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  1. Overview of the Aging Population Colloquium The Aging Population, Alzheimer’s and Other Dementias: Law & Public Policy University of Iowa College of Law January 12, 2012 Josephine Gittler Wiley B. Rutledge Professor of Law

  2. Growth in the Aging Population

  3. Growth in the Aging Population • In 2009: • The number of persons 65+ was 39.6 million, or 12.9% of the total population. • From 2010-2050: • It’s projected that persons 65+ will more than double from 40.2 million, or 13% of the total population, to 88.5 million, or 20.2% of the • total population. Source: U.S. Department of Health and Human Services, Administration on Aging, A Profile of Older Americans: 2010 (2011).

  4. Growth in the Aging Population • The “oldest old”, 85+ are the fastest growing segment of the population • From 2010-2050, it is projected that the “oldest old” will more than triple, from 5.7 million, or 14% of the population 65 and older, to 19 million, or 21% of the population 65 and older. Source: U.S. Department of Health and Human Services, Administration on Aging, A Profile of Older Americans: 2010 (2011).

  5. Source: Finney, Daniel P. (2011, Dec. 1). Iowa near front of U.S. senior population boom, Des Moines Register.

  6. Source: Finney, Daniel P. (2011, Dec. 1). Iowa near front of U.S. senior population boom, Des Moines Register.

  7. Increasing Life Expectancy • 1900 • 47.3 years • 2009 • 78.02 years

  8. Growth in Aging Population:The Baby Boomers(born between 1946-1964)

  9. Baby Boomers Are Aging • 77.3 million baby boomers started turning 65 in 2011.

  10. Aging Patterns by Gender and Race

  11. Source: Grayson K. Vincent & Victoria A Velkoff, U.S. Census Bureau, The Next Four Decades: The Older Population in the United States 2010 to 2050, Population Estimates and Projections (2010).

  12. Source: Grayson K. Vincent & Victoria A Velkoff, U.S. Census Bureau, The Next Four Decades: The Older Population in the United States 2010 to 2050, Population Estimates and Projections (2010). Source: Wan He & Mark N. Muenchrath, National Institute on Aging & U.S. Census Bureau, 90+ in the United States: 2006-2008, American Community Survey Reports (2011).

  13. Dependency Ratios

  14. Dependency Ratios for the United States: 2010 to 2050 Old-age dependency Youth dependency 85 85 83 74 67 37 37 35 28 22 45 46 48 48 48 2040 2010 2020 2030 2050 Note: Total dependency=((Population under age 20 + Population aged 65 years and over) / (Population aged 20 to 64 years)) * 100. Old-age dependency = (Population aged 65 years and over / Population aged 20 to 64 years) * 100. Youth dependency = (Population under age 20 / Population aged 20 to 64 years) * 100. Source: Grayson K. Vincent & Victoria A Velkoff, U.S. Census Bureau, The Next Four Decades: The Older Population in the United States 2010 to 2050, Population Estimates and Projections (2010).

  15. Effects of Aging

  16. The Aging Population:Chronic Diseases & Disabilities • Chronic disease and disability take a disproportionate toll on the elderly • Most older people have at least one chronic disease, e.g. heart disease, cancer, or diabetes. • Physical disabilities increase with age, e.g. vision, hearing, and mobility impairments. • Older persons, particularly the “oldest old” are at risk for Alzheimer’s and other dementias. Sources: Federal Interagency Forum on Age Related Statistics. (2011). Older Americans 2010, Key Indicators of Well-Being. U.S. Administration on Aging. (n.d.). A Profile of Older Americans: 2010.

  17. Cognitive Impairment Among Older Adults: Alzheimer’s and Other Dementias • As the population ages, the number of individuals with Alzheimer’s disease and other dementias is predicted to increase. • Dementia is a group of symptoms affecting the intellectual and social abilities severely enough to interfere with daily functioning. • Alzheimer’s disease is the most common type of dementia.

  18. Cognitive Impairment Among Older Adults: Alzheimer’s and Other Dementias • Dementia is not a normal part of aging. But risk of dementia increases with advancing age. • Most persons with dementia are aged 65 and older • 1 of 8 individuals 65 years of age and older have Alzheimer’s disease. • Nearly one-half of people over 85 years have dementia. Sources: Alzheimer’s Association. (n.d.). Risk Factors .; Alzheimer’s Association. (2011). 2011 Alzheimer’s Disease Facts and Figures.

  19. Cognitive Impairment Among Older Adults: Alzheimer’s and Other Dementias • In 2011, • An estimated 5.4 million persons of all ages, and 5.2 million persons aged 65 and older had Alzheimer’s • 1 in 8 persons aged 65 and older have Alzheimer’s • Nearly one half of persons aged 85 and older have Alzheimer’s • Alzheimer’s disease is the 6th leading cause of death nationwide and the 5th leading cause of death in Iowa. Sources: Alzheimer’s Association. (n.d.). Risk Factors .; Alzheimer’s Association. (2011). 2011 Alzheimer’s Disease Facts and Figures.

  20. The Aging Population:Functional and Cognitive Limitations • As a result of chronic diseases and disabilities, a substantial proportion of the aging population, especially the “oldest old” have functional and cognitive limitations. • Functional and cognitive limitations may result in an inability to perform or difficulty in performing activities of daily living (ADLs) and instrumental activities of daily living (IADLs).

  21. For Further Information: Professor Josephine Gittler412 Boyd Law BuildingUniversity of IowaIowa City, IA 52242josephine-gittler@uiowa.edu (319) 335-9046