Project PAN (Physical Activity and Nutrition)
Project PAN works to promote healthier lifestyles among people in their prime or advanced years, seeking to increase physical activity and improve nutrition in innovative ways.
Overview: Aging Society and Take10!®
Globally, the proportion of people aged over 65 years is growing faster than any other age group, as a result of both longer life expectancy and declining fertility rates. While most developed countries took more than a century for the elderly population to rise from 7 percent to 14 percent, many developing countries are predicted to experience a similar increase within only a few decades. Developing countries urgently need to prepare and adapt to the new demographics.
In Japan, societal aging is progressing at the fastest rate of any country in history. For example, the elderly population was 7% in 1980, but by 1994 had increased to 14% (in percentage terms a two-fold increased), then to 21.5% by 2007 (three times the percentage of 1980), which is why Japan is now referred to as a “super-aging society”.
In order to correspond to the current aging society problem in Japan, the Ministry of Health, Labour and Welfare initiated a nursing care prevention program as a national policy. The program aims to help the elderly from becoming bedridden, to enhance quality of life, and to help to reduce the costs of the national health care program. Since the amendment of the Long-Term Care Insurance Act in 2006, the importance of nursing care prevention has been emphasized and municipalities have implemented various types of nursing care prevention programs for the elderly general and for elderly certified by a secondary prevention program. Furthermore, the act encourages municipalities to foster the elderly to be volunteers and engage in nursing care prevention programs.
ILSI initiated the TAKE10! program targeting the reduction of childhood obesity in the United States within the framework of Project PAN (Physical Activity and Nutrition) in the mid-1990s. In conjunction with this activity, ILSI Japan CHP considered the Japanese situation and decided to target middle-aged and elderly people, who are the at risk population in Japan who need to improve exercise and dietary habits. Therefore, since 2001, ILSI Japan CHP has developed two programs that combine physical exercise and nutrition based on scientific evidence. “LiSM10!®” (Lifestyle Modification) program works to prevent lifestyle-related diseases such as obesity among adults in their prime. The “TAKE10!” program works to prevent elderly people from becoming bed-ridden and to promote healthier aging.
“TAKE10!” for the elderly” aims to support “health and longevity” among the elderly and to prevent the need for nursing care. The major features of the TAKE10! program include: 1) targeting behavioral changes such as increasing physical exercise and improving dietary practices, 2) ability to adapt the program at a reasonable cost to either the elderly in general or elderly as determined by a secondary prevention program, and 3) ability to use the instruction package to easily incorporate the program into existing nursing care prevention programs or municipal peer-leader training programs.
1. WHO 2011, Global health and aging
2. White paper on Aging Society, 2011
ILSI Japan also has its own website in Japanese and English. You can get more details and a history of Project PAN activities here (in English): ILSI Japan Project PAN
Take10!®: Recent Program Updates
Introducing "TAKE10! for the Elderly" to the Vietnamese People
Responding to interest from the Vietnam Public Health Association (VPHA) in the "TAKE10!® Program for the Elderly", developed by ILSI Japan CHP, we held a meeting in Hanoi on December 16, 2011 to consider the needs for and viability of such a program in Vietnam. Participants included representatives from the Ministry of Health, the National Institute of Nutrition, the VPHA and the Hanoi School of Public Health as well as Mr. Togami and Ms. Kimura from ILSI Japan CHP.
Following presentations by the VPHA about their activities and ILSI Japan CHP to introduce"TAKE10! for Elderly", there was a discussion session. It was decided that ILSI Japan CHP will cooperate on developing a Vietnamese version of TAKE10!.
Prior to the session, on December 15th, we conducted a field visit to a rural area in Thai Binh and held discussions with the personnel and volunteers operating in the region. They responded with enthusiasm to the prospect of employing TAKE10! at their locations. Although Vietnam has only just entered an era of societal aging, it is predicted that Vietnamese society will age even more rapidly than Japanese society. Therefore, they are considering measures to take early action, which include drawing on Japanese experiences.
Since Vietnam has unique customs and culture, TAKE10! will need to be modified to suit Vietnamese needs. Therefore, ILSI Japan CHP will assist the VPHA in developing a Vietnamese version of TAKE10! and will begin by translating the Japanese educational materials into Vietnamese.
TAKE10! Leaders Debut in Nishiki-cho, Iwakuni City
We have conducted training for TAKE10!® leaders in Nishiki-cho, Iwakuni City since 2010 under the auspices of Iwakuni City Council of Social Welfare. In July 2011, the second meeting for new TAKE10! leaders was held and included presentations. The Nishiki Branch of Iwakuni City Council of Social Welfare has offered a welfare service for 26 years called "Fureai Home Delivering Meal Service", in which volunteers cook and deliver boxed lunches to elderly who live alone.
This service was combined with the TAKE10! program, during which the importance of eating a variety of foods was explained and group exercises were conducted at community centers. This activity has the added benefit of encouraging elderly people who seldom get out of the house, to walk to the community center and participate in the activities. It is hoped that TAKE10! will become a regular part of the community.
Senboku Newtown Project in Osaka
Since last Autumn, we have been cooperating with Osaka City University to offer TAKE10! sessions for community members of Makizukadai at Senboku Newtown, Sakai City, Osaka. Ms. Kimura, ILSI Japan CHP took part in these sessions as a lecturer last October and December.
With the aim of regenerating the community so that people can live more healthy and comfortable lives, a "Senboku Hottokenai Network" was organized to utilize community human and material resources. This activity makes use of the TAKE10! program. Ideas for creating modern communities which provide health care services via tablet computers in each household are also being considered.ILSI Japan also has its own website in Japanese and English. You can get more details and a history of Project PAN activities here (in English): ILSI Japan Project PAN