy.|FEMTEC (World Federation of Hydrotherapy and Climatotherapy), Milan, Italy.
authors.forename: H
authors.initials: H
authors.lastname: Solimene
authors.affiliation: University Hospital, Montpellier, France. jean.bousquet@orange.fr.|MACVIA-LR, Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon, European Innovation Partnership on Active and Healthy Ageing Reference Site, Montpellier, France. jean.bousquet@orange.fr.|INSERM, VIMA: Ageing and Chronic Diseases, Epidemiological and Public Health Approaches, U1168, Paris, France. jean.bousquet@orange.fr.|UVSQ, UMR-S 1168, Université Versailles St-Quentin-en-Yvelines, Versailles, France. jean.bousquet@orange.fr.|CHRU Montpellier, 34295, Montpellier, Cedex 5, France. jean.bousquet@orange.fr.
authors.forename: J
authors.initials: J
authors.lastname: Bousquet
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000375:Aging / Q000502:physiology*; D001452:Balneology / Q000379:methods*; D002908:Chronic Disease / Q000453:epidemiology / Q000534:rehabilitation; D005060:Europe / Q000453:epidemiology; D015444:Exercise / Q000502:physiology; D006293:Health Promotion / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D009140:Musculoskeletal Diseases / Q000453:epidemiology / Q000534:rehabilitation; D010353:Patient Education as Topic
keywords: Balneotherapy; Climatotherapy; Education; Falls; Musculoskeletal disease